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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 C

Explanation

A. Physical therapist: The physical therapist does not refer themselves but receives referrals from other team members.
B. The pharmacist: The pharmacist is involved in medication management and does not typically make referrals to physical therapy.
C. The case manager: The case manager coordinates overall patient care and is responsible for making referrals to various services, including physical therapy.
D. Occupational therapist: The occupational therapist provides a different type of therapy focused on daily living skills and would not typically make referrals to a physical therapist.

A. preparing the client for discharge B. On initial evaluation by the home health nurse C. reassessing a client for pain after giving pain medication D. checking skin assessment on a patient with a medical device in place

Correct Answer is C

Explanation

A. Preparing the client for discharge: Discharge preparation typically requires a comprehensive assessment to ensure all aspects of the client’s health and care needs are addressed.
B. On initial evaluation by the home health nurse: The initial evaluation requires a comprehensive assessment to establish a baseline for the client's overall condition and care plan.
C. Reassessing a client for pain after giving pain medication: A focused assessment targets a specific problem area, such as evaluating pain levels after an intervention.
D. Checking skin assessment on a patient with a medical device in place: This is an example of a focused assessment, concentrating on the skin integrity around the medical device.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The medical surgical nurse works with the interdisciplinary team to provide care for a stroke patient. Which of the following team members will be required for referring a physical therapist?

Correct Answer is C

Explanation

In what patient situations would a focused assessment be best to perform?

Correct Answer is C

Explanation

A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of client care? Select three items

A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

A nurse is providing education to a client. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the education?

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?

The nurse is collaborating with the multidisciplinary team. Which of the following statements by the nurse indicates an understanding for interprofessional collaboration?

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?

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?