LNN ACADEMY 🦠🩺💊

Just before inserting the needle into the muscle for a Z-track injection, the nurse appropriately pulls the tissue at the injection site in what direction?

The nurse assisting with the sigmoidoscopy places the client in which position?

As the nurse performs a head-to-toe physical assessment, which finding best indicates that the client’s ulcer has perforated?

Which finding documented in the client’s chart is the best evidence that the client is responding favorably to the administration of TPN?

After the client undergoes a total hip replacement, how should the nurse position the affected hip?

To assess the area where the permanent pacemaker battery has been implanted, the nurse knows to examine which area of the skin?

The client is returned to the nursing unit after 6 hours of surgery. During the immediate postoperative assessment, the nurse notes that the client’s dressing is moist. Which action is most appropriate to take first?

Ear drops have been ordered for a 10-month-old child. How should the nurse teach the mother to pull the baby’s ear to straighten the ear canal?

Ferrous sulfate has been prescribed for a woman who is pregnant. The nurse should advise her to take the medication at which time?

Which verbal complaint during the assessment of a 55-year-old female client is considered abnormal and requires further investigation?

Which rationale should a nurse use to explain the reason for oxygen being bubbled through a humidifier to a client receiving 2 liters of oxygen by nasal cannula?

A 33-year-old client reports left leg pain, right-sided chest pain, and a sudden onset of shortness of breath. Which action should be taken immediately by the nurse?

A nurse assesses that the pulse of a 2-year-old hospitalized toddler is 120 beats per minute (bpm). What should be the nurse’s priority based on this finding?

A nurse assesses heavy bleeding with large clots for a postpartum client 2 hours after delivery of a 10-pound infant. Which action should the nurse take initially?

A nurse is caring for a client diagnosed with cystic fibrosis who is refusing to take a recommended nebulizer treatment. The client’s refusal of treatment is classified as which of the following?

Which statement by the female client indicates that the client understands factors that may precipitate seizure activity?

The nurse assessing the client diagnosed with pancreatitis notes the client has a bluish discoloration around the umbilicus. Which intervention should the nurse implement next?

The client is receiving total parental nutrition (TPN) into a subclavian line at 73 mL/hr. Which intervention should the nurse implement?

Which intervention should the nurse implement when administering an intramuscular vitamin K injection to the newborn?