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    Exam Review

    1. The nurse is preparing to administer ear drops to a client who is six years old.

      ➢ The nurse should perform which action?

      A)
      Pull the ear pinna down and back
      B)
      Position the client on their side with the ear to be treated against a pillow
      C)
      Pull the ear pinna up and back
      D)
      Place cotton directly into the ear canal after ear drop administration

    2. The nurse is caring for a client with an ectopic pregnancy. Which findings does the nurse expect? Select all that apply. 

      (SATA)
      A)
      Pelvic pain
      B)
      Fever
      C)
      Vaginal bleeding
      D)
      Positive pregnancy test
      E)
      Dysuria

    3. The nurse is caring for a client who is receiving prescribed fentanyl.

      ➢ Which findings would indicate the client is experiencing a side effect? Select all that apply.

      (SATA)
      A)
      Nausea and vomiting
      B)
      Constipation
      C)
      Pruritus
      D)
      Urinary retention
      E)
      Nystagmus

    4. The nurse is caring for a client with Borderline Personality Disorder. Which of the following actions should the nurse take?

      Select all that apply.

      (SATA)
      A)
      Evaluate the client for suicide
      B)
      Encourage independent decision-making
      C)
      Establish therapeutic boundaries
      D)
      Refer the client for therapy
      E)
      Encourage social relationships
    Page 1 of 38

    Exam Review

    1. The nurse is providing education for a diabetic client who is given a terbinafine prescription for onychomycosis. Which statement(s) by the client demonstrates a good understanding regarding treatment with terbinafine?

      Select all that apply.

      (SATA)
      A)
      “Following a successful course of treatment, my chance of getting cured is 90%."
      B)
      “I will have to take terbinafine for 3 to 6 months."
      C)
      “I will need liver function tests before starting terbinafine.”
      D)
      “I will take this on an empty stomach to help improve its absorption.”
      E)
      “It may cause taste or vision changes and, I will report vision changes to my doctor.”
      F)
      “Dark urine, pale stools, and persistent nausea may indicate a serious side effect."

    2. The licensed practical/vocational nurse (LPN/VN) is collecting data on a client experiencing serotonin syndrome. Which of the following findings would be expected by the LPN/VN? Select all that apply.

      (SATA)
      A)
      tachycardia
      B)
      altered mental status
      C)
      somnolence
      D)
      anuria
      E)
      low blood pressure

    3. The nurse is collecting data on a male client taking prescribed risperidone. Which of the following findings would indicate the client is having an adverse effect?

      A)
      ptosis
      B)
      gingival hyperplasia
      C)
      polycythemia
      D)
      gynecomastia

    4. The nurse is interviewing a family and observes tension between the two parents, and the child reports that the mother often involves her in deciding who is right. This observation is an example of

      A)
      triangulation.
      B)
      coalition.
      C)
      fusion.
      D)
      differentiation.
    Page 2 of 38

    Exam Review

    1. The nurse supervises a novice nurse interviewing a client with a borderline personality disorder. Which client statement would demonstrate the client using transference?

      A)
      "You are just like my mother bothering me with these questions."
      B)
      "Instead of breaking objects, I have joined a kickboxing class."
      C)
      "I cannot be an alcoholic because I still go to work every day."
      D)
      "I told my boyfriend if he leaves me, I will kill myself."

    2. The nurse is collecting data on a client. The client tells the nurse, "You people are part of the government plotting to destroy me." The nurse should respond with which appropriate statement?

      A)
      "Would you like me to come back later for your assessment?"
      B)
      "I believe you and think we should explore why you feel this way."
      C)
      “Tell me more about someone trying to destroy you.”
      D)
      "Let us talk about your current medication and how it can help with those thoughts."

    3. The nurse is collecting data on a client suspected of having the early stages of dementia. Which defense mechanism would the nurse expect?

      A)
      Identification
      B)
      Projection
      C)
      Denial
      D)
      Conversion

    4. The nurse cares for a client with major depressive disorder (MDD). Which of the following would indicate that the client is achieving the treatment goals? Select all that apply.

      A)
      Reporting a decreased appetite.
      B)
      Engaging in daily exercise.
      C)
      Increasing social ties.
      D)
      Drinking alcohol with friends.
      E)
      Not attending therapy sessions.
    Page 3 of 38

    Exam Review

    1. The nurse is caring for a client newly admitted to the mental health unit with bulimia nervosa. Which client statement requires immediate follow-up?

      A)
      “These sores in my mouth hurt."
      B)
      “When can I weigh myself?”
      C)
      “I hate my life and wish it was over.”
      D)
      “I feel really dizzy right now.”

    2. The nurse is caring for a client with diverticulosis who reports difficulty getting enough dietary fiber. The nurse should anticipate the primary healthcare care provider (PHCP) will prescribe

      A)
      psyllium.
      B)
      oil-retention enema.
      C)
      codeine.
      D)
      bisacodyl.

    3. The nurse working in the labor and delivery unit is aware that which of the following maternal factors increases the risk of shoulder dystocia during childbirth?

      A)
      Prenatal vitamin supplementation
      B)
      Gestational diabetes mellitus (GDM)
      C)
      Maternal age over 35 years
      D)
      Prepregnancy body mass index (BMI) within normal range

    4. The licensed practical/vocational nurse (LPN/VN) is caring for a client with schizophrenia, who is speaking words and phrases that are unrelated to one another. The LPN/VN should document this communication pattern as which of the following?

      A)
      pressure speech.
      B)
      word salad
      C)
      neologism.
      D)
      clang association.
    Page 4 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is preparing to administer amiodarone. Which clinical data is necessary to obtain before administering this medication?

      A)
      oral temperature
      B)
      capillary blood glucose
      C)
      capillary refill
      D)
      heart rate

    2. The licensed practical/vocational nurse (LPN/VN) has attended a staff education program about immunizations.

      ➢ Which of the following statements by the nurse would indicate a correct understanding of the teaching?

      A)
      "The rotavirus vaccine is a live attenuated vaccine type."
      B)
      "The hepatitis B vaccine is an example of a toxoid vaccine type."
      C)
      "Polio vaccination is recommended during pregnancy"
      D)
      "The Human papillomavirus vaccine (HPV) reduces the risk for ovarian cancer."

    3. The nurse is admitting a child diagnosed with epiglottitis.

      ➢ Which vaccine has been linked to preventing this condition?

      A)
      Tetanus, Diphtheria, and Pertussis (Tdap)
      B)
      Influenza
      C)
      Haemophilus influenzae type B (Hib)
      D)
      Measles, Mumps & Rubella (MMR)

    4. The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a client about a clear liquid diet.

      ➢ Which of the following statements by the client would indicate a correct understanding of the teaching? select all that apply

      A)
      "I can have clear hard candy."
      B)
      "I am able to add sugar into my iced tea."
      C)
      "I am able to add creamer in my coffee as long as it is unflavored."
      D)
      "I am able to have gelatin as dessert."
      E)
      "I am only allowed to have cola that is caffeine free."
    Page 5 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) has reinforced teaching to a client who has been prescribed clonidine via a transdermal patch.

      ➢ Which of the following statements by the client would indicate a need for further teaching?

      A)
      "I can wear this patch while I shower."
      B)
      "I should keep this patch on for five days."
      C)
      "This medication may make me drowsy."
      D)
      "If I ever have to have a magnetic resonance imaging (MRI), I will need to remove the patch before the test."

    2. The primary healthcare provider orders methylprednisolone 1.6 mg/kg for a child weighing 30.4 kg (66.88 lbs). The label on the medication reads 500 mg/4 mL.

      ➢ How many milliliters (mL) should the licensed practical/vocational nurse (LPN/VN) administer? Fill in the blank. Round your answer using 1 decimal place.

      A)
      0.4

    3. The licensed practical/vocational nurse (LPN/VN) is calculating intake for a client for the previous twelve-hour shift. The client received:

      • The client received one 150 mL intravenous antibiotic
      • One eight-ounce cup of coffee
      • One eight-ounce cup of ice cream
      • Three eight-ounce cups of water
      • Two 10 mL sodium chloride (normal saline) flushes

      ➢ The nurse should calculate the client's total intake as how many mL? Fill in the blank.

      A)
      1370

    4. A client with a stroke is prescribed alteplase. The prescription is for 0.9 mg/kg. The client weighs 61.81 kg (135.98 lbs).

      ➢ What is the total dose in milligrams (mg) that the client will receive? Fill in the blank. Round your answer to the nearest whole number.

      A)
      56
    Page 6 of 38