LPN Exit Exam Study Guide Test Questions and Answers Graded A 2023

The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach? Selects the same site that was used for the previous injection The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take . Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse, follow the pinky for the brachial) The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? Begin frequent feedings of breast milk or formula A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatin and 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL total oral and IV intake should the PN document on the client's medical record? (Enter numeric value only). 8 oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL Total intake = 1480 ml The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabelled syringe. How should the PN respond? "I am not comfortable doing that. Is there something else I can do to help you? The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)Empty beside drainage unit for a client with indwelling urinary catheter Transport a urine culture sample to the laboratory Which intervention should the practical nurse (PN) reinforce for a client with pruritis? . Keep fingernails trimmed short While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take? Determine if the client has had difficulty in the past The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL." After reconstitution, how many mL should be administered to the client? (enter numeric valueonly. If rounding is required, round to the nearest tenth. 1.3 mL In caring for a client with Buck's traction, the practical nurse (PN) observes that the prescribed amount weights are hanging freely, and the traction rope is on the pulley.Which action should the PN implement first? Document that the Buck's traction is being maintained When a small fire breaks out in the kitchen of a long-term care facility, which task ismost important for the practical nurse (PN) to perform instead of assigning to a unlicensed assistive personnel Identify the method for transporting and evacuating each resident The practical nurse (PN) is caring for a client with coronary artery disease who is admitted with intermittent chest pain. The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobulin isoenzyme (CKMB) levels. What should the PN consider the most significant risk for this client on the secondday of admission? The lab results indicate myocardial damage, and the client is at risk for cardiacdysrhythmias`The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of aclient who is receiving intravenous heparin. Which action should the PN implement first Check the client's gums for bleeding The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client who has poison ivy covering multiple skin surfaces. What should the PN emphasizeabout the dosing schedule Decrease dosage daily as prescribed A client is receiving an anticonvulsant, diazepam, intravenously for status epilepticus.Which intervention is most important for the practical nurse (PN) to implement? . Monitor the client's respiratory rate and effort The practical nurse (PN) administers filgrastim to a client with neutropenia. The clientlater complains of bone pain. Which action should the PN take? Offer to administer a prescribed PRN analgesic to the client The practical nurse (PN) is caring for a client who has been taking nonsteroidal anti- inflammatory drug ibuprofen for arthritic pain. Which action will the PN include in thisclient plan of care? Observe for signs of gastrointestinal bleeding The practical nurse (PN) reviews instructions for use of polyethylene glycol, a laxative,with a client scheduled for a colonoscopy. Which instruction should the PN include? Drink each glass of solution rapidly at regular specified time intervals The practical nurse (PN) notifies the healthcare provider about client information usingSituation, Background, Assessment, Recommendation (SBAR) technique. Which information should the PN provide first? Blood pressure is 80/48 mmHg