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1. The LPN/LVN is planning care for the a client who has A. Administer Prescribed
fourth degree midline laceration that occurred during stool softener
vaginal delivery of an 8 pound 10 ounce infant. What
intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine invo-
lution
D. Encourage use of prescribed analgesic perineal
sprays
2. The LPN/LVN is palpating the right upper hypochon- C. Liver
driac region of the abdomen of a client. What organ
lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
3. A client comes to the antepartal clinic and tells the B. Amenorrhea
LPN/LVN that she is 6 weeks pregnant. Which sign is
she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
4. A client's daughter phones the charge nurse to report A. Ask for a description
that the night LPN/ LVN did not provide good care for of what happened during
her mother. What response should the nurse make? the night
A. Ask for a description of what happened during the
night
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B. Tell the daughter to talk to the unit's nurse manag-
er
C. Reassure the daughter that the mother will get
better care.
D. Explain that all the staff are doing the best they can.
5. A hosptitalized toddler who is recovering from a sick- A. Autonomy vs. Shame
le cell crisis holds a toy and say's "mine". According and doubt
to Erikson's theory of psychosocial development, this
child's behavior is a demonstration of which develop-
mental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
6. Which action should the LPN/LVN implement in caring D. Wash any paste from
for a client following an electroencephalogram (EEG)? the client's hair and scalp
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremi-
ties
C. Instruct the client to maintain bed rest for eight
hours
D. Wash any paste from the client's hair and scalp
7. The LPN/LVN is caring for a 75- year-old male client A. Encourage the client to
who is beginning to form a decubitus ulcer at the eat foods high in protein
coccyx. Which intervention will be most helpful in pre-
venting further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercis-
es
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C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
8. What is the homeostatic cellular transport mechanism C. Osmosis
that moves water from a hypotonic to a hypertonic
fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
9. The LPN/LVN is taking blood pressure of a client ad- B. At the level of the heart
mitted with a possible myocardial infarction. When
taking the client's BP at the brachial artery, the nurse
should place the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
10. What are the final parameters that produce blood A. Heart rate
pressure? (select all that apply) B. Stroke volume
A. Heart rate C. Peripheral resistance
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
11. A client begins an antidepressant drug during the sec- B. Mood
ond day of hospitalization. Which assessment is most
important for the LPN/LVN to include in this client's
plan of care while the client is taking the antidepres-
sant?
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A. Appetite
B. Mood
C. Withdrawal
D. Energy level
12. Based on the documentation in the medical record, Give the rubella vaccine
which action should the LPN/LVN implement next? subcutaneously
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Encourage mobilization
Pneumonia. Which intervention should the LPN/LVN and ambulation
implement to prevent complications associated with
Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed
rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
14. The practical nurse is preparing to administer a pre- 15mg
scription for cefazolin (kefzol) 600 mg IM every 6
hours. The available vial is labeled, "Cefazolin (Kefzol)
1 gram and the instrutions for reconsittution, "For IM
use add 2ml sterile water for injection. Total volume
after reconstruction = 2.5 ml. "when reconstituded,
how many milligrams are in each mil of solutions (En-
ter numeric value only)
15. Which nursing activity is within the scope of practice
for the practical nurse? A. Complete an admission as-