1. The experienced LPN/LVN, under the supervision of the team leader
RN, is providing nursing care for a client with a respiratory problem.
Which of the following actions are appropriate to the scope of
practice for an exper
Table 2. 2012 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
Recommendat Quality of
Anticholinergics (excludes TCAs)
1. You are working in the emergency department (ED) when a patient
arrives, complaining of substernal and left arm discomfort that has
been going on for 3 hours. All of these baseline laboratory tests are
drawn. Which one
1. You give an intradermal injection of allergen to a patient who is
undergoing skin testing for allergies. A few minutes later, the patient
complains about feeling anxious, short of breath, and dizzy. You
notice that the pa
VISUAL AND AUDITORY PROBLEMS
1. You are working in an ambulatory clinic. A client calls to report
redness to the sclera, itching of the eyes and increased lacrimation
for several hours. What should you direct the caller to do first?
a. Please ca
1. While working in a long-term-care (LTC) facility, you are assessing a
client with a history of benign prostatic hypertrophy (BPH). Which
information will require the most immediate action?
a. Client tells you that he al
RENAL AND URINARY PROBLEMS
1. You are providing nursing care for a 24-year-old female patient
admitted to the unit with a diagnosis of cystitis. Which intervention
should you delegate to the nursing assistant?
a. Show the patient how to secure
1. You are caring for a client who has just had a squamous cell
carcinoma removed from the face. Which of these tasks can you
delegate to an experienced nursing LPN/LVN?
a. Teach the client about risk factors for squamous
Developmental Milestones for Children Ages 3-6
By Age 3:
Able to jump in place
Able to kick a ball
Able to ride a tricycle
Able to state name, age, and gender
Able to copy a cross and circle
Most speech is understandable by others
By Age 4:
Able to sing s
Age Characteristics of Play
Approximately 3 to 12 months
Grasping, holding, and examining articles
Exploration via creeping or crawling
1 to 7 or 8 years
Imitating adult behavior with replicas of adult t
GASTROINTESTINAL AND NUTRITIONAL PROBLEMS
1. In preparing a client for a colonoscopy procedure, which task is most
suitable to delegate to the nursing assistant?
a. Explain the need for clear liquids 1 3 days prior to
1. You are reviewing the complete blood count (CBC) for a client who
has been admitted for knee arthroscopy. Which value is most
important to report to the physician prior to surgery?
a. White blood cell count 16,000/mm3
Bacterial Infectious DiseasesAnthrax : multiplication of Bacillus anthracis in the body.
Bacterial meningitis : inflammation of the protective membranes of the central nervous system.
Botulism : blockage of nerve function and respiratory
Maslows hierarchy of needs is crucial to establishing priorities on the NCLEX-RN exam. Maslow identifies five levels of
human needs: physiological, safety or security, love and belonging, esteem, and self-actualization.
physiological needs are nec
1. A chronic pain client reports to you, the charge nurse, that the nurse
have not been responding to requests for pain medication. What is
your initial action?
a. Check the MARs and nurses notes for the past several days.
b. Ask the nurse
1. You are caring for a patient with esophageal cancer. Which task could
be delegated to the nursing assistant?
a. Assist the patient with oral hygiene.
b. Observe the patients response to feedings.
c. Facilitate expression of grief or an
FLUID, ELECTROLYTE, AND ACID-BASE PROBLEMS
1. A clients nursing diagnosis is Deficient Fluid Volume related to
excessive fluid loss. Which action related to the fluid management
should be delegated to a nursing assistant?
a. Administer IV fluids