Question 1

The nurse should document drug administration at which time?

Accepted Answer

A)  At the end of each shift 
B)  As soon as possible after administration 
C)  Just before administration 
D)  Any time during the nurse's shift 
A)  At the end of each shift 
B)  As soon as possible after administration 
C)  Just before administration 
D)  Any time during the nurse's shift B

Question 2

Getting accurate information from a patient during admission is an important job for the nurse recording this information.The answers to which admission questions will help form the best plan of care for the patient? (Select all that apply.)

Accepted Answer

A)  How sick is the patient? 
B)  What medication procedures will the patient require? 
C)  Does the patient know you are an LPN/LVN? 
D)  What special concerns or cultural beliefs does the patient have? 
E)  Does the patient have health insurance? 
A)  How sick is the patient? 
B)  What medication procedures will the patient require? 
C)  Does the patient know you are an LPN/LVN? 
D)  What special concerns or cultural beliefs does the patient have? 
E)  Does the patient have health insurance? A,B,D

Question 3

The LVN/LPN is preparing to administer insulin to a patient with diabetes.What should the nurse assess prior to administering the insulin?

Accepted Answer

A)  Blood pressure 
B)  Blood glucose 
C)  Heart rate 
D)  Temperature 
A)  Blood pressure 
B)  Blood glucose 
C)  Heart rate 
D)  Temperature B

Question 4

It is important for the LPN/LVN to be a part of the evaluation process when giving the patient medications.Which factor is considered to be an important part of the process of evaluating medications once they are given?

Accepted Answer

A)  Asking the patient what the medication tasted like 
B)  Asking the patient if swallowing all of the medications at once helped 
C)  Evaluating the therapeutic effects and the adverse effects of the medication 
D)  Evaluating whether more scheduled medication is needed 
A)  Asking the patient what the medication tasted like 
B)  Asking the patient if swallowing all of the medications at once helped 
C)  Evaluating the therapeutic effects and the adverse effects of the medication 
D)  Evaluating whether more scheduled medication is needed

Question 5

An LVN/LPN works on a very busy 35-bed medical-surgical unit.The RN team leader gives her a syringe with "pain medication" in it and asks the LPN/LVN nurse to administer this medication to a patient.What should be the nurse's first action?

Accepted Answer

A)  Assist the team leader by giving the medication as requested for this time only. 
B)  Administer the medication this time because it is an emergency. 
C)  Take time and prepare the medication herself and give as prescribed. 
D)  The LVN/LPN doesn't have to do anything; it is not her patient. 
A)  Assist the team leader by giving the medication as requested for this time only. 
B)  Administer the medication this time because it is an emergency. 
C)  Take time and prepare the medication herself and give as prescribed. 
D)  The LVN/LPN doesn't have to do anything; it is not her patient.

Question 6

What do the six "rights" of medication administration include?

Accepted Answer

A)  Drug, time, dose, doctor, route, and documentation 
B)  Drug, time, dose, patient, route, and documentation 
C)  Drug, diagnosis, time, patient, route, and documentation 
D)  Dose, time, doctor, patient, route, and drug 
A)  Drug, time, dose, doctor, route, and documentation 
B)  Drug, time, dose, patient, route, and documentation 
C)  Drug, diagnosis, time, patient, route, and documentation 
D)  Dose, time, doctor, patient, route, and drug

Question 7

A patient states that he occasionally takes an over-the-counter laxative for constipation.What is this information an example of?

Accepted Answer

A)  Objective data 
B)  Inspection 
C)  Subjective data 
D)  Alternative therapy 
A)  Objective data 
B)  Inspection 
C)  Subjective data 
D)  Alternative therapy

Question 8

Which represents the correct order of the steps of the nursing process?

Accepted Answer

A)  Assessment, diagnosis, planning, implementation, evaluation 
B)  Planning, assessment, diagnosis, implementation, evaluation 
C)  Assessment, planning, implementation, diagnosis, evaluation 
D)  Diagnosis, planning, implementation, evaluation, assessment 
A)  Assessment, diagnosis, planning, implementation, evaluation 
B)  Planning, assessment, diagnosis, implementation, evaluation 
C)  Assessment, planning, implementation, diagnosis, evaluation 
D)  Diagnosis, planning, implementation, evaluation, assessment

Question 9

Which nursing action should ensure that a medication is given to the right patient?

Accepted Answer

A)  Checking the patient's identification bracelet 
B)  Verifying the medication record with the chart 
C)  Verifying the room number with the chart 
D)  Asking the patient to state his or her birth date and Social Security number 
A)  Checking the patient's identification bracelet 
B)  Verifying the medication record with the chart 
C)  Verifying the room number with the chart 
D)  Asking the patient to state his or her birth date and Social Security number

Question 10

Which nursing action is an example of the evaluation step in medication administration?

Accepted Answer

A)  Obtaining the clotting time results of a patient on an anticoagulant 
B)  Asking the patient if he or she has any allergies to medications 
C)  Checking a drug reference to verify the action of the drug 
D)  Explaining to the patient the possible side effects of the drug 
A)  Obtaining the clotting time results of a patient on an anticoagulant 
B)  Asking the patient if he or she has any allergies to medications 
C)  Checking a drug reference to verify the action of the drug 
D)  Explaining to the patient the possible side effects of the drug

Question 11

When performing an initial patient assessment,which would be considered objective data? (Select all that apply.)

Accepted Answer

A)  Abdominal pain reported by the patient 
B)  The patient's vital signs (blood pressure, pulse, temperature, etc.) 
C)  Documents such as old laboratory results, EEG printouts, or x-rays brought in by the patient 
D)  Home medications with patient labels brought in by the patient 
E)  The chief problem or complaint as stated by the patient 
A)  Abdominal pain reported by the patient 
B)  The patient's vital signs (blood pressure, pulse, temperature, etc.) 
C)  Documents such as old laboratory results, EEG printouts, or x-rays brought in by the patient 
D)  Home medications with patient labels brought in by the patient 
E)  The chief problem or complaint as stated by the patient

Question 12

As an LVN/LPN,the nurse's role in the nursing process is to gather information and work with the patient.In carrying out this role,which task can be delegated to the LPN/LVN nurse?

Accepted Answer

A)  Interviewing the patient on admission 
B)  Planning and evaluating the patient's care 
C)  Checking vital signs and medication response 
D)  Carrying out all steps of the nursing process 
A)  Interviewing the patient on admission 
B)  Planning and evaluating the patient's care 
C)  Checking vital signs and medication response 
D)  Carrying out all steps of the nursing process

Question 13

The LPN/LVN is a member of the health care team and assists the RN in following a plan of care once the nursing diagnoses are shared with the team.When developing a nursing diagnosis,it can sometimes be difficult to get accurate answers from patients.Which category of patients is most likely to present a problem in this regard?

Accepted Answer

A)  Patients who are elderly and sick 
B)  Patients only in for 24-hour admissions 
C)  Parents whose children are patients 
D)  Bilingual parents whose children are patients 
A)  Patients who are elderly and sick 
B)  Patients only in for 24-hour admissions 
C)  Parents whose children are patients 
D)  Bilingual parents whose children are patients

Question 14

Medications may come in a unit-dose package with a bar code that is scanned by a computer.Which process should the nurse perform before administering unit-dose medication?

Accepted Answer

A)  Remove each medication from the packaging. 
B)  Check the medications in alphabetic order. 
C)  Read the drug label at least three times. 
D)  Ask the patient to name each of his or her medications. 
A)  Remove each medication from the packaging. 
B)  Check the medications in alphabetic order. 
C)  Read the drug label at least three times. 
D)  Ask the patient to name each of his or her medications.

Question 15

In some settings,identifying the patient who is at risk for medication error (confused or critically ill)can be accomplished by which process?

Accepted Answer

A)  Asking the patient his or her name and room number 
B)  Asking the patient's roommate for the patient's name 
C)  Carrying the patient's chart with you to the room 
D)  Using the portable computer to scan the identification bracelet 
A)  Asking the patient his or her name and room number 
B)  Asking the patient's roommate for the patient's name 
C)  Carrying the patient's chart with you to the room 
D)  Using the portable computer to scan the identification bracelet

Question 16

In utilizing the collected information about the patient's condition before giving medications,what are some important factors to consider?

Accepted Answer

A)  The color of the medication in pill form 
B)  Who can administer this medication 
C)  Other drugs that may affect the medication's route 
D)  The reason and goal of the medications given 
A)  The color of the medication in pill form 
B)  Who can administer this medication 
C)  Other drugs that may affect the medication's route 
D)  The reason and goal of the medications given

Question 17

A nurse must check for which two specific types of patient responses to drug therapy?

Accepted Answer

A)  Action coding and action transferred 
B)  Drug feedback and drug uptake 
C)  Therapeutic effects and adverse effects 
D)  Uptime levels and downtime levels 
A)  Action coding and action transferred 
B)  Drug feedback and drug uptake 
C)  Therapeutic effects and adverse effects 
D)  Uptime levels and downtime levels

Question 18

Which is never administered if prepared by another nurse?

Accepted Answer

A)  Written orders 
B)  Daily reports 
C)  Diet selections 
D)  Medications 
A)  Written orders 
B)  Daily reports 
C)  Diet selections 
D)  Medications

Question 19

A medication should be withheld when which is true?

Accepted Answer

A)  The physician omits the trade name in the order. 
B)  There has been a change in the patient's condition. 
C)  The medication improves the patient's symptoms. 
D)  The patient is asleep. 
A)  The physician omits the trade name in the order. 
B)  There has been a change in the patient's condition. 
C)  The medication improves the patient's symptoms. 
D)  The patient is asleep.

Question 20

An LVN/LPN is evaluating the response of a patient 30 minutes after receiving an antihypertensive medication administered by the RN team leader.The LPN/LVN assesses the patient's blood pressure and notes the patient is now hypotensive.What is this is an example of?

Accepted Answer

A)  An adverse effect 
B)  A desired response to a medication 
C)  A therapeutic effect 
D)  An allergic reaction 
A)  An adverse effect 
B)  A desired response to a medication 
C)  A therapeutic effect 
D)  An allergic reaction

The nurse should document drug administration at which time?

Getting accurate information from a patient during admission is an important job for the nurse recording this information.The answers to which admission questions will help form the best plan of care for the patient? (Select all that apply.)

The LVN/LPN is preparing to administer insulin to a patient with diabetes.What should the nurse assess prior to administering the insulin?

It is important for the LPN/LVN to be a part of the evaluation process when giving the patient medications.Which factor is considered to be an important part of the process of evaluating medications once they are given?

An LVN/LPN works on a very busy 35-bed medical-surgical unit.The RN team leader gives her a syringe with "pain medication" in it and asks the LPN/LVN nurse to administer this medication to a patient.What should be the nurse's first action?

What do the six "rights" of medication administration include?

A patient states that he occasionally takes an over-the-counter laxative for constipation.What is this information an example of?

Which represents the correct order of the steps of the nursing process?

Which nursing action should ensure that a medication is given to the right patient?

Which nursing action is an example of the evaluation step in medication administration?

When performing an initial patient assessment,which would be considered objective data? (Select all that apply.)

As an LVN/LPN,the nurse's role in the nursing process is to gather information and work with the patient.In carrying out this role,which task can be delegated to the LPN/LVN nurse?

Medications may come in a unit-dose package with a bar code that is scanned by a computer.Which process should the nurse perform before administering unit-dose medication?

In some settings,identifying the patient who is at risk for medication error (confused or critically ill)can be accomplished by which process?

In utilizing the collected information about the patient's condition before giving medications,what are some important factors to consider?

A nurse must check for which two specific types of patient responses to drug therapy?

Which is never administered if prepared by another nurse?

A medication should be withheld when which is true?

An LVN/LPN is evaluating the response of a patient 30 minutes after receiving an antihypertensive medication administered by the RN team leader.The LPN/LVN assesses the patient's blood pressure and notes the patient is now hypotensive.What is this is an example of?

Patient Teaching and Health Literacy

Legal Aspects Affecting the Administration of Medications

Foundations and Principles of Pharmacology

Lifespan and Cultural Modifications

Self-Care: Over-the-Counter Products,Herbal Therapies,and Drugs for Health Promotion

Preparing and Administering Medications

Allergy and Respiratory Medications

Antiinfective Medications

Antivirals,Antiretrovirals,and Antifungal Medications

Antineoplastic Medications

Cardiovascular and Renal Medications

Central and Peripheral Nervous System Medications

Medications for Pain Management and Anesthesia

Antiinflammatory,Musculoskeletal,and Antiarthritis Medications

Gastrointestinal Medications

Hematologic Products

Hormones and Steroids

Immunologic Medications

Topical Medications

Vitamins and Minerals

Filters

Exam 1: Pharmacology and the Nursing Process in LPN Practice

The nurse should document drug administration at which time?

Getting accurate information from a patient during admission is an important job for the nurse recording this information.The answers to which admission questions will help form the best plan of care for the patient? (Select all that apply.)

The LVN/LPN is preparing to administer insulin to a patient with diabetes.What should the nurse assess prior to administering the insulin?

It is important for the LPN/LVN to be a part of the evaluation process when giving the patient medications.Which factor is considered to be an important part of the process of evaluating medications once they are given?

An LVN/LPN works on a very busy 35-bed medical-surgical unit.The RN team leader gives her a syringe with "pain medication" in it and asks the LPN/LVN nurse to administer this medication to a patient.What should be the nurse's first action?

What do the six "rights" of medication administration include?

A patient states that he occasionally takes an over-the-counter laxative for constipation.What is this information an example of?

Which represents the correct order of the steps of the nursing process?

Which nursing action should ensure that a medication is given to the right patient?

Which nursing action is an example of the evaluation step in medication administration?

When performing an initial patient assessment,which would be considered objective data? (Select all that apply.)

As an LVN/LPN,the nurse's role in the nursing process is to gather information and work with the patient.In carrying out this role,which task can be delegated to the LPN/LVN nurse?

Medications may come in a unit-dose package with a bar code that is scanned by a computer.Which process should the nurse perform before administering unit-dose medication?

In some settings,identifying the patient who is at risk for medication error (confused or critically ill)can be accomplished by which process?

In utilizing the collected information about the patient's condition before giving medications,what are some important factors to consider?

A nurse must check for which two specific types of patient responses to drug therapy?

Which is never administered if prepared by another nurse?

A medication should be withheld when which is true?

An LVN/LPN is evaluating the response of a patient 30 minutes after receiving an antihypertensive medication administered by the RN team leader.The LPN/LVN assesses the patient's blood pressure and notes the patient is now hypotensive.What is this is an example of?

Patient Teaching and Health Literacy

Legal Aspects Affecting the Administration of Medications

Foundations and Principles of Pharmacology

Lifespan and Cultural Modifications

Self-Care: Over-the-Counter Products,Herbal Therapies,and Drugs for Health Promotion

Preparing and Administering Medications

Allergy and Respiratory Medications

Antiinfective Medications

Antivirals,Antiretrovirals,and Antifungal Medications

Antineoplastic Medications

Cardiovascular and Renal Medications

Central and Peripheral Nervous System Medications

Medications for Pain Management and Anesthesia

Antiinflammatory,Musculoskeletal,and Antiarthritis Medications

Gastrointestinal Medications

Hematologic Products

Hormones and Steroids

Immunologic Medications

Topical Medications

Vitamins and Minerals

Filters