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LPN Nursing School practice questions, by topic

Every question below is free to read with its full rationale. For the whole bank, timed sets and progress tracking, practise in the app.

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Fundamentals

160 questions

Topic: Safe, Effective Care Environment

29 questions
  1. A nurse has just finished a wound care procedure for a client. Which of the following should the nurse remove first?Answer →
  2. A nurse is collecting data from a client who has an acute condition. Which of the following findings should the nurse identify as increasing the risk for potential client injuries?Answer →
  3. A nurse is caring for a client who is scheduled for a surgical procedure. Which of the following statements by the client indicates an understanding of the informed consent process?Answer →
  4. A nurse is assisting in the care of a client during surgery. Which of the following should the nurse identify as supporting a safe therapeutic environment?Answer →
  5. During the admissions process, an older patient states the desire to have no life-saving measures if death occurs. Which follow up would you complete at this time?Answer →
  6. A nurse is reinforcing teaching with a client who is planning to complete a living will. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  7. A nurse is preparing to apply personal protective equipment before caring for a client who requires isolation precautions. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  8. A nurse at an urgent care center is assisting with the care of a client who has hypothermia after exposure to frigid water. Which of the following actions should the nurse take first?Answer →
  9. All 29 Safe, Effective Care Environment questions

Topic: Psychosocial Integrity

24 questions
  1. You are caring for a patient whose baby died during the delivery process. Which action would you take to help the parents with the grieving process?Answer →
  2. What are potential barriers to effective communication with older adults that can affect their psychosocial well-being? (Select all that apply)Answer →
  3. A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?Answer →
  4. A middle-aged patient is grieving over the loss of her father while her mother is hospitalized for a chronic condition. Which suggestion would you make to the patient at this time?Answer →
  5. A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?Answer →
  6. You are caring for a patient with a terminal illness who is approaching the end of life. Which action would you take if the patient's family has yet to arrive at the hospital?Answer →
  7. A nurse is assisting with the admission of a client to hospice care. The client's partner asks the nurse why the client is becoming verbally aggressive. Which of the following responses should the nurse make?Answer →
  8. A patient with a terminal illness lives with a spouse who has been the primary caregiver of palliative care. Which additional criterion is needed for the patient and Health Care Provider to agree that hospice care would be appropriate?Answer →
  9. All 24 Psychosocial Integrity questions

Topic: Physiological Integrity

71 questions
  1. A nurse is preparing to administer medications to a client. Which of the following actions should the nurse take to support safe medication administration?Answer →
  2. When flushing a central venous catheter, what technique should be used to prevent catheter occlusion?Answer →
  3. A nurse is assisting in the plan of care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?Answer →
  4. A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?Answer →
  5. What is the primary consideration for selecting a peripheral vein for IV insertion?Answer →
  6. A nurse is caring for a client who requires long-term central venous access for total parenteral nutrition due to gastrointestinal dysfunction. When comparing tunneled and nontunneled central venous access devices (CVADs), which characteristic best distinguishes the tunneled CVAD from the nontunneled CVAD in terms of insertion and maintenance?Answer →
  7. A nurse is preparing to insert a peripheral IV catheter in a 4-year-old pediatric client who requires intravenous antibiotics. Considering the patient's age and vein fragility, which gauge size catheter should the nurse select to ensure effective therapy and minimize vein trauma?Answer →
  8. A patient is receiving a continuous infusion of IV fluids. Which assessment finding would require immediate intervention?Answer →
  9. All 71 Physiological Integrity questions

Pharmacology

587 questions

Topic: Safe Medication Administration

118 questions
  1. The client is to receive 1000 milliliters (mL) of D5W intravenously over 6 hours. The nurse selects a tubing set with a drop factor of 15 gtt/mL. How many drops per minute are needed to infuse this fluid in the prescribed time? Write the numerical value only. Round to the nearest whole number. _________ gtts/mLAnswer →
  2. The nurse is caring for a client who is being treated for a neuromuscular blocking agent overdose. Which medication would the nurse anticipate being ordered?Answer →
  3. Which pharmacokinetic process primarily determines the duration of a drug's action and is most significantly affected by impaired kidney function?Answer →
  4. A nurse spends extra time with a patient who is hesitant about taking their prescribed chemotherapy due to concerns about hair loss and body image changes. The nurse actively listens, validates their feelings, and offers resources for coping. By addressing these concerns, the nurse is primarily supporting which level of Maslow's Hierarchy?Answer →
  5. A nurse is reviewing a client's new prescription for lorazepam 4 mg PO. Which of the following actions should the nurse take?Answer →
  6. A nurse is administering medication and notices that the prescription lists the drug by its trade name, but the medication label shows the generic name. How should the nurse proceed to ensure safe medication administration?Answer →
  7. A nurse is reinforcing teaching with a young adult client who has a new prescription for ear drops. Which of the following instructions should the nurse include?Answer →
  8. The nurse provides care to a client scheduled for surgery. Which action does the nurse delegate to the unlicensed assistive personnel (UAP) to prepare the client for the procedure?Answer →
  9. All 118 Safe Medication Administration questions

Topic: Medications Affecting the Nervous System

124 questions
  1. The nurse in the emergency department provides care to a client admitted with a seizure. The client exhibits muscular movements suggesting a tonic-clonic seizure. The nurse initiates which action first?Answer →
  2. A nurse is preparing to administer fluphenazine hydrochloride 3 mg 1M to a client who has schizophrenia. Available is fluphenazine hydrochloride injection 2.5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  3. Opiate partial agonists are described as having a "celling effect." What does this mean in terms of their analgesic action?Answer →
  4. An adolescent client with a severe burn injury is admitted to the burn unit. The client's pain is managed with morphine using patient-controlled analgesia (PCA). Which additional pain management strategy does the nurse implement? (Select all that apply.) 1. Administer a sustained-release opioid before all procedures. 2. Teach relaxation techniques using deep breathing. 3. Use a pain intensity scale to assess level of pain. 4. Administer a short-acting analgesic for breakthrough pain. 5. Employ distraction techniques, such as video games.Answer →
  5. A patient reports taking ibuprofen (an NSAID) to manage their knee pain, but it only provides minimal relief. When performing a PQRST assessment, the nurse focuses on the "R" aspect. What information is the nurse primarily seeking? (Select All that Apply.)Answer →
  6. A nurse is teaching a client who takes phenytoin for seizure control and has a new prescription for sucralfate to treat a gastric ulcer. Which instruction should the nurse include to prevent a medication interaction?Answer →
  7. A nurse is reviewing a new prescription for a client who has Alzheimer's disease. The prescription reads, "memantine extended-release 7 mg PO daily for 7 days." Which of the following actions should the nurse take? (Select all that apply.)Answer →
  8. The nurse is reviewing the medication list of a newly admitted client with a history of Parkinson's disease. Which medication should the nurse question?Answer →
  9. All 124 Medications Affecting the Nervous System questions

Topic: Medications Affecting the Cardiovascular System

52 questions
  1. A nurse is reviewing the medication list of a client who has chronic migraine headaches and is taking propranolol for prevention. Which finding should the nurse report to the provider?Answer →
  2. The nurse understands which 3 pharmacologic agents could be prescribed for this client for this condition?Answer →
  3. A nurse is reinforcing teaching with a client who will be self-administering enoxaparin subcutaneously using prefilled syringes. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  4. A client reports feelings of dizziness and weakness since starting on a beta-adrenergic blocking medication. What is the most appropriate action for the nurse to perform?Answer →
  5. A nurse is assisting with the admission of a client to the postpartum unit and is reviewing the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider?Answer →
  6. During thrombolytic therapy, the nurse monitors the client for adverse effects. What is the most common undesirable effect of thrombolytic therapy?Answer →
  7. A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication?Answer →
  8. A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication?Answer →
  9. All 52 Medications Affecting the Cardiovascular System questions

Topic: Medications Affecting Other Body Systems

273 questions
  1. When a histamine H2 antagonist medication is prescribed for the treatment of a peptic ulcers in an elderly client, the nurse monitors the client for which of the following adverse effects?Answer →
  2. A patient receiving chemotherapy reports significant fatigue even with normal activities. What nursing assessment and intervention is most appropriate?Answer →
  3. What is the primary purpose of chemoprotective agents?Answer →
  4. A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?Answer →
  5. A nurse is preparing to administer ampicillin 150 mg IM to an infant. Available is ampicillin injection 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) mLAnswer →
  6. The nurse provides care for a client diagnosed with tuberculosis (TB) who is non-compliant with the medication regimen. Which action by the nurse is best to address the client's non-compliance?Answer →
  7. A nurse is reinforcing discharge teaching for a client who has a new prescription of doxycycline extended-release capsules for acne. Which of the following statements should the nurse include in the teaching?Answer →
  8. Which information will the nurse include when teaching a client about cold sores?Answer →
  9. All 273 Medications Affecting Other Body Systems questions

Topic: Vitamins, Minerals, and Immunizations

20 questions
  1. A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client?Answer →
  2. Based on the clinical scenario, the nurse administered the HPV vaccine and provided condoms as part of the adolescent's care. What is the primary rationale for providing the condoms in addition to the IUD?Answer →
  3. A nurse in a community health clinic is assisting in the care of an adolescent. Based on the clinical information provided, which of the following actions did the nurse take at 1000?Answer →
  4. Which of the following vaccines is an example of a live vaccine?Answer →
  5. A nurse is collecting data from the parent of an 11-year-old child who has previously received all immunizations in accordance with the CDC recommended immunization schedule. Which of the following immunizations should the nurse plan to administer to a child at this age?Answer →
  6. A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?Answer →
  7. An LPN is educating a patient about the different types of immunity. Which of the following statements by the patient indicates an understanding of active Immunity?Answer →
  8. A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching?Answer →
  9. All 20 Vitamins, Minerals, and Immunizations questions

Med-Surg

606 questions

Topic: Cardiovascular Disorders

118 questions
  1. A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?Answer →
  2. A client arrives to the ED with fatigue, shortness of breath, nausea, mild pressure in the upper back and neck, HR 112 bpm, BP 104/64 mmHg, and SpO₂ 91% on room air. Which provider order should the nurse implement first?Answer →
  3. A nurse is caring for a client who has sickle cell anemia. The client asks, 'Why do I feel so tired and fatigued all of the time?' Which of the following information should the nurse provide?Answer →
  4. A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?Answer →
  5. A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent postprocedure complications? (Select all that apply.)Answer →
  6. A nurse is assisting in the care of a male client who has a new prescription for furosemide. Which of the following client findings should the nurse identify as a contraindication to the administration of furosemide? Select the 3 findings the nurse should identify as a contraindication.Answer →
  7. A nurse is monitoring a client's peripheral circulation. Identify where the nurse should palpate to check the posterior tibial pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)Answer →
  8. A nurse is caring for a client who is recovering from a pericardiocentesis. Which of the following findings should be reported to the provider immediately?Answer →
  9. All 118 Cardiovascular Disorders questions

Topic: Neurological Disorders

113 questions
  1. Which of the following clinical findings would support the nurse's decision that tissue plasminogen activator (tPA) therapy is appropriate for a client with acute ischemic stroke symptoms? Select all that apply.Answer →
  2. A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease?Answer →
  3. A nurse is assisting in the care for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. When collecting data, the nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?Answer →
  4. A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?Answer →
  5. The nurse is assessing a client who reports severe abdominal pain. What is the priority action to accurately assess the client's pain?Answer →
  6. A nurse is educating a client who has HIV about the infection process. Which of the following features of the virus should the nurse explain can result in opportunistic infection?Answer →
  7. A client presents with ear pain, swelling of the external ear canal, and purulent drainage. The nurse suspects external otitis. Which finding supports this diagnosis?Answer →
  8. Which of the following should the nurse anticipate assessing in the client with an active migraine? Select all that apply.Answer →
  9. All 113 Neurological Disorders questions

Topic: Endocrine Disorders

42 questions
  1. A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response to the medication?Answer →
  2. Identify the potential condition, two actions to take and two parameters to monitor.Answer →
  3. The nurse is reviewing the client's electronic medical record. For each body system below, click to specify the finding that indicates the client is progressing as expected. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options.Answer →
  4. A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching?Answer →
  5. A client has been diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNKS). The nurse understands that treatment will include which?Answer →
  6. A nurse is admitting a client who reports excessive thirst, fever, and periods of confusion. The nurse suspects the client is experiencing heat exhaustion. Which of the following electrolyte imbalances should the nurse expect?Answer →
  7. A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure?Answer →
  8. The nurse is monitoring laboratory levels for a client diagnosed with Type II diabetes mellitus (DM). Which test result does the nurse use to evaluate the client's compliance with DM treatment?Answer →
  9. All 42 Endocrine Disorders questions

Topic: Renal and Urinary Disorders

23 questions
  1. A nurse is assisting with the care for a client who is postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation. The nurse notes decreased output from the urethral catheter. Which of the following provider prescriptions should the nurse expect?Answer →
  2. A nurse is reinforcing teaching with an older adult client who is postoperative following a transurethral resection of the prostate. Which of the following statements should the nurse include in the teaching?Answer →
  3. A nurse is caring for a client who has undergone hemodialysis. Which of the following findings should the nurse report to the provider?Answer →
  4. A nurse is monitoring a client who has a history of an enlarged prostate and is experiencing suprapubic discomfort. Which of the following actions should the nurse take first?Answer →
  5. A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?Answer →
  6. A nurse is assisting with the care of a client who has chronic kidney disease and is scheduled to receive hemodialysis. Which of the following actions should the nurse take?Answer →
  7. A nurse is contributing to the plan of care for a client who has hypernatremia. Which of the following interventions should the nurse recommend to include in the plan?Answer →
  8. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?Answer →
  9. All 23 Renal and Urinary Disorders questions

Topic: Gastrointestinal Disorders

72 questions
  1. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client has manifestations of Condition therefore, the priority finding for the nurse to report is the Client FindingAnswer →
  2. Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client. There are six tabs that contain separate categories of data.)Answer →
  3. A nurse is assisting with the care for a client who has acute pancreatitis. While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of which of the following?Answer →
  4. A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia? (Select All that Apply.)Answer →
  5. Which of the following are appropriate for the nurse to include when caring for a client with Crohn's disease? Select all that apply.Answer →
  6. A nurse is reinforcing teaching with a client about increasing dietary fiber. The nurse should recommend which of the following foods as the best source of fiber?Answer →
  7. The nurse is reinforcing dietary teaching for a client with acute diverticulitis who has been prescribed a clear liquid diet. Which meal selections by the client demonstrate appropriate understanding of the prescribed diet?Answer →
  8. A nurse is assisting in the care of a client who has the hepatitis A virus. Which of the following modes of transmission should the nurse identify as how the client acquired the virus?Answer →
  9. All 72 Gastrointestinal Disorders questions

Topic: Musculoskeletal Disorders

43 questions
  1. The client, who is a secretary in an office, asks the nurse how they can avoid developing carpal tunnel syndrome. What should the nurse suggest to the client?Answer →
  2. The nurse is assisting in the plan of care for the client who has compartment syndrome. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.Answer →
  3. A nurse is educating a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?Answer →
  4. A nurse is caring for a client who is postoperative following a total knee arthroplasty and using a continuous passive motion (CPM) device. Which of the following actions should the nurse take?Answer →
  5. A nurse is caring for a client who has low back pain. Which of the following should the nurse recognize is a mechanical cause of low back pain?Answer →
  6. A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?Answer →
  7. A nurse is assisting with the care for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take?Answer →
  8. A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care?Answer →
  9. All 43 Musculoskeletal Disorders questions

Topic: Integumentary Disorders

55 questions
  1. A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the nurse is appropriate regarding breast self-examinations?Answer →
  2. A nurse is caring for a client with a furuncle. Which statements require correction in terms of infection prevention practices?Answer →
  3. Which of these actions should a nurse take when a client who has cellulitis develops symptoms of Stevens-Johnson syndrome?Answer →
  4. A nurse is caring for a client on the oncology unit who is experiencing nausea and decreased appetite. Vital signs are stable. Which intervention should the nurse prioritize to manage symptoms and improve nutritional status?Answer →
  5. A client in the burn unit has partial-thickness burns covering 50% of the total body surface area and is in protective isolation. Which personal protective equipment (PPE) is essential for the nurse to wear before entering the room?Answer →
  6. A nurse in a dermatologic clinic is caring for a client who has a malignant melanoma. The nurse should anticipate an order for which of the following laboratory test to determine if the melanoma has metastasized?Answer →
  7. A nurse is preparing to administer erythromycin 750 mg every 6 hours for infection. Available is erythromycin 1 g vial. The instructions on the drug label state: Reconstitute with 20 mL of sterile water for injection. How many mL will the nurse draw from the vial after reconstitution? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  8. A nurse is assisting with the care of an 18-year-old client who is at their provider's office for an annual physical. The client inquires about cancer examinations that they should have. Which of the following examinations should the nurse recommend?Answer →
  9. All 55 Integumentary Disorders questions

Topic: Perioperative Care

47 questions
  1. A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make?Answer →
  2. A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?Answer →
  3. The nurse is caring for a client who has undergone a left knee arthroscopy. Three hours after the procedure, the client's left leg is swollen with diminished pedal pulse compared to the initial assessment. Which action should the nurse take?Answer →
  4. A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include?Answer →
  5. A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  6. When assessing a client with a chest tube, the nurse notes continuous bubbling in the water seal chamber. What does this indicate?Answer →
  7. The nurse is monitoring a client recovering from an emergency appendectomy. Which finding does the nurse report Immediately to the health care provider?Answer →
  8. A nurse is assisting with teaching a group of newly licensed nurses about medication administration. The nurse should include that which of the following medications is administered using the Z-track method?Answer →
  9. All 47 Perioperative Care questions

Mental Health

222 questions

Topic: Foundations of Mental Health Nursing

84 questions
  1. A nurse is discussing obesity with a client who has a BMI Of 31. Which Of the following comments by the client indicates the use of rationalization as a defense mechanism?Answer →
  2. A client reports abdominal gas pain after abdominal surgery. It is most important for the nurse to take which action?Answer →
  3. An adolescent client experiences tower abdominal pain. An appointment for evaluation is made. The morning of the appointment a parent calls and says, "I think we will cancel the appointment, Last night, my child could barely walk, but this morning is feeling so much better. The pain is nearly gone." Which response by the nurse is best?Answer →
  4. The nurse provides care to a client after a cystoscopy with a catheter in place. The health care provider prescribes IV fluids to infuse at 200 mL/hr over the next 4 hours. The nurse understands this prescription is to help prevent which post-operative complication?Answer →
  5. The nurse provides care for clients in the men's health clinic. Which client has the highest risk for prostate cancer?Answer →
  6. The nurse performs discharge teaching for an older adult client diagnosed with pneumonia. The nurse determines further teaching is needed if the client makes which statement?Answer →
  7. A nurse is reinforcing teaching with a client about stress reduction techniques. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  8. The nurse teaches a community class about breast cancer. Which participant comments indicate additional teaching is required? Select all that apply.Answer →
  9. All 84 Foundations of Mental Health Nursing questions

Topic: Mental Health Disorders

79 questions
  1. A nurse is caring for a client who has anorexia nervosa. A nurse is evaluating the client after 2 weeks. Which of the following findings indicate an improvement in the client's condition? Select all that apply.Answer →
  2. A nurse is working in a long-term care facility when a client who has Alzheimer's disease strikes an assistive personnel following dinner. Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.Answer →
  3. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following information should the nurse include?Answer →
  4. A nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion of cocaine use. The nurse should identify that which of the following findings is an indicator of the client's use of this substance?Answer →
  5. The nurse in the clinic assesses a client who is taking oral contraceptives. Which finding requires the nurse to contact the health care provider?Answer →
  6. A nurse is reinforcing teaching about thought stopping with a client who has a phobia of riding in automobiles. Which of the following client indicates an understanding of the instructions?Answer →
  7. The nurse is evaluating the client's response to treatments. For each client finding, click to specify if the finding indicates an improvement, no change, or a decline in the client's condition.Answer →
  8. Which of the following findings should the nurse report to the provider immediately? Select the 5 findings that require immediate follow-up.Answer →
  9. All 79 Mental Health Disorders questions

Topic: Crisis and Safety

31 questions
  1. The nurse is observing clients on a mental health unit. The nurse understands which of the following behaviors are early indications of aggressive escalation?Answer →
  2. The nurse should immediately follow up on the client's [target1] and [target2]Answer →
  3. A nurse is caring for clients during group therapy. During the group therapy, a client becomes agitated. The nurse uses a calm voice and sets boundaries to address the client. Which of the following outcomes demonstrates effectiveness of the nurse's approach?Answer →
  4. A client with schizophrenia is experiencing command hallucinations instructing them to harm themselves. Which of the following interventions should the nurse implement first?Answer →
  5. A nurse is caring for a client diagnosed with depression. The client states, "Everything would be better if I were gone." Which of the following is the nurse's priority action?Answer →
  6. The nurse is collecting data from the client 2 weeks later. For each finding. click to specify whether the finding is unrelated, an improvement, or a worsening of the client's situation.Answer →
  7. A nurse is demonstrating the use of mechanical restraints with a newly licensed nurse. Which of the following actions should the nurse include?Answer →
  8. A nurse is caring for a client who has just been informed that their newborn, who has congenital defects, might not survive. The client states, "This is the worst moment Of my life." Which Of the following actions should the nurse take first?Answer →
  9. All 31 Crisis and Safety questions

Topic: Treatment Modalities

28 questions
  1. A nurse is monitoring a client who is prescribed haloperidol (Haldol). The client exhibits restlessness and pacing. Which of the following conditions should the nurse suspect?Answer →
  2. The nurse provides care for a client admitted for an adrenalectomy for treatment of Cushing syndrome. Which intervention is most important for the nurse to implement?Answer →
  3. A nurse is assisting with reminiscence therapy for a group of older adult clients. Which of the following strategies should the nurse implement?Answer →
  4. A nurse is collecting data from a client who has major depressive disorder and is taking phenelzine. Which of the following findings should the nurse identify as an adverse effect of this medication?Answer →
  5. A nurse is reviewing the vital signs of a client who has a prescription for imipramine. Which of the following findings requires follow-up by the nurse?Answer →
  6. A client is prescribed olanzapine (Zyprexa) for schizophrenia. During a follow-up visit, the nurse observes that the client has gained significant weight since starting the medication. Which of the following health promotion activities should the nurse prioritize to address this issue?Answer →
  7. A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should identify that which of the following findings indicates a potential need for a PRN dose of benztropine?Answer →
  8. A nurse is reinforcing teaching with a client who is scheduled for electroconvulsive therapy (ECT) for major depressive disorder. Which of the following statements should the nurse include in the teaching?Answer →
  9. All 28 Treatment Modalities questions

Leadership

169 questions

Topic: LPN Scope of Practice and Ethics

49 questions
  1. A nurse on a medical-surgical unit is caring for four clients. Which of the following actions by the nurse demonstrates fidelity?Answer →
  2. A nurse responds to the room of a client who is recovering from a cardiac arrest where CPR was performed. The client's child is distraught and tells the nurse that their parent has a do-not-resuscitate (DNR) prescription in their medical record. Which of the following actions should the nurse take first?Answer →
  3. Which intervention is within the scope of practice for a practical nurse (PN)?Answer →
  4. A nurse is assisting with the development of an in-service about client advocacy. Which of the following information should the nurse include when describing advocacy?Answer →
  5. A nurse is assisting in the care of a client who has developed sepsis due to a urinary tract infection. The client's significant other tells the nurse not to perform any "heroic measures" to keep the client alive. Which of the following actions should the nurse take?Answer →
  6. A healthcare provider tells the practical nurse (PN) that a neighbor is a client on the unit and asks to review the medical record. How should the PN respond?Answer →
  7. A charge nurse is reviewing ethical principles with a group of staff nurses. Which of the following statements by a staff nurse indicates an understanding of ethical principles?Answer →
  8. A practical nurse (PN) sees a colleague removing drugs from the unit. Which action should the PN initiate?Answer →
  9. All 49 LPN Scope of Practice and Ethics questions

Topic: Communication and Documentation

26 questions
  1. A nurse is reviewing documentation on a group of clients as part of a quality improvement initiative. Which of the following actions should the nurse document to identify clients who are at risk for skin breakdown?Answer →
  2. A nurse is caring for a client who is scheduled for a tubal ligation. The client expresses uncertainty about having the procedure. Which of the following responses should the nurse make?Answer →
  3. A nurse at a rehabilitation facility is planning to attend an interprofessional team meeting to discuss a client who is recovering from abdominal surgery. Which of the following actions should the nurse take to prepare for the meeting?Answer →
  4. A nurse is reinforcing teaching about client confidentiality with a newly licensed nurse. Which of the following instructions should the nurse include in the teaching?Answer →
  5. A nurse is contributing to a quality improvement plan to improve the shift reporting process on the unit. Which of the following actions is the first step the nurse should suggest to promote a change in the reporting process?Answer →
  6. At the beginning of shift, a client angrily reports that a pain medication was requested over 2 hours ago. After administering the as needed (PRN) pain medication, which is the best way for the practical nurse (PN) to address this client's concern?Answer →
  7. A nurse is preparing to provide change-of-shift report. Using the SBAR communication technique, which of the following client information should the nurse include in the "A" portion of the report?Answer →
  8. A nurse is assisting with the discharge of a client from acute care to home health care. Which of the following components of the medical record should the nurse provide to the home health agency?Answer →
  9. All 26 Communication and Documentation questions

Topic: Client Care Management

94 questions
  1. When planning care for a group of clients, which intervention should the practical nurse (PN) implement first?Answer →
  2. The practical nurse (PN) is assigning care for residents on a 12-bed unit in an extended care facility. The staff consists of one unlicensed assistive personnel (UAP) and one certified medication aide (CMA). Which task should the PNAnswer →
  3. A nurse is assisting in planning care and is reviewing the electronic medical record for five newborns on a maternal newborn unit. After evaluation, select the 2 newborns who require revision of the plan of care.Answer →
  4. A nurse is prioritizing care for four clients. Which of the following tasks should the nurse perform first?Answer →
  5. The practical nurse (PN) observes unlicensed assistive personnel (UAP) prepare to exit a client's room. The UAP's hands appear visibly soiled as the UAP uses a hand rub for 10 seconds to cleanse the hands. Which action should the PN take?Answer →
  6. A nurse is contributing to the discharge plan for a client who is postoperative following a total hip arthroplasty. The client lives alone and expresses concern regarding transportation. To assist with transportation needs, which of the following referrals should the nurse recommend for this client?Answer →
  7. A nurse is collecting data from a client who is receiving IV fluids for dehydration. Which of the following findings should indicate to the nurse the client is experiencing fluid volume excess?Answer →
  8. The practical nurse (PN) determines that an older client with pneumonia has a nursing problem of, "Altered nutrition, less than body requirements." Which information should the PN give the UAP who is assisting with the care of this client?Answer →
  9. All 94 Client Care Management questions

Maternal-Newborn

203 questions

Topic: Intrapartum

17 questions
  1. The nurse is caring for a woman in the first stage of labor. What should the nurse remind the client about contractions during this stage of labor?Answer →
  2. It is determined that the presenting part of the fetus is the buttocks. At delivery the fetus's hips are flexed and the knees are extended. How should the nurse record this presentation?Answer →
  3. The 28-year-old pregnant woman, at 38 weeks' gestation, is in labor. During her examination, the nurse notes the presence of pronounced vaginal rugae. Which statement best explains the significance of vaginal rugae during this stage of pregnancy?Answer →
  4. A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone. For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone? Select all that apply.Answer →
  5. See attached image of available drug. The provider orders an antiemetic. How many milliliters will the nurse administer? Please write the numerical value only. Round to the nearest tenth decimal place.Answer →
  6. Laboring client received butorphanol 30 minutes ago, cervix 3 cm. What should PN do?Answer →
  7. For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone? Select all that apply.Answer →
  8. The nurse in the labor room is caring for a client in the active phase of labor. The nurse is evaluating the fetal heart patterns and notes a late deceleration on the monitor strip. What is the most appropriate nursing action?Answer →
  9. All 17 Intrapartum questions

Topic: Postpartum

53 questions
  1. A nurse is caring for a postpartum client who has increased bleeding, and fundal massage has not slowed the bleeding. Which of the following medications should the nurse anticipate the provider to prescribe?Answer →
  2. A nurse is collecting data on a postpartum client. Which of the following should the nurse understand are manifestations of postpartum shock?Answer →
  3. A nurse is reinforcing teaching to a postpartum client who has a history of pre-existing diabetes mellitus about potential risks. Which of the following should the nurse include in the teaching?Answer →
  4. A nurse is reinforcing teaching about breastfeeding with the mother of a newborn. Which of the following instructions should the nurse include?Answer →
  5. Select the 3 findings that require immediate follow-up.Answer →
  6. A nurse is caring for a postpartum client 8 hr after delivery. The nurse notes the client's fundus is boggy, lochia rubra has increased, and the bladder is non-distended. The client has a blood pressure of 120/70 mm Hg, a heart rate of 78/min, and an oxygen saturation of 95%. Which of the following actions should the nurse perform?Answer →
  7. A nurse is assisting in the care of a postpartum client just admitted after delivery. The report from labor and delivery states the client's membranes had been ruptured for 18 hr before birth. During the assessment the client was febrile with increased bleeding. Which of the following should the nurse recognize is a concern for the client?Answer →
  8. A nurse is assisting with the care of a client who is 4 hr postpartum. Click to highlight the findings that require immediate notification of the provider. To deselect a finding, click on the finding again.Answer →
  9. All 53 Postpartum questions

Pediatrics

122 questions

Topic: Safe, Effective Care Environment

36 questions
  1. A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?Answer →
  2. A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?Answer →
  3. A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?Answer →
  4. A nurse is monitoring a 6-month-old infant 20 minutes after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?Answer →
  5. A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?Answer →
  6. A nurse in an urgent care clinic is contributing to the plan of care for a group of clients. The nurse should identify that which of the following clients will require parental consent prior to receiving treatment?Answer →
  7. A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?Answer →
  8. A nurse is caring for an infant who is postoperative following repair of a cleft palate. Which of the following is an appropriate action by the nurse?Answer →
  9. All 36 Safe, Effective Care Environment questions

Topic: Psychosocial Integrity

9 questions
  1. A nurse is reinforcing teaching with a group of parents about adolescent suicide. Which of the following findings poses the highest risk of suicide completion in adolescents?Answer →
  2. A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?Answer →
  3. A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?Answer →
  4. The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. Complete the following sentence by using the lists of options. The nurse should [Dropdown 1] and [Dropdown 2].Answer →
  5. A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?Answer →
  6. A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home one hour after their curfew. Which of the following responses should the nurse make?Answer →
  7. A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?Answer →
  8. The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. Complete the following sentence by using the lists of options. The nurse should ___ and ___.Answer →
  9. All 9 Psychosocial Integrity questions

Topic: Physiological Integrity

64 questions
  1. A nurse is monitoring the vital signs of a 6-year-old child following a surgical procedure. Which of the following findings should the nurse report to the provider?Answer →
  2. A nurse is planning care for a toddler who was admitted for acute diarrhea. Which of the following actions is the nurse's priority?Answer →
  3. A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?Answer →
  4. A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?Answer →
  5. A nurse is collecting data from a child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?Answer →
  6. A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?Answer →
  7. A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?Answer →
  8. A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 min ago. Which of the following findings is the nurse's priority?Answer →
  9. All 64 Physiological Integrity questions