LVN Comprehensive Final Review Test
Questions with verified answers
A - When my blood glucose is low or if I begin to feel hungry & weak, I will eat 6 lifesavers
The immediate treatment of hypoglycemia - ANS ✔✔The nurse discussed treatment of
hypoglycemia with an adolescent. Which statement by the adolescent leads the nurse to
determine the patient understood the instructions?
A - When my blood glucose is low or if I begin to feel hungry & weak, I will eat 6 lifesavers
B - When my blood glucose is low or if I begin to feel hungry & weak, I will give myself Lispro
insulin
C - When my blood glucose is low or if I begin to feel hungry & weak, I will have a slice of cheese
D - When my blood glucose is low or if I begin to feel hungry & weak, I will drink a diet soda
Peds Ch. 31
Answer: C & E
Symptoms of ketoacidosis are compared with those of hypoglycemia - ANS ✔✔A child with
diabetes mellitus is observed to have cold symptoms. What signs & symptoms will alert parents
of the possibility of ketoacidosis? (Select all that apply)
A - Chest Congestion
B - Ear Pain
C - Fruity Breath
D - Hyperactivity
E - Nausea
Peds Ch. 31
,B - Child covers one eye to read the chalkboard - ANS ✔✔What assessment made by the school
nurse would lead to the suspicion of strabismus?
A - Reddened sclera in one eye
B - Child covers one eye to read the chalkboard
C - Child complains of a headache
D - Copious tears while watching TV
Peds Ch. 23
B - Corrective lenses - ANS ✔✔A child is diagnosed with nonparalytic strabismus. How will this
disorder most likely be corrected?
A - Patching the unaffected eye
B - Corrective lenses
C - Laser treatment
D - Surgery
Peds Ch. 23
D - Bluish coloration of skin - ANS ✔✔What finding would the nurse assessing the neurovascular
status of a child in Russell traction report immediately?
A - Skin that's warm to the touch
B - Capillary refill less than 3 seconds
C - Ability to wiggle toes
D - Bluish coloration of skin
Peds Ch. 24
,A- Neurovascular checks are done frequently - ANS ✔✔What nursing action will significantly
decrease the risk of serious complications for a child in Bryants traction?
A- Neurovascular checks are done frequently
B - Bandages are wrapped tightly
C - The child is restrained from rolling over
D - The child buttocks are resting on the bed
Peds Ch. 24
B - Walks on the toes - ANS ✔✔What would the nurse consider an abnormal finding on a
musculoskeletal assessment of a 4 year old child?
A - Has inward turned knees
B - Walks on the toes
C - Appears to have flat feet
D - Swings his arms when walking
Peds Ch. 24
D - Pupils
Pupils are assessed with a neurological check, the rest are assessed with a neurovascular check -
ANS ✔✔Which assessment performed by a nursing student performing a neurovascular check
alerts the instructor that further education is necessary?
A - Pulses
B - Capillary refill
C - Movement
, D - Pupils
Peds Ch. 24
Answer: C & D
The limb should be warm, and capillary refill should be less than 3 seconds - ANS ✔✔The nurse
performing a neurovascular check on a limb in traction would report and document which
finding(s) as indicative of altered circulation? (Select all that apply)
A - Pulse is equal to uncasted limb
B - Patient is aware of touch and warm and cold application
C - Limb is cool to the touch
D - Capillary refill is 5 seconds
E - Distal limb can flex and extend
Peds Ch. 24
C - The contractions can interfere with fetal oxygenation - ANS ✔✔Why is the relaxing phase
between contractions important?
A -The laboring woman needs to rest
B - The uterine muscles fatigue without relaxation
C - The contractions can interfere with fetal oxygenation
D - The infant progresses toward delivery at these times
Mother/Baby Ch. 6
C - They dilate and efface the cervix - ANS ✔✔The nurse is caring for a woman in the first stage
of labor. What will the nurse remind the patient about contractions during this stage of labor?
Questions with verified answers
A - When my blood glucose is low or if I begin to feel hungry & weak, I will eat 6 lifesavers
The immediate treatment of hypoglycemia - ANS ✔✔The nurse discussed treatment of
hypoglycemia with an adolescent. Which statement by the adolescent leads the nurse to
determine the patient understood the instructions?
A - When my blood glucose is low or if I begin to feel hungry & weak, I will eat 6 lifesavers
B - When my blood glucose is low or if I begin to feel hungry & weak, I will give myself Lispro
insulin
C - When my blood glucose is low or if I begin to feel hungry & weak, I will have a slice of cheese
D - When my blood glucose is low or if I begin to feel hungry & weak, I will drink a diet soda
Peds Ch. 31
Answer: C & E
Symptoms of ketoacidosis are compared with those of hypoglycemia - ANS ✔✔A child with
diabetes mellitus is observed to have cold symptoms. What signs & symptoms will alert parents
of the possibility of ketoacidosis? (Select all that apply)
A - Chest Congestion
B - Ear Pain
C - Fruity Breath
D - Hyperactivity
E - Nausea
Peds Ch. 31
,B - Child covers one eye to read the chalkboard - ANS ✔✔What assessment made by the school
nurse would lead to the suspicion of strabismus?
A - Reddened sclera in one eye
B - Child covers one eye to read the chalkboard
C - Child complains of a headache
D - Copious tears while watching TV
Peds Ch. 23
B - Corrective lenses - ANS ✔✔A child is diagnosed with nonparalytic strabismus. How will this
disorder most likely be corrected?
A - Patching the unaffected eye
B - Corrective lenses
C - Laser treatment
D - Surgery
Peds Ch. 23
D - Bluish coloration of skin - ANS ✔✔What finding would the nurse assessing the neurovascular
status of a child in Russell traction report immediately?
A - Skin that's warm to the touch
B - Capillary refill less than 3 seconds
C - Ability to wiggle toes
D - Bluish coloration of skin
Peds Ch. 24
,A- Neurovascular checks are done frequently - ANS ✔✔What nursing action will significantly
decrease the risk of serious complications for a child in Bryants traction?
A- Neurovascular checks are done frequently
B - Bandages are wrapped tightly
C - The child is restrained from rolling over
D - The child buttocks are resting on the bed
Peds Ch. 24
B - Walks on the toes - ANS ✔✔What would the nurse consider an abnormal finding on a
musculoskeletal assessment of a 4 year old child?
A - Has inward turned knees
B - Walks on the toes
C - Appears to have flat feet
D - Swings his arms when walking
Peds Ch. 24
D - Pupils
Pupils are assessed with a neurological check, the rest are assessed with a neurovascular check -
ANS ✔✔Which assessment performed by a nursing student performing a neurovascular check
alerts the instructor that further education is necessary?
A - Pulses
B - Capillary refill
C - Movement
, D - Pupils
Peds Ch. 24
Answer: C & D
The limb should be warm, and capillary refill should be less than 3 seconds - ANS ✔✔The nurse
performing a neurovascular check on a limb in traction would report and document which
finding(s) as indicative of altered circulation? (Select all that apply)
A - Pulse is equal to uncasted limb
B - Patient is aware of touch and warm and cold application
C - Limb is cool to the touch
D - Capillary refill is 5 seconds
E - Distal limb can flex and extend
Peds Ch. 24
C - The contractions can interfere with fetal oxygenation - ANS ✔✔Why is the relaxing phase
between contractions important?
A -The laboring woman needs to rest
B - The uterine muscles fatigue without relaxation
C - The contractions can interfere with fetal oxygenation
D - The infant progresses toward delivery at these times
Mother/Baby Ch. 6
C - They dilate and efface the cervix - ANS ✔✔The nurse is caring for a woman in the first stage
of labor. What will the nurse remind the patient about contractions during this stage of labor?
