A charge nurse is distributing assignments at the start of a shift. Which task is MOST appropriate for the LPN/LVN to perform independently?

An LPN/LVN working in a long-term care facility asks the supervising RN whether they may hang a new bag of IV maintenance fluids for a client who has been receiving continuous saline for three days. What is the MOST appropriate action by the RN?

A nurse prepares to perform a routine blood glucose fingerstick on a client who has no known infections. Which action reflects correct application of standard precautions?

While bathing a client who has no isolation precautions, a nurse notices dried blood on the client’s forearm. The nurse is not wearing gloves. Which action should the nurse take?

A nurse is performing a routine well-child visit for a 15-month-old toddler. Which gross motor milestone should the nurse expect to be present?

A school-age child, age 8, is seen in the clinic for a routine health visit. The nurse recognizes that the central psychosocial task for this developmental stage is to develop a sense of:

A client tells the nurse, ‘I feel like nobody cares about me anymore.’ Which response by the LPN/LVN best demonstrates therapeutic communication?

A client with an anxiety disorder says, ‘I think I am going crazy. My thoughts are racing and I cannot control them.’ Which LPN/LVN response most effectively uses the technique of reflection?

A PN is providing oral care to a client who is unconscious and non-responsive. Which action is the MOST important for the PN to take before beginning oral care?

A PN is providing perineal care to a female client who is incontinent of stool. Which technique demonstrates correct practice?

A licensed practical nurse prepares to administer metoprolol succinate 25 mg orally to a client with hypertension. The medication administration record (MAR) lists the dose as 25 mg. The nurse compares the MAR to the medication label, which reads ‘metoprolol succinate 50 mg scored tablet.’ Which action should the nurse take next?

Before administering scheduled medications to a client in a two-bed room, the nurse must confirm the client’s identity. Which approach correctly applies the two-identifier requirement?

A client with hypertension received a scheduled antihypertensive medication 30 minutes ago. The nurse now obtains a blood pressure of 84/52 mmHg. Which action should the nurse take first?

A nurse is assessing a client 5 hours after abdominal surgery. The nurse notes a heart rate of 116 beats per minute, blood pressure of 88/58 mmHg, and the client reports feeling lightheaded. Which is the nurse’s most important action?

A client with a 20-year history of COPD is admitted for an acute exacerbation. Which assessment finding requires the most immediate nursing action?

A client with stage 4 chronic kidney disease is seen in the clinic for a follow-up visit and reports 3 pounds of weight gain over 2 days and worsening ankle swelling. Which dietary modification should the nurse prioritize reinforcing?