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    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) recognizes which of the following may be used as an approved client identifier? Select all that apply.

      (SATA)
      A)
      first and last name
      B)
      date of birth
      C)
      telephone number
      D)
      admission date
      E)
      medical record number
      F)
      age

    2. The nurse is teaching a group of clients who are pregnant about common discomforts in pregnancy.

      ➢ It would indicate effective understanding if a client states which of the following is a common discomfort in pregnancy? Select all that apply.

      (SATA)
      A)
      Nosebleeds
      B)
      Pedal edema
      C)
      Lightheadedness while lying on the back
      D)
      Lower back pain
      E)
      Vaginal discharge with a foul odor

    3. The licensed practical/vocational nurse (LPN/VN) is data collecting on a client with pneumonia.

      ➢ The LPN/VN should prioritize collecting data on the client's

      A)
      temperature.
      B)
      oral intake.
      C)
      lung sounds.
      D)
      white blood cell count.

    4. The licensed practical/vocational nurse (LPN/VN) is caring for assigned clients.

      ➢ The nurse should initially collect data on the client who

      A)
      is recovering from a femoral angioplasty and reports their foot is falling asleep.
      B)
      has diabetes mellitus and refused their prescribed glargine insulin.
      C)
      received alteplase three hours ago for a stroke and has a Glasgow Coma Scale of 14.
      D)
      had a T6 spinal cord injury and has not had a bowel movement since yesterday.
    Page 1 of 38

    Exam Review

    1. The licensed practical/vocational (LPN/VN) is triaging phone calls at the physician’s office.

      ➢ The LPN/VN should initially follow-up on the client who had

      A)
      cataract lens extraction one day ago and is reporting persistent nausea and vomiting.
      B)
      laparoscopic hysterectomy two days ago and is reporting pain with urination.
      C)
      ileostomy placement three days ago and is reporting that the stoma is swollen.
      D)
      total hip arthroplasty four days ago and refused physical therapy due to increased pain.

    2. The licensed practical/vocational nurse (LPN/VN) is caring for a client who presented to the clinic stating that her home pregnancy test was positive.

      ➢ The LPN/VN recognizes that this is a

      A)
      positive sign of pregnancy.
      B)
      presumptive sign of pregnancy.
      C)
      confirmatory sign of pregnancy.
      D)
      probable sign of pregnancy.

    3. The licensed practical/vocational nurse (LPN/VN) is caring for a client with Mycoplasma pneumonia.

      ➢ Which of the following actions should the nurse take?

      A)
      Place a humidifier in the client's room
      B)
      Keep the client's room door closed
      C)
      Instruct the client to wear a surgical mask while ambulating in the hallway
      D)
      Wear a protective gown when in the client's room

    4. The licensed practical/vocational nurse (LPN/VN) is reinforcing education with a pregnant client who has a normal pre-pregnancy body mass index (BMI).

      ➢ The LPN/VN should recognize that the recommended total weight gain during this client's pregnancy is

      A)
      11.5-16kg (25-35 lb)
      B)
      12.5-18kg (28-40 lb)
      C)
      4.5–7 kg (10–15 lb)
      D)
      7-11.5kg (15-25 lb)
    Page 2 of 38

    Exam Review

    1. Among Erickson’s Stages of Development, which of the following development stages would the nurse expect for her 4-year-old client to be in?

      A)
      Trust vs. Mistrust
      B)
      Initiative vs. Guilt
      C)
      Identity vs. Role Confusion
      D)
      Industry vs. Inferiority

    2. A licensed practical/vocational nurse (LPN/VN) is caring for a client with a pneumothorax who has a chest tube in place. The client asks, “What is the purpose of the chest tube?”

      ➢ Which response by the nurse is most appropriate?

      A)
      “The chest tube helps deliver air into the pleural space so your lung can expand.”
      B)
      “The chest tube removes extra air from the space around your lung.”
      C)
      “The chest tube controls how much air enters your lungs when you breathe.”
      D)
      “The chest tube seals the hole in your lung to stop the air leak.”

    3. The nurse knows which of the following healthcare providers are responsible for documenting care provided to a client?

      A)
      The LPNs should document the care they provided and the care given by unlicensed assistive staff.
      B)
      The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care.
      C)
      All staff members should document all of the care that they have provided.
      D)
      All staff should document all of the care that they have provided, but the registered nurse is the only independent practitioner that signs it.

    4. The nurse is caring for a client requesting to leave against medical advice. The nurse barricades the client in their room because they feel that the client is not safe to go home. The nurse is demonstrating

      A)
      false imprisonment.
      B)
      malpractice.
      C)
      negligence.
      D)
      invasion of privacy.
    Page 3 of 38

    Exam Review

    1. The Maternal Serum Screen 4 (MSS4) of an obstetrics client shows decreased maternal serum alpha-fetoprotein and estriol along with increased hCG. What strategy should the nurse include in the plan of care?

      A)
      Refer to the physician.
      B)
      Tell the woman to increase her folic acid intake.
      C)
      Refer for amniocentesis.
      D)
      Order a plasma glucose level.

    2. The nurse observes a client clutching her abdomen and complaining of cramping, accompanied by sharp pain. Which of the following types of pain is the client experiencing?

      A)
      Cutaneous or superficial somatic
      B)
      Visceral
      C)
      Deep somatic
      D)
      Radiating

    3. The nurse assists a registered nurse in developing a care plan for a client with psychosis associated with schizophrenia. Which of the following interventions would be appropriate?

      A)
      Provide therapeutic touch
      B)
      Set limits on splitting behavior
      C)
      Establish a trusting, non-threatening relationship
      D)
      Immediately restrain the client for verbal aggression

    4. The nurse is changing a diaper for her 7-month-old client suspected of having Celiac disease. She notes a large, pale, oily stool that is malodorous. The nurse knows this assessment finding is known as what?

      A)
      Diarrhea
      B)
      Steatorrhea
      C)
      Hematochezia
      D)
      Melena
    Page 4 of 38

    Exam Review

    1. The nurse is caring for an infant who presents with a congenital abnormality where their abdominal contents come through the umbilicus while remaining in the peritoneal sac. The nurse knows the infant will be diagnosed with which of the following?

      A)
      Intussusception
      B)
      Gastroschisis
      C)
      Omphalocele
      D)
      Hirschsprung’s disease

    2. After administering an insulin injection to a client on a sliding scale, the nurse realizes that the dose given was too high by mistake. Which of the following would be the best response by the charge nurse to prevent future errors?

      A)
      Discuss events preceding the error with the nurse.
      B)
      Complete an incident report and place it in the client's chart.
      C)
      Inform the client, family, and physician of the error.
      D)
      Monitor the client for adverse effects.

    3. The nurse is developing the care plan for an 86-year-old patient with a diagnosis of cor pulmonale. Which nursing intervention would be most important to include in regards to monitoring this patient’s peripheral edema?

      A)
      Assess for skin tenting over the sternum
      B)
      Weigh the patient at the same time daily
      C)
      Obtain a baseline BNP level
      D)
      Record the calf circumference daily

    4. A 4-year-old boy is recovering from abdominal surgery at the pediatric unit. As the nurse caring for the child, which of the following activities do you recommend that he prioritize?

      A)
      Blowing bubbles
      B)
      Peek-a-boo
      C)
      Building blocks
      D)
      Playing with clay
    Page 5 of 38

    Exam Review

    1. The nurse is caring for a child with cystic fibrosis at the clinic. The nurse anticipates that the primary healthcare provider (PHCP) will order which routine laboratory test?

      A)
      Blood glucose
      B)
      Total cholesterol
      C)
      24-hour urine
      D)
      Blood cultures

    2. 1800: A 31-year-old primigravida at 38 gestational weeks 100% effaced and 2 cm dilated. Contractions occur every 15 minutes lasting for 20 seconds. The client reports that the contractions are becoming more painful and alternate between cramping and pressure.

      1825: Informed consent was obtained by the physician for a planned epidural catheter with the administration of analgesia. Signature was witnessed by the RN. Continuous external fetal monitoring was applied. Normal variability was noted with the fetal heart rate of 110-130/minute.

      Temperature 98.0° F (37° C)

      Pulse 91/minute

      Respirations 16/minute

      Blood Pressure 138/76 mm Hg

      Oxygen saturation 95% on room air

      ➢ Drag (1) one condition and (1) assessment to fill in each blank of the following sentence

      A)
      hypertension
      B)
      infection
      C)
      hypotension
      D)
      early decelerations
      E)
      hyperglycemia
      F)
      regular insulin
      G)
      magnesium sulfate
      H)
      0.9% saline bolus
      I)
      broad-spectrum antibiotics
      J)
      internal fetal monitoring

    3. The removal of the client’s indwelling urinary catheter was attempted. Perineal hygiene was performed before the removal. The urine collection bag was emptied with 450 mL of clear, straw-colored urine. 2 mL of fluid was removed during the deflation of the balloon. Resistance was felt when the tubing was removed, and the client reported discomfort.

      ➢ Drag words from the choices below to fill the blank in the following sentence

      A)
      place a warm compress over the perineum
      B)
      cut the balloon inflation valve
      C)
      position the client at 45 degrees
      D)
      further deflate the catheter balloon

    4. The nurse is preparing to administer a prescribed medication to a client. The nurse should take which initial action?

      A)
      Verify the client's full name and date of birth
      B)
      Ask about any medication allergies
      C)
      Review the client's vital signs
      D)
      Review medications and potential interactions
    Page 6 of 38