VN 140 Final Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Which task is most appropriate for the licensed practical nurse/licensed vocational nurse
(LPN/LVN) to delegate to the unlicensed assistive personnel (UAP)?
A. Changing the dressing of a patient who had abdominal surgery
B. Ambulating a patient who just underwent knee surgery
C. Assessment of a newly admitted patient
D. Feeding a patient who needs assistance with eating - CORRECT ANSWER D.
Feeding a patient who needs assistance with eating
After reviewing an electrocardiogram, the nurse determines that an electrical impulse
originated in a patient's sinoatrial node. What did the nurse see on this tracing?
A. An upright T wave
B. An inverted T wave
C. A positive P wave before a QRS complex
D. A negative P wave before a QRS complex - CORRECT ANSWER C. A positive P
wave before a QRS complex
The nurse is assessing an unresponsive older adult who lives with her daughter and notes
multiple pressure ulcers and bruises all over. Which action by the nurse is most appropriate?
A. Call the daughter and tell her if the abuse doesn't stop you will call the police.
B. Notify the authorities of suspected abuse.
C. Contact a nursing home to see if she will accept the patient.
D. Do not get involved in a suspected abuse case. - CORRECT ANSWER B. Notify
the authorities of suspected abuse.
The nurse is caring for a patient who begins to exhibit difficulty swallowing. Which
discipline will the nurse likely include in the patient's care?
A. Occupational therapist
B. Respiratory therapist
,C. Social worker
D. Speech pathologist - CORRECT ANSWER D. Speech pathologist
The nursing staff is meeting to discuss a patient's desire for all life support measures, even
though the patient has end-stage renal disease. Once a list of all possible actions is generated,
what should the staff do next?
A. List the stakeholders.
B. Identify positive and negative consequences.
C. Gather important information.
D. Determine the best action. - CORRECT ANSWER B. Identify positive and negative
consequences.
After reviewing an electrocardiogram, the nurse determines that an electrical impulse
originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?
A. Atrial repolarization
B. Ventricular depolarization
C. Atrial depolarization
D. Ventricular repolarization - CORRECT ANSWER C. Atrial depolarization
A patient is diagnosed with ventricular fibrillation. For which emergency intervention should
the nurse anticipate preparing?
A. Defibrillation
B. Endotracheal intubation
C. Synchronized cardioversion
D. CPR - CORRECT ANSWER A. Defibrillation
The nurse is caring for a group of patients on the telemetry unit. Which patient should the
nurse see first?
A. A patient with sinus bradycardia with a heart rate of 53 beats/minute
B. A patient with sinus tachycardia with a heart rate of 108 beats/minute
C. A patient with premature atrial contractions who is asymptomatic
, D. A patient with atrial fibrillation reporting dyspnea - CORRECT ANSWER D. A
patient with atrial fibrillation reporting dyspnea
The nurse is caring for a group of patients. Which patient is at risk for developing premature
atrial contractions (PACs)?
A. A patient who smokes and takes digoxin (Lanoxin)
B. A patient who occasionally drinks alcohol and takes atenolol (Tenormin)
C. A patient with sinus tachycardia who takes diltiazem (Cardizem)
D. A patient with atrial flutter who takes metoprolol succinate (Lopressor) - CORRECT
ANSWER A. A patient who smokes and takes digoxin (Lanoxin)
The nurse is caring for a patient receiving warfarin (Coumadin) for atrial fibrillation. Which
finding would be of most concern to the nurse?
A. The patient reports using aspirin for headaches.
B. The patient reports nausea.
C. The patient's apical heart rate is 92 beats/minute.
D. The patient has a dry, nagging cough. - CORRECT ANSWER A. The patient reports
using aspirin for headaches.
The nurse is caring for a patient recovering from cardioversion. What should the nurse
monitor for in this patient? (Select all that apply.)
A. Skin burns
B. Blood pressure
C. Sensory disturbances
D. Respiratory problems
E. Rhythm disturbances
F. Changes in ST segment - CORRECT ANSWER A. Skin burns
B. Blood pressure
D. Respiratory problems
E. Rhythm disturbances
F. Changes in ST segment
AND CORRECT ANSWERS
Which task is most appropriate for the licensed practical nurse/licensed vocational nurse
(LPN/LVN) to delegate to the unlicensed assistive personnel (UAP)?
A. Changing the dressing of a patient who had abdominal surgery
B. Ambulating a patient who just underwent knee surgery
C. Assessment of a newly admitted patient
D. Feeding a patient who needs assistance with eating - CORRECT ANSWER D.
Feeding a patient who needs assistance with eating
After reviewing an electrocardiogram, the nurse determines that an electrical impulse
originated in a patient's sinoatrial node. What did the nurse see on this tracing?
A. An upright T wave
B. An inverted T wave
C. A positive P wave before a QRS complex
D. A negative P wave before a QRS complex - CORRECT ANSWER C. A positive P
wave before a QRS complex
The nurse is assessing an unresponsive older adult who lives with her daughter and notes
multiple pressure ulcers and bruises all over. Which action by the nurse is most appropriate?
A. Call the daughter and tell her if the abuse doesn't stop you will call the police.
B. Notify the authorities of suspected abuse.
C. Contact a nursing home to see if she will accept the patient.
D. Do not get involved in a suspected abuse case. - CORRECT ANSWER B. Notify
the authorities of suspected abuse.
The nurse is caring for a patient who begins to exhibit difficulty swallowing. Which
discipline will the nurse likely include in the patient's care?
A. Occupational therapist
B. Respiratory therapist
,C. Social worker
D. Speech pathologist - CORRECT ANSWER D. Speech pathologist
The nursing staff is meeting to discuss a patient's desire for all life support measures, even
though the patient has end-stage renal disease. Once a list of all possible actions is generated,
what should the staff do next?
A. List the stakeholders.
B. Identify positive and negative consequences.
C. Gather important information.
D. Determine the best action. - CORRECT ANSWER B. Identify positive and negative
consequences.
After reviewing an electrocardiogram, the nurse determines that an electrical impulse
originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?
A. Atrial repolarization
B. Ventricular depolarization
C. Atrial depolarization
D. Ventricular repolarization - CORRECT ANSWER C. Atrial depolarization
A patient is diagnosed with ventricular fibrillation. For which emergency intervention should
the nurse anticipate preparing?
A. Defibrillation
B. Endotracheal intubation
C. Synchronized cardioversion
D. CPR - CORRECT ANSWER A. Defibrillation
The nurse is caring for a group of patients on the telemetry unit. Which patient should the
nurse see first?
A. A patient with sinus bradycardia with a heart rate of 53 beats/minute
B. A patient with sinus tachycardia with a heart rate of 108 beats/minute
C. A patient with premature atrial contractions who is asymptomatic
, D. A patient with atrial fibrillation reporting dyspnea - CORRECT ANSWER D. A
patient with atrial fibrillation reporting dyspnea
The nurse is caring for a group of patients. Which patient is at risk for developing premature
atrial contractions (PACs)?
A. A patient who smokes and takes digoxin (Lanoxin)
B. A patient who occasionally drinks alcohol and takes atenolol (Tenormin)
C. A patient with sinus tachycardia who takes diltiazem (Cardizem)
D. A patient with atrial flutter who takes metoprolol succinate (Lopressor) - CORRECT
ANSWER A. A patient who smokes and takes digoxin (Lanoxin)
The nurse is caring for a patient receiving warfarin (Coumadin) for atrial fibrillation. Which
finding would be of most concern to the nurse?
A. The patient reports using aspirin for headaches.
B. The patient reports nausea.
C. The patient's apical heart rate is 92 beats/minute.
D. The patient has a dry, nagging cough. - CORRECT ANSWER A. The patient reports
using aspirin for headaches.
The nurse is caring for a patient recovering from cardioversion. What should the nurse
monitor for in this patient? (Select all that apply.)
A. Skin burns
B. Blood pressure
C. Sensory disturbances
D. Respiratory problems
E. Rhythm disturbances
F. Changes in ST segment - CORRECT ANSWER A. Skin burns
B. Blood pressure
D. Respiratory problems
E. Rhythm disturbances
F. Changes in ST segment
