LPN exams management of care practice questions, set 15
LPN exams · management of care
LPN exams management of care practice questionsset 15
You decide who to see first, what to delegate, and which order cannot wait. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.
Five management of care questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatments first?
A. A client who has a neck injury and is unable to breathe spontaneously
B. A client who has major burns over 75% of her body surface area
C. A client who has bipolar disorder and is exhibiting signs of hallucination
D. A client who has two open chest wounds with a left tracheal deviation
Show answer and rationale
Correct answer: A — A client who has a neck injury and is unable to breathe spontaneously
The correct answer is A because the client with a neck injury unable to breathe spontaneously is experiencing a life-threatening emergency that requires immediate intervention to maintain airway patency and prevent respiratory compromise. This situation falls under the ABCs (Airway, Breathing, Circulation) priority in triage.
Explanation for why the other choices are incorrect:
B: Major burns are serious, but the immediate threat to life in this scenario is compromised breathing, which takes precedence.
C: The client with bipolar disorder exhibiting signs of hallucination needs appropriate care but is not in immediate danger of death compared to compromised breathing.
D: While a client with open chest wounds and tracheal deviation is concerning, the inability to breathe spontaneously trumps this in terms of immediate life-saving intervention.
Question 2
A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A. I can post the client's vital signs in the client's room
B. I should discard personal health information documents in the trash before leaving the unit
C. I should encrypt personal health information when sending emails
D. I can use another nurse's password as long as I log off after using the computer
Show answer and rationale
Correct answer: C — I should encrypt personal health information when sending emails
The correct answer is C: "I should encrypt personal health information when sending emails." This is the correct answer because encrypting personal health information when sending emails helps ensure that the information remains confidential and secure. By encrypting the information, it is protected from unauthorized access or disclosure.
Choice A is incorrect because posting the client's vital signs in the client's room violates confidentiality as it exposes the information to anyone who enters the room. Choice B is incorrect because discarding personal health information documents in the trash can lead to unauthorized access to the information. Choice D is incorrect because using another nurse's password is a violation of security protocols and compromises confidentiality. Logging off after use does not justify using someone else's password.
Question 3
A nurse is selecting clients for discharge following an environmental disaster. Which of the following clients should the nurse select?
A. A client who is 1 day postoperative following an inguinal hernia repair
B. A client with a new diagnosis of diabetes
C. A client awaiting chemotherapy
D. A client with a fresh hip replacement
Show answer and rationale
Correct answer: A — A client who is 1 day postoperative following an inguinal hernia repair
In an environmental disaster, discharge decisions prioritize stability and resource allocation. A client 1 day postoperative from an inguinal hernia repair is the best candidate, as this is a routine surgery with a low complication rate, and by day one, the client is typically stable, mobile, and manageable at home with basic instructions. A new diabetes diagnosis requires education and monitoring, risking instability if discharged prematurely. A client awaiting chemotherapy needs ongoing treatment, and a fresh hip replacement involves significant recovery challenges, both unsuitable for immediate discharge. The hernia client's condition aligns with disaster triage principles minimal ongoing care needs and low risk freeing up beds for disaster victims while ensuring safety, unlike the others whose conditions demand continued hospital oversight.
Question 4
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform?
A. Administer IV fluids
B. Assess for bowel sounds every 2 hours
C. Monitor NG tube output
D. Reposition the NG tube
Show answer and rationale
Correct answer: B — Assess for bowel sounds every 2 hours
The RN's scope of practice includes assessments requiring clinical judgment, such as evaluating bowel sounds to determine hypoactive, normal, or hyperactive states, which informs the care plan for a small bowel obstruction. This task demands interpretive skills beyond the LPN's role, which focuses on data collection (e.g., listening for sounds) rather than analysis. Administering IV fluids, monitoring NG tube output, and repositioning the tube are within the LPN's capabilities under RN supervision, as they involve technical execution rather than diagnostic reasoning. The RN's expertise ensures accurate assessment of bowel function, critical for detecting complications like perforation or resolution of the obstruction, guiding subsequent interventions, and maintaining client safety in a condition requiring precise monitoring and decision-making.
Question 5
A charge nurse in an emergency department is making assignments for an assistive personnel (AP) during a shift with unexpected staff absences. Which of the following assignments should the charge give to a float AP from the medical-surgical unit?
A. Administering IV fluids
B. Escorting clients from the emergency department to other areas of the facility for tests
C. Assessing client pain levels
D. Performing wound care
Show answer and rationale
Correct answer: B — Escorting clients from the emergency department to other areas of the facility for tests
A float AP from a medical-surgical unit brings familiar skills suited to routine, non-invasive tasks. Escorting clients to other facility areas for tests is an appropriate assignment, as it aligns with the AP's typical role of transporting stable clients, requiring no advanced training beyond basic safety awareness. Administering IV fluids and performing wound care exceed the AP's scope, involving clinical skills reserved for licensed staff. Assessing pain levels requires subjective interpretation, also outside the AP's authority, which is limited to data collection like vital signs, not analysis. In an emergency department with staffing shortages, delegating escort duties leverages the AP's experience efficiently, supports workflow, and frees licensed staff for critical tasks, ensuring client needs are met safely amidst the shift's challenges.
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Question 6
The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must:
A. analyze the root causes of a situation
B. begin by solving the underlying problem
C. choose between different courses of action
D. prioritize the maximum good for the maximum number of people
Correct answer:
In nursing, decision making involves selecting a course of action, as this nurse must do amidst a clinical challenge. Analyzing root causes or solving problems first are steps within problem solving a systematic subset of decision making but the core act is choosing, like opting for one treatment over another. Prioritizing the maximum good aligns with utilitarian ethics, but nursing often lacks the scope for such broad impact in single decisions. For instance, faced with a patient's deteriorating vitals, the nurse chooses between immediate intervention or monitoring, weighing options based on data and protocols. This choice-driven process, distinct from exhaustive analysis, empowers nurses to act decisively in dynamic settings, ensuring patient safety and care quality, a critical leadership skill in managing clinical uncertainties effectively.
A nurse is caring for a group of clients. Which of the following clients should the nurse see first?
A. A client who is postoperative and has a fever
B. A client whose pressure ulcer has serosanguinous drainage on the dressing
C. A client who has diabetes mellitus and is diaphoretic
D. A client who has a fractured hip and reports a pain level of 7 on a scale from 0 to 10
Correct answer:
The correct answer is C because a client with diabetes mellitus who is diaphoretic may be experiencing hypoglycemia, a potentially life-threatening condition. The nurse should see this client first to assess their blood glucose levels and provide appropriate interventions.
Choice A is incorrect because a postoperative client with a fever may indicate an infection, but it is not as immediately life-threatening as a potential hypoglycemic episode in a diabetic client.
Choice B is incorrect because serosanguinous drainage on a dressing, while concerning, does not pose an immediate threat to the client's life compared to the potential hypoglycemia in the diabetic client.
Choice D is incorrect because although a pain level of 7 is significant, it is not as urgent as addressing a potential hypoglycemic episode in a client with diabetes mellitus.
A nurse in a community health clinic is planning an in-service staff training session on nationally notifiable infectious conditions. Which of the following conditions should the nurse include in the teaching?
A. Varicella
B. Strep throat
C. Influenza
D. Common cold
Correct answer:
Nationally notifiable infectious conditions are tracked by the CDC to monitor public health threats, and varicella (chickenpox) is among them due to its contagiousness and vaccine-preventable status. Including it in training ensures staff recognize its reportable nature, aiding outbreak control and surveillance. Strep throat, while bacterial and treatable, isn't nationally notifiable unless linked to severe sequelae like rheumatic fever, which isn't specified. Influenza is tracked via sentinel surveillance, not mandatory individual reporting, and the common cold lacks public health significance for notification. Varicella's inclusion educates staff on legal reporting duties, supports vaccination efforts, and protects vulnerable populations, aligning with community health priorities and regulatory requirements for infectious disease management.
A nurse is working with an assistive personnel (AP) in a long-term care facility. According to the 5 rights of delegation, which of the following determinations should the nurse make prior to assigning tasks?
A. The AP's personal schedule
B. The degree of supervision that the AP will require to complete the task
C. The AP's years of experience
D. The client's preferences
Correct answer:
The five rights of delegation right task, person, circumstances, direction, and supervision guide safe task assignment. Determining the degree of supervision an AP requires is critical, ensuring they can perform the task competently with appropriate oversight, matching their skill level to client needs. This protects safety and quality, as tasks vary in complexity (e.g., hygiene vs. feeding a dysphagic client), and inadequate supervision risks errors. The AP's schedule is logistical, not a delegation right, while years of experience inform competence but aren't a formal right' supervision adjusts for it. Client preferences don't dictate delegation mechanics. Supervision determination ensures clear expectations and support, aligning with professional standards, optimizing AP contributions, and safeguarding residents in a long-term care setting.
The clinic leader tends to make decisions independently and closely supervises and controls the practice of the nurses at the clinic. What type of leadership is being exemplified?
A. Authoritarian
B. Democratic
C. Laissez-faire
D. A contingency approach
Correct answer:
The correct answer is A: Authoritarian. This is because an authoritarian leader makes decisions independently and exercises strict control over their subordinates. In this scenario, the clinic leader's behavior aligns with an authoritarian leadership style by closely supervising and controlling the nurses.
Incorrect choices:
B: Democratic leadership involves involving employees in decision-making. This does not align with the clinic leader's independent decision-making.
C: Laissez-faire leadership style is characterized by minimal interference and allowing employees to make their own decisions. This contradicts the clinic leader's close supervision and control.
D: A contingency approach refers to adapting leadership style based on the situation. While it is important, it does not specifically describe the leader's behavior in this scenario.
A charge nurse is planning a department in-service training session about radioactive implants for a group of staff nurses. Which of the following points should the charge nurse include in the presentation? (Select all that apply.)
A. Clients should be placed in a private room
B. Staff can skip wearing dosimeter badges
C. Staff members should wear a dosimeter badge when caring for the client
D. Clients should be on bedrest
Correct answer:
Radioactive implants emit radiation, requiring strict safety protocols. Including Clients should be placed in a private room' ensures isolation, minimizing exposure to others, a fundamental radiation safety principle (distance). Staff members should wear a dosimeter badge' tracks exposure, protecting staff health per regulatory standards (shielding), debunking skipping badges. Clients should be on bedrest' prevents implant dislodgement, reducing radiation spread (time). These points private room, badges, bedrest align with time, distance, and shielding tenets, critical for managing internal radiation therapy safely. Omitting any risks uncontrolled exposure or procedural failure, while badges aren't optional. This trio educates nurses comprehensively, ensuring client and staff safety, adhering to evidence-based radiation protection guidelines.
The primary cardiac nurse is delegating tasks to the UAP. Which delegation task warrants intervention by the charge nurse of the cardiac unit?
A. The UAP is instructed to bathe the client who is on telemetry
B. The UAP is requested to obtain a bedside glucometer reading
C. The UAP is asked to assist with a portable chest x-ray
D. The UAP is told to feed a client who is dysphagic
Correct answer:
The correct answer is D because feeding a dysphagic client requires specialized knowledge and training to prevent aspiration and ensure safe swallowing. This task should only be performed by a qualified healthcare provider.
A: Bathing a client on telemetry can be safely delegated to a UAP as long as they are trained in telemetry monitoring.
B: Obtaining a bedside glucometer reading is within the scope of practice for a UAP and does not require specialized nursing skills.
C: Assisting with a portable chest x-ray can be delegated to a UAP as long as they are trained in positioning and safety measures.
In summary, choice D is the correct answer as feeding a dysphagic client requires specialized training and poses a higher risk if not done correctly. The other choices can be safely delegated to a UAP with appropriate training and supervision.
In a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel implement specific tasks like medication administration or personal hygiene for the entire nursing unit, what term describes this type of delivery system?
A. Primary nursing
B. Team nursing
C. Functional nursing
D. Total patient care
Correct answer:
The correct answer is C: Functional nursing. In functional nursing, tasks are divided among different levels of nursing staff based on their specific functions, such as medication administration or personal hygiene, for the entire unit. This system focuses on efficiency and specialization of tasks, allowing each staff member to focus on their assigned duties.
A: Primary nursing is a system where one nurse is responsible for coordinating the care of a group of patients.
B: Team nursing involves a team of healthcare professionals working together to provide care to a group of patients.
D: Total patient care, also known as case method nursing, involves one nurse providing all aspects of care for a patient.
Functional nursing best describes the scenario where tasks are divided among different staff members based on their roles and functions.
What action should the nurse-manager perform occasionally providing learning following the delegation of a task to a subordinate?
A. Holding the subordinate's professional development as the highest priority
B. Frequently reassuring the employee that if they are incapable of completing delegated task, it will be reassigned
C. Drafting a preliminary plan of how the task will be redone if the outcome does not meet stated expectations
D. Occasionally providing learning or 'stretching' opportunities for employees
Correct answer:
The correct answer is D because as a nurse-manager, it is essential to provide learning opportunities for employees to enhance their skills and knowledge. This helps in their professional growth and ensures they are capable of handling delegated tasks effectively. By occasionally providing 'stretching' opportunities, the nurse-manager promotes continuous learning and development within the team.
Choice A is incorrect because while professional development is important, it is not the immediate action needed after delegating a task. Choice B is incorrect as it fosters a lack of confidence in the employee and does not promote growth. Choice C is also incorrect as it focuses on remediation rather than proactive development. Ultimately, choice D is the most effective in ensuring the employee's ongoing competency and success in task delegation.
A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to assistive personnel?
A. Informing a family of a client's progress in physical therapy
B. Advising a client on self-administration of acetaminophen
C. Teaching a client to perform a finger-stick for testing blood glucose levels
D. Performing postmortem care prior to transferring the client to the morgue
Correct answer:
The correct answer is D because performing postmortem care is a task that can be safely and appropriately delegated to assistive personnel. This task does not require specialized knowledge or critical thinking skills, and it falls within the scope of practice for assistive personnel. They can follow established protocols and guidelines to provide respectful and dignified care to the deceased client.
Choices A, B, and C involve providing direct client education or communication with family members, which require critical thinking, assessment, and decision-making skills that are typically outside the scope of practice for assistive personnel. These tasks should be performed by a licensed healthcare professional who can assess the client's condition, provide appropriate education, and communicate effectively with the client and their family.
About these LPN exams management of care questions
LPN exams management of care practice questions, set 15 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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