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    Exam Review

    1. The nurse is precepting a newly hired nurse to administer an intramuscular injection to an adult. Which action by the newly hired nurse requires follow-up?

      A)
      Prepares to administer the medication in the dorsogluteal.
      B)
      Prepares to insert the needle at a 90-degree angle.
      C)
      Uses isopropyl alcohol to clean the area prior to injection.
      D)
      Washes their hands before and after the procedure.

    2. The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse (RN) in gathering supplies for a prescribed transfusion of packed red blood cells (PRBCs). The nurse should obtain which intravenous (IV) fluid to accompany this transfusion?

      A)
      Lactated Ringers (LR)
      B)
      0.9% saline
      C)
      0.45% saline
      D)
      3% saline

    3. The nurse is caring for a client with the following clinical data. Based on the vital signs, which medications would the nurse clarify with the primary healthcare provider (PHCP) before administration? See the exhibit. Select all that apply.

      (SATA)
      A)
      Atenolol 50 mg PO Daily
      B)
      Spironolactone 50 mg PO Daily
      C)
      Albuterol 2.5 mg via nebulizer Daily
      D)
      Fentanyl 50 mcg IV Push q 6 hours PRN Pain
      E)
      Modafinil 100 mg PO Daily

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

      ➢ Which of the following statements, if made by the client, would indicate a correct understanding? Select all that apply.

      (SATA)
      A)
      “I may still need pain medication while this patch is applied.”
      B)
      “If the patch comes loose, I may reinforce it with a piece of tape.”
      C)
      “I can apply heat to the patch site to increase the pain relief.”
      D)
      “I should remove this patch while I am sleeping.”
      E)
      “The patch will need to be changed every 72 hours.”
    Page 1 of 38

    Exam Review

    1. The nurse is caring for a client who is receiving prescribed quetiapine. Which of the following findings would indicate the client is having an adverse effect?

      Select all that apply.

      (SATA)
      A)
      Fever
      B)
      Drowsiness
      C)
      Stooped posture
      D)
      Shuffling gait
      E)
      Increased appetite

    2. The nurse is caring for a client who has been prescribed sertraline. The nurse understands that this medication is prescribed for which of the following conditions?

      Select all that apply.

      (SATA)
      A)
      major depressive disorder
      B)
      attention deficit hyperactivity disorder
      C)
      obsessive-compulsive disorder
      D)
      generalized anxiety disorder
      E)
      bipolar disorder

    3. The nurse has provided medication instructions to a client who has been prescribed venlafaxine. Which of the following statements, if made by the client, would indicate a correct understanding of the teaching?

      Select all that apply.

      (SATA)
      A)
      “I may not notice an improvement in my mood right away.”
      B)
      “This medication may lower my blood pressure.”
      C)
      “If I have thoughts of harming myself, I should call 911.”
      D)
      “I will need to have weekly laboratory tests.”
      E)
      “I may continue taking St. John’s Wort.”

    4. You are witnessing a nurse waste available morphine. You should be aware of which of the following correct legal mandates in terms of controlled substances?

      Select all that apply.

      (SATA)
      A)
      Signatures of 2 registered nurses but not of practical nurses when a narcotic is wasted.
      B)
      Prohibitions against the use of a placebo for pain management.
      C)
      The signatures of 3 registered nurses or practical nurses when a narcotic is wasted.
      D)
      The verification of the narcotic count at the beginning and the end of the shift.
      E)
      Checking the controlled substance at least 3 times before its administration.
      F)
      The secure locking of controlled substances to prevent diversion and theft.
    Page 2 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) reinforces teaching a client about newly prescribed isoniazid (INH) for pulmonary tuberculosis. Which of the following statements by the client would require follow-up?

      A)
      "I will have to take this medication for three months."
      B)
      "I will need to have my blood drawn periodically to see if I am having an adverse effect to this medication."
      C)
      "I will not be considered infectious if I have three consecutive negative sputum samples."
      D)
      "This medication may make my hands and feet have numbness and tingling sensations."

    2. The nurse is caring for a client who ingested a lethal dose of aspirin (ASA). Which assessment finding is most concerning?

      A)
      Pulmonary edema
      B)
      Tinnitus
      C)
      Nausea and vomiting
      D)
      Tachycardia

    3. The nurse is admitting a client newly diagnosed with acute pancreatitis. The nurse should anticipate a prescription for which medication?

      A)
      3% saline infusion
      B)
      fentanyl
      C)
      diphenoxylate-atropine
      D)
      sucralfate

    4. The nurse is caring for a client newly diagnosed with bipolar disorder. The nurse anticipates a prescription for

      A)
      sertraline.
      B)
      haloperidol.
      C)
      lamotrigine.
      D)
      buspirone.
    Page 3 of 38

    Exam Review

    1. The nurse is caring for a client who is receiving newly prescribed prednisone. Which of the following medications should the client avoid while receiving this medication?

      A)
      valsartan
      B)
      naproxen
      C)
      omeprazole
      D)
      acetaminophen

    2. The nurse is preparing to give alendronate to the client with osteoporosis. The nurse should explain to the client that the expected outcome of this medication is primarily to

      A)
      decrease bone inflammation.
      B)
      increase synovial fluid in the joint space.
      C)
      inhibit bone resorption.
      D)
      increase serum calcium levels.

    3. The nurse assists a client with diverticulosis select appropriate foods on a menu.

      ➢ Which food choice made by the client would require further teaching? Select all that apply.

      A)
      bran cereal
      B)
      fresh peaches
      C)
      white toast
      D)
      scrambled eggs
      E)
      cabbage soup

    4. This nurse is caring for a client who is receiving prescribed tolvaptan. Which of the following findings would indicate a therapeutic response?

      A)
      Fasting blood glucose 100 mg/dL (5.55 mmol/L) [70-110 mg/dL, 4.0–6.0 mmol/L]
      B)
      Urine specific gravity 1.010 [1.005–1.030]
      C)
      Total cholesterol 176 mg/dL (4.55 mmol/L ) [﹤ 200 mg/dL, 3.5–5.2 mmol/L]
      D)
      Blood urea nitrogen (BUN) 5 mg/dL (1.785 mmol/L) [10-20 mg/dL, 2.1–8.0 mmol/L]
    Page 4 of 38

    Exam Review

    1. The nurse is reinforcing education to a client regarding metoprolol. Which of the following client statements would indicate a correct understanding of the instructions?

      A)
      "I should stop taking metoprolol immediately if I experience any dizziness or lightheadedness."
      B)
      "Metoprolol works by increasing the production of angiotensin II to lower blood pressure."
      C)
      "I should monitor my heart rate regularly as metoprolol can cause bradycardia."
      D)
      "It's essential to take metoprolol with a high-fat meal to enhance its absorption."

    2. The primary healthcare provider (PHCP) prescribes dopamine at 5 mcg/kg/minute. The client weighs 80.9 kg (177.98 lbs). The medication label reads dopamine 800 mg in 500 mL of dextrose 5% water (D5W).

      ➢ How many mL per hour will the licensed practical/vocational nurse (LPN/VN) administer to the client? Fill in the blank. Round your answer to the nearest whole number.

      A)
      15

    3. The licensed practical/vocational nurse (LPN/VN) is caring for a client who is prescribed IV heparin. The client is prescribed 15 units/kg/hr. The client weighs 70 kgs (154 lbs). The heparin is labeled with 25,000 units in 250 mL of D5W.

      ➢ How many mL/hr should this client receive? Fill in the blank. Round your answer to the nearest whole number.

      A)
      11

    4. The licensed practical/vocational nurse (LPN/VN) is caring for a client who is prescribed IV heparin. The client is prescribed 12 units/kg/hr. The client weighs 92 kgs (202.4 lbs). The heparin is labeled with 25,000 units in 250 mL of D5W.

      ➢ How many mL/hr should the client receive? Fill in the blank. Round your answer to the nearest whole number.

      A)
      11
    Page 5 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a client prescribed prednisolone.

      ➢ Which of the following information should the nurse include?

      A)
      "Take this medication in the morning with food."
      B)
      "The best time to take this medication is later in the afternoon without food."
      C)
      "This medication before bed with a light snack."
      D)
      "You can take this medication anytime, as long as you take it on an empty stomach."

    2. The licensed practical/vocational nurse (LPN/VN) is reinforcing education to a client being discharged home with pulmonary tuberculosis about prescribed medications.

      ➢ Which statement by the client indicates effective understanding regarding prescribed ethambutol?

      A)
      “I need to have my vision checked regularly while taking this medication.”
      B)
      “I should avoid eating foods high in tyramine while taking this drug.”
      C)
      “This medication may turn my urine and tears an orange-red color.”
      D)
      “This medication may cause me to develop peripheral neuropathies.”

    3. You receive an order to administer 600 mg ibuprofen to your client as needed every 6 hours. You retrieve the medication, which comes in 200 mg tablets. How many tablets do you administer to your client?

      A)
      1 tablet
      B)
      5 tablets
      C)
      3 tablets
      D)
      2 tablets

    4. The nurse is caring for a diabetic client who receives ten units of Regular insulin and 20 units of NPH insulin each day after breakfast. After following the usual preparation steps for administering insulin, what should the nurse do next?

      A)
      Draw up NPH insulin first because it is clear.
      B)
      Either insulin can be drawn first as long as 30 units are given.
      C)
      Draw up Regular insulin first because it is clear.
      D)
      Administer each type of insulin separately for accuracy.
    Page 6 of 38