Which patient below is best assigned to the LPN?

A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction

A newly admitted patient with a seizure disorder.

A 40-year-old female 1-day post hysterectomy

A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.

Answer and Explanation

The Correct Answer is C

A. A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction: Discharge instructions require comprehensive teaching and assessment, which are more appropriate for an RN.
B. A newly admitted patient with a seizure disorder: This patient requires thorough assessment and development of a care plan, which is best managed by an RN.
C. A 40-year-old female 1-day post hysterectomy: This patient is in a relatively stable condition and requires routine postoperative care, which is within the scope of practice for an LPN.

D. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions: This patient is unstable and requires close monitoring and frequent reassessment, which are responsibilities for an RN.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Principles of nursing practice: While important, the principles of nursing practice are more general and do not specifically address confidentiality as comprehensively as the Code of Ethics.
B. Nursing Scope and standards of practice: These outline the expectations for professional practice but are not as focused on confidentiality as the Code of Ethics.
C. American Nurses Association posting statements: This is not a recognized document for guiding professional standards related to confidentiality.
D. Code of Ethics for Nurses from the ANA: The Code of Ethics for Nurses from the American Nurses Association (ANA) provides guidelines on maintaining patient confidentiality and professional conduct.

A. Lean gently over the back of a chair with legs crossed B. Sit in front of the client at eye level and lean forward C. have their cell phone visible and diverting the eyes to check messages. D. Cross her arms over her chest and avoid eye contact

Correct Answer is B

Explanation

A. Lean gently over the back of a chair with legs crossed: This posture may appear informal and disinterested.
B. Sit in front of the client at eye level and lean forward: Sitting at eye level and leaning forward shows attentiveness and engagement, enhancing the importance of the education.
C. Have their cell phone visible and diverting the eyes to check messages: Checking a cell phone is distracting and shows a lack of attention and respect for the client.
D. Cross her arms over her chest and avoid eye contact: Crossing arms and avoiding eye contact can be perceived as defensive and uninterested.

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Which patient below is best assigned to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is teaching a new nurse the importance of patient confidentiality in providing competent care. What professional standards would the charge nurse refer to in the teaching?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

A nurse is preparing a teaching plan to a client who is learning crutch walking. The nurse should identify the following actions as part of the planning step of 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?

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the affective domain of learning?

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?

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 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?