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WorksheetsExam 1 Concepts
Total questions: 25
Worksheet time: 13mins
What is the most common bacterial organism in pneumonia?
Streptococcus
Legionella
Mycoplasma
Haemophilus
Which medications block the production of the thyroid hormone preoperatively?
Hypothalamic dopamine
Synthroid & Levothyroxine
Sodium bicarb & methimazole
Propylthiouracil& methimazole
Which of the following dietary instructions would the nurse include for a client diagnosed with a calcium oxalate urinary stone?
Increase meat, fish, plums, and cranberries
Avoid green leafy vegetables such as spinach
Increase intake of dietary products
Avoid citrus fruits and fruit juices
Which of the following assessment findings indicates that a client has had an insulin reaction?
Elevated BP, drowsiness, and rapid weak pulse
Weakness, drowsiness, and rapid weak pulse
Severe headache, weakness, and slow pulse
Slow pulse, elevated BP, and severe headache
The LPN is teaching a client about Synthroid. Which of the following statements by the client is correct?
'I will take this medication after I eat breakfast'
'I will check my heart rate before taking this medication'
'I will stop taking this medication if it causes upset stomach'
'I will report any visual disturbances to my physician'
The nurse is caring for a client with COPD. The client is currently on 5L O2 via nasal cannula. Based on this information, the nurse knows that the oxygen level is:
The flow rate is too high for this client
The client is not on enough oxygen
The oxygen flow rate is correct
The client does not need oxygen
A client has the following values: Na 167 mEq/L, potassium 5.0 mEq/L, chloride 115 mEq/L and HCO3 is 35. What is the client experiencing?
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis
What findings by the nurse indicate that thyroid replacement therapy has been inadequate?
Constipation, tachycardia, weight loss, and blurry vision
Dry mouth, tachycardia, weight gain, and edema
Constipation, bradycardia, edema, and brittle hair
Bradycardia, brittle hair, nausea, and weight loss
A client has a nasogastric tube connected to low continuous suction. Which acid-base imbalance would the LPN suspect for this client?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
The primary reason for insulin injection site rotation is?
Avoid infection
Promote absorption
Prevent muscle atrophy
Minimize discomfort
What is one function of the thyroid gland?
Promotes protein synthesis and fat metabolism
Regulation of the body's metabolic rate
Stimulates bone and muscle growth
Increases glucose in the bloodstream
The LPN is caring for a client experiencing diabetic ketoacidosis. They have a blood glucose of 900 mg/dL, decreased BP, weak and rapid pulse, and warm, flushed skin. What other finding would the nurse expect to see in this client?
Breath that smells like vinegar
Absence of peripheral pulses
Bicarbonate levels of 0-10 mEq/L
Rigid, board-like abdomen
A client has an upper respiratory infection with a dry hacking cough, fever, and wheezing. Which of the following is the most appropriate nursing diagnosis for this client?
Ineffective breathing pattern
Risk for infection
Impaired gas exchange
Ineffective airway clearance
What is the primary function of the prostate gland?
Aids in the nourishment and passage of sperm
Regulate the acidity or alkalinity of sperm development
Stimulates the production and maturation of sperm
Store underdeveloped sperm until ejaculation occurs
A client is complaining of burning in her arm while receiving potassium intravenously. Which action by the nurse is appropriate?
Pause the infusion until burning subsides
Increase the rate of the infusion
Call the physician for dilution orders
Administer the medication orally
A client diagnosed with asthma has a respiratory rate of 30, wheezing, and is using accessory muscles to breathe. Based on this information, which of the following nursing diagnoses is appropriate?
Ineffective breathing pattern
Impaired gas exchange
Impaired activity intolerance
Ineffective tissue perfusion
Which of the following assessment signs indicates a need to notify the physician following a TURP?
Urinary output of 200 ml
Pain related to bladder spasms
BP 100/50 and pulse 130
Red, bloody urine in catheter
A client has diabetic neuropathy. Which of the following would the nurse most likely assess in this client?
Parasthesias
Facial numbness
Dehydration
Weight changes
You suspect that your client is hypoglycemic. What is your immediate action?
Give the client orange juice
Check their blood sugar
Notify the healthcare provider
Call a rapid response
Which of the following is not approved for the flu mist vaccine?
Adolescents who take aspirin regularly
Children between 6-12 years old
Adults between 20-40 years old
Adults with dairy hypersensitivity
A client is tachypneic, restless, and cyanotic. Which of the following diagnostic test should the LPN assess first?
Arterial blood gases
Chest xray
Pulse oximetry
Pulmonary function test
The student is evaluating a client's neck for thyroid enlargement. Which of the following requires the LPN to intervene?
The student firmly palpates the neck multiple times
The student inspects for neck pigmentation changes
The student examines the skin for excessive oiliness
The student assesses the neck with light palpation
A client has a urine specific gravity of 1.030. What does this indicate to the nurse?
Normal kidney function
Adequate kidney perfusion
Dehydration
Overhydration
The nurse has noted an hourly output of 20 ml/hr for a client receiving normal saline at 1000 ml/hr IV. The nurse knows that:
Hydration is has not been successful and should continue
The client is overhydrated and should stop the infusion
Hydration has been successful so the infusion is not needed
The physician should be notified because of kidney failure
Your client has a continuous bladder irrigation and begins to complain of increased spasms. What action by the nurse should be performed first?
Check for presence of clots in the catheter to ensure proper drainage
Stop the continuous irrigation and call the physician about spasms
Administer morphine as ordered by the physician for spasms
Administer an oral analgesic as ordered by the physician
