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LPN Nursing School · Leadership · 94 questions

Client Care Management 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 Client Care Management, practise in the app.

Practise Client Care Management in the appAbout the LPN Nursing School program →
  1. 1When planning care for a group of clients, which intervention should the practical nurse (PN) implement first?Answer →
  2. 2The 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. 3A 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. 4A nurse is prioritizing care for four clients. Which of the following tasks should the nurse perform first?Answer →
  5. 5The 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. 6A 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. 7A 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. 8The 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. 9When a small fire breaks out in the kitchen of a long-term care facility, which task is most important for the practical nurse (PN) to perform instead of assigning to unlicensed assistive personnel?Answer →
  10. 10The practical nurse (PN) observes unlicensed assistive personnel (UAP) grasp a client's finger to obtain a capillary glucose measurement. as seen in the picture. Which instruction should the PN provide the UAP?Answer →
  11. 11A nurse is assisting with the preparation of a presentation about home safety for a health fair. Which of the following information should the nurse include in the presentation?Answer →
  12. 12The medication aide at a Long-term care facility is sick and requests to go home before all medications are administered. Which action should the practical nurse (PN) in charge of the unit take?Answer →
  13. 13The practical nurse (PN) assigns unlicensed assistive personnel (UAP) to feed a client who is at risk for aspiration. To ensure that the task IS safely delegated, which action should the PN implement?Answer →
  14. 14A nurse is assisting in a client education class for fire safety in the home. Which of the following statements by a client indicates an understanding of the teaching?Answer →
  15. 15A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?Answer →
  16. 16A nurse is preparing to perform a dressing change for a client who has a nondraining. stage Ill pressure ulcer that is infected with methicillin- resistant Staphylococcus aureus (MRSA). Which of the following precautions should the nurse take?Answer →
  17. 17The nurse should recommend to the charge nurse apply a red tag to ___ due to their ___.Answer →
  18. 18Click to highlight the findings that the nurse should recommend be addressed by the case manager. To deselect a finding, click on the finding again.Answer →
  19. 19The practical nurse (PN) observes unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in the high position. Which action should the PN take?Answer →
  20. 20A nurse enters a client's room after an assistive personnel (AP) has completed morning care. The client is 2 days postoperative following a total knee arthroplasty and is resting in bed. Which of the following observations requires the nurse to intervene and follow up with the AP?Answer →
  21. 21A nurse in a long-term care facility is caring for a group of clients. The nurse should recognize that which of the following information is the highest priority to report to the nursing supervisor?Answer →
  22. 22A nurse is assisting in caring for a group of clients who are postoperative. Which of the following are appropriate, effective time management strategies?Answer →
  23. 23A nurse on a medical-surgical unit is assisting with the review of the electronic medical record for a group of clients during a mass casualty event. Select the 2 clients the nurse should recommend for discharge to make room for clients injured in the disaster.Answer →
  24. 24The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which instruction is most important for the PN to emphasize?Answer →
  25. 25Which task could the practical nurse (PN) safely delegate to the unlicensed assistive (UAP)?Answer →
  26. 26A nurse is observing an assistive personnel (AP) provide care to a group of clients. Which of the following actions by the AP requires intervention by the nurse?Answer →
  27. 27A nurse is admitting a client for an elective surgical procedure. During the client interview, one of the client's family members faints. Which of the following actions should the nurse take first?Answer →
  28. 28The practical nurse (PN) and unlicensed assistive personnel (UAP) are caring for residents in a long term facility. Which task should the PN delegate to the UAP?Answer →
  29. 29A nurse is preparing to administer a medication to a client and discovers that the incorrect dose of medication was administered during the previous shift. Which of the following actions should the nurse take first?Answer →
  30. 30A nurse enters a client's room and sees smoke coming from a wall outlet. After removing the client from the room, which of the following actions should the nurse take next?Answer →
  31. 31The practical nurse (PN) is caring for a 2-year-old with a fever of unknown origin. Which task should the PN assign to the unlicensed assistive personnel (UAP)?Answer →
  32. 32During a home health visit. a client reports to the practical nurse (PN) of severe back pain that interferes with activities of daily living (ADLs) following each physical therapy session. Which priority action(s) should the PN take? Select all that apply.Answer →
  33. 33A nurse is assisting with the discharge of a client who is postoperative following a total knee arthroplasty. The client lives alone and does not have any friends or relatives who live close by. Which of the following actions should the nurse plan to take?Answer →
  34. 34A nurse is asked by the unit manager to provide input for the performance appraisal of an assistive personnel (AP). Which of the following actions should the nurse take?Answer →
  35. 35A practical nurse (PN), who is a member of the continuous quality improvement committee of an extended care facility, identifies that there has been an increased incidence of urinary tract infections (UTIs) over a six-month period. Which intervention should the PN implement to decrease catheter-associated urinary tract infection (CAUTI)?Answer →
  36. 36A nurse is reviewing client information following the evening change-of-shift report. Which of the following client needs should the nurse address first?Answer →
  37. 37Upon entering a client's room the practical nurse (PN) notes the client is a having a tonic clonic seizure. Which instruction should the PN give to the unlicensed assistant personnel (UAP) to do first?Answer →
  38. 38The practical nurse (PN) is reviewing the morning vital signs for a client who has been stable and is scheduled for discharge. The PN notes that unlicensed assistive personnel (UAP) recorded an elevated blood pressure (BP) for the client. Which step in obtaining accurate BP measurement should the PN review with the UAP?Answer →
  39. 39During a staff meeting, a nurse manager in a long-term care facility witnesses conflict between nurses who work on different shifts about client assignments. Which of the following actions should the nurse take first?Answer →
  40. 40A staff nurse discovers a treatment error made by a nurse on the previous shift. The staff nurse finds no documentation of the error. Which of the following actions should the staff nurse take first?Answer →
  41. 41An unlicensed assistive personnel (UAP) refuses to bathe a client who has been diagnosed with Human Immunodeficiency Virus (HIV). Which statement should the practical nurse (PN) use to respond to the UAP?Answer →
  42. 42The practical nurse (PN) assigns unlicensed assistive personnel (OAP) to obtain the vital signs of four clients. After the UAP's technique, which intervention should the PN implement first?Answer →
  43. 43The practical nurse is working with unlicensed assistive personnel (UAP) to provide care for an immobile client. Which task should not be delegated to the UAP?Answer →
  44. 44An unlicensed assistive personnel (UAP) begins to assist the practical nurse (PN) with cardiopulmonary resuscitation (CPR) on adult djent by performing external chest compressions. With the PN performing rescue breathing, the UAP depresses the client's sternum one inch with each compression. Which action should the PN take?Answer →
  45. 45The practical nurse (PN) is helping to plan the unit assignments in the perioperative unit. Which task should the PN assign to unlicensed assistive personnel (UAP)?Answer →
  46. 46The nurse reviews the medical records for 5 clients and notifies the provider of the laboratory reports. Which of the following clients who have communicable diseases should the nurse report as required by law? Select the 3 clients the nurse should report.Answer →
  47. 47A nurse is monitoring an assistive personnel (AP) preparing to transfer a client who has hemiplegia from a bed to a wheelchair. For which of the following actions by the AP should the nurse intervene?Answer →
  48. 48A nurse working in a provider's office is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first?Answer →
  49. 49After completing morning rounds, the practical nurse (PN) should notify the healthcare providerAnswer →
  50. 50A charge nurse is planning assignments for a client on the medical-surgical unit who was in a motor-vehicle crash and has a fractured femur. Which of the following tasks should the nurse assign to the assistive personnel?Answer →
  51. 51The practical nurse (PN) observes an unlicensed assistive personnel (UAP) suctioning the oropharynx of a client using a suction catheter. The UAP rinses the catheter and turns off the suction. Which action should the PN take?Answer →
  52. 52In providing care for a client with a nasogastric tube (NGT) connected to intermittent suction. Which task can be assigned to the unlicensed assistive personnel (UAP)?Answer →
  53. 53A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)Answer →
  54. 54A nurse is asked by the unit manager to provide input for the performance appraisal of an assistive personnel (AP). Which of the following actions should the nurse take?Answer →
  55. 55A nurse has received change-of-shift report about a client who is 24 hr postoperative following an open cholecystectomy and reports pain. Which of the following actions should the nurse plan to take first?Answer →
  56. 56A nurse is collecting data from a client who is 1 day postoperative following a total hip arthroplasty. Which of the following findings is the priority for the nurse to report to the provider?Answer →
  57. 57At the beginning of the shift, in which order of priority should the practical nurse (PN) assess these four clients? (Arrange from highest priority last to lowest priority last.) Reference Range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] pH [7.35 to 7.45)Answer →
  58. 58A nurse is assisting with the plan of care for a client who is postoperative. Which of the following interventions demonstrates interdisciplinary management of the client?Answer →
  59. 59A nurse is assisting with triage following an explosion at a local shopping center. Which of the following clients should the nurse expect to receive a black tag?Answer →
  60. 60A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter? Select the 3 tasks the nurse should recommend to delegate.Answer →
  61. 61A nurse is caring for a group of clients who are postoperative. Which of the following actions demonstrates appropriate, cost-effective strategies in providing nursing care?Answer →
  62. 62The practical nurse (PN) assigns a task to an unlicensed assistive professional (UAP) who has never worked with the PN in the past. As part of the assignment process. which action should the PN implement first?Answer →
  63. 63Upon entering a client's room, the practical nurse (PN) observes that the unlicensed assistive personnel (UAP) is providing personal care safely but exposing the client unnecessarily. In which order should the PN implement these interventions? (Rank the actions from first on top to last on bottom.)Answer →
  64. 64A nurse is observing an assistive personnel (AP) complete perineal care for a female client who has an indwelling urinary catheter. For which of the following actions by the AP should the nurse intervene?Answer →
  65. 65In assigning care, the practical nurse (PN) can safely delegate ambulation of which client to unlicensed assistive personnel (UAP)?Answer →
  66. 66A nurse is working on a medical-surgical unit that uses the total patient care delivery method when caring for clients. For each shift, which of the following actions should the nurse plan to take?Answer →
  67. 67A nurse is assisting with the plan of care for a client. Which of the following activities should the nurse include in the implementation phase of the nursing process?Answer →
  68. 68The practical nurse (PN) and unlicensed assistive personnel (OAP) are caring for four clients. Which task(s) can the PN assign to the UAP without providing direct supervision? Select all that apply.Answer →
  69. 69A nurse is caring for a client who has type 1 diabetes mellitus. Which of following actions should the nurse take first when providing morning care?Answer →
  70. 70For each client, click to specify if the client should be assigned a red, yellow, or black tag. A tag color may be assigned to more than one client.Answer →
  71. 71A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the Staff member assigned as a safe sitter? Select the 3 tasks the nurse should recommend to delegate.Answer →
  72. 72A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard?Answer →
  73. 73The practical nurse (PN) is caring for a client with a nasogastric tube. Which directions should the PN give to the unlicensed assistive personnel (UAP)?Answer →
  74. 74A nurse is caring for four clients. For which of the following clients should the nurse recommend an inter-professional client care conference?Answer →
  75. 75An older client is admitted for a right hip fracture and is placed in Buck's traction. The practical nurse (PN) is working with a registered nurse (RN). Which nursing action is most appropriate for the RN to delegate to the PN?Answer →
  76. 76A nurse has received change-of-shift report for four clients. Which of the following clients should the nurse attend to first?Answer →
  77. 77A nurse has just received change-of-shift report for a group of clients. Which of the following strategies should the nurse use to help manage client care requirements throughout the shift?Answer →
  78. 78When planning care for residents of a long term care facility, the practical nurse (PN) should assign the assistive personnel (UAP) who recently completely a fall prevention training program to which client?Answer →
  79. 79A nurse in a provider's office is caring for four clients. The nurse should recommend an interdisciplinary conference for which of the following clients?Answer →
  80. 80A nurse in a long-term care facility is monitoring clients in the day room. A client who has dementia becomes angry and starts screaming at the nurse. Which of the following interventions should the nurse take first?Answer →
  81. 81A nurse is caring for four clients and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to have the AP perform?Answer →
  82. 82A nurse enters a client's room and discovers a fire in the trash can. After removing the client from the room, which of the following actions should the nurse take next?Answer →
  83. 83A nurse is reinforcing teaching with staff members about the protocol for extinguishing a fire in a trash can in a client's room. After removing the client from the room, which of the following actions should the nurse instruct the staff members to take next?Answer →
  84. 84Select 2 client situations that require follow-up by the infection control nurse.Answer →
  85. 85The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that an assigned client experiences shortness of breath when the bed is lowered for bathing. Which action should the PN implement?Answer →
  86. 86A new unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring needs a bed bath. Which is the best way for the practical nurse (PN) to evaluate this UAPsAnswer →
  87. 87An older client has the nursing problem. "Impaired mobility related to fear of failing." Which desired outcome best directs the practical nurse's (PN) actions for this client?Answer →
  88. 88A nurse is reinforcing teaching with a group of older adults about collecting home supplies for disaster situations. Which of the following information should the nurse include in the teaching?Answer →
  89. 89A nurse is caring for four clients. For which of the following clients should the nurse recommend an interprofessional client care conference?Answer →
  90. 90A nurse working on an acute care unit is supervising a team of assistive personnel (AP). Which of the following actions by the nurse is an example of laissez-faire leadership?Answer →
  91. 91A home health nurse is reinforcing teaching with a client about fire extinguishers. Which of the following information should the nurse include in the teaching? (Select all that apply.)Answer →
  92. 92The practical nurse (PN) is caring for clients in a day surgery department. Which nursing task can PN assign to unlicensed assistive personnel (UAP)?Answer →
  93. 93A nurse in a long-term care facility is witnessing a conflict between two staff nurses about a client assignment. Which of the following actions should the nurse take first?Answer →
  94. 94The practical nurse (PN) assigned the unlicensed assistive personnel (UAP) to monitor the vital signs of a client with a methicillin-resistant Staphylococcus aureus (MRSA) infection who is receiving IV antibiotics. When the PN enters the client's room, the UAP is seen adjusting the rate of the infusion. Which action should the PN take?Answer →