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LICENSED PRACTICAL NURSE TEST 1. The effectiveness of nasotracheal suctioning is determined by: a. b. c. d. Encouraging the patient to cough Assessing the rate and character of respirations Noting the characteristics of the respiratory secretions Providing oral care at the end of the procedure 2. During a surgical dressing change, the nurse notes that there are copious amounts of purulent drainage along the reddened incision site. This most likely indicates: a. b. c. d. Local infection Necrosis of the wound Systemic infection Nosocomial wound contamination 3. A post operative patient has been on IV fluids for several days. Which of the following remarks made by the patient indicates that they are ready for oral intake: a. b. c. d. I’m glad I don’t have any more nausea I can’t wait to see some real food rather than this IV My stomach is rumbling but there’s nothing in it My stomach is feeling distended. 4. Which of the following patients would most benefit from a jejunostomy tube for supplemental feedings: a. b. c. d. A postoperative gastrectomy patient A 2-day postoperative appendectomy patient with positive bowel sounds A patient with gastric ulcer disease An orthopedic patient who is reluctant to eat 5. The reabsorption of water from the kidney tubules is promoted by: a. b. c. d. Calcitonin Oxytocin Antidiuretic hormone (ADH) Prolactin (PRL) 6. Normal urine has the following characteristics EXCEPT: a. b. c. d. Slightly aromatic Nitrogenous waste products Clear, amber liquid High specific gravity Revised 05/04 Licensed Vocational Nurse Test Page 2 7. A patient you are caring for has alcoholic liver disease. The patient is jaundiced, has ascites, and has recently experienced dyspnea. You are aware that ascites is primarily caused by: a. b. c. d. Blockage of the common bile duct Portal hypertension Increased production of albumin Increased production of ammonia 8. A patient with chronic renal failure is becoming increasingly confused. Previous lab results were indicated to be within normal range, therefore which of the following would be of concern to the nurse and should be reported: a. b. c. d. Potassium of 5.5 mEq/l Platelet count of 150,000/mm3 Leukocyte count of5,500/mm3 Glucose of 90mg/100ml 9. Your patient refuses to cough and deep breathe or to use their incentive spriometer. Aswell as assessing respirations and lab results, which of the following would indicate that the patient had the beginning of respiratory acidosis: a. b. c. d. Warm, flushed skin Facial twitching Peripheral cyanosis Numbness of the fingers 10. The water seal chamber of a patient’s chest drainage set-up has stopped fluctuating. The suction control is working properly. The patient has had the chest tube for 2 days. The most appropriate action for the nurse to do first is: a. b. c. d. Add reinforcing tape around the chest tube insertion site Ask the patient to bear down and perform a Valasalva maneuver Check the tubing for dependent loops Notify the RN and physician of the development 11. A diabetic patient is being treated for pneumonia and received 22 units of insulin at 7am and was unable to eat any breakfast. The nurse must observe for: a. b. c. d. Somnolence Polydipsia Increased urine output Diaphoresis 12. The patient you are caring for had a recent myocardial infarction and there is a concern of the development of cardiogenic shock. Signs of this include: a. b. c. d. e. Hypertension, shallow respirations and chest pain Clammy skin, bounding pulses and fever Hypotension, weak, thready pulses, clammy skin Mental confusion, hot, dry skin, rapid respirations Licensed Vocational Nurse Test Page 3 13. The patient who has an arterio-venous fistula and graft in the left forearm receives hemodialysis three times a week. The nurse should plan to: a. b. c. d. Irrigate the fistula every 4 hours Keep the patient on bed rest Take the blood pressure on the right arm Monitor intake and output hourly 14. In assessing a patient for risk of suicide, which of the following would be a high risk factor: a. b. c. d. Deviance in the person’s background A concrete plan which is relatively lethal Long psychotherapeutic treatment Past attempts 15. For a postoperative patient with a nasogastric tube which is attached to low suction, IV replacement therapy will be need to primarily: a. b. c. d. Facilitate osmotic diuresis Maintain bladder function Equalize intake and output Maintain fluid and electrolyte balance 16. The nurse should interpret a serum electrolyte potassium value of 4.2 mEq/L in a postoperative patient as: a. b. c. d. Slightly below normal range Within normal range Above normal Life threatening low 17. When auscultating a patient’s abdomen for bowel sounds, the correct procedure would include: a. Placing the patient on the left side b. Palpating the abdomen first to determine correct stethoscope placement c. Encouraging the patient to cough to stimulate movement of fluid and air through the abdomen d. Listening for 5 minutes in all 4 quadrants to confirm absence of bowel sounds 18. The best method for the nurse to use when assessing a male patient for bladder distention is to check: a. b. c. d. Urine discharge from the urethral meatus A rebound swelling just above the pubis Dullness to the left lower quadrant Rebound tenderness just below the symphysis 19. The purpose of giving a patient a diuretic is to: a. b. c. d. Decrease the flow of urine Increase the flow of urine Improve glomerular filtration Combat infection Licensed Vocational Nurse Test Page 4 20. Insulin should be: a. b. c. d. Administered in good muscle mass Gently rotated before administration Kept in a cool place Both B and C 21. Your patient is receiving a blood transfusion and complains of feeling unwell. You know that signs and symptoms of a reaction include all of the following EXCEPT: a. b. c. d. Hives Hyperpyrexia Nausea and vomiting Hypothermia 22. The patient you are caring for has emphysema. Oxygen for this patient should be given: a. b. c. d. At a low flow meter rate At a high flow meter rate Only by a respiratory therapist In combination with carbon dioxide 23. Your patient has been diagnosed with epilepsy. When the patient has a seizure you should observe and record: a. b. c. d. The first area of twitching and the time of the seizure Whether the seizure was localized or generalized Condition following the seizure All of the above 24. A patient is due to have surgery and has been ordered to receive a cleansing enema. Which of the following positions would you place the patient to administer the enema: a. b. c. d. Left lateral Prone Knee-chest Semi-fowlers 25. Symptoms of shock include all of the following EXCEPT: a. b. c. d. Decreased urinary output Tachycardia Hot, flushed skin Pale, cool, moist skin