LVN FUNDAMENTALS EXAM QUESTIONS AND CORRECT ANSWERS| GRADED
A+|PASS!
1.The nurse is obtaining vital signs for a client with a seizure disorder. Which method would the nurse
use to obtain the most accurate measure? - ANSWER Take an axillary temperature instead of an oral
temperature.
2.A client with chronic renal failure plans to receive a kidney transplant. Recently the health care
provider told the client that the client is a poor candidate for transplant because of chronic uncontrolled
hypertension and diabetes. Now the client tells the nurse, "I want to go off dialysis. I'd rather not live
than be on this treatment for the rest of my life." Which response by the nurse is appropriate? - ANSWER
Say to the client, "You're feeling upset about the news you got about the transplant." & Take a seat next
to the client and sit quietly.
3.A client in group therapy is restless. His face is flushed and he makes sarcastic remarks to group
members. The nurse responds by saying, "You look angry." The nurse is using which technique? -
ANSWER Making observations
4.A nurse is caring for a neonate with congenital hypothyroidism. Which data should the nurse
anticipate? - ANSWER puffy eyelids
5.A nurse is providing information to a client about the ear canal. What information would the nurse
include? - ANSWER "The ear canal of an adult slants downward."
6.In community health and epidemiologic studies, which definition of disease prevalence is correct? -
ANSWER The number of individuals affected by a particular disease at a specific time
7.A client is confused and continuously attempts to get out of bed. The health care provider prescribes a
vest restraint. When applying the vest restraint, what should the nurse keep in mind? - ANSWER Allow
room for the client to turn.
8.A nurse is caring for a 10-year-old child hospitalized for treatment of acute osteomyelitis. The child's
left leg is immobilized in a splint. What is the nurse's most appropriate action? - ANSWER Support and
handle the leg gently during turning and repositioning.
,9.A child has arrived in the emergency department. The nurse documents the following findings in the
chart understanding that they are consistent with which disease process? - ANSWER Pneumonia
10.After surgery to treat a hip fracture, a client returns from the postanesthesia care unit to the medical-
surgical unit. Postoperatively, how should the nurse position the client? - ANSWER With the leg on the
affected side abducted; the nurse must keep the leg on the affected side abducted at all times after hip
surgery to prevent accidental dislodgment of the affected hip joint. Placing a pillow or an A-frame
between the legs helps maintain abduction and reminds the client not to cross the legs.
11.A client comes to the clinic and informs the nurse they may have been exposed to a family member
with tuberculosis. The nurse administers the tuberculin skin test, and 2 days later the test is positive.
What does the nurse determine the results mean? - ANSWER The client had presence of infection at
some point.
12.A health care provider's order reads: amoxicillin 500 mg capsules × 2 PO now, followed by 500 mg PO
every 6 hours. How many grams of amoxicillin will the nurse administer as the initial dose? Record your
answer as a whole number. - ANSWER 1
13.While studying for an upcoming examination, which instances would the nursing student review in
which sedative-hypnotic drugs are indicated? - ANSWER Anxiety and insomnia
14.Capillary glucose monitoring is being performed every 4 hours for a client diagnosed with diabetic
ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2
p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 units of regular insulin.
The nurse should expect the dose's: - ANSWER onset to be at 2:30 p.m. and its peak to be at 4 p.m.
15.A client arrives at the emergency department after falling on ice outside of the senior citizens'
housing facility and sustaining a right hip fracture. Which finding would be most important for the nurse
to evaluate? - ANSWER neurovascular compromise
16.A client sustained a C6 spinal injury when diving into a shallow lake. What residual effect does the
nurse expect to observe? - ANSWER Quadriplegia
, 17.A nurse is gathering data on a client diagnosed with appendicitis. Which signs and symptoms would
the nurse expect to find? - ANSWER rebound tenderness, McBurney sign, and low-grade fever
18.A client was sexually assaulted when returning home from the store late one evening. The client
arrives, tearful, to the emergency department. What is the priority intervention for this client? -
ANSWER Remaining with the client and assisting the client through the crisis
19.The parents of a 10-year-old child recently diagnosed with asthma ask if the child can continue to play
sports. Which response is most appropriate? - ANSWER "Physical activity and sports are encouraged as
long as the asthma is under control."
20.A new graduate nurse asks the nurse mentor what is a good guideline to help nurses effectively avoid
liability. How does the nurse mentor appropriately respond? - ANSWER "Practice within the scope of the
Nurse Practice Act."
21.Which task can a licensed practical nurse (LPN) safely delegate to a nursing assistant? - ANSWER
Turning a client every 2 hours
22.Parents of a 10-year-old obese client ask the nurse how to encourage good eating habits in their child.
Which response by the nurse is best? - ANSWER "Encourage your child to actively participate in meal
planning and preparation."
23.The nurse is teaching child safety to the parents of a 6-month-old who's beginning to crawl. Which
point should the nurse include in her teaching? - ANSWER Keeping furniture with sharp corners out of
the area where the infant crawls
24.A baby undergoes surgery to correct an esophageal atresia and tracheoesophageal fistula. Which
nursing diagnosis has the highest priority during the first 24 hours postoperatively? - ANSWER Ineffective
airway clearance
25.The nurse is changing a dressing and providing wound care. Which activity should she perform first? -
ANSWER Wash her hands thoroughly.
A+|PASS!
1.The nurse is obtaining vital signs for a client with a seizure disorder. Which method would the nurse
use to obtain the most accurate measure? - ANSWER Take an axillary temperature instead of an oral
temperature.
2.A client with chronic renal failure plans to receive a kidney transplant. Recently the health care
provider told the client that the client is a poor candidate for transplant because of chronic uncontrolled
hypertension and diabetes. Now the client tells the nurse, "I want to go off dialysis. I'd rather not live
than be on this treatment for the rest of my life." Which response by the nurse is appropriate? - ANSWER
Say to the client, "You're feeling upset about the news you got about the transplant." & Take a seat next
to the client and sit quietly.
3.A client in group therapy is restless. His face is flushed and he makes sarcastic remarks to group
members. The nurse responds by saying, "You look angry." The nurse is using which technique? -
ANSWER Making observations
4.A nurse is caring for a neonate with congenital hypothyroidism. Which data should the nurse
anticipate? - ANSWER puffy eyelids
5.A nurse is providing information to a client about the ear canal. What information would the nurse
include? - ANSWER "The ear canal of an adult slants downward."
6.In community health and epidemiologic studies, which definition of disease prevalence is correct? -
ANSWER The number of individuals affected by a particular disease at a specific time
7.A client is confused and continuously attempts to get out of bed. The health care provider prescribes a
vest restraint. When applying the vest restraint, what should the nurse keep in mind? - ANSWER Allow
room for the client to turn.
8.A nurse is caring for a 10-year-old child hospitalized for treatment of acute osteomyelitis. The child's
left leg is immobilized in a splint. What is the nurse's most appropriate action? - ANSWER Support and
handle the leg gently during turning and repositioning.
,9.A child has arrived in the emergency department. The nurse documents the following findings in the
chart understanding that they are consistent with which disease process? - ANSWER Pneumonia
10.After surgery to treat a hip fracture, a client returns from the postanesthesia care unit to the medical-
surgical unit. Postoperatively, how should the nurse position the client? - ANSWER With the leg on the
affected side abducted; the nurse must keep the leg on the affected side abducted at all times after hip
surgery to prevent accidental dislodgment of the affected hip joint. Placing a pillow or an A-frame
between the legs helps maintain abduction and reminds the client not to cross the legs.
11.A client comes to the clinic and informs the nurse they may have been exposed to a family member
with tuberculosis. The nurse administers the tuberculin skin test, and 2 days later the test is positive.
What does the nurse determine the results mean? - ANSWER The client had presence of infection at
some point.
12.A health care provider's order reads: amoxicillin 500 mg capsules × 2 PO now, followed by 500 mg PO
every 6 hours. How many grams of amoxicillin will the nurse administer as the initial dose? Record your
answer as a whole number. - ANSWER 1
13.While studying for an upcoming examination, which instances would the nursing student review in
which sedative-hypnotic drugs are indicated? - ANSWER Anxiety and insomnia
14.Capillary glucose monitoring is being performed every 4 hours for a client diagnosed with diabetic
ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2
p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 units of regular insulin.
The nurse should expect the dose's: - ANSWER onset to be at 2:30 p.m. and its peak to be at 4 p.m.
15.A client arrives at the emergency department after falling on ice outside of the senior citizens'
housing facility and sustaining a right hip fracture. Which finding would be most important for the nurse
to evaluate? - ANSWER neurovascular compromise
16.A client sustained a C6 spinal injury when diving into a shallow lake. What residual effect does the
nurse expect to observe? - ANSWER Quadriplegia
, 17.A nurse is gathering data on a client diagnosed with appendicitis. Which signs and symptoms would
the nurse expect to find? - ANSWER rebound tenderness, McBurney sign, and low-grade fever
18.A client was sexually assaulted when returning home from the store late one evening. The client
arrives, tearful, to the emergency department. What is the priority intervention for this client? -
ANSWER Remaining with the client and assisting the client through the crisis
19.The parents of a 10-year-old child recently diagnosed with asthma ask if the child can continue to play
sports. Which response is most appropriate? - ANSWER "Physical activity and sports are encouraged as
long as the asthma is under control."
20.A new graduate nurse asks the nurse mentor what is a good guideline to help nurses effectively avoid
liability. How does the nurse mentor appropriately respond? - ANSWER "Practice within the scope of the
Nurse Practice Act."
21.Which task can a licensed practical nurse (LPN) safely delegate to a nursing assistant? - ANSWER
Turning a client every 2 hours
22.Parents of a 10-year-old obese client ask the nurse how to encourage good eating habits in their child.
Which response by the nurse is best? - ANSWER "Encourage your child to actively participate in meal
planning and preparation."
23.The nurse is teaching child safety to the parents of a 6-month-old who's beginning to crawl. Which
point should the nurse include in her teaching? - ANSWER Keeping furniture with sharp corners out of
the area where the infant crawls
24.A baby undergoes surgery to correct an esophageal atresia and tracheoesophageal fistula. Which
nursing diagnosis has the highest priority during the first 24 hours postoperatively? - ANSWER Ineffective
airway clearance
25.The nurse is changing a dressing and providing wound care. Which activity should she perform first? -
ANSWER Wash her hands thoroughly.
