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LPN Nursing School · Fundamentals · 71 questions

Physiological Integrity practice questions

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

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  1. 1A 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. 2When flushing a central venous catheter, what technique should be used to prevent catheter occlusion?Answer →
  3. 3A 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. 4A 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. 5What is the primary consideration for selecting a peripheral vein for IV insertion?Answer →
  6. 6A 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. 7A 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. 8A patient is receiving a continuous infusion of IV fluids. Which assessment finding would require immediate intervention?Answer →
  9. 9Complete the following sentence by using the list of options. The client is at risk for [blank1] as evidenced by the client's [blank2]Answer →
  10. 10A client with a central venous access device (CVAD) reports difficulty breathing and chest pain. What complication should the nurse suspect?Answer →
  11. 11While assessing a client's IV insertion site, the nurse notices redness, swelling, and streaking redness along the vein. What is the most likely complication!Answer →
  12. 12A nurse is administering a liquid medication to a client who has an NG tube set to intermittent suction. Identify the sequence of steps the nurse could take when administering the medication. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  13. 13Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  14. 14A middle-aged patient is having a sleep study. For which reason would you expect the patient to be prescribed a continuous positive airway pressure (CPAP) machineAnswer →
  15. 15A nurse is reinforcing teaching with a client who has left-leg weakness and is learning to use a walker. Which of the following instructions should the nurse include in the teaching?Answer →
  16. 16A patient with a central venous catheter (CVC) has developed symptoms suggestive of a central line-associated bloodstream infection (CLABSI). Which nursing actions are appropriate to manage and prevent complications of CLABSI? (Select 4 answers)Answer →
  17. 17A nurse is collecting data from a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking. The nurse should identify that the client has manifestations of which of the following complications?Answer →
  18. 18A nurse is caring for a client who is receiving a continuous infusion through a peripheral IV device. The nurse notes the catheter site is cool, swollen, blanched, and painful to touch. Which of the following actions should the nurse take first?Answer →
  19. 19A nurse is applying cold therapy to a client's face following oral surgery. The nurse should identify that which of the following is a therapeutic effect of cold therapy?Answer →
  20. 20A nurse is preparing to flush a newly inserted central venous access device (CVAD). Which action demonstrates the best practice to maintain catheter patency while minimizing the risk of catheter damage?Answer →
  21. 21A nurse is preparing to administer haloperidol 5 mg by IV bolus over 15 min. Available is haloperidol 5 mg in 50 mL dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr.? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  22. 22A nurse needs to change the IV tubing for a client receiving peripheral IV therapy. What is the correct procedure for this task?Answer →
  23. 23A nurse is setting the infusion rate for an IV fluid order of 1000 mL of normal saline over 8 hours. What should the infusion pump rate be set to?Answer →
  24. 24Which of the following actions should the nurse take?Answer →
  25. 25A nurse is planning to administer medications to a client. Which of the following information should the nurse use to identify the client? (Select all that apply.)Answer →
  26. 26The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.Answer →
  27. 27Which IV fluid is most appropriate for a patient with cerebral edema?Answer →
  28. 28A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)Answer →
  29. 29A nurse is assisting with care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number)Answer →
  30. 30A nurse is preparing to administer medications when several interruptions occur. Which of the following actions should the nurse take to minimize the risk of medication errors? (Select all that apply.)Answer →
  31. 31A nurse is assisting with supervising a newly licensed nurse replace a short-peripheral IV device for a client. Which of the following actions by the new nurse indicates an understanding of the procedure?Answer →
  32. 32A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take?Answer →
  33. 33Which actions are appropriate for a nurse to take to avoid complications during IV therapy with a peripheral IV access device? (Select all that apply)Answer →
  34. 34A nurse is caring for a client who has dysphagia and has difficulty swallowing during meals. Which of the following actions should the nurse take to reduce the client's risk of aspiration?Answer →
  35. 35A nurse is preparing to administer a subcutaneous injection to a client. Which of the following actions should the nurse take?Answer →
  36. 36A nurse in a provider's office is reviewing the medical record of a client who reports having nausea and vomiting for the last 48 hr. Which of the following findings indicate fluid volume deficit? (Select all that apply.)Answer →
  37. 37A nurse is preparing to administer haloperidol 5 mg IM to a client. Available is haloperidol 50 mg/ml. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  38. 38A nurse is monitoring a client who ambulates with a cane. Which of the following actions by the client should the nurse expect?Answer →
  39. 39A patient with a central venous catheter is receiving total parenteral nutrition (TPN). Which port is preferred for the infusion of TPN?Answer →
  40. 40A nurse is educating a patient and family about the advantages of an implanted port for long-term chemotherapy administration. Which statement made by the patient best demonstrates understanding of the key benefit of this device?Answer →
  41. 41A nurse assesses a patient with a peripheral IV and observes swelling at the insertion site less than 1-inch, cool skin, and minimal pain. Based on the infiltration scale, how should the nurse categorize this infiltration?Answer →
  42. 42A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?Answer →
  43. 43A nurse is assisting with the care of a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?Answer →
  44. 44A nurse is calculating the IV flow rate for a medication prescribed at 200 mg/hr. The medication concentration is 400 mg/100 mL. What is the correct IV pump rate?Answer →
  45. 45A nurse is performing a bed bath for a client who has a respiratory infection. Which of the following actions should the nurse take?Answer →
  46. 46Drag words from the choices below to fill in each blank in the following sentence. The client is most at risk of developing [blank1] and [blank2]Answer →
  47. 47A nurse is preparing to insert a client's NG tube for enteral feedings. Which of the following actions should the nurse take first?Answer →
  48. 48A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?Answer →
  49. 49Which of the following actions is critical when connecting a primed IV tubing to a peripheral IV access site?Answer →
  50. 50A nurse is caring for a client who has chronic constipation. Which of the following actions should the nurse recommend to the client?Answer →
  51. 51When administering colloid solutions, what is the primary purpose of using them in a patient with hypovolemic shock?Answer →
  52. 52A nurse is preparing to access an implanted port for a blood transfusion in a client with a long-term central venous access device. Which action demonstrates the best practice when using a Huber needle to ensure safe and effective access?Answer →
  53. 53What is the primary advantage of using a central venous catheter over peripheral IV access?Answer →
  54. 54When preparing to start a peripheral intravenous (PIV) line, which data collection step should the practical nurse (PN) prioritize before the procedure?Answer →
  55. 55A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 ml. How many mL should the nurse administer? (Enter Number: Only-Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  56. 56A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?Answer →
  57. 57A nurse is preparing to administer ceftriaxone 2 g diluted in 250 mL of normal saline to be infused over 1 hour using manual IV tubing with a drop factor of 15 gtt/ml. To ensure accurate infusion, how many drops per minute (gtt/min) should the nurse set the IV flow rate to? (Round to the nearest whole number)Answer →
  58. 58Which of the following practices help maintain sterility of the IV tubing and access site during a peripheral IV insertion? (Select all that apply)Answer →
  59. 59When preparing to start a peripheral intravenous (PIV) line, which action should the practical nurse (PN) prioritize to ensure patient safety and comfort?Answer →
  60. 60A nurse is assisting with the care of a client who is receiving a continuous IV infusion. The nurse suspects the client is experiencing an air embolism. Which of the following actions should the nurse take?Answer →
  61. 61A nurse is caring for a client who is receiving a continuous IV through a peripheral intravenous device. The nurse notes the catheter site is warm and painful to touch. Which of the following actions should the nurse take?Answer →
  62. 62A patient receiving IV fluids at 150 mL/hr. suddenly reports difficulty breathing. What is the nurse's first action?Answer →
  63. 63A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  64. 64A nurse is preparing to administer fluoxetine 30 mg PO daily. The amount available is fluoxetine 10 mg/tablet. How many tablets should the nurse administer per dose? (Enter Number Only-Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)Answer →
  65. 65A nurse is changing the dressing on a central venous access device (CVAD) that has a transparent semipermeable membrane dressing. What is the appropriate frequency for changing this type of dressing?Answer →
  66. 66A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?Answer →
  67. 67A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?Answer →
  68. 68A client with dehydration is prescribed isotonic IV fluids. Which solutions are suitable for this prescription? (Select all that apply)Answer →
  69. 69A nurse in a provider's office is collecting data from an adult client. The client states that they are having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?Answer →
  70. 70A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?Answer →
  71. 71A nurse is preparing to administer an IV bolus of a colloid solution. What is the most critical assessment before administration?Answer →