NCLEX Review- Kaplan
Questions and advices taken from KAPLAN NCLEX PN book.
- 1.The LVN would know that his/her assignment was appropriate of assigned to which of the following clients?
- A.
A 56 year old woman with emphysema scheduled to be discharged later today
- B.
A 41 year old woman in traction with a fractured femur
- C.
A 34 year old woman with low back pain scheduled for a myelogram in the afternoon
- D.
A newly diagnosed 43 year old woman with type 1 diabetes mellitus
- 2.After receiving report from the RN, which of the following clients should the LVN see FIRST?
- A.
A 31 yr old woman refusing Carafate before breakfast
- B.
A 40 yr old man with left sided weakness asking for assistance to the commode
- C.
A 52 yr old woman complaining of chills who is scheduled for a cholycystectomy
- D.
A 65 yr old man w/ nasogastric tube who had a bowel resection yesterday
- 3.The MD orders amoxicillin 150 mg PO in oral suspension every 8 hrs for a 3 year old boy. the LVN enters the pt's room to administer the medication and discovers that the boy does not have an identification bracelet. What should the LVN do?
- A.
Ask the parents at the child's bedside to state their child's name
- B.
Ask the child to say his first and last name
- C.
Have a coworker identify the child before giving the medication
- D.
Hold the medication until an identification bracelet can be obtained
- 4.The LVN in the outpatient clinic notes that the blood pressure for an 88 year old client is 190/100. The LVN should take which of the following actions?
- A.
Report the blood pressure reading to the RN
- B.
Wait 20 minutes and retake the blood pressure
- C.
Use a different cuff and retake the blood pressure
- D.
Position the client supine with feet elevated
- 5.A 50 yr old male client comes to the nurses' station and asks the LVN if he can go to the cafeteria to get something to eat. When told that his privileges do not include visiting the cafeteria, the pt becomes verbally abusive. Which of the following approaches by the LVn would be most effective?
- A.
Tell the client to lower his voice because he is disturbing the other clients.
- B.
Ask the client what he wants from the cafeteria and have it delivered to his room
- C.
Calmly but firmly escort the client back to his room
- D.
Assign a nursing assistant to accompany the client to the cafeteria
- 6.A cast is applied to a 9 month old girl for the treatment of talipes equinovarus. Which of the following instructions is most essential for the LVN to give to the child's mother regarding her care.
- A.
Offer appropriate toys for her age
- B.
Make frequent clinic visits for cast adjustment
- C.
Provide an analgesic as needed
- D.
Do circulatory checks of the casted extremity
- 7.The LVN notes the client is allergic to an ordered medication. which is the correct action the by LVN?
- A.
Administer the medication as the physician ordered it
- B.
Administer the medication and closely observe the client
- C.
Call the pharmacist to verify potential allergic responses
- D.
Call the physician and report the medication allergy
- 8.A 7 year old girl with type 1 insulin dependent diabetes mellitus has been home sick for several days and is brought to the emergency by her parents. If the child is experiencing ketoacidosis, the LVN would expect which of the following lab results?
- A.
Serum glucose 140 mg/dl
- B.
Serum creatinine 5.2 mg/dl
- C.
Blood pH 7.28
- D.
Hematocrit 38%
- 9.The LVN delivers external cardiac compressions to a client while performing cardiopulmonary resuscitation (CPR). which of the following actions by the LVN is BEST?
- A.
Maintain a position close to the client's side with the nurse's knees apart
- B.
Maintain vertical pressure on the client's chest through the heel of the nurse's hand
- C.
Re-check the nurse's hand position after every 10 chest compressions
- D.
Check for a return of the client's pulse after every 8 breaths by the nurse
- 10.The LVN obtains health history from a client admitted with acute glomerulonephritis that is associated with beta hemolytic streptococcus. The LVN expects which of the following to be significant in the health history?
- A.
The client has a sore throat two weeks earlier
- B.
There is a family history of glomerulonephritis
- C.
The client had a renal calculus two years earlier
- D.
The client had an accident involving renal trauma several years ago
- 11.A client is admitted to the medical/surgical unit complaining of nausea, vomiting and severe right upper quadrant pain. His temperature is 101.3 F and an abdominal X ray reveals an enlarged gall bladder. He is scheduled for surgery. Which of the following actions should the nurse take FIRST?
- A.
Assess the client's need for dietary teaching
- B.
Evaluate the client's fluid and electrolyte status
- C.
Examine the client's health history for allergies to antibiotics
- D.
Determine whether the client has signed consent for surgery
- 12.A client is being treated in the burn unit for second and third degree burns over 45% of his body. The MD orders include the application of silver sulfadiazine (Silvadene cream). the best way for the LVN to apply this medication is to use a sterile
- A.
4 x 4 soaked in saline
- B.
Tongue depressor
- C.
Gloved hand
- D.
Cotton-tipped applicator
- 13.When caring for a client with anorexia nervosa, which of the following observations indicates to the LVN that the client's condition is improving?
- A.
The client eats all the food on her meal tray
- B.
The client asks friends to bring her special foods
- C.
The client weighs herself daily
- D.
The client's weight has increased
- 14.A man had a permanent pacemaker implanted one year ago. He returns to the outpatient clinic because he thinks the pacemaker battery is malfunctioning. It is MOST important for the LVN to assess for which of the following?
- A.
Abdominal pain, nausea and vomiting
- B.
Wheezing on exertion, cyanosis and orthopnea
- C.
Peripheral edema, shortness of breath and dizziness
- D.
Chest pain radiating to the right arm, headache and diaphoresis
- 15.Which of the following symptoms, if observed by the LVN during the first 24 hrs after a percutaneous liver biopsy, would indicate a complication from the procedure?
- A.
Anorexia, nausea and vomiting
- B.
Abdominal distention, and discomfort
- C.
Pulse 112, blood pressure 100/60, respirations 20
- D.
Pain at the biopsy site
- 16.The LVN is caring for a 56 year old man receiving Haldol 2 mg PO BID. The LVN assists the patient to choose which of the following menus?
- A.
3 oz roast beef, baked potato, salad with dressing, dill pickle, baked apple pie, and milk
- B.
2 oz baked chicken, green beans, steamed rice, 1 slice of bread, banana and milk
- C.
Cheeseburger on a bun, french fries with catsup, chocolate chip cookie, apple and milk
- D.
3 oz baked fish, 1 slice of bread, broccolli, ice cream and pineapple drink taken 1/2-1 hour after the meal
- 17.An adolescent is seen in the emergency room for a fracture of the left femur sustained in a sledding accident. The fracture is reduced and a cast is applied. The client is taught how to use crutches for ambulating without bearing weight on the left leg. The LVN would expect the client to learn which of the following crutch-walking gaits?
- A.
2-point gait
- B.
3-point gait
- C.
4-point gait
- D.
Swing-through gait
Questions: 10 | Attempts: 61578 | Last updated: Mar 22, 2022
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