LVN – Comprehensive Final Review Test Questions, 2026 – Study guide
and practice material
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 - correct answer ✔✔ 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
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 - correct answer ✔✔ Answer: C & E
Symptoms of ketoacidosis are compared with those of hypoglycemia
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 - correct answer ✔✔ B - Child covers one eye to read the chalkboard
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 - correct answer ✔✔ B - Corrective lenses
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 - correct answer ✔✔ D - Bluish coloration of skin
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 - correct answer ✔✔ A- Neurovascular checks are done frequently
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 - correct answer ✔✔ B - Walks on the toes
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 - correct answer ✔✔ D - Pupils
Pupils are assessed with a neurological check, the rest are assessed with a neurovascular check
, 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 - correct answer ✔✔ Answer: C & D
The limb should be warm, and capillary refill should be less than 3 seconds
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 - correct answer ✔✔ C - The contractions can interfere with fetal
oxygenation
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?
A - They get the infant positioned for delivery
B - They push the infant into the vagina
C - They dilate and efface the cervix
D - They get the mother prepared for labor
and practice material
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 - correct answer ✔✔ 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
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 - correct answer ✔✔ Answer: C & E
Symptoms of ketoacidosis are compared with those of hypoglycemia
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 - correct answer ✔✔ B - Child covers one eye to read the chalkboard
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 - correct answer ✔✔ B - Corrective lenses
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 - correct answer ✔✔ D - Bluish coloration of skin
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 - correct answer ✔✔ A- Neurovascular checks are done frequently
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 - correct answer ✔✔ B - Walks on the toes
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 - correct answer ✔✔ D - Pupils
Pupils are assessed with a neurological check, the rest are assessed with a neurovascular check
, 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 - correct answer ✔✔ Answer: C & D
The limb should be warm, and capillary refill should be less than 3 seconds
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 - correct answer ✔✔ C - The contractions can interfere with fetal
oxygenation
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?
A - They get the infant positioned for delivery
B - They push the infant into the vagina
C - They dilate and efface the cervix
D - They get the mother prepared for labor
