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    Exam Review

    1. A nurse is assisting with teaching a client about nutritional supplements. Which of the following supplements is used to reduce the risk of birth defects in neonates?
      A)
      Lutein
      B)
      Vitamin D
      C)
      Folic acid
      D)
      Omega-3 fatty acids
    2. A nurse is planning care for a client who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?
      A)
      Dysphagia
      B)
      Peritonitis
      C)
      Crohn's disease
      D)
      Ulcerative colitis
    3. A nurse is reviewing the medical history of a client who is scheduled for surgery. Which of the following findings places the client at risk for an incisional hematoma?
      A)
      The client has peripheral vascular disease.
      B)
      The client takes anticoagulant medications.
      C)
      The client is underweight.
      D)
      The client has urinary incontinence.
    4. A nurse is assisting in the care of a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?
      A)
      Panic disorder
      B)
      Separation anxiety disorder
      C)
      Agoraphobia
      D)
      Generalized anxiety disorder
    Page 1 of 23

    Exam Review

    1. A nurse is assisting with planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?
      A)
      Histrionic personality disorder
      B)
      Narcissistic personality disorder
      C)
      Borderline personality disorder
      D)
      Antisocial personality disorder
    2. A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
      A)
      Distended neck veins
      B)
      High blood pressure
      C)
      Dark-colored urine
      D)
      Moist skin
    3. A nurse is reinforcing teaching to a group of clients about the etiology of eating disorders. Which of the following statements should the nurse include?
      A)
      "Childhood trauma is the primary contributor to the development of an eating disorder."
      B)
      "There is a mix of biological and psychosocial determinants that contribute to the development of eating disorders."
      C)
      "A specific gene has been identified as the primary cause of eating disorders."
      D)
      "Western cultural values are the primary cause of eating disorders."
    4. A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The client last received the medication at 2 p.m. Which of the following times is the earliest the nurse can administer the next dose?
      A)
      1700
      B)
      1900
      C)
      1500
      D)
      2000
    Page 2 of 23

    Exam Review

    1. A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?
      A)
      Having caregivers who have steady employment
      B)
      Having a family with a strong social support system
      C)
      Performing well in school
      D)
      Having a physical disability
    2. A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?
      A)
      Periorbital edema
      B)
      Facial flushing
      C)
      Muscle twitching
      D)
      Metallic taste in mouth
    3. A nurse is assisting with providing an educational program about eating disorders to the local community. The nurse should include that which of the following groups has an increased risk for developing an eating disorder?
      A)
      Athletes
      B)
      Musicians
      C)
      Chefs
      D)
      Movie directors
    4. A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?
      A)
      "The blinds in the client's room will need to stay closed to prevent overstimulation."
      B)
      "All sharp objects should be removed from the client's room."
      C)
      "The client can eat their meal alone in their room."
      D)
      "Family members should be encouraged to look up the warning signs of suicide."
    Page 3 of 23

    Exam Review

    1. A nurse is collecting data on a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following factors?
      A)
      Increased muscle mass
      B)
      Decreased serum calcium
      C)
      Decreased circulation
      D)
      Increased collagen
    2. A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?
      A)
      Partial-thickness skin loss with red tissue in wound bed
      B)
      Full thickness skin loss with visible adipose tissue
      C)
      Full thickness skin loss with visible bone
      D)
      Intact skin with localized erythema
    3. Which statement by the LVN indicates correct practice when an IV medication label differs from the MAR?
      A)
      Change the MAR to match the label
      B)
      Administer it anyway because the order was placed yesterday
      C)
      Hold the medication and clarify the discrepancy before administration
      D)
      Ask the client which dose they usually take
    4. A nurse is assisting with teaching a client about nutritional supplements. Which of the following supplements is used to promote heart health?
      A)
      Omega-3 fatty acids
      B)
      Vitamin D
      C)
      Folic acid
      D)
      Lutein
    Page 4 of 23

    Exam Review

    1. A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?
      A)
      Use the same section of washcloth for each area cleaned.
      B)
      Use soap and water to clean the client's perineum.
      C)
      Allow the client's perineum to air dry.
      D)
      Start at the client's rectum and clean to the client's perineum.
    2. A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?
      A)
      The client reports having trouble sleeping the previous night.
      B)
      The client ate 60% of their breakfast.
      C)
      The client has a urine output of 400 mL for the past 8 hr.
      D)
      The client reports dizziness when ambulating to the bathroom.
    3. A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?
      A)
      The client reports having trouble sleeping the previous night.
      B)
      The client ate 60% of their breakfast.
      C)
      The client has a urine output of 400 mL for the past 8 hr.
      D)
      The client reports dizziness when ambulating to the bathroom.
    4. A nurse is assisting with teaching a newly licensed nurse about an ileal conduit. The nurse should include which of the following information?
      A)
      A client’s ureters are attached to a section of the client's small intestine to form an ileal conduit.
      B)
      An ileal conduit is a tube that directly connects a client's kidney to an external pouch.
      C)
      Stool is passed through an ileal conduit located on a client's abdomen.
      D)
      A client has control of elimination through an ileal conduit.
    Page 5 of 23

    Exam Review

    1. A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?
      A)
      Temperature
      B)
      Respiratory rate
      C)
      Blood pressure
      D)
      Heart rate
    2. Before administering an IV medication, the LVN's priority action is to:
      A)
      Verify the medication order and client identity
      B)
      Prime the IV tubing
      C)
      Assess lung sounds
      D)
      Flush the IV catheter
    3. A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?
      A)
      Cancer
      B)
      Diabetes mellitus
      C)
      Alzheimer’s disease
      D)
      Osteoarthritis
    4. A nurse is collecting data from a client who has an inadequate dietary intake of vitamin C. Which of the following findings should the nurse expect?
      A)
      Constipation
      B)
      Memory loss
      C)
      Brittle hair
      D)
      Bleeding gums
    Page 6 of 23