Predictor Exam - PN/LVN Questions With Complete
Solutions
A 12-month-old child is playing with the father. Which of these
behaviors indicates that the child is demonstrating object
permanence?
a. The child transfers a toy to the other hand when given another
one.
b. The child returns a block to the same spot on the table.
c. The child looks for a toy that the father has hidden under the
table.
d. The child recognizes that a ball of clay is the same when
flattened out. Correct Answers c. The child looks for a toy that
the father has hidden under the table.
A 15-year-old child who has type I diabetes mellitus receives an
injection of regular insulin 5 units and isophane (NPH) insulin
15 units subcutaneously at 7:00 A.M. before eating breakfast. At
10:30 A.M., the child tells the school nurse, "I am sweating and
feel weak." Which of these actions should the nurse take first?
a. Measure the blood sugar.
b. Determine what the child ate for breakfast.
c. Give a simple carbohydrate.
d. Contact the physician. Correct Answers a. Measure the
blood sugar.
A 22-year-old college student has a heart rate that is 48/minute
and regular during a routine physical examination. Which of
these questions should a nurse consider when analyzing this
heart rate?
a. Is this student an athlete?
,b. Does this student smoke?
c. How much alcohol does this student drink?
d. Is this student feeling anxious? Correct Answers a. Is this
student an athlete?
A 36-week-pregnant woman awakens to find she is having
profuse, red vaginal bleeding. A nurse should prepare the
woman to have an immediate sonogram to determine the:
a. location of the placenta.
b. uterine response to labor.
c. the fetus's current weight.
d. condition of the uterine vascular bed. Correct Answers a.
location of the placenta.
A 75-year-old client who is newly admitted to a long-term care
facility has all these nursing diagnoses. Which one is the
priority?
a. Risk of injury.
b. Anxiety.
c. Sleep pattern disturbance.
d. Chronic. Correct Answers a. Risk of injury.
A child is brought to the clinical for serum lead screening
because of ingestion of lead-based paint. Which of these
manifestations, if present in the child, would indicate early signs
of lead toxicity?
a. Convulsive seizures.
b. Behavior changes.
c. Bleeding tendencies.
d. Low-grade fever. Correct Answers b. Behavior changes.
,A child who has cystic fibrosis is receiving pancrelipase
(Pancrease MT) with meals and snacks. To determine if the
desired effects of the Pancrease are achieved, a nurse should
consider which of these questions?
a. Is the child's blood sugar level within normal limits?
b. Has the child's appetite improved with the medications?
c. Are the child's stools of normal consistency?
d. Does the child report increased belching and flatus? Correct
Answers c. Are the child's stools of normal consistency?
A client diagnosed with type 1 diabetes mellitus has a
glycosylated hemoglobin A1c of 4.2%. A nurse should interpret
this to mean that the client has:
a. had a period of sustained hyperglycemia.
b. been non-compliant with home management.
c. been in relatively good diabetic control.
d. eaten a high carbohydrate snack just prior to testing. Correct
Answers c. been in relatively good diabetic control.
A client has been admitted with acute pancreatitis. Which of
these laboratory test results supports this diagnosis?
a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. Correct Answers b.
Elevated serum amylase level.
A client has been in bed for the past three days. Which of these
measures should a nurse include before assisting the client out of
bed?
a. Having the client drink a glass of water.
, b. Raising the head of the bed.
c. Flexing the client's knees.
d. Assessing the lung sounds. Correct Answers b. Raising the
head of the bed.
A client has persistent paranoid delusions that the food on the
unit is poisoned. Which of these measures should a nurse
include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will
result in privilege restrictions. Correct Answers c. Allowing the
client to eat food from sealed containers.
A client has shortness of breath when lying down and usually
assumes an upright or sitting position in order to breathe more
comfortably. A nurse should document this observation as:
a. dyspnea.
b. bradypnea.
c. orthopnea.
d. apnea. Correct Answers c. orthopnea.
A client has the following order for regular insulin (Humulin R)
on a sliding scale:
Blood sugar 150-180 mg: Give 2 units regular insulin
Blood sugar 181-200 mg: Give 4 units regular insulin
Blood sugar 201-220 mg: Give 6 units of regular insulin
Blood sugar above 220 mg: Call MD
At 11 A.M., a nurse obtains a finger stick glucose of 198 mg.
The only syringe is a three milliliter one. Regular insulin is
Solutions
A 12-month-old child is playing with the father. Which of these
behaviors indicates that the child is demonstrating object
permanence?
a. The child transfers a toy to the other hand when given another
one.
b. The child returns a block to the same spot on the table.
c. The child looks for a toy that the father has hidden under the
table.
d. The child recognizes that a ball of clay is the same when
flattened out. Correct Answers c. The child looks for a toy that
the father has hidden under the table.
A 15-year-old child who has type I diabetes mellitus receives an
injection of regular insulin 5 units and isophane (NPH) insulin
15 units subcutaneously at 7:00 A.M. before eating breakfast. At
10:30 A.M., the child tells the school nurse, "I am sweating and
feel weak." Which of these actions should the nurse take first?
a. Measure the blood sugar.
b. Determine what the child ate for breakfast.
c. Give a simple carbohydrate.
d. Contact the physician. Correct Answers a. Measure the
blood sugar.
A 22-year-old college student has a heart rate that is 48/minute
and regular during a routine physical examination. Which of
these questions should a nurse consider when analyzing this
heart rate?
a. Is this student an athlete?
,b. Does this student smoke?
c. How much alcohol does this student drink?
d. Is this student feeling anxious? Correct Answers a. Is this
student an athlete?
A 36-week-pregnant woman awakens to find she is having
profuse, red vaginal bleeding. A nurse should prepare the
woman to have an immediate sonogram to determine the:
a. location of the placenta.
b. uterine response to labor.
c. the fetus's current weight.
d. condition of the uterine vascular bed. Correct Answers a.
location of the placenta.
A 75-year-old client who is newly admitted to a long-term care
facility has all these nursing diagnoses. Which one is the
priority?
a. Risk of injury.
b. Anxiety.
c. Sleep pattern disturbance.
d. Chronic. Correct Answers a. Risk of injury.
A child is brought to the clinical for serum lead screening
because of ingestion of lead-based paint. Which of these
manifestations, if present in the child, would indicate early signs
of lead toxicity?
a. Convulsive seizures.
b. Behavior changes.
c. Bleeding tendencies.
d. Low-grade fever. Correct Answers b. Behavior changes.
,A child who has cystic fibrosis is receiving pancrelipase
(Pancrease MT) with meals and snacks. To determine if the
desired effects of the Pancrease are achieved, a nurse should
consider which of these questions?
a. Is the child's blood sugar level within normal limits?
b. Has the child's appetite improved with the medications?
c. Are the child's stools of normal consistency?
d. Does the child report increased belching and flatus? Correct
Answers c. Are the child's stools of normal consistency?
A client diagnosed with type 1 diabetes mellitus has a
glycosylated hemoglobin A1c of 4.2%. A nurse should interpret
this to mean that the client has:
a. had a period of sustained hyperglycemia.
b. been non-compliant with home management.
c. been in relatively good diabetic control.
d. eaten a high carbohydrate snack just prior to testing. Correct
Answers c. been in relatively good diabetic control.
A client has been admitted with acute pancreatitis. Which of
these laboratory test results supports this diagnosis?
a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. Correct Answers b.
Elevated serum amylase level.
A client has been in bed for the past three days. Which of these
measures should a nurse include before assisting the client out of
bed?
a. Having the client drink a glass of water.
, b. Raising the head of the bed.
c. Flexing the client's knees.
d. Assessing the lung sounds. Correct Answers b. Raising the
head of the bed.
A client has persistent paranoid delusions that the food on the
unit is poisoned. Which of these measures should a nurse
include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will
result in privilege restrictions. Correct Answers c. Allowing the
client to eat food from sealed containers.
A client has shortness of breath when lying down and usually
assumes an upright or sitting position in order to breathe more
comfortably. A nurse should document this observation as:
a. dyspnea.
b. bradypnea.
c. orthopnea.
d. apnea. Correct Answers c. orthopnea.
A client has the following order for regular insulin (Humulin R)
on a sliding scale:
Blood sugar 150-180 mg: Give 2 units regular insulin
Blood sugar 181-200 mg: Give 4 units regular insulin
Blood sugar 201-220 mg: Give 6 units of regular insulin
Blood sugar above 220 mg: Call MD
At 11 A.M., a nurse obtains a finger stick glucose of 198 mg.
The only syringe is a three milliliter one. Regular insulin is
