NCLEX Practice Questions RN+PN 6/7

1. Which of these would be an appropriate meal for a client with Celiac disease?

2. The LPN is caring for a 32-year-old female client who is 8 hours post-op after a tonsillectomy. Which of these would be an appropriate action taken by the nurse?

3. A client is on a clear liquid diet. She drinks half of a 12-ounce juice, 4 ounces of soup, and has a 6-ounce JELL-O®. How many milliliters of fluid did the patient ingest?

4. The LPN is preparing to ambulate a client post total knee replacement. Which of the following actions should the nurse perform prior to ambulating the client?

5. An LPN is caring for a primarily bedridden client. Which finding should be of least concern?

6. A client with dysphagia is ready to eat lunch. Which of these foods on the tray would be best to start with when assisting the client?

7. The LPN is receiving the report on a comatose client at the start of the shift at 1500. What statement should be of most concern?

8. The LPN is observing a client using crutches for a leg injury. Which of these would indicate a need for more education?

9. Using the FLACC pain scale, how should the LPN document pain for a non-verbal client with these findings:

Face—occasional grimacing

Legs—relaxed

Activity—Squirming

Cry—moans and whimpers

Consolability—distractible

10. Which of these statements from the caregiver of a palliative care client indicates a proper understanding?

11. Which of these does not need to be included when calculating a client’s fluid intake?

12. Which of these types of fluid output is not typically measured?

13. The LPN is assisting the client with an NG tube with activities of daily living. Which of these statements would indicate need for teaching reinforcement?

14. The LPN is checking for residual before administering enteral feeding through a PEG tube. Which of these steps is incorrect?

15. When performing an abdominal assessment, what is the correct order of the tasks?

16. The LPN is auscultating for bowel sounds and hears between 3 and 4 bowel sounds per minute. This is a somewhat expected finding for which of these clients?

17. While repositioning the client, the LPN notices a shallow, open ulcer on the sacrum with partial-thickness skin loss. What is the classification stage of this ulcer?

18. The LPN is caring for a client with an NG tube, and the RN administers evening medications through the NG tube. The client asks if he can lie down when the nurse leaves the room. What is the most appropriate response?

19. The LPN is placing a Foley in a female client. Place the following steps in the appropriate order.

A. Prepare the sterile field.

B. Separate labia with non-dominant hand.

C. Clean the urinary meatus using cleansing solutions and forceps.

D. Inflate catheter balloon.

E. Place the client in a supine position with flexed knees.

F. Place lubricant on catheter.

G. Place catheter in meatus with dominant (sterile) hand.

20. The LPN is preparing to clean a client’s PEG tube. Which of the following tasks should the nurse perform?

A. Gently remove crusty drainage from the site.

B. Pull the tube in multiple directions to ensure it is secure.

C. Thoroughly dry the skin around the tube site with a clean towel.

D. Use mild soap to clean around the tube site.

E. Apply talcum powder to the tube site.

21. Which of the following devices may be applicable to a bedridden patient to address potential venous insufficiency?

Choose all that apply.

A Shear-reducing mattress

B Sequential compression devices

C Compression stockings

D Non-skid socks

22. Which of the following statements indicates that the nurse understands how to promote rest and sleep for the client?

23. Which of the following is least important to test when assessing the client’s motor skills?

24. The nurse is caring for a patient who is hard-of-hearing. Which of the following steps may be appropriate when communicating with the patient?

25. What is the most effective way to prevent skin breakdown?

26. What pain scale does the following tool assess

27. Which of the following statements from a client may indicate that they are at a higher risk for a fall?

28. The client has asked if you would be able to offer any alternative or complementary therapy during their hospitalization. Which of the following would be appropriate to suggest:

A Physical therapy

B Music therapy

C Psychiatric therapy

D Occupational therapy

E Pet therapy

29. Which of the following is least relevant when reviewing the client’s risk for elimination impairment?

30. Which of the following statements to the client’s family would be appropriate when preparing to provide post-mortem care to the client?

31. The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm. Given this information, what would the nurse expect the child’s chest circumference to be?

32. The LPN is caring for a client newly diagnosed with HIV. Which statement made by the client regarding antiretroviral therapy (ART) would require correction from the nurse?

33. A pregnant client asks how she can prevent getting Group B Strep. What is the LPN’s best response?

34. You are caring for a 78-year-old woman who is wondering why she was diagnosed with glaucoma. Although she has several risk factors, which of these is not one of them?

35. The LPN is caring for a 9 month-old infant. Which of these behaviors exhibited by the child warrants further investigation?

36. An LPN is taking care of an elderly client who experiences the effects of Sundowner’s Syndrome almost every evening. Which of these interventions implemented by the nurse would be the most helpful?

37. A laboring client is experiencing late decelerations. Which position should she be placed in?

38. The LPN is teaching a first-time mother about breastfeeding her newborn. Which statement, if made by the mother, would reflect that the teaching had been successful?

39. The LPN needs to determine the client’s respiratory rate. What is the best technique to do this?

40. The LPN is teaching a 25-year-old client about HPV. Which statements made by the client indicate understanding of the teaching?

Select all that apply.

A. “I can only get HPV if my boyfriend has symptoms.”

B. “HPV can cause cancers later in life, which is why it is important to prevent it now.”

C. “I feel a bit better about having HPV now that I know that almost all sexually active people have it at some point.”

D. “It’s a bummer that I’m too old for the vaccine.”

E. “If I take my birth control diligently, I can significantly reduce my risk for HPV.”

41. When caring for pediatric clients, the nurse should pay special attention to the psychosocial development stages credited to ____?

42. Around what age do children start to develop “stranger anxiety”?

43. The nurse is assessing an 18-month-old. Which of these statements made by the parent or caregiver would require follow-up?

44. The nurse is caring for a 4-year-old client. What is the most appropriate pain scale for the nurse to use during the assessment?

45. The nurse is caring for an elderly client and providing education. Which of the following would be least appropriate?

46. The nurse is caring for a female client who has recently been diagnosed with cancer and will soon begin chemotherapy. Which of these statements would require additional follow-up and education?

47. The nurse is assessing the newborn’s respirations. Which of these findings would indicate a need for follow-up and further intervention?

48. Which spot is the safest place to administer an IM injection to an infant? Select the correct corresponding letter from the attached graphic.

49. The nurse is caring for a client who has dysphagia related to a stroke. The nurse works with the client to explain what food and beverages might minimize aspiration. What is this an example of?

50. Which of the following statements is correct about Maslow’s hierarchy of needs?

51. A 37-year-old female client asks the nurse about contraception options, and says she would like to ask her doctor for a prescription for an oral contraception pill. Which of the following statements would indicate that oral contraception is appropriate for this client?

52. Which of the following would likely not be a barrier to learning?

53. Which of the following is least appropriate when caring for a stable postpartum client?

54. Which of the following of Erikson’s developmental stages are relevant to adults ages 18-64?

Select all that apply.

A. Ego Integrity vs. Despair

B. Generativity vs. Stagnation

C. Industry vs. Inferiority

D. Initiative vs. Guilt

E. Intimacy vs. Isolation

55. The nurse is assessing a client who has recently found out she is pregnant. Which of the following statements would be a priority for the nurse to follow up on?

An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for clients of all ages. What should he do?

Which of the following tasks are appropriate for an LPN to perform?

Select all that apply.

A. Adjust the cervical traction device of a 68-year-old client as instructed by the charge nurse.

B. Teaching a 24-year-old first-time mother how to properly care for her new baby.

C. Assess a 36-year-old man newly admitted for chest pain.

D. Obtain an occult blood sample from a 16-year-old client with ulcerative colitis.

E. Document the administration of acetaminophen to a stable 43-year-old, status post-op knee arthroplasty.

Which of these would be an appropriate assignment for the LPN/LVN?

Which of these clients should the LPN/LVN see first?

An LPN is talking with a client scheduled to undergo a vasectomy in the next few minutes. He states, “I know I signed the form and all, but I’m not feeling so sure of this. It can be reversed pretty easily, right?” What is the LPN’s best response?

Which of these is true regarding advance directives?

Which of the following scenarios are considered violations of HIPAA laws?

Select all that apply.

A. Discussing discharge plans with a client in a multi-bed recovery room with the curtain drawn around the client’s bed.

B. Looking up the medical information of a friend not in your care but who gave you permission.

C. Checking on your spouse’s medical record because you are listed as her power of attorney.

D. Avoiding conversations about clients while in line in the cafeteria with a mutual caregiver of that client.

E. Looking up only the address of a co-worker who delivered a baby so you can surprise her with a gift.

An LPN is working on the care plan for a client with diabetes mellitus. Which of these outcomes would be the most appropriate?

The LPN notices a client with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned. What should the nurse do?

A client being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose. The nurse should ____.

Which of these would be the most appropriate way to document a client’s refusal of medication?

The LPN needs to delegate a task to the nurse aide who is new to the unit. Which of these is the best option for the nurse to choose in proceeding?

An LPN is having conflict with another nurse during her shift. She has tried to discuss the issues with the nurse with no resolution. What is the most appropriate way for the nurse to proceed?

A nurse is giving shift report off to the oncoming LPN. Which of these is an inappropriate shift report?

A nurse witnesses a client sign the consent form for surgery with the surgeon. As the surgeon leaves, the client starts to speak and then stops. The nurse asks if the client has further questions and he says, “I don’t want to bother the surgeon.” The nurse should ____.

An LPN on a Continuous Quality Improvement (CQI) team is tasked with implementing strategies to reduce medication errors. Which of the following strategies would be most beneficial for the LPN to implement?

In what order should the LPN see the following clients?

Use appropriate letters to match the correct order

A. a 72-year-old client with pneumonia asking to order her dinner.

B. a 23-year-old client with left arm fracture after an MVA complaining of 6 out of 10 pain in his arm.

C. a 53-year-old client with lower leg swelling complaining of sudden onset headache and blurry vision.

D. a 47-year-old client requesting more information regarding her surgery scheduled in three hours

The LPN on shift notices a client come in to the clinic with bruises on his arm. The client seems very afraid and doesn’t speak much which concerns the nurse because these are signs of physical abuse. The nurse should ____.

A client is having an abortion in a women’s clinic and the nurse caring for the client does not think the reasoning is appropriate. The nurse asks, “Are you sure you want to do this, it can’t be undone. Have you read about your other options? Adoption is always a good choice.” The client states she understands all options and is comfortable with her choice. The nurse nods and leaves the room to discuss the procedure with the physician. Which client right did the nurse violate with her actions?

A client is refusing to stay in the hospital because he does not agree with his healthcare treatment plan. The nurse stops the client from leaving due to concern for his health. Which of these legal charges could the nurse face?

While taking care of a client, the nurse thinks that physical therapy in the hospital might be beneficial to their condition. Which of the following is the ideal referral process?

A. Transport the client to the physical therapy room for treatment.

B. Provide the client’s medical record to the physical therapist.

C. Contact the client’s primary care provider to suggest a physical therapy referral.

The team is in the client’s room to insert a chest tube, and the nurse suspects that the attending physician who is going to perform the procedure is intoxicated. Which of the following actions is most appropriate?

Which of the following is not an advanced directive?

The nurse has a client who is being transferred to another floor right around change of shift. Which of the following actions is least appropriate?

Which of the following is true about use of technology when caring for a client?

The nurse is caring for a non-English speaking client. The surgeon has asked the nurse to hurry up and prepare the client for their scheduled procedure, which is running late. Which of the following is least appropriate?

While on the wound care team, the nurse notices that a fellow nurse opens extra colloid dressing that are often thrown away when they are not needed. What should the nurse do?

The nurse is caring for a client who has just tested positive for HIV. The client asks the nurse not to tell anyone outside of the care team about his diagnosis. What response is most appropriate?

Which of the following behaviors is least appropriate when dealing with fellow staff members?

Which of the following statements is true about a post-discharge follow-up?

The nurse is caring for a client who is unsure they will be able to make medical decisions as their disease progresses and would like to appoint another individual to have the authority to make these decisions. Which of the following options would be most appropriate?

Which of the following activities is not part of client advocacy?

The nursing staff has a normal nurse-to-client ratio of three clients per nurse on the floor. Nurse Ann tells nurse Christine that one of her client’s status is declining but that she will do her best to juggle her other two clients. Which action is most appropriate?

Who is responsible for obtaining the signature from the client on the informed consent?

The nurse is preparing a client for surgery who says it is against their religion to accept blood transfusions. Which of the following statements would be most appropriate?

Which is the correct order regarding the hierarchy of members of the nursing team from least authority to highest authority?

A. staff nurse

B. nurse manager

C. LPN

D. charge nurse

Which of the following is not one of the four categories related to client care plans?

What is the best definition for ethics in nursing?

Which of the following is true of advanced directives?

When documenting in the client’s record, what type of information should be recorded?

The nurse is caring for a client recovering from a stroke who recently regained consciousness. The client is having difficulty communicating verbally with the team. Which of the following would be least appropriate?

The nurse is admitting a client to the unit who says they would feel more reassured with an extra oxygen tank in their room because of a past incident when they were short of breath. Which of the following statements is the best response?

The nurse in the emergency room is admitting a client who has sustained a gunshot wound and will require immediate surgery. The client is unconscious and by themselves. Which of the following actions is most appropriate?

The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, “Will you promise me you will be my nurse tomorrow?” Which response is most appropriate.

While documenting on a paper form, the nurse realizes they have made a mistake writing the progress note. What should the nurse do?

Which of the following is not true of clinical pathways?

The nurse is caring for a client awaiting test results on a biopsy. The client is unconscious, and the physician informs the client’s spouse that the biopsy came back positive for cancer. The spouse asks the nurse if they will not share this news with the client because they would prefer the client be unaware of the diagnosis. Which of the following responses is most appropriate?

The nurse receives an assignment of three clients. Which of the following should the nurse consider as highest priority when determining which client to assess first?

During an emergency procedure, is the surgical timeout a requirement?

Which of the following provides the framework for confidentiality and the client’s right to privacy?

The LPN is about to give 100 mg Lopressor (metoprolol) to a client. Before administering the drug, he takes the patient’s vitals, which are as follows:

Pulse: 58

Blood Pressure: 90/62

Respirations: 18/minute

What action should the LPN take?

The LPN is taking care of a client who is on Phenelzine (Nardil) for depression. Which meal would the nurse encourage the client to avoid?

The LPN is taking care of a 176-pound client who has recently been diagnosed with diabetes. The primary healthcare provider has written an order for Lantus® (insulin glargine injection) 100 units/mL, using weight-based dosing of 0.2 units/kg per day. The LPN should prepare ____ units for administration.

An allergic reaction is classified as what type of pharmacological effect?

The LPN is taking care of a client with a documented allergy to Penicillin. After rounds, the PN notices that the client has an order for Cefazolin. Which of the following actions would be the least appropriate?

Which of the following are included in the Rights of Medication Administration?

Select all that apply.

A. right dose

B. right time

C. right explanation

D. right client

E. right route

The LPN is caring for a client taking Lipitor (Atorvastatin). Which of these statements would indicate that the client may need reinforced teaching?

The LPN participates in a home visit for a client with Type 2 Diabetes who has been taking Metformin for 3 years. The client states that for the past 3 months, they have been trying a vegan diet and experiencing fatigue, confusion, and mood changes. What is a likely cause of the new symptoms?

Which of these medications has the least risk of causing tinnitus?

The client has an order for 0.45mg Diltiazem. The medication vial has a concentration of 3 mg/mL. How many mL of the drug should be administered?

The client has an order for a 1,000 mL bag of fluids to be infused over 8 hours. What is the correct rate?

Which of the following actions should the LPN perform for a client with an active digoxin IV order?

Select all that apply.

A. Monitor ECG rhythm throughout administration.

B. Administer the medication over at least 5 minutes.

C. Monitor respirations during administration.

D. Monitor the client’s pulse for 1 minute prior to administration.

E.Assess the client’s blood pressure.

What classification of drug is Diltiazem?

Which of these is not a symptom of Serotonin Syndrome?

The LPN is admitting a client to the unit and the client has rapidly blinking eyes, stuck out tongue, and a distorted posture. Which of these medications is the patient most likely taking?

The LPN is on a home visit with a client taking Amiodarone. Which of these statements would indicate that the client understands the potential drug side effects.

The LPN is caring for a client admitted for acute pancreatitis. Which of these medications would be least appropriate for pain management?

The LPN receives a call from a mother caring for her eight-month-old infant. The mother describes that the child has a low-grade fever and has teeth breaking through the gums. Which of the following measures would be inappropriate to recommend to the mother?

The LPN has been asked to help a client taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?

The LPN is preparing a client for discharge and the discharge medications include phenobarbital. Which of these client statements would indicate a need for reinforced teaching about this medication?

The nurse is preparing to administer Azithromycin, and the pharmacy has provided the drug in a powder form that requires reconstitution connected to a saline piggyback. Which of the following is least concerning when preparing the medication?

The nurse is observing a client self-administer two medications that are in a crushable pill form through their G-tube. Which of the following would indicate a need for further instruction?

Which of the following is not a nursing responsibility when preparing the client for central line insertion?

What is the threshold of dextrose concentrations that can safely be administered through a peripheral IV?

The client is being discharged with a prescription for an inhaled glucocorticoid for asthma. Which of the following statements indicates additional education is needed prior to discharge?

The client has an order for an IV piggyback of Ceftriaxone 750mg in 50mL D5W to run over 30 minutes. What is the appropriate drip rate?

An LPN is tasked with checking the narcotic count on a medical surgical unit. Which statement by the LPN requires further investigation?

The nurse receives an order to administer phenytoin through the client’s J-tube. The order instructs that tube feedings are stopped at least an hour prior to administering the medication and an hour after medication is administered. Which of the following considerations may be a reason to discuss this order with the physician?

An LPN is reviewing medication lists for several clients recently admitted to the hospital. Which of the following scenarios would be least concerning?

The nurse is receiving a report from an ER nurse about a client. Which of the following statements requires additional follow-up?

Which of the following is true when administering a nasal spray medication?

The nurse is caring for a client who has recently started using a PCA pump for pain management. Which of the following statements indicates a need for additional education?

What is the therapeutic range for carbamazepine (Tegretol)?

A client is taking phenelzine (Nardil), and their spouse would like to bring lunch from home. Which of the following is most appropriate for the client to eat?

The client has been on vancomycin for three days. Which of the following symptoms is least concerning?

The LPN is caring for a postoperative client who had an open appendectomy. Where would he look to check the incision site?

Which of these is not a sign of early hyperglycemia?

The LPN examines the client’s ECG strip attached to this question. The LPN identities this cardiac rhythm as which of the following?

While the LPN is bathing a client with a chest tube, the tube is accidentally pulled out. What is the first priority for the LPN?

The LPN is caring for a client on peritoneal dialysis. The LPN should monitor for which of the following events?

Select all that apply.

A. infection

B. hyperglycemia

C. weight loss

D. hernia

E. muscle cramping

Which of these is not an early indicator of increased intracranial pressure?

The LPN enters the room of a client who is having a tonic-clonic seizure. Which action should the nurse take first?

Which of these is not an appropriate treatment for maternal hypotension after epidural anesthesia?

The LPN is caring for a client in early labor lying supine in bed. The client states that she is feeling light-headed and nauseous, and the client’s blood pressure is lower than baseline. What is the most appropriate action?

While the LPN is removing the third of seven sutures in a client’s surgical incision, the LPN notices a gap in between the skin where this suture was. Which of these are the most appropriate next steps?

The LPN is caring for a client that had an open laparotomy 6 hours ago. The client complains about coughing and a scratchy throat from being intubated. What would be the most important item to make sure the client has at the bedside?

The LPN is performing a wound dressing change on a client with a stage 3 pressure ulcer. Which of the following assessment findings indicates a need for further intervention?

The LPN is reinforcing education with a client being discharged with an Albuterol inhaler. The medication prescription orders the client to take two puffs from the inhaler every 4-6 hours as needed. How long should the LPN instruct the client to wait between taking the first and second puff?

The LPN walks into the client’s room and observes the client having an asthma attack. What would be the best position for this client?

The LPN is caring for a quadriplegic client who begins to experience autonomic dysreflexia. What is the most appropriate action for the LPN to take?

The LPN is caring for a client undergoing peritoneal dialysis, and the output seems low. What should the LPN do first?

The LPN is preparing a client for discharge post-op right eye cataract removal. Which of the following statements indicates the client’s understanding of post-surgical instructions?

The nurse is caring for a client who has a peripheral IV in her hand and a PICC line in the opposite arm. Which of these medications would be appropriate to administer in the peripheral IV?

The LPN is caring for a client in recovery who has had an open laparotomy. The client has a coughing fit, and the LPN notices the sutures have torn and a small loop of bowel has protruded from the incision. Which of these actions would be the least appropriate?

The LPN enters the client’s room and finds the client unresponsive and not breathing. The LPN determines that the scene is safe. What step should the LPN take next?

Which of the following statements is accurate when caring for a client with a tracheostomy tube?

Which of the following statements indicates the client has a good understanding of the education regarding a recently implanted permanent pacemaker?

23. Which of the following patients is at highest risk for an electrolyte imbalance?

The nurse is caring for a client who had an ileal conduit created in a surgical procedure the previous day. Which of the following findings is abnormal?

The nurse is asked to perform cooling measures on a three-year-old client with a fever. After 10 minutes in a bath of tepid water, the child begins to shiver. Which of the following actions is most appropriate?

The nurse is performing a dressing change on a post-surgical patient and discovers that the gauze is dry and has adhered to the incision site. Which of the following is the most appropriate action?

Which statement is true of ventilator associated pneumonia (VAP)?

The nurse is caring for a client who has liver damage related to chronic alcoholism. What electrolyte imbalance is this client at highest risk for?

The nurse is assessing a client recently admitted to the ER and notes foul-smelling urine when emptying the urostomy bag. Which of the following questions is most appropriate?

The nurse enters the client’s room to check the patency of a peripheral IV in the patient’s right forearm and to flush with saline if needed so that the RN can administer a piggyback medication. When the nurse assesses the IV site, it is swollen and red, and the client says it is painful. Which of the following actions is least appropriate?

A client says to the LPN/LVN, “I think you’re really cute and we get along so well. Once I’m out of here, would you like to go on a date sometime?” Which response by the LPN/LVN is the most appropriate?

An LPN student nurse is assigned to shadow you for the day. When she learns one of the clients you are caring for has Hepatitis C, she states, “I might find another nurse to shadow. I really don’t feel comfortable caring for anyone with Hepatitis C.” What is your best response?

An LPN is having a serious discussion with a client who is facing a major surgery. During their conversation, the LPN is careful to pause and allow for silence. Which of these is the best reason for him to do this?

A psychiatric client asks, “Are we at my apartment in New York City? I don’t want to leave my room because I’m afraid of getting mugged!” What is the LPN’s best response?

A female client is about to begin her first chemotherapy treatment. She tells the LPN, “It sounds silly, but I’m just so afraid of how people will react to me once I lose all my hair. I always had such pretty hair… I know, stupid, right?” What is the LPN’s best response?

A 6-year-old client suddenly yells out, “I hate my daddy!” What would be the LPN’s best response?

The LPN is meeting a newly hospitalized client and suspects he may have depression. Which question would best help her assess this?

The PN is caring for an American-Indian male. While explaining an upcoming procedure, the client stares at the floor. Which of these is the most accurate assumption concerning this client’s behavior?

The PN is selecting a meal from the cart for a pediatric Jewish client who follows a kosher diet. Which of these meals would be most appropriate for the client?

On a Thursday, the PN is caring for a client who identifies as a Seventh Day Adventist. The client is scheduled for a minor invasive procedure on Saturday. Which of these is the most appropriate action?

The PN is caring for a client who had been the family breadwinner with a wife and multiple children prior to an accident that has left the client bedridden. Which of these would indicate that the client has not yet adapted to this situational role change?

The PN is caring for a client who has received a diagnosis of a terminal illness recently. When the PN checks on the client during meal time, he finds that the client has slammed his food tray against the wall in anger. What ego defense mechanism is this an example of?

Which of these is not a focus when attempting to orient a disoriented and confused client to reality?

Which of these is not a stage of group therapy development?

Which of the following is least likely to be an underlying reason for elder abuse or neglect?

In what vitamin or mineral is a client who has a history of alcohol abuse most likely to be deficient?

A client approaches a nurse at the nurses’ station and states he is going outside to smoke. The nurse reminds the client that the hospital has a strict no-smoking policy on campus, including outside. The client becomes verbally abusive. Which is the priority nursing response?

An LPN learns her newly admitted female client is of the Muslim faith. Which of the following actions should the nurse take before meeting the client?

Select all that apply.

A. Look up the contact information for the hospital imam.

B. Check to see if the cafeteria offers halal options.

C. Ask the charge nurse if there is a private space conducive to prayer.

D. Obtain a long-sleeved gown, hair covering, and long hospital pants.

E. Print pictures of Muslim idols to hang in the client’s room.

The LPN receives report on a newly admitted 14-year-old boy. In the report, the LPN learns that the adolescent has high-functioning autism. Which of the following client actions best represents this diagnosis?

The LPN is caring for a client who has a history of exhibiting inappropriate and dangerous behavior in brief episodes. The LPN is asked to suggest ways to adapt the client’s care plan to prevent these episodes. Which of the following are appropriate interventions?

Select all that apply.

A. Ensure the client has the same bedtime to promote adequate sleep.

B. Change the client’s schedule daily to help the client adjust to unexpected changes.

C. Promote appropriate socialization to ensure the client is having enough personal interaction.

D. Allow the clients to participate in physical exercise to help decrease the client’s stress.

E. Keep the client engaged in activities from wake up to bedtime to distract the client.

The nurse is caring for a client with a nursing diagnosis of situational low self-esteem. Which of the following actions would be least appropriate when caring for this client?

The nurse is walking down the hallway during the night shift, and a client runs out of their room screaming threats and stops about six feet away from the nurse. Which of the following actions would be appropriate in this situation?

A. Identify an escape route.

B. Walk slowly toward the client.

C. Use hand gestures to try to calm the client down.

D. Turn around and run away from the client to get help.

E. Keep hands visible.

F. Maintain a relaxed posture.

Which of the following is not a reason to be concerned with a client’s compliance with treatment?

24. While their family member caretaker goes to the cafeteria, an elderly client has shared with the nurse that they are scared to be discharged because the family member forgets to take care of their needs. Which of the following actions is least appropriate?

Nausea, vomiting, insomnia, muscle spasms, and dilated pupils are signs of withdrawal from which substance?

The nurse is attempting to promote a therapeutic environment for a client who has recently learned she is 34 weeks pregnant. Which of the following actions are appropriate to eliminate stressors?

A. Explain to the client that more information and teaching will be provided once she has had more time to process this unexpected pregnancy.

B. Use therapeutic communication to alleviate the client’s fear of this new situation.

C. Move the client to a private room farther away from the nurse’s station.

D. Attempt to keep the client’s room tidy.

E. Keep the client’s room temperature on the colder side.