COMPILED: 2025/2026
,LICENSURE EXAMS
PAST PAPERS
DESERT WOLF
1.-A-client-hospitalized-with-severe-depression-and-suicidal-ideation-refuses-to-talk-with-the-nurse.-The-
nurse-recognizes-that-the-suicidal-client-has-difficulty:-
A. Expressing-feelings-of-low-self-worth-
B. Discussing-remorse-and-guilt-for-actions-
C. Displaying-dependence-on-others-
D. Expressing-anger-toward-others-
2.-A-client-receiving-hydrochlorothiazide-is-instructed-to-increase-her-dietary-intake-of-potassium.-The-
best-snack-for-the-client-requiring-increased-potassium-is:-
A. Pear-
B. Apple-
C. Orange-
,D. Banana-
3.-The-nurse-is-caring-for-a-client-following-removal-of-the-thyroid.-Immediately-post-op,-the-nurse-
should:-
A. Maintain-the-client-in-a-semi-Fowler’s-position-with-the-head-and-neck-supported-by-pillows-
B. Encourage-the-client-to-turn-her-head-side-to-side,-to-promote-drainage-of-oral-secretions-
C. Maintain-the-client-in-a-supine-position-with-sandbags-placed-on-either-side-of-the-head-and-neck-
D. Encourage-the-client-to-cough-and-breathe-deeply-every-2-hours,-with-the-neck-in-a-flexed-position-
4.-A-client-hospitalized-with-chronic-dyspepsia-is-diagnosed-with-gastric-cancer.-Which-of-the-
following-is-associated-with-an-increased-incidence-of-gastric-cancer?-
A. Dairy-products-
B. Carbonated-beverages-
C. Refined-sugars-
D. Luncheon-meats-
5.-A-client-is-sent-to-the-psychiatric-unit-for-forensic-evaluation-after-he-is-accused-of-arson.-His-
tentative-diagnosis-is-antisocial-personality-disorder.-In-reviewing-the-client’s-record,-the-nurse-could-
expect-to-find:-
A. A-history-of-consistent-employment-
B. A-below-average-intelligence-
C. A-history-of-cruelty-to-animals-
D. An-expression-of-remorse-for-his-actions-
6.-The-licensed-vocational-nurse-may-not-assume-the-primary-care-for-a-client:-
A. In-the-fourth-stage-of-labor-
B. Two-days-post-appendectomy-
C. With-a-venous-access-device-D.-With-bipolar-disorder-
7.-The-physician-has-ordered-dressings-with-Sulfamylon-cream-for-a-client-with-full-thickness-burns-of-
the-hands-and-arms.-Before-dressing-changes,-the-nurse-should-give-priority-to:-
A. Administering-pain-medication-
B. Checking-the-adequacy-of-urinary-output-
C. Requesting-a-daily-complete-blood-count-
D. Obtaining-a-blood-glucose-by-finger-stick-
8.-The-nurse-is-teaching-a-group-of-parents-about-gross-motor-development-of-the-toddler.-Which-
behavior-is-an-example-of-the-normal-gross-motor-skill-of-a-toddler?-
A. She-can-pull-a-toy-behind-her.-
B. She-can-copy-a-horizontal-line.-
C. She-can-build-a-tower-of-eight-blocks.-
D. She-can-broad-jump.-
, 9.-A-client-hospitalized-with-a-fractured-mandible-is-to-be-discharged.-Which-piece-of-equipment-
should-be-kept-on-the-client-with-a-fractured-mandible?-
A. Wire-cutters-
B. Oral-airway-
C. Pliers-
D. Tracheostomy-set-
10.-The-nurse-is-to-administer-digoxin-elixir-to-a-6-month-old-with-a-congenital-heart-defect.-The-nurse-
auscultates-an-apical-pulse-rate-of-100.-The-nurse-should:-
A. Record-the-heart-rate-and-call-the-physician-
B. Record-the-heart-rate-and-administer-the-medication-
C. Administer-the-medication-and-recheck-the-heart-rate-in-15-minutes-
D. Hold-the-medication-and-recheck-the-heart-rate-in-30-minutes-
11.-A-mother-of-a-3-year-old-hospitalized-with-lead-poisoning-asks-the-nurse-to-explain-the-treatment-
for-her-daughter.-The-nurse’s-explanation-is-based-on-the-knowledge-that-lead-poisoning-is-treated-
with:-
A. Gastric-lavage-
B. Chelating-agents-
C. Antiemetics-
D. Activated-charcoal-
12.-An-18-month-old-is-scheduled-for-a-cleft-palate-repair.-The-usual-type-of-restraints-for-the-child-
with-a-cleft-palate-repair-are:-
A. Elbow-restraints-
B. Full-arm-restraints-
C. Wrist-restraints-
D. Mummy-restraints-
13.-A-client-with-glaucoma-has-been-prescribed-Timoptic-(timolol)-eyedrops.-Timoptic-should-be-used-
with-caution-in-the-client-with-a-history-of:-
A. Diabetes-
B. Gastric-ulcers-
C. Emphysema-D.-Pancreatitis-
14.-An-elderly-client-who-experiences-night-time-confusion-wanders-from-his-room-into-the-room-of-
another-client.-The-nurse-can-best-help-decrease-the-client’s-confusion-by:-
A. Assigning-a-nursing-assistant-to-sit-with-him-until-he-falls-asleep-
B. Allowing-the-client-to-room-with-another-elderly-client-
C. Administering-a-bedtime-sedative-
D. Leaving-a-nightlight-on-during-the-evening-and-night-shifts-
15.-Which-of-the-following-is-a-common-complaint-of-the-client-with-end-stage-renal-failure?-