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Which client would be best assigned to an RN and not an LPN?

A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker.

A 78-year-old patient newly admitted with anemia requiring a blood transfusion

A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking

A 44-year-old patient admitted yesterday with pneumonia

Answer and Explanation

The Correct Answer is B

. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker: LPNs are capable of assisting with range of motion exercises and ambulation.
B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion: Blood transfusions require close monitoring for reactions and complications, which are within the RN’s scope of practice. This patient requires a higher level of assessment and decision-making skills.
C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking: LPNs can assist with crutch walking education and reinforcement.
D. A 44-year-old patient admitted yesterday with pneumonia: LPNs can care for stable patients with pneumonia under the supervision of an RN. The patient's status should be stable or improved to be managed by an LPN.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Assessment: The Assessment section includes the nurse's findings and interpretations of the client's current condition. Information specific to sleep apnea would more likely be part of the client's history and not a direct assessment finding at this time.
B. Background: The Background section includes relevant background information that could impact the client’s current situation. This would be the appropriate section to include the client's history of sleep apnea.
C. Situation: The Situation section focuses on the current issue or reason for the communication. While it should be concise, it does not include detailed past medical history unless directly relevant to the current situation.
D. Recommendation: The Recommendation section is where the nurse suggests the next steps or interventions needed. Information about sleep apnea is not a recommendation but part of the client's background.

A. develop short term goal for the client in the teaching plan B. Show the client how to draw up the insulin in a syringe C. Assess the client’s readiness forming D. Ask the client to demonstrate self-injection

Correct Answer is C

Explanation

A. Develop short-term goals for the client in the teaching plan: Developing goals is part of the planning phase, not the assessment phase.
B. Show the client how to draw up the insulin in a syringe: This is part of the implementation phase, where the nurse provides instructions and demonstrations.
C. Assess the client’s readiness for learning: Assessing the client’s readiness to learn is part of the assessment phase, determining if the client is prepared and willing to learn the new skill.
D. Ask the client to demonstrate self-injection: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the skill taught.

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Which client would be best assigned to an RN and not an LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?

Correct Answer is B

Explanation

A nurse is teaching a client to administer insulin. The nurse should identify the following actions as part of the assessment step of the teaching plan?

Correct Answer is C

Explanation

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

Which patient below is best assigned to the LPN?

The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

A nurse is conducting a quantitative research to examine the relationship between opioids and post-op pain management. This is known as what type of research?

The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?

The nurse is providing morning care to a client with right arm hemiparesis. Which nursing action demonstrates use of the Self Care Model when planning care?