Download licensed vocational nurse test

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
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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