Chapter 1 Flashcards
The LPN is collecting data for the initial assessment of a patient upon admission to a
Long-term care facility before giving the patient’s prescribed drugs. Which action should the LPNconsider to
be the highest priority?
a. Obtain any special equipment that will be needed to give the patient’s drug.
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate.
c. Collect data about the patient and the patient’s health condition.
The LPN is working with a patient in the planning stage of the nursing process related tothe
patient’s prescribed drugs. Which action should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.
d. Determine how much the patient understands about his drug.
You are teaching a patient with depression about the potential adverse effects of a
prescribed drug. What part of the nursing process related to drug therapy are you engaging in at
this point of the teaching plan?
a. Assessment
b. Implementation
c. Evaluation
d. Diagnosis
c. Evaluation
- Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
a. The patient states she has pain in her left arm.
- Which statement provides an example of objective data?
a. The wife statesthe patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe.
b. Grimacing with movement is present during the examination.
- The LPN/VN is assessing a patient before giving a drug for blood pressure management.
The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse’s best action?
a. Hold the drug and report the blood pressure to the RN.
b. Give the patient a full glass of water before giving the drug.
c. Come back in 30 minutes and recheck the blood pressure.
d. Have the patient perform pursed lip breathing before giving the drug.
a. Hold the drug and report the blood pressure to the RN.
- The LPN is collecting objective data for inclusion in the nursing assessment. Which piece
of information indicates that the LPN has a clear understanding of objective assessment data?
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.
d. Compilation of past laboratory results and x-ray reports.
A patient recently began a taking blood pressure drug and presents for a follow-up
appointment. The office nurse reviews the patient’s daily blood pressure recordings. Which stage
of the nursing process corresponds to this review?
a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
d. Evaluation
After receiving report, the LPN gives drugs to her assigned patients on the evening shift.
With which stage of the nursing process does this activity correspond?
a. Implementation
b. Assessment
c. Planning
d. Diagnosis
a. Implementation
- You are reviewing a patient’s new antihypertensive drug order. The order as written is
unclear as to the number of times per day the drug is to be given. What is your best action?
a. Call the healthcare provider to clarify the order.
b. Refer the question to the hospital pharmacy.
c. Give the drug according to the information in a drug handbook.
d. Hold the drug until the healthcare provider returns the following day.
a. Call the healthcare provider to clarify the order.
- A patient is receiving an antibiotic for pneumonia. On the third day of the treatment
regimen, a rash appears on her chest, and she reports itching and shortness of breath. Which term
describes the effect that has occurred?
a. Therapeutic effect
b. Adverse effect
c. Side effect
d. Overdose effect
b. Adverse effect
An LPN enters a patient’s room to give a scheduled drug. Before administration, the
patient states, “I can’t take that drug; I’m allergic to it.” What should the nurse do first?
a. Reassure the patient that the drug is needed and observations regarding possible allergic
symptoms will be made.
b. Review the patient record and encourage the patient to take the drug if no allergies have
been documented.
c. Assess the patient’s allergic history and notify the healthcare provider to determine a course of action.
d. Document patient refusal and leave a note on the patient chart for the healthcare provider.
c. Assess the patient’s allergic history and notify the healthcare provider to determine a course of action.
The LPN is preparing to give the initial dose of an antibiotic to a patient diagnosed with
an infection. The patient says, “I broke out in a rash the last time I took that pill.” What action
should the LPN take next?
a. Give the drug and check the patient in 30 minutes for a rash.
b. Document that the patient refused the drug per agency policy.
c. Leave the drug at the bedside while checking the chart for the patient’s allergies.
d. Notify the registered nurse or healthcare provider.
d. Notify the registered nurse or healthcare provider.
Which priority assessment must you make before giving any patient a drug by mouth?
a. Quiz the patient about the action of each drug.
b. Make sure the patient can swallow.
c. Find out whether the patient prefers cold or room temperature liquids.
d. Ask the patient to repeat his or her name and birthdate.
b. Make sure the patient can swallow.
- You are preparing to give the morning drugs to your assigned patients. Before giving
each drug, which steps are considered to be “rights” of giving a drug? (Select all that apply.)
a. The right plan
b. The right time
c. The right dose
d. The right patient
e. The right to self-administer
f. The right drug
ANS: B, C, D, F
A licensed practical/vocational nurse has a specific set of roles and responsibilities.
Which responsibilities are within the scope of an LPN/LVN? (Select all that apply.)
a. Writing medical orders
b. Assessment of admission vitals to report to the admitting RN
c. Conducting a comprehensive admission assessment
d. Independent initiation of comprehensive plan of care
e. Management of patient care under RN supervision
B. E
