LPN Exit Exam Study Guide Test Questions and Answers Graded A 2024

The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach? Selects the same site that was used for the previous injection The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take . Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse, follow the pinky for the brachial) The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? Begin frequent feedings of breast milk or formula A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatin and 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL total oral and IV intake should the PN document on the client's medical record? (Enter numeric value only). 8 oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL Total intake = 1480 ml The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabelled syringe. How should the PN respond? "I am not comfortable doing that. Is there something else I can do to help you? The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.) Empty beside drainage unit for a client with indwelling urinary catheter Transport a urine culture sample to the laboratory Which intervention should the practical nurse (PN) reinforce for a client with pruritis? . Keep fingernails trimmed short While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take? Determine if the client has had difficulty in the past The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL." After reconstitution, how many mL should be administered to the client? (enter numeric valueonly. If rounding is required, round to the nearest tenth. 1.3 mL In caring for a client with Buck's traction, the practical nurse (PN) observes that the prescribed amount weights are hanging freely, and the traction rope is on the pulley.Which action should the PN implement first? Document that the Buck's traction is being maintained When a small fire breaks out in the kitchen of a long-term care facility, which task ismost important for the practical nurse (PN) to perform instead of assigning to a unlicensed assistive personnel Identify the method for transporting and evacuating each resident The practical nurse (PN) is caring for a client with coronary artery disease who is admitted with intermittent chest pain. The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobulin isoenzyme (CK- MB) levels. What should the PN consider the most significant risk for this client on the secondday of admission? The lab results indicate myocardial damage, and the client is at risk for cardiacdysrhythmias `The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of aclient who is receiving intravenous heparin. Which action should the PN implement first Check the client's gums for bleeding The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client who has poison ivy covering multiple skin surfaces. What should the PN emphasizeabout the dosing schedule Decrease dosage daily as prescribed A client is receiving an anticonvulsant, diazepam, intravenously for status epilepticus.Which intervention is most important for the practical nurse (PN) to implement? . Monitor the client's respiratory rate and effort The practical nurse (PN) administers filgrastim to a client with neutropenia. The clientlater complains of bone pain. Which action should the PN take? Offer to administer a prescribed PRN analgesic to the client The practical nurse (PN) is caring for a client who has been taking nonsteroidal anti- inflammatory drug ibuprofen for arthritic pain. Which action will the PN include in thisclient plan of care? Observe for signs of gastrointestinal bleeding The practical nurse (PN) reviews instructions for use of polyethylene glycol, a laxative,with a client scheduled for a colonoscopy. Which instruction should the PN include? Drink each glass of solution rapidly at regular specified time intervals The practical nurse (PN) notifies the healthcare provider about client information usingSituation, Background, Assessment, Recommendation (SBAR) technique. Which information should the PN provide first? Blood pressure is 80/48 mmHg In administering nystatin suspension to the gums of an infant with candida infection,which approach should the practical nurse (PN) use? Draw up the medication in a needle-less syringe which the infant can suck When obtaining a capillary blood sample for glucose measurement, which interventionshould the practical nurse (PN) implement? Determine which finger was used previously The practical nurse (PN) is assisting a client to cough and deep breathe following surgery.To facilitate effective coughing, the PN should assist the client to assume which position? Sitting on the side of bed with feet flat on the floor The practical nurse (PN) learns that a client who is receiving chemotherapy has developed stomatitis. Which information should the PN obtain from the client during afocused assessment? Ability to swallow An older female adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that she wasconfused prior to admission. What action should the practical nurse (PN) take Remind the client what day of the week it is The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which the local anesthetic was sprayed on the throat. Which priority actionshould the PN include in the clients plan of care? Assess the gag reflex A client receives ondansetron prior to a chemotherapy treatment. How should thepractical nurse evaluate the effectiveness of the medication? Monitor the client for nausea and vomiting following the treatment We have an expert-written solution to this problem! When gathering data about a client with dark skin tones, which site should the practicalnurse (PN) observe? Sclera and mucous membranes An older client who had a colon resection 8 days ago is straining at stool. The practical nurse (PN) observes sudden spillage of serosanguinous drainage from the client's woundfollowed by appearance of bowel on the skin. Which complication has occurred? Evisceration A client who is being cared for in her home has a low serum sodium level of 125 mEq/L. To determine the cause of this value, which information should the practical nurse (PN) request from the client? The amount of ice chips and water consumed daily A new protocol for fall prevention is being implemented on the medical unit. During safety rounds, the practical nurse (PN) identifies that unlicensed assistive personnel (UAP) has omitted a vital component of the protocol. After implementing the missing component, which action should the PN take? Supervise the UAP after reviewing the protocol Which intervention is within the scope of practice for a practical nurse (PN)? Demonstrating deep breathing and coughing to a postoperative client An older postoperative client has the nursing diagnosis, "Impaired mobility related to fear of falling." Which desired outcome best directs the practical nurse (PN) actions forthis client? The PN will place a gait belt on the client prior to ambulation. The practical nurse (PN) is working in a cancer detection mobile clinic. Four individuals come for screening with a complaint of hoarseness, a danger sign for cancer of the larynx. Which client has the highest risk for development of cancer of the larynx that thePN should refer to the healthcare provider An older male who drinks a six pack of beer nightly and smokes heavily A male preoperative client who has already signed the informed consent for a surgicalprocedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take? Notify the charge nurse of the client's concerns about surgery An older client tells the home health care practical nurse (PN) about experiencing dizziness when getting out of bed. Which assessment is most important for the PN toobtain? Standing blood pressure The practical nurse (PN) asks an unlicensed assistive personnel (UAP) for feedback about an assigned client. Instead of responding, the UAP walks away from the PN, ignoring the question. What action is best for the PN to take? . Approach the UAP to discuss the behavior and obtain the information needed aboutthe client The practical nurse (PN) is caring for a client with fractured metatarsals after slamming ahand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care? Implement ongoing assessments for signs of shallow or slow breathing The practical nurse (PN) plans to use distraction techniques while a client undergoes abrief painful procedure. Which action should the PN implement during the procedure? Encourage the client to reminisce about a favorite past family event The practical nurse (PN) is assisting with the plan of care for a client with costochondritis who is now experiencing increased discomfort in breathing. The client receives a prescription for tramadol. What intervention should the PN include in the client's plan ofcare? Implement ongoing assessments for signs of shallow or slow breathing A practical nurse (PN) is at the nurses' station describing her social life, sexual activities,and alcohol drinking in a boisterous voice that might be heard by clients and visitors. What is the best action that a peer nurse should do? Suggest going to the nurses' lounge if she needs to discuss these topics The practical nurse (PN) explains to a client how to obtain a sputum specimen and theclient indicates understanding the procedure. After the PN leaves the room, the client obtains the specimen and notifies the PN. When the PN arrives to collect the specimen,it appears as seen in the picture. What action should the PN take? The PN should teach the client how to obtain a sputum specimen and if the client does not correctly collect the specimen, then the PN should assist the client in obtaining another specimen coughed directly into a sterile cup The healthcare provider gives a pregnant woman a prescription for one prenatal vitaminwith iron daily and tells her that she needs to increase iron rich foods in her diet becauseher hemoglobin is 8.2 grams/dl. When a list of iron rich foods is given to the client, she tells the practical nurse (PN) that she is vegetarian and does not eat anything that "bleeds!" Which instruction should the PN provide? (Select all that apply.) . Increase green leafy vegetables in the diet c. Oatmeal is a good choice for breakfast d. Add lentils and black beans to soups Which statement by a mature adult client with advanced prostate cancer best indicatesthat he has reached a level of acceptance of his prognosis? I've found the support I need from my faith and family A client is diagnosed with Clostridium difficile. Which action should the practical nurse(PN) implement to prevent the spread of the organism? Don non-sterile gloves when performing direct care A client who had orthopedic surgery 3 days ago complains of difficulty sleeping. Which initial intervention is best for the practical nurse (PN) to implement? Reposition the client and provide a back rub The practical nurse (PN) is preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult's center of gravity changes from the hips to another area ofthe body. In planning to safely assist this client, the PN knows that the center of gravity for the elderly client is in which area of the body? Upper torso An older client with metastatic breast cancer is experiencing shortness of breath as the result of bilateral pneumonia. The client has a living will, and the family is requesting hospice care. Which information should the practical nurse (PN) reinforce with the clientand family regarding hospice care? (Select all that apply.) Care can be provided in the home where the client resides Care focuses on comfort, dignity, and emotional support Instructions for care should be included in the client's living will The parents of a child with pre-diabetes report to the practical nurse (PN) that the childwants to join a soccer team. What action is best for the PN to implement? Reassure the parents that increased physical activity reduces the risk for diabetes The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should thePN monitor? (Select all that apply.) . Sputum culture and sensitivity White blood cell count The practical nurse (PN) is providing care for a client who is NPO after a small bowel resection. The client's NG tube is connected to low intermittent suction. The client reports dizziness and tingling in digits. Which assessment finding by the PN should bereported to the healthcare provider? Hyperactive bowel sounds on assessment A male client tells the practical nurse (PN) that the pill he has been taking at home is adifferent color and size than the one the PN is trying to give him now. How should the PN respond? Tell the client that the PN will verify that the dispensed medication is the validprescription The practical nurse (PN) is giving medications to a client who was admitted to the hospital with a diagnosis of diabetes mellitus. After checking the fingerstick glucose at 1630. which dose of insulin should the PN administer? (Enter numeric value only.) (Click on each chart tab for additional information. Please be sure to scroll to the bottom rightcorner of each tab to view all information contained in the client's medical record. 8 While the practical nurse (PN) and unlicensed assistive personnel (UAP) are turning a client with an abdominal incision, the client's incision eviscerates. Which task is best forthe PN to assign to the UAP? Gather supplies The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior should the PN document as evidence of cocaine withdrawal? Intense cravings A client with schizophrenia reports auditory hallucinations when admitted to the hospital. What question is most important for the practical nurse (PN) to include in theassessment of this client? What are the voices uttering? A client who is a gravida 1, para 0, is transferred to the recovery room following a normalvaginal delivery of a healthy newborn. The practical nurse (PN) observes that the client isshaking uncontrollably and states she is cold. Which intervention should the PN perform? Apply light, warmed blankets and assure her that this is normal following delivery The practical nurse (PN) is assigned to care for four children. Which child should beassessed first? 18-month-old who has cystic fibrosis and is wheezing A client with hypertension complains of a persistent dry cough. The practical nurse (PN)should tell the client that this is a common side effect of which daily medication? Quinapril A female client with immune thrombocytopenic purpura is transferred to a long- term care facility for physical rehabilitation. To prevent injury, which action is most importantfor the practical nurse to implement? Ensure the client has minimal clutter in the room The practical nurse (PN) determines that a client who is one day postpartum has amoderate amount of lochia rubra and the uterus is firm, extroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action? Massage the uterus to decrease atony The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's roomand find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction should the PN give the UAP first? Feel for a carotid pulse When providing oral care to an unconscious client who is a mouthbreather and does not swallow, which action is most important for the practical nurse (PN) to implement? Use an oral suction catheter in the buccal cavity A client is scheduled to receive a sublingual tablet and has difficulty swallowing tablets.Which is the best nursing action? Place the tablet under the client's tongue In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Whichintervention is best for the PN to implement? Instruct the mother to play with the child for stimulation and distraction Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2diabetes mellitus (DM)? Report any foot injury or sore that does not readily heal A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Whatexplanation should the practical nurse (PN) provide to the client about why the procedure is necessary? The catheterized volume determines the need to re-insert the indwelling catheter An adolescent with a history of recurring atopic dermatitis (eczema) tells the practicalnurse (PN) of a desire to play high school football. Which action should the PN take? . Emphasize showering with non-perfumed soaps immediately after practice The practical nurse (PN) is assisting the recreational director of a long-term care facility plan outdoor activities for the wheelchair-bound older residents who are mentally alert.Which activity meets the physical and social needs of these residents? A team ring-toss competition The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) what originally motivated them to seek medical care. Which sign is the childmost likely to have exhibited? Hematuria Which food provides the best source of vitamin B12? (Click on the correct location. Tochange, click on a new location.) meat- Animal sources such as meat are high in vitamin B12. Vitamin B12 is not found in cleaned fruits and vegetables. B12 is a water-soluble vitamin necessary for healthy function ofthe brain and nervous system Which statement by an older female client who lost her spouse 2 years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling? "I realize that life must go on, but sometimes I wonder why." Two weeks after cast application, a client with a fractured right arm returns to the clinicfor evaluation. The client seems upset and tells the practical nurse (PN) that the healthcare provider said a callus has formed on the bone. Which action should the PN take? Explain that this is an expected part of the bone healing process The practical nurse (PN) is caring for a client with influenza who requires droplet precautions. Which action should the PN take after entering the client's room to providecare? Close the door to the client's room The practical nurse (PN) is obtaining fetal heart rates on four antepartum clients in their third trimester of pregnancy. Which fetal heart rate should be reported to the registerednurse (RN) immediately? . 180