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    Exam Review

    1. The nurse is caring for an adolescent with hemophilia who reports pain and joint bleeding after playing baseball. The nurse should prioritize the client's 

      A)
      acute pain.
      B)
      bleeding.
      C)
      self-esteem.
      D)
      knowledge deficit.

    2. The nurse is monitoring a client diagnosed with an atrioventricular canal, the nurse is aware that many infants with this condition also receive a diagnosis of which of the following?

      A)
      Trisomy 18
      B)
      Turner syndrome
      C)
      Trisomy 21
      D)
      DiGeorge Syndrome

    3. The licensed practical/vocational nurse (LPN/VN) is caring for a client with chronic obstructive pulmonary disease (COPD) who is experiencing shortness of breath. Which of the following interventions should the nurse implement first?

      A)
      Administering oxygen therapy via nasal cannula
      B)
      Providing breathing exercises and pursed-lip breathing techniques
      C)
      Assisting the client to a sitting position
      D)
      Notifying the healthcare provider of the client's symptoms and requesting further orders

    4. The nurse is caring for a client scheduled for a bronchoscopy. The client asks what to expect during the recovery period. Which response by the nurse is most appropriate?

      A)
      "You may experience some sore throat and coughing for a few days after the procedure."
      B)
      "You'll need to avoid eating or drinking anything for at least 24 hours following the procedure."
      C)
      "You'll be discharged immediately after the procedure and can resume your normal activities."
      D)
      "Expect to have difficulty breathing for several days after the procedure."
    Page 1 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is caring for a client with diabetes mellitus.

      ➢ Which of the following would indicate the client is achieving the treatment goals?

      A)
      Fasting blood glucose 145 mg/dl (8.05 mmol/L) [70-110 mg/dL, 4.0–6.0 mmol/L]
      B)
      Creatinine 2.3 mg/dl (203.32 μmol/L) [Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL, Male 49–93 µmol/L Female 22–75 µmol/L]
      C)
      Urine Specific Gravity 1.043 [1.005-1.030]
      D)
      Hemoglobin A1C 6.7% [﹤ 7%]

    2. The licensed practical/vocational nurse (LPN/VN) is preparing to monitor blood glucose levels for a client.

      ➢ Place the following actions in the order in which they should be performed, starting from first to last.

      A)
      Collect the drop of blood on the test strip.
      B)
      Prick the side of the finger using the lancet.
      C)
      Turn the finger down so the blood will drop with gravity.
      D)
      Disinfect the client’s finger with an alcohol swab and allow to dry.
      E)
      Insert strip into montor.
      F)
      Hold the gauze on the client’s finger after the specimen has been obtained.
      G)
      Read the client’s blood glucose level on the monitor.
      H)
      Verify and confirm that the code strip corresponds to the meter code.

    3. The licensed/practical vocational nurse (LPN/VN) is caring for a client eight hours postoperative following a total thyroidectomy.

      ➢ Which of the following data collection findings indicate that the client is developing a complication?

      A)
      Moderate amount of dried sanguineous drainage on the dressing
      B)
      Oral temperature of 99.2° F (37.3° C)
      C)
      Apical pulse of 56
      D)
      The client reports a sore throat when speaking

    4. The licensed practical/vocational nurse (LPN/VN) is teaching the parents of a toddler about toilet training.

      ➢ Which of the following statements would be most important for the LPN/VN to make to the parent?

      A)
      "Praise your child for cooperative behavior."
      B)
      "Dress your child in easily removed clothing."
      C)
      "If a potty chair is not available, have the child sit facing the toilet tank."
      D)
      "Let the child observe the excreta being flushed down the toilet."
    Page 2 of 38

    Exam Review

    1. How should the nurse assess for the presence of thrombophlebitis in a client who reports having pain in the left lower leg?

      A)
      By palpating the skin over the tibia and fibula.
      B)
      By documenting daily calf circumference measurements.
      C)
      By recording vital signs obtained four times a day.
      D)
      By noting difficulty with ambulation.

    2. You are taking care of a 5-year-old girl on a pediatrics floor at the hospital. While engaging her in conversation, you note that she uses 4-5 words in complete sentences. She can tell you what color her stuffed animals are, and she tells you stories about what the stuffed animals have done today. Knowing the appropriate language development milestones, the nurse should do which of the following?

      A)
      Consult the speech-language pathologist for evaluation.
      B)
      Notify the health care provider.
      C)
      Continue with the assessment.
      D)
      Engage the child’s mother with questions about how the child communicates at home.

    3. You are called to assess a 4-year-old client who has suffered second and third-degree burns to her chest, abdomen, and legs. It is estimated that about 40% of her total body surface area (TBSA) is burned. Upon assessment, her vital signs are as follows:

      • HR: 140
      • RR: 44
      • BP: 90/60
      • SpO2: 88% on Room Air

      Which of the following interventions is the priority?

      A)
      Fluid replacement
      B)
      Intubation and mechanical ventilation
      C)
      Wound debridement
      D)
      Standard precautions

    4. Which statement should the nurse use during client education regarding a vasectomy as a permanent method of contraception?

      A)
      If you change your mind in the future, it's simple to reverse the procedure.
      B)
      You will need to return for an annual follow-up visit and sperm count.
      C)
      If you have a history of cardiac disease, we won't be able to do the vasectomy.
      D)
      You'll need to use another type of birth control until your sperm count is zero.
    Page 3 of 38

    Exam Review

    1. The nurse is caring for a 90-year-old who has been bedridden for two weeks. Which of the following complications is not expected?

      A)
      A decrease in bone density
      B)
      Loss of short term memory
      C)
      Atelectasis
      D)
      Loss of appetite

    2. The nurse is reinforcing education regarding the development of pressure ulcers. Which intrinsic risk factor should be included?

      A)
      Shearing
      B)
      Friction
      C)
      Impaired tissue perfusion
      D)
      Pressure

    3. The nurse is attending to a client who presents to the emergency department after a burn injury. They describe the burn as extremely painful. Select the zone corresponding to the area where the wound could be extending. See the exhibit.

      A)
      I
      B)
      II
      C)
      III
      D)
      IV

    4. The nursing instructor performs client rounds with nursing students, and it would be appropriate for the nursing student to identify which client is at risk for hypokalemia? A client with

      A)
      hyperemesis gravidarum.
      B)
      renal failure.
      C)
      diabetic ketoacidosis.
      D)
      third-degree burns.
    Page 4 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a client about ways to prevent peptic ulcer disease.

      ➢ Which of the following statements should the nurse include?

      A)
      “You should take aspirin if you have mild aches or pains.”
      B)
      “You will need to consume liquids one hour after each meal.”
      C)
      “It will be important to reduce the stress in your life.”
      D)
      “Take your prescribed omeprazole with food.”

    2. The licensed practical/vocational nurse (LPN/VN) is collecting data on a client with acute cholecystitis.

      ➢ Which of the following manifestations would be expected?

      A)
      Stools that contain blood and mucus
      B)
      Pain with urination
      C)
      Episodic upper abdominal pain
      D)
      Hypoactive bowel sounds

    3. The nurse is caring for a client who recently had a partial gastrectomy. Which of the following medications should the nurse anticipate that the primary health care provider (PHCP) will order?

      A)
      Vitamin B12
      B)
      Metoclopramide
      C)
      Sucralfate
      D)
      Hydroxyzine

    4. The licensed practical/vocational (LPN/VN) assists a registered nurse (RN) in planning a staff educational conference about indwelling urinary catheters. Which of the following information should be included?

      A)
      Sterile gloves should be used to perform urinary catheter care.
      B)
      Urinary specimens may be collected from a catheter bag.
      C)
      You may irrigate a catheter with warm water for poor outflow.
      D)
      Daily use of soap and water should be used around the urinary meatus.
    Page 5 of 38

    Exam Review

    1. The nurse is discussing varicose veins and at-home management with a group of clients. Which of the following should the nurse reinforce in the teaching session?

      A)
      When you are sitting, keep your legs lower than your heart
      B)
      Wear compression stockings during the day
      C)
      Participate in activities that have you stand for long periods
      D)
      Take a low-dose aspirin to prevent the development of new varicose veins

    2. The nurse prepares a client for a computed tomography (CT) scan of their abdomen and pelvis with intravenous (IV) contrast. The nurse should take which action prior to the client's exam?

      A)
      Remove any medicated patches before the exam
      B)
      Instruct the client to empty their bladder right before the test
      C)
      Advise the client that they may experience a flushing sensation during the exam
      D)
      Collect data on the client as to whether or not they have an implantable pacemaker

    3. The licensed practical/vocational (LPN/VN) nurse collects data on a client with Huntington's disease. Which of the following findings would be expected? Select all that apply.

      A)
      halitosis
      B)
      chorea
      C)
      hallucinations
      D)
      hematemesis
      E)
      weight loss

    4. The nurse is caring for a patient who had a fenestrated tracheostomy tube placed one week ago. Which of the following are true regarding fenestrated tracheostomies?

      Select all that apply.

      A)
      This type of tracheostomy does not require trach care.
      B)
      The patient with a fenestrated tracheostomy can speak.
      C)
      This is the only type of tracheostomy used with mechanical ventilation.
      D)
      A fenestrated tracheostomy can be capped if the cuff is deflated.
      E)
      Risks associated with fenestrated tracheostomies include bleeding, infection, accidental decannulation (removal of the tracheostomy tube), and difficulty breathing.
    Page 6 of 38