HESIgPNgLPNgFUNDAMENTALSgEXAMgSAMPLEgQUESTIONSgAND
SOLUTIONSgGRADEDgA
ThegLPN/LVNgisgassessinggthegnutritionalgstatusgofgseveralgclients.gWhichgclientghasgtheggreatest
gnutritionalgneedgforgadditionalgintakegofgprotein?
A. Agcollege-agegtrackgrunnergwithgagsprainedgankle.
B. Aglactatinggwomangnursinggherg3-day-oldginfant.
C. Agschool-agedgchildgwithgTypeg2gdiabetes.
D. Angelderlygmangbeinggtreatedgforgagpepticgulcer.
(Ans-gB.gAglactatinggwomangnursinggherg3-day-oldginfant.
Agclientgisgingthegradiologygdepartmentgatg0900gwhengthegprescriptionglevofloxacing(Levaquin)g5
00gmggIVgq24hgisgscheduledgtogbegadministered.gThegclientgreturnsgtogthegunitgatg1300.gWhatgisgt
hegbestginterventiongforgthegLPN/LVNgtogimplement?g A.gContactgtheghealthcaregprovidergandgc
ompletegagmedicationgvariancegform.
B. AdministergthegLevaquingatg1300gandgresumegtheg0900gschedulegingthegmorning.g C.gNotifygt
hegchargegnursegandgcompletegangincidentgreportgtogexplaingthegmissed
dose.
D.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadministergdailygatg1300.
(Ans-gD.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadministergdailygatg1300.
Whileginstructinggagmalegclient'sgwifegingthegperformancegofgpassivegrange-
ofmotiongexercisesgtoghisgcontractedgshoulder,gthegnursegobservesgthatgshegisgholdingghisgarmgab
ovegandgbelowgthegelbow.gWhatgnursinggactiongshouldgthegLPN/LVNgimplement?
A.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
B.gEncourageghergtogkeepgthegjointgcoveredgtogmaintaingwarmth.
C.g Reinforcegthegneedgtoggripgdirectlygundergthegjointgforgbettergsupport.
D.gInstructghergtoggripgdirectlygovergthegjointgforgbettergmotion
(Ans-gA.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
,Whatgisgthegmostgimportantgreasongforgstartinggintravenousginfusionsgingtheguppergextremitiesgrat
hergthangtheglowergextremitiesgofgadults?
A.gItgisgmoregdifficultgtogfindgagsuperficialgveingingthegfeetgandgankles.gB.gAgdecreasedgflowgrategc
ouldgresultgingthegformationgofgagthrombosis.
C.gAgcannulatedgextremitygisgmoregdifficultgtogmovegwhengthegleggorgfootgisgused.g D.gVeinsgaregl
ocatedgdeepgingthegfeetgandgankles,gresultinggingagmoregpainful
procedure.
(Ans-gB.gAgdecreasedgflowgrategcouldgresultgingthegformationgofgagthrombosis.
ThegLPNgobservesgangunlicensedgassistivegpersonnelg(UAP)gtakinggagclient'sgbloodgpressuregwit
hgagcuffgthatgisgtoogsmall,gbutgthegbloodgpressuregreadinggobtainedgisgwithingthegclient'sgusualgra
nge.gWhatgactiongisgmostgimportantgforgthegnursegtogimplement?
A.gTellgthegUAPgtogusegaglargergcuffgatgthegnextgscheduledgassessment.
B.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
C.g HavegthegunitgeducatorgreviewgthisgproceduregwithgthegUAPs.
D.gTeachgthegUAPgthegcorrectgtechniquegforgassessinggbloodgpressure
(Ans-gB.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
Agclientgisgtogreceivegcimetidineg(Tagamet)g300gmggq6hgIVPB.gThegpreparationgarrivesgfromgthe
gpharmacygdilutedging50gmlgofg0.9%gNaCl.gThegLPNgplansgtogadministergthegIVPBgdosegoverg20
gminutes.gForghowgmanygml/ghrgshouldgtheginfusiongpumpgbegsetgtogdelivergthegsecondaryginfusio
n?g(Ans-g150gmL/Hr
Twentygminutesgaftergbeginninggagheatgapplication,gthegclientgstatesgthatgthegheatinggpadgnoglonge
rgfeelsgwarmgenough.gWhatgisgthegbestgresponsegbygthegLPN/LVN?g A.gThatgmeansgyoughavegder
ivedgthegmaximumgbenefit,gandgthegheatgcangbegremoved.
B.g Yourgbloodgvesselsgaregbecominggdilatedgandgremovinggthegheatgfromgthegsite.
C.gWegwillgincreasegthegtemperatureg5gdegreesgwhengthegpadgnoglongergfeelsgwarm.
D.gThegbody'sgreceptorsgadaptgovergtimegasgtheygaregexposedgtogheat
,(Ans-gD.gThegbody'sgreceptorsgadaptgovergtimegasgtheygaregexposedgtogheat
ThegLPNgisginstructinggagclientgwithghighgcholesterolgaboutgdietgandglifegstylegmodification.gWha
tgcommentgfromgthegclientgindicatesgthatgthegteachingghasgbeengeffective?
A.gIfgIgexercisegatgleastgtwogtimesgweeklygforgoneghour,gIgwillglowergmygcholesterol.
B.g Igneedgtogavoidgeatinggproteins,gincludinggredgmeat.
C.g Igwillglimitgmygintakegofgbeefgtog4gouncesgpergweek.
D.gMygbloodglevelgofglowgdensityglipoproteinsgneedsgtogincrease.
(Ans-gC.gIgwillglimitgmygintakegofgbeefgtog4gouncesgpergweek.
ThegUAPsgworkinggongagchronicgneurogunitgaskgthegLPN/LVNgtoghelpgthemgdeterminegthegsafest
gwaygtogtransfergangelderlygclientgwithgleft-
sidedgweaknessgfromgthegbedgtogthegchair.gWhatgmethodgdescribesgthegcorrectgtransfergprocedureg
forgthisgclient?
A.gPlacegthegchairgatgagrightganglegtogthegbedgongthegclient'sgleftgsidegbeforegmoving.
B.gAssistgthegclientgtogagstandinggposition,gthengplacegthegrightghandgongthegarmrest.g C.gHavegthe
gclientgplacegthegleftgfootgnextgtogthegchairgandgpivotgtogthegleftgbeforegsitting.
D.gMovegthegchairgparallelgtogthegrightgsidegofgthegbed,gandgstandgthegclientgongthegrightgfoot
.g(Ans-
gD.gMovegthegchairgparallelgtogthegrightgsidegofgthegbed,gandgstandgthegclientgongthegrightgfoo
t.
Angunlicensedgassistivegpersonnelg(UAP)gplacesgagclientgingagleftglateralgpositiongpriorgtogadmini
steringgagsoapgsudsgenema.gWhichginstructiongshouldgthegLPN/LVNgprovidegthegUAP?
A.gPositiongthegclientgongthegrightgsidegofgthegbedgingreversegTrendelenburg.
B.g Fillgthegenemagcontainergwithg1000gmlgofgwarmgwatergandg5gmlgofgcastilegsoap.
C.g RepositiongingagSim'sgpositiongwithgthegclient'sgweightgongtheganteriorgilium.
D.gRaisegthegsidegrailsgongbothgsidesgofgthegbedgandgelevategthegbedgtogwaistglevel.g(Ans-gC.
RepositiongingagSim'sgpositiongwithgthegclient'sgweightgongtheganteriorgiliu
m.
, Agclientgwhogisginghospicegcaregcomplainsgofgincreasinggamountsgofgpain.gTheghealthcaregprovide
rgprescribesganganalgesicgeverygfourghoursgasgneeded.gWhichgactiongshouldgthegLPN/LVNgimple
ment?
A.gGivegangaround-the-
clockgschedulegforgadministrationgofganalgesics.g B.gAdministerganalgesicgmedicationgasgnee
dedgwhengthegpaingisgsevere.
C.g Providegmedicationgtogkeepgthegclientgsedatedgandgunawaregofgstimuli.
D.gOffergagmedication-freegperiodgsogthatgthegclientgcangdogdailygactivities.
(Ans-gA.gGivegangaround-the-clockgschedulegforgadministrationgofganalgesics.
Whengassessinggagclientgwithgwristgrestraints,gthegnursegobservesgthatgthegfingersgongthegrightgha
ndgaregblue.gWhatgactiongshouldgthegLPNgimplementgfirst?g A.gLoosengthegrightgwristgrestraint.
B.g Applygagpulsegoximetergtogthegrightghand.
C.g Compareghandgcolorgbilaterally.
D.gPalpategthegrightgradialgpulse
(Ans-gA.gLoosengthegrightgwristgrestraint.
AgclientgwhogisgagJehovah'sgWitnessgisgadmittedgtogthegnursinggunit.gWhichgconcerngshouldgthegL
PNghavegforgplanninggcaregingtermsgofgthegclient'sgbeliefs?
A.gAutopsygofgthegbodygisgprohibited.gB.gBloodgtransfusionsgaregforbidden.gC.
Alcoholguseginganygformgisgnotgallowed.g D.gAgvegetari
angdietgmustgbegfollowed.g (Ans-
gB.gBloodgtransfusionsgaregforbidden.
ThegLPN/LVNgobservesgthatgagmalegclientghasgremovedgthegcoveringgfromgangicegpackgapplied
gtoghisgknee.gWhatgactiongshouldgthegnursegtakegfirst? g A.gObservegthegappearancegofgthegsking
undergthegicegpack.
B.g Instructgthegclientgregardinggthegneedgforgthegcovering.
C.g Reapplygthegcoveringgaftergfillinggwithgfreshgice.
D.gAskgthegclientghowglonggthegicegwasgappliedgtogthegskin.
(Ans-gA.gObservegthegappearancegofgthegskingundergthegicegpack.
SOLUTIONSgGRADEDgA
ThegLPN/LVNgisgassessinggthegnutritionalgstatusgofgseveralgclients.gWhichgclientghasgtheggreatest
gnutritionalgneedgforgadditionalgintakegofgprotein?
A. Agcollege-agegtrackgrunnergwithgagsprainedgankle.
B. Aglactatinggwomangnursinggherg3-day-oldginfant.
C. Agschool-agedgchildgwithgTypeg2gdiabetes.
D. Angelderlygmangbeinggtreatedgforgagpepticgulcer.
(Ans-gB.gAglactatinggwomangnursinggherg3-day-oldginfant.
Agclientgisgingthegradiologygdepartmentgatg0900gwhengthegprescriptionglevofloxacing(Levaquin)g5
00gmggIVgq24hgisgscheduledgtogbegadministered.gThegclientgreturnsgtogthegunitgatg1300.gWhatgisgt
hegbestginterventiongforgthegLPN/LVNgtogimplement?g A.gContactgtheghealthcaregprovidergandgc
ompletegagmedicationgvariancegform.
B. AdministergthegLevaquingatg1300gandgresumegtheg0900gschedulegingthegmorning.g C.gNotifygt
hegchargegnursegandgcompletegangincidentgreportgtogexplaingthegmissed
dose.
D.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadministergdailygatg1300.
(Ans-gD.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadministergdailygatg1300.
Whileginstructinggagmalegclient'sgwifegingthegperformancegofgpassivegrange-
ofmotiongexercisesgtoghisgcontractedgshoulder,gthegnursegobservesgthatgshegisgholdingghisgarmgab
ovegandgbelowgthegelbow.gWhatgnursinggactiongshouldgthegLPN/LVNgimplement?
A.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
B.gEncourageghergtogkeepgthegjointgcoveredgtogmaintaingwarmth.
C.g Reinforcegthegneedgtoggripgdirectlygundergthegjointgforgbettergsupport.
D.gInstructghergtoggripgdirectlygovergthegjointgforgbettergmotion
(Ans-gA.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
,Whatgisgthegmostgimportantgreasongforgstartinggintravenousginfusionsgingtheguppergextremitiesgrat
hergthangtheglowergextremitiesgofgadults?
A.gItgisgmoregdifficultgtogfindgagsuperficialgveingingthegfeetgandgankles.gB.gAgdecreasedgflowgrategc
ouldgresultgingthegformationgofgagthrombosis.
C.gAgcannulatedgextremitygisgmoregdifficultgtogmovegwhengthegleggorgfootgisgused.g D.gVeinsgaregl
ocatedgdeepgingthegfeetgandgankles,gresultinggingagmoregpainful
procedure.
(Ans-gB.gAgdecreasedgflowgrategcouldgresultgingthegformationgofgagthrombosis.
ThegLPNgobservesgangunlicensedgassistivegpersonnelg(UAP)gtakinggagclient'sgbloodgpressuregwit
hgagcuffgthatgisgtoogsmall,gbutgthegbloodgpressuregreadinggobtainedgisgwithingthegclient'sgusualgra
nge.gWhatgactiongisgmostgimportantgforgthegnursegtogimplement?
A.gTellgthegUAPgtogusegaglargergcuffgatgthegnextgscheduledgassessment.
B.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
C.g HavegthegunitgeducatorgreviewgthisgproceduregwithgthegUAPs.
D.gTeachgthegUAPgthegcorrectgtechniquegforgassessinggbloodgpressure
(Ans-gB.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
Agclientgisgtogreceivegcimetidineg(Tagamet)g300gmggq6hgIVPB.gThegpreparationgarrivesgfromgthe
gpharmacygdilutedging50gmlgofg0.9%gNaCl.gThegLPNgplansgtogadministergthegIVPBgdosegoverg20
gminutes.gForghowgmanygml/ghrgshouldgtheginfusiongpumpgbegsetgtogdelivergthegsecondaryginfusio
n?g(Ans-g150gmL/Hr
Twentygminutesgaftergbeginninggagheatgapplication,gthegclientgstatesgthatgthegheatinggpadgnoglonge
rgfeelsgwarmgenough.gWhatgisgthegbestgresponsegbygthegLPN/LVN?g A.gThatgmeansgyoughavegder
ivedgthegmaximumgbenefit,gandgthegheatgcangbegremoved.
B.g Yourgbloodgvesselsgaregbecominggdilatedgandgremovinggthegheatgfromgthegsite.
C.gWegwillgincreasegthegtemperatureg5gdegreesgwhengthegpadgnoglongergfeelsgwarm.
D.gThegbody'sgreceptorsgadaptgovergtimegasgtheygaregexposedgtogheat
,(Ans-gD.gThegbody'sgreceptorsgadaptgovergtimegasgtheygaregexposedgtogheat
ThegLPNgisginstructinggagclientgwithghighgcholesterolgaboutgdietgandglifegstylegmodification.gWha
tgcommentgfromgthegclientgindicatesgthatgthegteachingghasgbeengeffective?
A.gIfgIgexercisegatgleastgtwogtimesgweeklygforgoneghour,gIgwillglowergmygcholesterol.
B.g Igneedgtogavoidgeatinggproteins,gincludinggredgmeat.
C.g Igwillglimitgmygintakegofgbeefgtog4gouncesgpergweek.
D.gMygbloodglevelgofglowgdensityglipoproteinsgneedsgtogincrease.
(Ans-gC.gIgwillglimitgmygintakegofgbeefgtog4gouncesgpergweek.
ThegUAPsgworkinggongagchronicgneurogunitgaskgthegLPN/LVNgtoghelpgthemgdeterminegthegsafest
gwaygtogtransfergangelderlygclientgwithgleft-
sidedgweaknessgfromgthegbedgtogthegchair.gWhatgmethodgdescribesgthegcorrectgtransfergprocedureg
forgthisgclient?
A.gPlacegthegchairgatgagrightganglegtogthegbedgongthegclient'sgleftgsidegbeforegmoving.
B.gAssistgthegclientgtogagstandinggposition,gthengplacegthegrightghandgongthegarmrest.g C.gHavegthe
gclientgplacegthegleftgfootgnextgtogthegchairgandgpivotgtogthegleftgbeforegsitting.
D.gMovegthegchairgparallelgtogthegrightgsidegofgthegbed,gandgstandgthegclientgongthegrightgfoot
.g(Ans-
gD.gMovegthegchairgparallelgtogthegrightgsidegofgthegbed,gandgstandgthegclientgongthegrightgfoo
t.
Angunlicensedgassistivegpersonnelg(UAP)gplacesgagclientgingagleftglateralgpositiongpriorgtogadmini
steringgagsoapgsudsgenema.gWhichginstructiongshouldgthegLPN/LVNgprovidegthegUAP?
A.gPositiongthegclientgongthegrightgsidegofgthegbedgingreversegTrendelenburg.
B.g Fillgthegenemagcontainergwithg1000gmlgofgwarmgwatergandg5gmlgofgcastilegsoap.
C.g RepositiongingagSim'sgpositiongwithgthegclient'sgweightgongtheganteriorgilium.
D.gRaisegthegsidegrailsgongbothgsidesgofgthegbedgandgelevategthegbedgtogwaistglevel.g(Ans-gC.
RepositiongingagSim'sgpositiongwithgthegclient'sgweightgongtheganteriorgiliu
m.
, Agclientgwhogisginghospicegcaregcomplainsgofgincreasinggamountsgofgpain.gTheghealthcaregprovide
rgprescribesganganalgesicgeverygfourghoursgasgneeded.gWhichgactiongshouldgthegLPN/LVNgimple
ment?
A.gGivegangaround-the-
clockgschedulegforgadministrationgofganalgesics.g B.gAdministerganalgesicgmedicationgasgnee
dedgwhengthegpaingisgsevere.
C.g Providegmedicationgtogkeepgthegclientgsedatedgandgunawaregofgstimuli.
D.gOffergagmedication-freegperiodgsogthatgthegclientgcangdogdailygactivities.
(Ans-gA.gGivegangaround-the-clockgschedulegforgadministrationgofganalgesics.
Whengassessinggagclientgwithgwristgrestraints,gthegnursegobservesgthatgthegfingersgongthegrightgha
ndgaregblue.gWhatgactiongshouldgthegLPNgimplementgfirst?g A.gLoosengthegrightgwristgrestraint.
B.g Applygagpulsegoximetergtogthegrightghand.
C.g Compareghandgcolorgbilaterally.
D.gPalpategthegrightgradialgpulse
(Ans-gA.gLoosengthegrightgwristgrestraint.
AgclientgwhogisgagJehovah'sgWitnessgisgadmittedgtogthegnursinggunit.gWhichgconcerngshouldgthegL
PNghavegforgplanninggcaregingtermsgofgthegclient'sgbeliefs?
A.gAutopsygofgthegbodygisgprohibited.gB.gBloodgtransfusionsgaregforbidden.gC.
Alcoholguseginganygformgisgnotgallowed.g D.gAgvegetari
angdietgmustgbegfollowed.g (Ans-
gB.gBloodgtransfusionsgaregforbidden.
ThegLPN/LVNgobservesgthatgagmalegclientghasgremovedgthegcoveringgfromgangicegpackgapplied
gtoghisgknee.gWhatgactiongshouldgthegnursegtakegfirst? g A.gObservegthegappearancegofgthegsking
undergthegicegpack.
B.g Instructgthegclientgregardinggthegneedgforgthegcovering.
C.g Reapplygthegcoveringgaftergfillinggwithgfreshgice.
D.gAskgthegclientghowglonggthegicegwasgappliedgtogthegskin.
(Ans-gA.gObservegthegappearancegofgthegskingundergthegicegpack.
