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    Exam Review

    1. The nurse is caring for a client receiving lorazepam. Which of the following reported herbal supplements would require follow-up?

      Select all that apply.

      (SATA)
      A)
      Kava
      B)
      Glucosamine
      C)
      Valerian
      D)
      Garlic
      E)
      Saw palmetto

    2. Which of the following clients would be most appropriate to assign to the LPN?

      Select all that apply.

      (SATA)
      A)
      A client receiving antibiotics for lower extremity cellulitis.
      B)
      A client newly admitted with an exacerbation of myasthenia gravis.
      C)
      A client with a chest tube receiving mechanical ventilation.
      D)
      A client requiring a referral for an outpatient support group.
      E)
      A client needing to receive intramuscular RhoGAM.
      F)
      A patient needing scheduled tube feedings and colostomy irrigations.

    3. The nurse is observing unlicensed assistive personnel (UAP) care for assigned clients. Which of the following actions by the UAP would require the nurse to intervene?

      Select all that apply.

      (SATA)
      A)
      Flexes and extends the patient’s elbow for an active range of motion.
      B)
      Obtains orthostatic blood pressure by having the patient stand first.
      C)
      Places the cane on the unaffected side of a patient who had a stroke.
      D)
      Provides a hot foot soak for a patient with diabetes mellitus.
      E)
      Obtains a urine specimen from an indwelling catheter tubing.

    4. Which of the following tasks would be appropriate for an LPN (Licensed Practical Nurse) to take?

      Select all that apply.

      (SATA)
      A)
      Reinforcing teaching to a 24-year-old first-time mother on how to care for her new baby.
      B)
      Adjustment of a 68-year-old patient’s cervical traction as ordered by the attending doctor.
      C)
      Obtaining an occult blood sample from a 16-year-old patient with ulcerative colitis.
      D)
      An assessment of a 36-year-old man newly admitted for chest pain.
    Page 1 of 38

    Exam Review

    1. The nurse is educating a group of nursing students about complications during pregnancy. Which of the following statements is true regarding the premature rupture of membranes (PROM)?

      Select all that apply.

      (SATA)
      A)
      PROM is when the membranes rupture before 37 weeks gestation.
      B)
      In a normal delivery, membranes are expected to rupture before labor begins.
      C)
      A priority nursing intervention with PROM is to monitor for infection.
      D)
      When observing the fluid after the rupture of membranes, it should be clear and without odor.
      E)
      PROM may lead to preterm birth if before 37 weeks.

    2. The nurse is conducting an in-service for nursing students. It would be appropriate for the nurse to state which of the following procedures requires a sterile technique?

      Select all that apply.

      (SATA)
      A)
      Changing the dressing for a central line
      B)
      Inserting an indwelling urinary catheter
      C)
      Removing a peripheral vascular access device
      D)
      Suctioning an endotracheal tube with in-line suction
      E)
      Inserting a nasogastric tube (NGT)

    3. The licensed practical/vocational nurse (LPN/VN) is planning client care assignments with an unlicensed assistive personnel (UAP).

      ➢ Which of the following tasks can the LPN/VN delegate to the UAP? Select all that apply.

      (SATA)
      A)
      Irrigate a client’s nasogastric tube (NGT)
      B)
      Make the bed of a client with influenza
      C)
      Bathe a client who is completely immobile
      D)
      Administer artificial tears to a client with dry eyes
      E)
      Ambulate a client who is three days postoperative
      F)
      Assist a client who is visually impaired with their meal tray

    4. The nurse is caring for a client with human immunodeficiency virus (HIV). It would be appropriate for the nurse to assign the client to a room with the client diagnosed with

      A)
      infectious mononucleosis.
      B)
      mycoplasma pneumonia.
      C)
      gastroenteritis (rotavirus).
      D)
      mumps (infectious parotitis).
    Page 2 of 38

    Exam Review

    1. The nurse is caring for a client taking prescribed captopril. What abnormal laboratory values should the nurse prioritize when notifying the primary healthcare provider (PHCP)?

      A)
      Serum creatinine 1.3 mg/dL (114.92 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]
      B)
      Serum potassium 5.2 mEq/L (mmol) [3.5-5 mEq/L]
      C)
      Serum phosphorus 4.6 (1.48 mmol/L) [2-4.5 mEq/L, 0.81–1.58 mmol/L]
      D)
      Blood glucose 135 mg/dL (7.49 mmol/L) [70-110 mg/dL, 4.0–11.0 mmol/L]

    2. The nurse cares for a 48-hour-old newborn who has not yet passed stool since delivery. The nurse understands that the client is at highest risk for which conditions? Select all that apply.

      (SATA)
      A)
      Celiac disease
      B)
      Cystic fibrosis
      C)
      Anorectal anomalies
      D)
      Hirschprung's disease
      E)
      Intussusception

    3. The nurse is reviewing newly prescribed medications for assigned clients. Which of the following prescribed medications should the nurse question?

      A)
      captopril for a client with congestive heart failure
      B)
      metoprolol for a client with multiple premature ventricular contractions (PVCs)
      C)
      verapamil for a client with atrial fibrillation
      D)
      spironolactone for a client with end-stage renal disease

    4. The nurse is caring for a client eight hours following a total thyroidectomy. The nurse plans to obtain an order to review the client's serum

      A)
      potassium level.
      B)
      calcium level.
      C)
      sodium level.
      D)
      glucose level.
    Page 3 of 38

    Exam Review

    1. The nurse is caring for a client who has been physically violent towards staff. The nurse prepares to restrain the client using

      A)
      soft wrist restraints.
      B)
      mitten restraints.
      C)
      elbow restraints.
      D)
      waist belt restraint.

    2. The nurse is caring for a client with suspected placenta previa. The nurse anticipates a prescription for which diagnostic test to confirm this finding?

      A)
      Manual cervical exam
      B)
      Transvaginal ultrasound
      C)
      Contraction stress test
      D)
      Nonstress test

    3. The nurse has established a support group for individuals with major depressive disorder (MDD). The nurse recognizes that this support group is

      A)
      tertiary prevention.
      B)
      primary prevention.
      C)
      secondary prevention.
      D)
      essential prevention.

    4. 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 when inquiring about 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?"
    Page 4 of 38

    Exam Review

    1. The nurse is collecting data on a client with opioid withdrawal. Which of the following would be an expected finding? Select all that apply.

      A)
      Diaphoresis
      B)
      Bradycardia
      C)
      Irritability
      D)
      Hypotension
      E)
      Rhinorrhea
      F)
      Abdominal cramps

    2. A client on the medical-surgical floor expresses interest in becoming an organ donor and asks the licensed practical/vocational nurse (LPN/VN) for information on how to register as a donor. Which of the following responses by the LPN/VN would be most appropriate?

      A)
      "I'll inform the healthcare provider about your interest in organ donation, and they can provide you with the necessary information."
      B)
      "You can register as an organ donor through your state's organ procurement organization. I can provide you with their contact information."
      C)
      "Organ donation is a complex process, and I'm not qualified to provide you with information. You should discuss this with your family and healthcare provider."
      D)
      "Organ donation is only for specific medical conditions. It's unlikely you'll be eligible. I recommend focusing on your current treatment."

    3. The nurse is caring for a client with episodes of vertigo who has a fractured leg and has been ordered crutches and not to bear weight on the affected extremity. The most appropriate crutch-walking gait the nurse should reinforce with the client is the

      A)
      Two-point gait
      B)
      Three-point gait
      C)
      Four-point gait
      D)
      Swing-through gait

    4. The licensed practical/vocational nurse (LPN/VN) cares for a pregnant client at 34 weeks gestation. The client reports severe itching on her palms and soles, along with dark urine, and scleral jaundice. Lab results show elevated serum bile acids and alanine aminotransferase (ALT). The nurse suspects which of the following?

      A)
      Eclampsia
      B)
      Gestational diabetes mellitus
      C)
      Cholestasis of pregnancy
      D)
      Acute fatty liver of pregnancy
    Page 5 of 38

    Exam Review

    1. The licensed practical/vocational nurse (LPN/VN) is caring for a client experiencing variable decelerations. The nurse observes the umbilical cord protruding through the vagina.

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

      A)
      Stay with the client and call for help.
      B)
      Apply pressure to lift the presenting fetal part.
      C)
      Place the client in the Trendelenburg position.
      D)
      Prepare the client for immediate cesarean delivery.
      E)
      Administer oxygen via face mask.

    2. The primary healthcare provider (PHCP) prescribes 4 mg of morphine intramuscular (IM). The medication vial reads morphine sulfate, 10 mg/mL.

      ➢ How many mL should the licensed practical/vocational nurse (LPN/VN) administer? Fill in the blank. Record your answer using 1 decimal place.

      A)
      0.4

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

      ➢ The nurse should prioritize seeing the client who

      A)
      has a chest tube attached to a closed-chest drainage system to treat a pneumothorax and reports increased dyspnea and dizziness.
      B)
      is being treated for acute pancreatitis and reports nausea and pain rated 6 on a scale of 0 (no pain) to 10 (severe pain).
      C)
      is being treated for pheochromocytoma reports a headache, and most recent blood pressure is 149/84 mm Hg.
      D)
      has pneumonia with atelectasis and has had decreased breath sounds in the affected lobe.

    4. The licensed practical/vocational nurse (LPN/VN) is caring for a child in the emergency department (ED) who sustained a bite by a rabid animal.

      ➢ Which of the following actions should the nurse take first?

      A)
      document the wound's length and width
      B)
      cleanse the wound with soap and water
      C)
      obtain a prescription for an antibiotic
      D)
      report the bite to animal control
    Page 6 of 38