ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)AGRADE
A client asks the LPN/LVN about interpretation of a tuberculin skin (Mantoux) test. What
is the best response by the LPN/LVN?
1.) "This test will determine when you were exposed to tuberculosis (TB)."
2.) "If there is a reddened area at the injection site, you have TB."
3.) "To determine if the test is positive, a raised area must be present."
4.) "It is routine to give 2 TB skin tests a month apart for a positive diagnosis." -
ANSWER>>>3.) "To determine if the test is positive, a raised area must be present."
A client diagnosed with heart failure reports, "I have to sit up to breathe or else I can't
get my breath." What is the term used to describe this behavior?
1.) Orthopnea
2.) Kussmaul respirations
3.) Tachypnea
4.) Cheyne-Stokes respirations - ANSWER>>>1.) Orthopnea
A client had an indwelling urinary catheter after total hip arthroplasty and is unable to
void after the catheter is removed. The LPN/LVN is to perform an in and out
,catheterization. The client asks why the indwelling catheter cannot be replaced and stay
in until it is easier to get in and out of bed. Which is correct for the LPN/LVN to tell the
client?
1.) "Catheters are used only for clients who have problems with incontinence."
2.) "You need to maintain bladder function by voiding regularly."
3.) "Having a catheter puts you at risk for urinary tract infections (UTI)."
4.) "Mobility is easier without the catheter tubing and bag in the way." - ANSWER>>>3.)
"Having a catheter puts you at risk for urinary tract infections (UTI)."
A client is recently diagnosed with Addison disease. The LPN/LVN recognizes further
reinforcement of teaching is needed when the client makes which statement?
1.) "I will contact my health care provider if I have problems with dizziness."
2.) "I need to monitor for any wounds that do not heal as expected."
3.) "I understand that I will need to take medication for the rest of my life."
4.) "I should monitor my blood pressure daily or more often if I do not feel well." -
ANSWER>>>2.) "I need to monitor for any wounds that do not heal as expected."
A client newly diagnosed with type 1 diabetes mellitus tells the LPN/LVN, "I'm not sure I
understand everything I need to know." Which client statement indicates to the
LPN/LVN that the reinforced teaching is effective?
1.) "I should do my blood glucose test and then inject my insulin in the same area each
day."
,2.) "I know that insulin helps to break down glucose so that I can use it for energy."
3.) "I am hopeful that I can switch to a pill soon instead of taking daily shots."
4.) "If I get very thirsty, it may mean i'm using too much insulin." - ANSWER>>>2.) "I
know that insulin helps to break down glucose so that I can use it for energy."
A client receives heparin. The LPN/LVN recalls which is a possible adverse reaction to
this medication?
1.) Anaphylaxis
2.) Blurred vision
3.) Permanent hearing loss
4.) Motor seizures - ANSWER>>>1.) Anaphylaxis
A client reports symptoms of accelerated growth, agitation, and sleep disturbances
following head trauma which occurred three years ago in a serious motor vehicle
accident. The health care provider prescribes a radioimmunoassay to measure levels of
hormones in the blood. The LPN/LVN believes this is a disorder of which gland?
1.) The adrenal glands
2.) The thymus gland
3.) The pituitary gland
4.) The thyroid gland - ANSWER>>>3.) The pituitary gland
A client says the to LPN/LVN, "My asthma has been so bad that I have been using my
albuterol inhaler more than I should." What will the LPN/LVN expect to observe?
, 1.) Hand tremors
2.) Muscle weakness
3.) Double vision
4.) Urinary retention - ANSWER>>>1.) Hand tremors
A client says to the LPN/LVN, "My blood glucose must be very high." What will the
LPN/LVN expect to observe? (Select all that apply.)
1.) Increased thirst
2.) Increased perspiration
3.) Nervousness and tremors
4.) Cold, clammy skin
5.) Increased appetite
6.) Increased urine output - ANSWER>>>1.) Increased thirst
5.) Increased appetite
6.) Increased urine output
A client who has had a myocardial infarction asks the LPN/LVN, "What is a stress test?
I've never heard of anything like that." The LPN/LVN correctly answers the question by
making which statement?