NCLEX-PN Nursing

The LPN/LVN is collecting data on a client with heart failure. Which finding should be reported to the RN promptly?

1. AClear lung sounds bilaterally
2. BSudden weight gain of 3 pounds overnightCorrect
3. CHeart rate of 76 beats per minute
4. DBlood pressure of 122/78 mmHg

Why: A sudden weight gain suggests fluid retention and worsening heart failure and should be reported. Normal blood pressure, clear lungs, and a normal heart rate are reassuring. Daily weights are a key monitoring tool in heart failure.

A charge nurse is assigning tasks on a medical unit. Which task is appropriate to delegate to the LPN/LVN?

1. AProviding discharge teaching about a new diagnosis
2. BAdministering an oral antibiotic to a stable clientCorrect
3. CPerforming the admission assessment on an unstable client
4. DDeveloping the initial nursing care plan for a new admission

Why: Administering routine oral medications to stable clients is within the LPN/LVN scope. Initial assessments, care-plan development, and client teaching about new content are RN responsibilities. The LPN/LVN reinforces teaching but does not perform the initial teaching.