Kaplan PN Test 1 Study Set Questions with
Accurate Answers
A 22-year-old woman is eating lunch and suddenly starts to choke, gasp for
breath, and clutches her throat. Which of the following actions should the
LPN/LVN take FIRST?
1.Administer back blows.
2.Offer the client water to drink.
3.Ask the client if she can speak.
4.Finger-sweep the client's mouth and remove food. correct answer (1) do not
administer back blows to an adult; more appropriate for <2 years of age
(2) symptoms indicate that client does not have patent airway; fluids will not
establish an airway; will increase risk for aspiration
(3)CORRECT—assessment; if client is able speak, is choking and gasping, airway is
only partially obstructed; instruct client to take a deep breath and try to cough up
object; if client is unable to speak, airway is obstructed; begin Heimlich maneuver
(4) finger-sweep can remove food from pharynx but not from the larynx or
trachea
A baby boy, born by vaginal delivery, is crying and his respiration and pulse rate
are normal. One minute after birth, the baby is noted to have slightly cyanotic
extremities. At 5 minutes after birth, the extremities are pink. The nurse should
record the baby's 1-minute and 5-minute Apgar scores as which of the following?
,1. 8 and 9, respectively.
2. 8 and 10, respectively.
3. 9 and 10, respectively.
4. 9 and 7, respectively. correct answer (1)need for resuscitation determined by
Apgar score, performed at 1 and 5 minutes: 0 to 2 points given for a cardiac tone,
respirations, muscle tone, reflexes, and color; 0 to 3 indicates severe distress, 4 to
6 indicates moderate difficulty, 7 to 10 indicates good adjustment to extrauterine
life; score at 1 min is 9 due to color
(2)incorrect
(3)CORRECT 1-minute score is 9; 5-minute score is 10 because extremities are
pink
(4)incorrect
A client diagnosed with a phobic disorder joins a group meeting with a psychiatric
nurse-leader. During the first meeting, the client makes the following statements;
"I know my feeling of being terrified of closed spaces is dumb. It doesn't make any
sense. I just can't seem to do anything about it. Right now I get nervous and
scared just thinking about it." Which of the following responses by the LPN/LVN is
MOST appropriate?"
1."Maybe if I stayed with you in a closed space, it might help you overcome your
fear."
2."Knowing that your fears don't make sense doesn't always help you feel better."
3."Participating in several of our ward activities may make you feel better."
,4."Being frightened as a child by some particular incident probably caused these
fears." correct answer (1) offers solution without acknowledging client's feelings;
therapy for phobias includes exposure therapy to desensitize the client, hypnosis,
and supportive therapy to help client actively confront phobic objects
(2) CORRECT—this communicates the best understanding of the client's dilemma;
the client knows the fears do not make sense yet is powerless to deal with them
(3) does not expose client to the problem or provide opportunity to try tested
methods that could reduce the problem
(4) untrue statement; phobia is an anxiety disorder and is not precipitated by
being frightened as a child
A client had an exploratory laparotomy 6 hours ago. The client received morphine
8 mg IV every 3 hours for pain. The client reports the pain is unrelieved on the
immediate right side of the incision. Which action does the LPN/LVN take first?
1.Measures abdominal girth and observes shape.
2.Auscultates bowel sounds.
3.Positions client on affected side.
4.Elevates the head of the bed. correct answer 1) CORRECT - Localized pain
unrelieved by appropriate analgesia is associated with pressure. The most likely
cause is a hematoma bulging on the affected side. Observing the shape of the
abdomen may clarify that. Measuring the abdomen will help determine if the
pressure is increasing.
, 2) Because of extensive manipulation of the intestines, it is not likely to hear
bowel sounds immediately after the surgical procedure.
3) If the client is experiencing pain in the area, the client will be unable to tolerate
the weight of the body on the affected side.
4) Elevating the head of the bed is likely to relieve some of the pressure on the
affected side. However, it is more important to observe before implementing.
A client is second-day postoperative with an abdominal wound. A laboratory
report reveals a neutrophil count of 15,000/µL (15 × 109/L). The client's oral
temperature is 100°F (37.8°C) at 1900. The LPN/LVN initiates which activity?
1.Observes for other signs/symptoms of infection.
2.Notifies the health care provider.
3.Instructs the unlicensed assistive personnel to set up contact precautions
4.Observes for an allergic reaction. correct answer 1) CORRECT - Increased
neutrophils (the normal range is 1,800-7,800/µL [1.8-7.8 × 109/L] ) can indicate an
increased risk of acute bacterial infection or response to trauma. It is important to
look for any other signs or symptoms of infection such as wound changes, wound
drainage, or localized abdominal tenderness.
2) It is important to gather additional data before notifying the health care
provider.
3) There is no data to support a risk of contact with contaminated body fluids. No
infection has been identified yet.
Accurate Answers
A 22-year-old woman is eating lunch and suddenly starts to choke, gasp for
breath, and clutches her throat. Which of the following actions should the
LPN/LVN take FIRST?
1.Administer back blows.
2.Offer the client water to drink.
3.Ask the client if she can speak.
4.Finger-sweep the client's mouth and remove food. correct answer (1) do not
administer back blows to an adult; more appropriate for <2 years of age
(2) symptoms indicate that client does not have patent airway; fluids will not
establish an airway; will increase risk for aspiration
(3)CORRECT—assessment; if client is able speak, is choking and gasping, airway is
only partially obstructed; instruct client to take a deep breath and try to cough up
object; if client is unable to speak, airway is obstructed; begin Heimlich maneuver
(4) finger-sweep can remove food from pharynx but not from the larynx or
trachea
A baby boy, born by vaginal delivery, is crying and his respiration and pulse rate
are normal. One minute after birth, the baby is noted to have slightly cyanotic
extremities. At 5 minutes after birth, the extremities are pink. The nurse should
record the baby's 1-minute and 5-minute Apgar scores as which of the following?
,1. 8 and 9, respectively.
2. 8 and 10, respectively.
3. 9 and 10, respectively.
4. 9 and 7, respectively. correct answer (1)need for resuscitation determined by
Apgar score, performed at 1 and 5 minutes: 0 to 2 points given for a cardiac tone,
respirations, muscle tone, reflexes, and color; 0 to 3 indicates severe distress, 4 to
6 indicates moderate difficulty, 7 to 10 indicates good adjustment to extrauterine
life; score at 1 min is 9 due to color
(2)incorrect
(3)CORRECT 1-minute score is 9; 5-minute score is 10 because extremities are
pink
(4)incorrect
A client diagnosed with a phobic disorder joins a group meeting with a psychiatric
nurse-leader. During the first meeting, the client makes the following statements;
"I know my feeling of being terrified of closed spaces is dumb. It doesn't make any
sense. I just can't seem to do anything about it. Right now I get nervous and
scared just thinking about it." Which of the following responses by the LPN/LVN is
MOST appropriate?"
1."Maybe if I stayed with you in a closed space, it might help you overcome your
fear."
2."Knowing that your fears don't make sense doesn't always help you feel better."
3."Participating in several of our ward activities may make you feel better."
,4."Being frightened as a child by some particular incident probably caused these
fears." correct answer (1) offers solution without acknowledging client's feelings;
therapy for phobias includes exposure therapy to desensitize the client, hypnosis,
and supportive therapy to help client actively confront phobic objects
(2) CORRECT—this communicates the best understanding of the client's dilemma;
the client knows the fears do not make sense yet is powerless to deal with them
(3) does not expose client to the problem or provide opportunity to try tested
methods that could reduce the problem
(4) untrue statement; phobia is an anxiety disorder and is not precipitated by
being frightened as a child
A client had an exploratory laparotomy 6 hours ago. The client received morphine
8 mg IV every 3 hours for pain. The client reports the pain is unrelieved on the
immediate right side of the incision. Which action does the LPN/LVN take first?
1.Measures abdominal girth and observes shape.
2.Auscultates bowel sounds.
3.Positions client on affected side.
4.Elevates the head of the bed. correct answer 1) CORRECT - Localized pain
unrelieved by appropriate analgesia is associated with pressure. The most likely
cause is a hematoma bulging on the affected side. Observing the shape of the
abdomen may clarify that. Measuring the abdomen will help determine if the
pressure is increasing.
, 2) Because of extensive manipulation of the intestines, it is not likely to hear
bowel sounds immediately after the surgical procedure.
3) If the client is experiencing pain in the area, the client will be unable to tolerate
the weight of the body on the affected side.
4) Elevating the head of the bed is likely to relieve some of the pressure on the
affected side. However, it is more important to observe before implementing.
A client is second-day postoperative with an abdominal wound. A laboratory
report reveals a neutrophil count of 15,000/µL (15 × 109/L). The client's oral
temperature is 100°F (37.8°C) at 1900. The LPN/LVN initiates which activity?
1.Observes for other signs/symptoms of infection.
2.Notifies the health care provider.
3.Instructs the unlicensed assistive personnel to set up contact precautions
4.Observes for an allergic reaction. correct answer 1) CORRECT - Increased
neutrophils (the normal range is 1,800-7,800/µL [1.8-7.8 × 109/L] ) can indicate an
increased risk of acute bacterial infection or response to trauma. It is important to
look for any other signs or symptoms of infection such as wound changes, wound
drainage, or localized abdominal tenderness.
2) It is important to gather additional data before notifying the health care
provider.
3) There is no data to support a risk of contact with contaminated body fluids. No
infection has been identified yet.
