Trainer Tests Questions well answered 2022

Trainer Tests
The LPN/LVN cares for the infant diagnosed with tetralogy of Fallot. The parents ask
the LPN/LVN what parts of the heart this involves. Which response is most appropriate?
1.Atria, aorta, and superior vena cava.2.Ventricles, ductus arteriosis, and
aorta.3.Pulmonary artery, ventricles, and aorta.4.Atria, foramen ovale, and ventricles. -
Answer 1) atria and superior vena cava are not involved
2) ductus arteriosis is not involved
3) CORRECT — there is pulmonary stenosis, ventricular septal defect, right ventricular
hypertrophy, and overriding aorta
4) atria and foramen ovale are not involved

The LPN/LVN explains the immunization schedule to the new parents. Which
immunizations are recommended to be given in the first 11 months of life?
Select all that apply.
1.Hepatitis A.2.Varicella.3.Hepatitis B..4.Measles, mumps, rubella.5.Rotavirus. - Answer
1) greater than 12 months of age
2) 12 to 15 months
3) CORRECT — birth and 2 months
4) 12 to 15 months
5) CORRECT — 2 months and 4 months

The LPN/LVN cares for the 2-week-old infant diagnosed with patent ductus arteriosus.
Surgical ligation is performed. The LPN/LVN notifies the RN that a complication has
occurred if which observation is made?
1.Breath sounds are absent on the left side of the chest.2.Respiratory rate is 40 breaths
per minute.3.Feet and hands are pink and warm.4.Infant takes 4 ounces of formula at a
feeding. - Answer 1) CORRECT — indicates a pneumothorax, a potential complication
of the surgery
2) normal respirations are 30-60 per minute in the newborn
3) normal finding and may indicate successful surgery
4) normal amount of formula at this age; may indicate surgery was successful

The LPN/LVN cares for the client who had abdominal surgery yesterday. The client is to
sit in the chair for 30 minutes. Place steps for transfer in correct order beginning with the
first step. - Answer 1) first, position chair next to bed
2) second, lower bed to lowest position
3) third, raise head of bed
4) fourth, help client swing legs off side of bed
5) fifth, assist client to stand
6) sixth, assist client to pivot and sit

The LPN/LVN cares for the client diagnosed with Clostridium difficile. The client has
frequent, watery stools. Personnel are observed wearing gowns and gloves and
washing hands. Which precaution does the LPN/LVN use when caring for this client?

,1.Contact.2.Airborne.3.Standard.4.Droplet. - Answer 1) CORRECT — Clostridium
difficile requires contact precautions
2) used for measles, varicella zoster, tuberculosis
3) used for all clients at all times
4) used with conditions such as meningitis, pneumonia, diphtheria, pertussis, influenza

The LPN/LVN expect to give Rho(D) immune globulin in which situation?
1.Mother is Rh+ and baby is Rh+.2.Mother is Rh- and baby is Rh+.3.Mother is Rh+ and
baby is Rh-.4.Mother is Rh- and baby is Rh-. - Answer 1) Rh+ mothers not at risk for Rh
problems
2) CORRECT — Rh- mothers at risk for Rh problems with next pregnancy if baby is
Rh+
3) Rh+ mothers not at risk for Rh problems
4) if both mother and baby are Rh-, no possible problems exist

The LPN/LVN assists the family caring for the client in the home. The client is
diagnosed with Alzheimer's disease. Which family comment indicates a good
understanding of the client's future?
1."We can expect our parent to improve in the next several weeks."2."We need to place
our parent in a long-term care facility immediately."3. "If we add more foods with
antioxidants to our parent's diet, we will see improvement."4."If we safety-proof the
house, we can leave our parent for short periods of time." - Answer 1) no method of
improvement is currently available; family should expect a steady decline in functionality
2) it depends on the family and their ability to care for the client in the home; an
alternative is to employ persons to help with care in the home
3) foods high in antioxidants may help prevent Alzheimer's disease but will not reverse
the disease process
4) CORRECT — the house needs to be safety-proofed before the client is left alone,
even for short times; safety includes removing stove knobs and double-locking doors
and windows

The LPN/LVN cares for the client diagnosed with terminal cancer of the esophagus. The
client is comatose. The family says, "Please remove the tube feeding from my parent's
stomach." Which document in the client's record determines if this is possible?
1.Living will.2.Do not resuscitate order.3.Informed consent.4.Patient's Bill of Rights. -
Answer 1) CORRECT — a living will identifies a client's wishes for end of life decisions;
if the client can no longer speak for self, feeding tubes may be removed if that decision
matches the client's wishes
2) a Do Not Resuscitate order is a directive given by the health care provider in
accordance with a client's status, wishes, and family consent; provides death with
dignity
3) informed consent is a document signed by the client or person with prescribed
authority giving permission to do a procedure or give specific care
4) a Patient's Bill of Rights is a document by the American Hospital Association detailing
what the client can expect from an institution regarding care

,The LPN/LVN cares for the client beginning to take fluphenazine. The teaching about
the medication is effective if the client makes which statements?
Select all that apply.
1."I will use sunscreen and long sleeves if I need to be in the sun."2."If my mouth
becomes dry, I will chew sugarless gum."3."When I get up from my chair or the bed, I
can stand up right away."4."I can continue to enjoy my beer while I watch sporting
events."5."I will add some salt to my foods when I prepare meals."6."I will stop taking
this medication gradually when the health care provider says I can." - Answer 1)
CORRECT — medication causes sensitivity to ultraviolet light
2) CORRECT — dry mouth is common with this medication
3) get up slowly as orthostatic hypotension is common
4) alcohol will increase effects of this medication; should not drink any alcohol
5) CORRECT — sodium is needed for this medication
6) CORRECT — need to withdraw from medication slowly

The LPN/LVN assists a client with self-monitoring of blood glucose before breakfast.
The client's fasting blood glucose reading is 150 mg/dL (8.32 mmol/L). Which action
does the LPN/LVN take next?
1.Give breakfast to the client immediately.2.Administer insulin, as prescribed.3.Report
the reading to the RN.4.No action as this is a normal glucose level. - Answer 1) A
fasting blood glucose of 150 mg/dL (8.32 mmol/L) is high, not low. Therefore, feeding
the client is not the priority.
2) CORRECT- A normal fasting blood glucose reading is 70 to 99 mg/dL (3.89 to 5.49
mmol/L). Because the client's glucose level is high, insulin should be administered
before breakfast is given.
3) The LPN/LVN should report the reading to the RN after administering insulin per
sliding scale.
4) This is incorrect as normal fasting blood glucose is between 70 and 99 mg/dL (3.89
to 5.49 mmol/L).

The LPN/LVN monitors the client receiving ceftazidime 750 mg every 8 hours IV as a
secondary (piggyback). Which observation of the IV insertion site indicates it is safe for
the medication to be administered?
1.The insertion site is normal skin temperature with no pain.2.There is pain and
inflammation at the insertion site.3.The insertion site is pale and edematous.4.There is
erythema and warmth at the insertion site. - Answer 1) CORRECT — normal insertion
site without problems
2) indicates possible infiltration or phlebitis
3) indicates possible infiltration or phlebitis
4) indicates possible infiltration or phlebitis

The LPN/LVN cares for the 4-year-old client receiving IV methotrexate. In which
situation does the LPN/LVN request intervention by the RN?
1.Child becomes restless and wants food.2.Child reports pain and a burning sensation
at insertion site.3.Child has diarrheal stool and vomits.4.Child says head hurts and
becomes dizzy. - Answer 1) no relation to IV therapy

, 2) CORRECT — IV likely infiltrated; requires intervention
3) adverse effects of medication and to be expected
4) adverse effects of medication and to be expected

The LPN/LVN refers the client to several organizations because of a diagnosis of
chronic obstructive pulmonary disease (COPD). The LPN/LVN knows the client
understands the disease process when the client chooses which intervention first?
1.Vaccination clinic for influenza vaccine.2.Support group for clients with
COPD.3.Dietitian to increase protein in the diet.4.Smoking cessation classes. - Answer
1) an influenza vaccination should be given each year; not most important
2) a very helpful organization, but not most important
3) a high protein, high calorie diet is helpful, but not most important
4) CORRECT — smoking causes the most damage and the client needs to stop
smoking as soon as possible

The LPN/LVN receives the results of a client's Papanicolaou (Pap) test. The results
indicate a mild dysplasia. No infection is detected. The LPN/LVN anticipates which
health care provider order?
1.Call the client to make an appointment for a repeat test in 8-12 weeks.2.Refer the
client to the specialty health care provider.3.Call the client and schedule a repeat test in
2 weeks.4.No order as this is a normal test result. - Answer 1) CORRECT — needs
follow-up as this is an inconclusive result and continued care is required
2) health care provider will schedule a follow-up Pap test in 8-12 weeks before anything
else
3) standard is to repeat the test in 8-12 weeks; may need a follow-up colposcopy
4) normal test result is negative or Class I

The LPN/LVN cares for the client diagnosed with type 2 diabetes mellitus. Which meal
choice indicates the client understands the goal of a diabetic diet?
1.Hot dog with bun, peas, French fries, ice cream.2.Lettuce salad with carrots, green
peppers, onions, celery, and no fat dressing.3.Lunchmeat sandwich on white bread,
potato chips, squash, and 2 cookies.4.Lettuce salad with grilled chicken and low fat
dressing, whole wheat crackers, and pears. - Answer 1) high carbohydrate foods and
elevated fats
2) no protein or fat and few carbohydrates
3) some protein, high fat, high carbohydrates
4) CORRECT — high fiber, protein, some carbohydrates and fats; balanced with fruits
and vegetables

The LPN/LVN assists the new postpartum client with breastfeeding. The LPN/LVN
knows breastfeeding is successful if which observation is made?
1.Mother positions baby with head turned to breast.2.Tip of nipple is fully in infant's
mouth.3.Mother forces infant's mouth open and places nipple inside.4.Infant swallows
after every 2-3 sucks. - Answer 1) need to position with whole body turned to breast
2) infant needs to have nipple and areola in mouth
3) should brush infant's cheek with nipple to start the rooting reflex