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    Exam Review

    1. The nurse has attended a continuing education conference regarding medication administration and meal times. Which statement, if made by the nurse, would indicate correct understanding?

      A)
      Proton pump inhibitors (PPIs) should be given as the client eats their breakfast.
      B)
      Glucocorticoids should be given on an empty stomach to prevent gastrointestinal irritation.
      C)
      Rapid-acting insulins should be administered approximately 10-15 minutes before meals
      D)
      Levodopa-Carbidopa should be administered with a high-protein snack to enhance its absorption.

    2. The licensed practical/vocational nurse (LPN/VN) works collaboratively with the pharmacist to identify clients at risk for lithium toxicity.

      ➢ The client at greatest risk for lithium toxicity is the client who has

      A)
      asthma taking both long- and short-acting bronchodilators.
      B)
      chronic migraine headaches and was newly prescribed naproxen.
      C)
      hypertension newly prescribed clonidine transdermal patch.
      D)
      hypothyroidism and was recently prescribed levothyroxine.

    3. The nurse is attending a staff development conference about the causes of labor dystocia. It would be correct for the nurse to identify which of the following may cause a delayed progression during labor? Select all that apply.

      (SATA)
      A)
      Magnesium sulfate infusion
      B)
      Oxytocin infusion
      C)
      Uterine overdistention
      D)
      Hypoglycemia
      E)
      Epidural analgesia

    4. The licensed practical/vocational nurse (LPN/VN) is reinforcing prior teaching given to parents about antepartum testing.

      ➢ Which statements would be appropriate for the nurse to include? Select all that apply.

      (SATA)
      A)
      “Oral glucose tolerance testing will measure fetal activity at certain intervals.”
      B)
      “A nonstress test may be used to measures fetal heart rate.”
      C)
      “Amniocentesis may be used to assess if you have preeclampsia.”
      D)
      “Chorionic villus sampling may be done to assess for neural tube defects.”
      E)
      Group B streptococcus (GBS) screening between 35 and 37 weeks
    Page 1 of 38

    Exam Review

    1. A practical nurse cares for an elderly client, reflecting on their life experiences and achievements. Which of the following statements reflects the concept of ego integrity? Select all that apply.

      (SATA)
      A)
      The individual experiences a sense of fulfillment and satisfaction with life.
      B)
      The individual feels regret and dissatisfaction with life choices.
      C)
      The individual reflects positively on past accomplishments and life experiences.
      D)
      The individual feels confused and uncertain about their life's purpose.
      E)
      The individual demonstrates a negative outlook on the past and future.

    2. The nurse is caring for a 2-day old infant with fetal alcohol spectrum disorder (FASD) and is preparing the family for discharge. Which of the following educational points are essential to include?

      Select all that apply.

      (SATA)
      A)
      Emphasize the importance of avoiding alcohol consumption during future pregnancies.
      B)
      Reinforce education to the family about the potential long-term developmental and cognitive challenges associated with FASD.
      C)
      Teach the family strategies for managing behavioral issues that may arise in the child with FASD.
      D)
      Discuss the need for regular follow-up with a pediatrician or specialist to monitor the child's growth and development.
      E)
      Provide information on community resources and support groups for families affected by FASD.

    3. The licensed practical/vocational nurse (LPN/VN) is caring for a group of children on the medical-surgical unit.

      ➢ The LPN/VN should initially follow up on the child who

      A)
      is receiving treatment for Hirschsprung’s disease and has a temperature of 101°F (38.3°C).
      B)
      has an indwelling urinary catheter and reports burning at the insertion site.
      C)
      has scant blood in their newly established ostomy pouch.
      D)
      has friends writing words on their fiberglass cast with different colored markers.

    4. The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse in triaging a client with diabetes mellitus (type one) with diabetic ketoacidosis (DKA). Which assessment finding requires immediate follow-up by the LPN/VN?

      A)
      Pulse 112/minute
      B)
      Persistent nausea and vomiting
      C)
      Respiratory rate 21/minute
      D)
      Blood glucose 299 mg/dL
    Page 2 of 38

    Exam Review

    1. The nurse is collecting data on a client newly admitted to the medical-surgical unit. Which question would be appropriate for the nurse to ask regarding the client's spirituality?

      A)
      "What are your sources of hope and strength?"
      B)
      "Have you considered arranging a visit from members of your church?"
      C)
      "Do you attend worship any specific day of the week?"
      D)
      "Can you tell me about your dietary preferences and any restrictions?"

    2. The nurse is preparing to perform a heel stick on a newborn. To promote comfort during the procedure, the nurse should

      A)
      apply a cool compress to the heel for three to five minutes.
      B)
      turn off the lights in the room to minimize stimulation.
      C)
      milk the heel once punctured by the lancet.
      D)
      swaddle the infant.

    3. The nurse cares for a child diagnosed with laryngotracheobronchitis who is assessed to have worsening inspiratory stridor with an oxygen saturation of 92% on room air. The nurse should obtain a prescription for which medication?

      A)
      Formoterol via dry powder inhaler
      B)
      Nebulized racemic epinephrine
      C)
      Albuterol via nebulizer
      D)
      Oral montelukast

    4. The licensed practical/vocational nurse (LPN/VN) is participating in a presentation focused on interventions to reduce violence in the mental health unit to an administrative committee. It would be appropriate for the nurse to recommend Select all that apply.

      A)
      fall risk assessments to be completed every shift.
      B)
      continuing education for staff regarding limit setting.
      C)
      measures to reduce overcrowding.
      D)
      limiting the administration of prescribed antipsychotics.
      E)
      reducing the amount of group therapy sessions.
    Page 3 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse (RN) in planning a staff development conference about changing the process of how clients are seen at a clinic to a first come, first served basis. Which ethical principle will this proposed change model?

      A)
      Nonmaleficence
      B)
      Veracity
      C)
      Paternalism
      D)
      Justice

    2. The nurse is caring for a client at risk of developing a postpartum hemorrhage (PPH). Which of the following would be a risk factor for this complication? Select all that apply.

      A)
      manual removal of the placenta
      B)
      multifetal pregnancy
      C)
      gestational diabetes
      D)
      use of forceps or vacuum extractor
      E)
      urinary incontinence

    3. The nurse is interviewing a client with a suspected alcohol-use disorder. Which question would be the most helpful in determining if the client may have this disorder?

      A)
      "Do you ever feel guilty about your drinking?"
      B)
      "Do you drink wine, liquor, or beer?"
      C)
      "Do you drink with friends and family?"
      D)
      "What age did you start consuming alcohol?"

    4. The nurse is caring for a client who reports a sexual assault. Which actions should the nurse take? Select all that apply. 

      A)
      Interview the client in a private room
      B)
      Refer the client to support groups
      C)
      Allow the client to be alone to promote problem-solving
      D)
      Record verbatim statements in the medical record
      E)
      Repeat questions previously answered
    Page 4 of 38

    Exam Review

    1. The nurse is collecting data on a client with possible bipolar I disorder. The nurse anticipates that the primary healthcare provider (PHCP) will prescribe which laboratory testing?

      A)
      Thyroid Stimulating Hormone (TSH)
      B)
      Complete Metabolic Panel (CMP)
      C)
      Glycated Hemoglobin A1C (HbA1c)
      D)
      C-Reactive Protein (CRP)

    2. A nurse cares for a client who has missed their last appointment with the primary healthcare provider (PHCP). The client states, "I missed my appointment because I overslept, but I knew it would be pointless anyway." The client is demonstrating which defense mechanism?

      A)
      Projection
      B)
      Reaction formation
      C)
      Denial
      D)
      Rationalization

    3. The occupational health nurse is conducting an in-service on reducing back injuries. Which of the following statements, if made by a participant, would indicate a correct understanding of the conference? 

      A)
      "I should keep my legs straight while lifting."
      B)
      "Heavy objects should be held away from my body."
      C)
      "I shouldn't twist while lifting an object."
      D)
      "I should keep a narrow base of support."

    4. The nurse in the antepartum clinic collecting data on a client at 31 weeks gestation, reporting swelling of the face, hands and a frontal headache. Based on these findings, the LPN/VN should do which of the following?

      A)
      determine the fundal height.
      B)
      obtain vital signs.
      C)
      perform Leopold Maneuvers.
      D)
      insert an indwelling urinary catheter.
    Page 5 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is working at a maternity clinic and a primigravida client, in her 2nd trimester calls the OB office to report a dark line on her skin in the middle of her abdomen. The LPN/VN would recognize this as which of the following?

      A)
      Chloasma
      B)
      Linea nigra
      C)
      Goodell Sign
      D)
      Striae gravidarum

    2. The client is prescribed 3 g/hr of intravenous magnesium sulfate via continuous infusion. The label reads 20 g of magnesium sulfate in 1000 mL of normal saline.

      ➢ How many mL/hr should the licensed practical/vocational nurse (LPN/VN) set the pump to deliver the prescribed dose? Fill in the blank. 

      A)
      150

    3. The licensed/practical vocational nurse (LPN/VN) is reviewing the plan of care for a client who has oral cancer and had an extensive resection four hours ago.

      ➢ Which of the following interventions would be the priority?

      A)
      Maintain elevation of the head.
      B)
      Data collect on the client's pain level.
      C)
      Monitor the client’s blood pressure (BP) and heart rate (HR).
      D)
      Instruct the client to perform oral saline rinses with warm water.

    4. The licensed practical/vocational nurse (LPN/VN) is reviewing the laboratory data of a client.

      ➢ Which blood product does the LPN/VN anticipate the physician will order based on the data? Click to view the exhibit for additional client information.

      A)
      fresh frozen plasma
      B)
      packed red blood cells
      C)
      platelets
      D)
      albumin
    Page 6 of 38