Exam Mode Assessment

No.

1 :
Which time would be ideal for the LPN/LVN to collect a sputum specimen?

At bedtime

In the morning

After meals

After start of antibiotics

Hint : 🌅 Best time collect

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
Which patient does the LPN/LVN identify at high risk for hospital-acquired pneumonia?

A 35-year-old patient using the incentive spirometer following abdominal surgery

A 55-year-old patient who is eating in the chair following a rhinoplasty

A 40-year-old patient who refuses to cough and deep breath following a splenectomy

A24-year-old patient ambulating in the hall following an appendectomy

Hint : 🫁 increases pneumonia risk.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

"I will hold my breath at least 10 seconds after inhaling the medication."

"I will wait 10 min between each inhalation."

"I will hold the inhaler with my non-dominant hand."

"I will tilt my head forward while inhaling the medication."

Hint : 💨 Hold breath for 10 seconds

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?

Type 1 DM is caused by the inability of the pancreas to produce insulin.

Type 1 DM is reversible with diet, weight loss, and exercise programs.

Type 1 DM is when glucose remains in the bloodstream because tissues are resistant to insulin.

Insulin is released into the gastrointestinal tract to aid in the digestion process.

Hint : 💉 Type 1 DM lacks insulin production.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

"This medication adheres to the ulcer and protects it from gastric acid."

"This medication prevents gastric acid secretion in the stomach."

"This medication neutralizes gastric acid after it is secreted."

This medication kills the bacteria which cause ulcers."

Hint : 💊 Forms protective barrier over ulcers.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

Consuming low-fat meats

Drinking orange juice regularly

Eating dinner early in the evening

Sleeping on a large wedge-style pillow

Hint : 🍋 Avoid acidic drinks

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

The spacer increases the amount of medication delivered to the oropharynx.

Cover exhalation slots of the spacer with lips when inhaling.

The spacer increases the amount of medication delivered to the lungs.

Inhale rapidly when using the spacer with the MDI.

Hint : 🌬️Spacer delivers more to the lungs.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

8 :
Which breakfast menu is most appropriate for a patient with diabetes?

Oatmeal with artificial sweetener, whole-grain toast, tea

Two eggs two strips of bacon, orange juice, coffee

One slice whole-grain toast with peanut butter, skim milk, orange juice

One half grapefruit, cranberry juice, bagel with sugar-free jelly

Hint : 🍽️ Opt for fiber-rich,

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A patient is admitted to a respiratory unit with a diagnosis of bacterial pneumonia. Findings include a fever and a weak, congested-sounding cough with moist crackles throughout the lung fields. How should the nurse prioritize care?

Difficulty with breathing

Inability to clear the airway

Confusion from fever

Inadequate oxygen level

Hint : 🍃 Clear the airway

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

10 :
A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?

Newer laser surgery can improve sight after retinal hemorrhage.

The high incidence of cataracts can be surgically corrected.

Good control of blood glucose and blood pressure can reduce the risk.

Diabetes is low as a cause for blindness in the United States.

Hint : 🍎 Manage blood sugar

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
The nurse is reviewing the patient's record.

1430:

Urine output 50 mL/hr dark amber color. Continues to be lethargic.

1430:

Temp 100.4°F (37.8°C) HR 110 bpm: regular RR 24 breaths/min: rapid, deep SpO2 98% on room air BP 94/56 mm Hg

1430:

Glucose 460 mg/dl

Select to highlight the findings that demonstrate that the patient is improving.

1430: Nurses' Note: Urine output 50 mL/hr dark amber color. Continues to be lethargic. 1430: Vital Signs: Temp 100.4°F (37.8°C) HR 110 bpm: regular RR 24 breaths/min: rapid, deep SpO2 98% on room air BP 94/56 mm Hg 1430: Laboratory results: Glucose 460 mg/dl

Hint : 💡 Focus on vital signs and glucose control

Correct Highlights :

No correct highlights for this question!

Rationale :

Rationale to be Available Soon

12 :
A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?

Bradycardia

Severe upper abdominal pain

Hyperactive bowel sounds

Report of epigastric fullness

Hint : 🍃 Severe pain suggests perforation.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
What is the desired peripheral capillary oxygen saturation (Spo2) level in the patient with chronic obstructive pulmonary disease?

92% to 95%

85% to 88%

95% to 100%

88% to 92%

Hint : 📌Optimal SpO2 for COPD: 88-92%.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
A patient with newly diagnosed diabetes asks the nurse what to take for low blood sugar. Which of the following would be most appropriate for the nurse to suggest?

Cheese

Beef jerky

Raisins

Chocolate

Hint : 🌾Quick sugar boost: raisins.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
The LPN/LVN is providing teaching for a patient with type 2 diabetes. Which statement indicates an understanding by the patient?

"If I feel like my blood sugar is high, I need to drink an orange juice."

"I should avoid exercise when possible."

"I should check my blood sugar 3 times daily like the doctor said."

"I should eat a diet high in carbohydrates."

Hint : 💉Monitoring blood sugar is key.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
The nurse is caring for a 22-year-old female patient who is brought to the emergency department with a new onset of blurred vision and headache.

Medical/Surgical history:

Type 1 diabetes mellitus x8 years. Uses an insulin pump and self-manages care. Has never been hospitalized for diabetes previously. Appendix removed at age 7 years. No other medical or surgical history.

Social History:

Roommate says the patient drinks on the weekends only and does not use drugs or tobacco. Says she is a "hard-working college student."

Family History:

Family lives out of state and includes married parents and a younger brother. No family medical history obtained.

Physical Assessment:

Arousable but lethargic. PERRLA 3 mm: moves all extremities but does not follow commands. Mucous membranes dry, lips chapped, acetone breath. Lungs clear to auscultation: rapid and deep respiratory pattern. Tachycardic and hypotensive. Red, raised rash on lower extremities. Hypoactive bowel sounds.

Medications:

Regular insulin via an insulin pump in the left medial abdomen. Pump found to be shut off.

3/29/XX

1315

Patient brought to the emergency department by a college roommate. Recently traveled with friends to Mexico for spring break, returning 2 days ago. Roommate says that there was a lot of "partying." Over the last 24 hours, patient has experienced nausea and vomiting, has been sleeping a lot, and has developed blurred vision and headache.

3/29/XX

1325

Patient placed on a cardiac monitor for irregular pulse. Sinus tachycardia noted. Serum labs drawn and sent to the lab; 20-gauge peripheral IV inserted in left forearm and 20-gauge peripheral IV inserted in right forearm. NS initiated at 250 mL/hr.

3/29/XX

1430

Orders implemented. Receiving IV NS. IV insulin per titration. Urine output 50 mL/hr. Dark amber color. Continues to be lethargic

1035

DKÁ has resolved over the past 4 days. Alert and oriented. vital signs stable, Insulin being delivered via pump with stable blood glucose levels

3/29/XX

1320

Temp 100.2°F (37.8°C)

HR 115 bpm: irregular

RR 26 breaths/min; rapid, deep SpO2 98% on room air

BP 87/52 mm Hg 3/29/XX

1430

Temp 100.4°F (37.8°C)

HR 110 bpm: regular

RR 24 breaths/min: rapid, deep Sp02 98% on room air

BP 94/56 mm Hg

3/29/XX

1315

Glucose 525 mg/dL. per glucometer 3/29/XX

1335

WBC: 12.2 103/mm3 (4.5-11.1 103/mm3)

RBC 3.5 million/mm3 (3.61-5.11 million/mm3) Platelets: 355.000/mm3 (150,000-450,000/mm3) BUN: 35 mg/dL (8-21 mg/dL)

Creatinine: 1.2 mg/dl (0.5-1.2 mg/dL)

Sodium: 145 mEq/L (135-145 mEq/L)

Potassium: 3.1 mEq/L (3.5-5.0 mEq/L)

Glucose: 530 mg/dL (65-99 mg/dL)

ATC: 6.9% (6.5% or lower) 3/29/XX

1430

Glucose 460 mg/dL per glucometer 1035

Glucose 89 mg/dL per glucometer

The nurse recognizes the patient is demonstrating signs of diabetic ketoacidosis (DKA). Which findings support this recognition? (Select All that Apply.)

Answer Options

Acetone breath and respiratory pattern

Blurred vision and headache

Nausea and vomiting

History of type 1 DM Appendix removal at age 7

Weekend alcohol ingestion

Tachycardia and hypotension

Insulin pump turned off

Hint : 📌Key signs of diabetic ketoacidosis.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
The nurse is caring for a patient admitted with COPD, who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply.

offer small frequent meals

provide bronchodilators, if ordered

wean from oxygen

encourage smoking cessation

administer corticosteroids, if ordered

Hint : 👃Prioritize airway management

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

Consumes spicy foods 5 to 8 times weekly

History of ibuprofen use

Drinks green tea

History of bulimia

Hint : 💊 NSAIDs damage the stomach lining.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

19 :
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

Consumes spicy foods 5 to 8 times weekly

History of ibuprofen use

Drinks green tea

History of bulimia

Hint : 🩺 NSAIDs = mucosal damage

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
The nurse is caring for a patient with pneumonia. Which lab abnormality is most concerning?

decreased serum creatinine

elevated white blood cell count

protein in urinalysis

decreased serum potassium

Hint : 🌡Infection marker

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply. (Select All that Apply.)

Cardiovascular exercise

Beta-blocking medications

Exposure to secondhand smoke

Carpet and drapes in the bedroom

Pets and foods that cause symptoms

Hint : 🧼Avoid allergens and irritants

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : 📏Divide dose by concentration

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
Your client has told you that they have been experiencing intermittent upper abdominal pain about 3 hours after eating and at times will even be awaken in the middle of the night by this pain. You suspect that your client may have which type of peptic ulcer?

Decubitus ulcer

Gastric ulcer

Esophageal ulcer

Duodenal ulcer

Hint : 🌜Pain relieved by food

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
The nurse enters a room of a patient who is acutely short of breath. Which action should the nurse take first?

Teach the patient the use of accessory muscles

Ask the patient what caused the dyspnea

Encourage the use of pursed lip breathing

Assist the patient into a Sims position

Hint : 💨Breathe out slowly

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?

Take the medication with an antacid.

Take as needed for pain relief.

Store the medication in the refrigerator.

Take the medication 1 hr before meals.

Hint : 🍽 Take on empty stomach

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

26 :
A 33-year-old patient has pneumonia. When the nurse assesses this patient, which of the following data will receive the highest priority?

Presence of hiccups, amount of sweating BP

Capillary refill, amount of sputum, trembling

Size of pupil, presence of sneezing, location of pain

Restlessness, chest wall movement, color of nails

Hint : 🫁Check for oxygenation clues

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

27 :
A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply.)

"I will drink less fluid."

"I will try not to gain weight"

"I will sleep with the head of my bed elevated."

“I will consume less caffeine and spicy foods."

“I will lie down for one half hour after meals."

Hint : 🍽️ Focus on reflux control

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

Pleural friction rub

Expiratory wheeze

Rhonchi

Fine rales

Hint : 🌬️ Listen for wheezing on exhale

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

29 :
A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?

Identifying age-related changes

Monitoring BG level

Establishing the presence of an illness

Improving hydration status

Hint : 💧 Fluids before insulin in HHS

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

30 :
The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

The diet stresses high-protein and low-carbohydrate intake, but people adapt to the restrictions.

You will require special foods, but stores now stock a variety of choices for people with diabetes.

Your diet will be a well-balanced, individualized meal plan that is healthy for your whole family.

Sugars and fats need to be avoided, but the dietitian will help you find acceptable alternatives.

Hint : 🥗Balanced meals, family-friendly

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

31 :
Which client would the nurse identify as high risk for developing aspiration pneumonia?

A patient with migraines

A patient with leukemia

A patient with asthma

A patient who had a stroke

Hint : 🧠 Stroke = swallow risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

32 :
The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

I will learn to carefully check my blood glucose since I am prone to ketoacidosis.

My pancreas may have started to attack itself after a childhood viral infection.

May be genetically prone since diabetes goes back for several generations.

I know that I am obese and can reduce my need for insulin with weight loss.

Hint : 💉 Type 1 = insulin always

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

33 :
After change of shift, the nurse has the following patients on her assignment. Which one should she see first?

A 50-year-old with COPD and a Spo2 of 90%

A 72-year-old with pneumonia who needs his antibiotic

A 37-year-old with asthma who reported that he is still having shortness of breath after using his inhaler

A68-year-old on a CPAP who needs a sputum specimen sent to the lab

Hint : 🚨SOB post-inhaler = urgent

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

34 :
The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

“I must take insulin pills for the rest of my life."

“I will count my carbohydrates at each meal and snack."

“I will monitor my feet carefully every day."

"I will try to keep my blood glucose between 80 and 130 mg/dL before meals."

Hint : 💉 No insulin pills in type 1

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

35 :
The nurse is providing care for a patient admitted for a lower respiratory infection. On admission, the patient's vital signs were blood pressure (BP) 140/80 mm Hg. apical pulse (AP) 112 beats/minute, respirations (R) 32 breaths/minute, and pain level of 8 on a scale of 0 to 10. After assisting the patient to bed and applying the prescribed oxygen, which finding helps the nurse evaluate the effectiveness of nursing care?

P 100 beats/minute

R 20 breaths/minute

BP 130/78 mm Hg

Pain level of 6/10

Hint : 🫁 RR drop = better breathing

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

36 :
The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

Most complications involve either the large or tiny vessels of the body.

Type 1 diabetics are at greatest risk for complications even with tight control.

Patients with HbA1c levels below 6.9% are less likely to experience complications.

Chronic hypoglycemia causes a variety of serious complications.

Hint : 🫀 Vessels get damaged

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

37 :
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

Chocolate

Oatmeal

Apples

Nonfat milk

Hint : 🍫Chocolate weakens LES

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

38 :
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

"I can have 6 ounces of alcohol before bed, to help me sleep."

"I will sleep on my stomach with my head flat."

"I should elevate the head of the bed."

"I will have a snack 1 hour before going to bed."

Hint : 🛏 Raise the bed, not the pillow

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

39 :
What type of cells secrete insulin?

Alpha cells

Beta cells

Acinar cells

Plasma cells

Hint : 🧬 Insulin = beta cells

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

40 :
After reinforcing teaching on peptic ulcer disease, the nurse evaluates the patient as understanding the education if the patient states which of the following is a primary cause of peptic ulcer disease?

"Eating spicy foods"

"A stressful life"

"Excessive caffeine intake"

"A bacterial infection"

Hint : 🦠 Ulcers? Think bacteria!

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

41 :
A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

Baked turkey breast

Spaghetti with red sauce

Corned beef brisket

Lemon pepper fish

Hint : 🥩 Choose lean, low-fat protein

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

42 :
What type of cells secrete glucagon?

Plasma cells

Acinar cells

Beta cells

Alpha cells

Hint : 🧬 Alpha = raises blood sugar

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

43 :
A nurse is reinforcing teaching about use of a metered-dose inhaler (MDI) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)

Shake the canister 3 to 5 seconds vigorously.
Place her lips firmly around the mouthpiece.
Inhale slowly over 3 to 5 seconds while pushing down on the canister.
Hold her breath for 10 seconds.
Exhale slowly through pursed lips.

Hint : 💨Shake, seal, inhale, hold, exhale

Correct Order:

No correct order available !

Rationale :

Rationale to be Available Soon

44 :
The patient with emphysema comes to the emergency department with difficulty breathing. What finding should the nurse anticipate during data collection? Select all that apply

Diminished breath sounds

Ruddy skin color

Use of accessory muscles

Excess mucus production

Barrel shaped chest

Hint : 🫁 Air trapping signs

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

45 :
Gas exchange occurs in which of the following structures?

Bronchi

Alveoli

Nasal passages

Larynx

Hint : 🌬️ gas exchange site

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

46 :
A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?

"Your airways are inflamed and spastic."

"You have fluid in your lungs that is causing shortness of breath."

"Your airways are stretched and nonfunctional."

"You have a low-grade infection that keeps your bronchial tree irritated."

Hint : 🌫️ Asthma = inflamed, tight airways

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Total Questions: 46

Choose Different Exam !

ATI LPN Medsurg Concept Exam

No.

1 : Which time would be ideal for the LPN/LVN to collect a sputum specimen?

2 : Which patient does the LPN/LVN identify at high risk for hospital-acquired pneumonia?

3 : A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

4 : The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?

5 : A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

6 : A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

7 : A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

8 : Which breakfast menu is most appropriate for a patient with diabetes?

9 : A patient is admitted to a respiratory unit with a diagnosis of bacterial pneumonia. Findings include a fever and a weak, congested-sounding cough with moist crackles throughout the lung fields. How should the nurse prioritize care?

10 : A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?

11 : The nurse is reviewing the patient's record.

Correct Highlights :

12 : A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?

13 : What is the desired peripheral capillary oxygen saturation (Spo2) level in the patient with chronic obstructive pulmonary disease?

14 : A patient with newly diagnosed diabetes asks the nurse what to take for low blood sugar. Which of the following would be most appropriate for the nurse to suggest?

15 : The LPN/LVN is providing teaching for a patient with type 2 diabetes. Which statement indicates an understanding by the patient?

16 : The nurse is caring for a 22-year-old female patient who is brought to the emergency department with a new onset of blurred vision and headache.

Answer Options

17 : The nurse is caring for a patient admitted with COPD, who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply.

18 : A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

19 : A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

20 : The nurse is caring for a patient with pneumonia. Which lab abnormality is most concerning?

21 : Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply. (Select All that Apply.)

22 : A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

23 : Your client has told you that they have been experiencing intermittent upper abdominal pain about 3 hours after eating and at times will even be awaken in the middle of the night by this pain. You suspect that your client may have which type of peptic ulcer?

24 : The nurse enters a room of a patient who is acutely short of breath. Which action should the nurse take first?

25 : A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?

26 : A 33-year-old patient has pneumonia. When the nurse assesses this patient, which of the following data will receive the highest priority?

27 : A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply.)

28 : A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

29 : A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?

30 : The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

31 : Which client would the nurse identify as high risk for developing aspiration pneumonia?

32 : The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

33 : After change of shift, the nurse has the following patients on her assignment. Which one should she see first?

34 : The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

36 : The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

37 : A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

38 : A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

39 : What type of cells secrete insulin?

40 : After reinforcing teaching on peptic ulcer disease, the nurse evaluates the patient as understanding the education if the patient states which of the following is a primary cause of peptic ulcer disease?

41 : A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

42 : What type of cells secrete glucagon?

43 : A nurse is reinforcing teaching about use of a metered-dose inhaler (MDI) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)

44 : The patient with emphysema comes to the emergency department with difficulty breathing. What finding should the nurse anticipate during data collection? Select all that apply

45 : Gas exchange occurs in which of the following structures?

46 : A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?

1 :
Which time would be ideal for the LPN/LVN to collect a sputum specimen?

2 :
Which patient does the LPN/LVN identify at high risk for hospital-acquired pneumonia?

3 :
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

4 :
The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?

5 :
A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

6 :
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

7 :
A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

8 :
Which breakfast menu is most appropriate for a patient with diabetes?

9 :
A patient is admitted to a respiratory unit with a diagnosis of bacterial pneumonia. Findings include a fever and a weak, congested-sounding cough with moist crackles throughout the lung fields. How should the nurse prioritize care?

10 :
A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?

11 :
The nurse is reviewing the patient's record.

12 :
A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?

13 :
What is the desired peripheral capillary oxygen saturation (Spo2) level in the patient with chronic obstructive pulmonary disease?

14 :
A patient with newly diagnosed diabetes asks the nurse what to take for low blood sugar. Which of the following would be most appropriate for the nurse to suggest?

15 :
The LPN/LVN is providing teaching for a patient with type 2 diabetes. Which statement indicates an understanding by the patient?

16 :
The nurse is caring for a 22-year-old female patient who is brought to the emergency department with a new onset of blurred vision and headache.

17 :
The nurse is caring for a patient admitted with COPD, who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply.

18 :
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

19 :
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

20 :
The nurse is caring for a patient with pneumonia. Which lab abnormality is most concerning?

21 :
Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply. (Select All that Apply.)

22 :
A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

23 :
Your client has told you that they have been experiencing intermittent upper abdominal pain about 3 hours after eating and at times will even be awaken in the middle of the night by this pain. You suspect that your client may have which type of peptic ulcer?

24 :
The nurse enters a room of a patient who is acutely short of breath. Which action should the nurse take first?

25 :
A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?

26 :
A 33-year-old patient has pneumonia. When the nurse assesses this patient, which of the following data will receive the highest priority?

27 :
A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply.)

28 :
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

29 :
A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?

30 :
The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

31 :
Which client would the nurse identify as high risk for developing aspiration pneumonia?

32 :
The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

33 :
After change of shift, the nurse has the following patients on her assignment. Which one should she see first?

34 :
The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

36 :
The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

37 :
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

38 :
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

39 :
What type of cells secrete insulin?

40 :
After reinforcing teaching on peptic ulcer disease, the nurse evaluates the patient as understanding the education if the patient states which of the following is a primary cause of peptic ulcer disease?

41 :
A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

42 :
What type of cells secrete glucagon?

43 :
A nurse is reinforcing teaching about use of a metered-dose inhaler (MDI) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)

44 :
The patient with emphysema comes to the emergency department with difficulty breathing. What finding should the nurse anticipate during data collection? Select all that apply

45 :
Gas exchange occurs in which of the following structures?

46 :
A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?