LPN Exam
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Last Name:
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| 1. |
You
should give which of the following instructions to a patient who has just had
a bronchoscope? |
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a.
Take deep breaths and
cough every hour. |
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b.
Avoid talking for
three hours. |
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c.
Call me before you
take a drink of water |
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| 2. |
The bottle of Digoxin contains .05 in a 1-cc
solution. You have been given orders to give 0.12 mg of Digoxin to a
child who
has been admitted with CHF. You should administer which of the following. |
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a.
1.5cc |
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b.
3.2cc |
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c.
3.5cc |
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d.
2.4cc |
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| 3.
Greatest attention should be paid to the IV flow
rate of a patient with? |
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a.
Gastroenteritis |
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b.
A radical mastectomy |
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c.
Congestive heart failure |
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d.
A transurethral prostatectomy |
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4.
What if your first course of action if your patient is
experiencing phantom-limb sensations following a
Below-the-knee amputation?
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a.
Administer the
prescribed analgesic |
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b.
Elevate the
stump |
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c.
Exercise the
stump |
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d.
Encourage the
patient to talk about the feeling |
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5.
After reviewing the chart of your patient you are concerned about the
appearance and care of the donor site of a
skin graft that was done two weeks
age, your response should be? |
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a.
“Apply hydrogen peroxide to the area several
times a day” |
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b.
“Use an antibacterial soap and keep the area covered” |
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c.
“Keep the area soft
with lotion” |
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d.
“Clean the area with
soap and water every day and leave it alone" |
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6.
What course of action would you take if after twelve hours you
determine that there were no audible Bowel
sounds on
a patient who has had abdominal surgery?
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a.
Check the bowel sounds hourly |
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b.
Notify the charge nurse regarding the absence of bowel sounds |
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c.
Assist the patient to ambulate |
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d.
Record the information in the patients chart |
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| 7.
Your first course of action with a patient who is experiencing a
seizure would be? |
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a.
Call a code |
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b.
Put a tongue blade in the patients mouth |
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c.
Put the patient in the Sims position |
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d.
Protect the patient from harm by raising and padding the side
rails |
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| 8.
Some of the toxic effects of Epinephrine are? |
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a.
Restlessness, headache and palpitation |
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b.
Nausea, vomiting and diarrhea |
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c.
Drowsiness, hypertension and nervousness |
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d.
Petichia, hematuria and hemaemesis |
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9.
An apical pulse should be taken___?___before drug administration when a
patient is controlled on a
Maintenance dose of Lanoxin.
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a.
60 seconds |
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b.
25 seconds |
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c.
10 seconds |
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d.
30 seconds |
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10.
You have been asked to increase the oral fluid intake of a patient who
is reluctant to drink. Which of the
following
will be most effective in increasing the patient’s fluid intake?
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a.
Serving the patient sweetened liquids between meals. |
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b.
Keeping a pitcher of water on the patient’s bedside table. |
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c.
Telling the patient that fluids are needed for the healing
process |
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d.
Offering the patient a glass of fluid every hour |
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| 11.
What should you include in the patient’s assessment who has vascular
occlusion of the left leg? |
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a.
Noting pulses in the left leg |
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b.
Comparing pulse in the lower extremities |
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c.
Comparing temperature of the lower extremities |
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d.
Noting temperature of
the left leg. |
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| 12.
The desired effect of Nitroglycerin is to? |
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a.
Improve coronary blood flow |
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b.
Increase the rate and depth of respiration |
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c.
Constrict peripheral blood flow |
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d.
Produce slower and stronger heartbeats |
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13.
You should place the patient in an upright position for the purpose of
___?___ when administering Gastric
lavage.
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a.
Preventing esophageal trauma |
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b.
Preventing aspiration |
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c.
Allowing the stomach to empty more easily |
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d.
Allowing a normal position for eating |
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| 14.
Two symptoms of digitalis toxicity are: |
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a.
Dyspnea and tachycardia |
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b.
Bradycardia and anorexia |
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c.
Auditory impairment and ataxia |
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d.
Hypertension
and dizziness |
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| 15.
INH
is contraindicated for which of the following? |
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a.
Skin conditions |
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b.
Renal failure |
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c.
Tuberculosis |
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d.
Heart
failure |
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16.
You have received physician orders to administer 60mg of Codeine and Aspirin
Grains. X PO every four hours
as needed for pain. Each Codeine tablet contains 15 mg each Aspirin tablet
contains 325 mg Which of the
following should you give?
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a.
4 Codeine tablets and 3 Aspirin tablets. |
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b.
4 Codeine tablets and 2 Aspirin tablets. |
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c.
3 Codeine tablets and 2 Aspirin tablets. |
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d.
2 Codeine tablets and 4 Aspirin tablets. |
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17.
During preoperative teaching for a patient who will have chest tubes attached
to water-seal drainage Following
surgery, you should emphasize that chest tubes:
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a.
Allow for the removal of fluid and air. |
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b.
Prevent rapid re-expansion of the lung. |
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c.
Control internal hemorrhage. |
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d.
Make deep breathing and coughing easier. |
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18.
Your patient expresses concern about their up coming surgery for cancer of the
lung. Which of the following
would provide the most emotional support for the patient?
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a.
Listening to the patient. |
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b.
Encouraging the family to visit and listen to the concerns. |
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c.
Talking with the patient. |
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d.
Try to cheer up the patient. |
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| 19.
A therapeutic effect of Epinephrine is? |
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a.
Constriction of pulmonary arteries and veins |
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b.
Cardiac stimulation |
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c.
Decreased blood pressure |
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d.
Transient increase in the level of potassium in the blood plasma |
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| 20.
To
elevate the effectiveness of Aminophylline you should monitor? |
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a.
The pattern of temperature elevations |
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b.
The amount and color of secretions |
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c.
The rate and rhythm of respiration’s |
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d.
The expansion of chest activity |
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| 21.
What nutrient should you expect to see in a restricted diet of a patient who
has severe renal impairment? |
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a.
Fats |
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b.
Cholesterol |
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c.
Carbohydrates |
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d.
Carbohydrates |
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| 22.
You
should observe for ___?___when moving a patient to the floor who has a liver
biopsy. |
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a.
Hemorrhage |
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b.
Allergic reactions |
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c.
Gastric irritation |
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| 23.
You should
have which of the following available for a patient who has a history of
seizures?
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a.
Cardiac monitor. |
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b.
Restraints. |
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c.
Oxygen and suction equipment. |
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d.
Venous cutdown set and oxygen. |
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| 24. You
should place a patient who is in respiratory distress in which position? |
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a.
Fowlers’ |
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b.
Supine |
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c.
Trendelenburg |
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d.
Sims’ |
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25.
While you are administering 30 units of NPH insulin your patient asks you
”Why can’t you give me a pill? Your
response would be?
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a.
“Patients taking oral medications have greater dietary
restrictions”. |
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b.
“Oral medications cannot be used to treat Insulin-dependent Diabetes
Mellitus”. |
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c.
“Oral medications do not act as rapidly as injections”. |
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d.
“Oral medications are not as effective as injections in controlling
weight”. |
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| 26.
The
side effects of Isuprel are? |
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a.
Tachycardia, hypertension and nervousness. |
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b.
Tinnitus, dizziness and tetany. |
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c.
Drowsiness constricted pupils and diminished reflexes. |
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d.
Paresthesia increased salivation and increased peristalsis. |
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27.
You should know that when a patient that is to receive Regular and NPH Insulin
q AM the two Insulins should
be given:
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a.
Together, drawing up the regular fist. |
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b.
Together, but rotate sites. |
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c.
Together, drawing up the NPH first. |
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d.
Separate, the two are incompatible. |
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| 28.
How
is Tuberculosis spread? |
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a.
Contaminated feces. |
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b.
Blood and body
fluids. |
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c.
Airborne particles. |
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d.
All of the above. |
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| 29.
How
is Hepatitis B spread? |
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a.
Blood and body fluids. |
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b.
Airborne particles. |
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c.
Contaminated feces. |
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d.
All of the above. |
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| 30.
You
would use Vancomycin for? |
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a.
Moderate to severe hypertension. |
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b.
Long-term acne treatment. |
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c.
Control seizures. |
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d.
Severe staphylococcal infection, when other antibiotics are ineffective
or
contraindicated.
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