TEST # 1  LVN/LPN EXAM "COMPETENCY TEST"

1.  Mrs. Smith suffers from severe arthritis.  The nurse is aware that the term arthritis refers to:

         1. Chronic inflammatory disease of the diarthrodial joints.

          2.  Acute joint problems

          3.  Infectious condition of the joints

          4.  Infection of synarthrodial joints

2.  A patient with rheumatoid arhritis asks if she can substitue acetaminophen (tylenol) for her aspirin because it is on sale.  The nurse response will be based on the understanding that:

          1.  Both can be used interchangeably

          2.  Both are analgesic drugs

          3.  Acetaminophen (tylenol) increases gastric secretions

          4.  Aspirin is an anti-inflammatory drug

3.  Rehabilitation for a patient with rheumatoid arthritis is directed toward:

          1.  Bed rest

          2.  Feeding her meals

          3.  Total care

          4.  Adaptation to physical limitations

4.  In planning for a patient's wound care, what important measures should the nurse considers first?

1.  Preparing supplies

2.  Checking drainage tubes

           3.  Giving assistance to patient's needs

4.  Reducing the transfer of microorganisms

5.  The nurse is to apply a roller bandage to a patient's arm.  The arem should be wrapped starting at:

1.  The wrist, wrapping toward the hand.

2.  The wrist, wrapping toward the elbow.

3.  The elbow, wrapping toward the writst.

4.  The fingers, wrapping toward the wrist.

6.  When turning a patient with a hip prosthesis, the nurse should know to:

1.  Place the patient on the affected side

2.  Place the patient on the unaffected side

3.  Maintain the patient's head at a 90-degree angle

4.  Maintain the patient's head at a 45-degree angle

7.  When planning care for a 90 year old patient who is ill, the nurse is aware that dehydration can occure when:

1.  The body is unable to excrete sufficient amounts of sodium

2.  There is inadequate food or fluid,  or fluid intake

3.  The kidneys are unable to excrete wastes normally

4.  The bladder is unable to hold urine.

8.  Treatment protocol and overall prognosis for a patient with pneumonia depend on the causative organism, which is determined by which of the following diagnostic tests?

1.  X-ray examination

2.  Gastric lavage

3.  Blood/sputum tests

4.  Bronchoscopy

9.  A nursing colleague had a Mantoux test performed after being notified that here patient has an active case of tuberculosis.  The nurse is aware that this test is read after:

1.  24 hours

2.  36 hours

3.  48 hours

4.  96 hours

10.  When administaring a tuberculin skin test, the nurse would insert the needle at an angle of:

1.  15 degrees

2.  25 degrees

           3.  45 degrees

4.  90 degrees

11.  The sinoatrial node is located in the:

1.  Left atrium

2.  Right atrium

3.  Left ventricle

4.  Right ventricle

12.  The diet for a patient with a diagnosis of hypertension would most likely be:

1.  Bland

2.  Low sodium

3.  High fat

4.  High cholesterol

13.  A primary nursing goal in caring for a patient with myocardial is to:

1. Reduce stress and anxiety level

2. Allow gradual increase in activities

3. Provide diversional activities.

4.  Provide complete bed rest

14  The nurse is to weigh a patient with congestive heart failure daily.  The purpose of daily weigh-ins is to determine loss of:

1.  Blood Volume

2.  Tissue fluid

3.  Body fat

4.  Appetite

15.  When taking a blood pressure, the nurse is aware that the period of relaxation of the heart muscle is called:

1.  Refractory period

2.  Systole

3.  Diastole

4.  Atrial systole

16.  Which of the following would be considered a secondary organ to the GI system?

1.  Liver

2.  Ileum

3.  Stomach

4.  Sigmoid Colon

17  A hernia in which the blood supply has been cut off is termed:

1.  Incarcerated

2.  Incisional

3.  Strangulated

4.  Umbilical

18.  The nurse should teach a patient with diabetes that early symptoms of hypoglycemia include:

1.  Flushed face

2.  Diplopia

3.  Slurred speech

4.  Hunger

19.  The nurse should know that the two outstanding characteristic symptoms of diabetes mellitus are:

1.  Hypoglycemia and glycosuria

2.  Hyperglycemia and glysuria

3.  Hypoglycemia and Hypokalemia

4.  Hyperglycemia and glycogen

20.  The physician has ordered an antihistamine to be given immediately to treat a patient's allergic reaction to an insect bite.  In this situation, the emergency room nurse shoulld expect which of the following drugs to be administered?

1.  Ephedrine

2.  Epinephrine

3.  Neosynephrine

4.  Hydroxyzine (vistaril)

#2  LVN/LPN EXAM "PHARMACOLOGY TEST"

1.  Mr. jones temperature was 103.8 F (39 degrees C), and the Doctor ordered a drug to lower his temperature.  Drugs of this kind are classified as:

1.  Antibiotics

2.  Antipyretics

3.  Antiemetics

4.  Antihistamines

2.  Mrs. Smith has a diuretic ordered for congestive heart failure.  The best time to administer this drug would be:

1.  6 pm

2.  1 pm

3.  9 pm

4.  4 pm

3.  A potassium retaining diuretic used to reduce hypertension and or edema is:

1.  Lasix

2.  Aldactone

3.  Gantrisin

4.  Mandelamine

4.  A patient who is receiving heparin must be observed for the following:

1.  Bleeding

2.  Numbness

3.  Convulsions

4.  Muscle Twitching

5.  Which of these sited is preferred for the subcutaneous administration of heparin?

1.  In the deltoid muscle

2.  On the top of the thigh

3.  In the buttocks at a 45-degree angle

4.  Below the ribs to the iliac crest

6.  Insulin may be used to treat:

1.  Type 1 diabetes mellitus only

2.  Type 11 diabetes mellitus only

3.  Type 1 and type 11 diabetes mellitus

4.  Hypercalcemia

7.  Signs of hypoglycemia include:

1.  Fruity breath, thirst, flushed skin.

2.  Diarrhea, itching, hypertension

3.  Anxiety, weakness, pallor, sweating.

4.  Muscle ache, fever, thirst

8.  The name selected by the original manufacturer based on the chemical structure of the drug is the:

1.  Chemical name

2.  Generic name

3.  Trade Name

4.  Drug Name

9.  Which is the most appropriate action for the nurse to take before administering digoxin?

1.  Monitor potassium level

2.  Assess blood pressure

3.  Evaluate urinary output

4.  Avoiding giving with thiazide diuretic

10.  Safety of a drug is determined by the degree between:

1.  The therapeutic and toxic doses

2.  Potency and efficacy

3.  Subtherapeutic and toxic levels

4.  Side and adverse effects

11.  Which of the following clients is likely to experienced adverse effects from treatment with diuretics?

1.  21 year old client

2.  40 year old client

3.  60 year old client

4.  75 year old client

12.  A major side effect of insulin use that can be life threatening is:

           1.  Hyperglycemia

2.  Stomach Upset

3.  Hypoglycemia

4.  Tremors

13.  Some signs of Hypoglycemia include:

               1.  Fruity breath, thirst, flushed skin

2.  Diarrhea, itching, hypertension

3.  Anxiety, weakness, pallor, sweating

4.  Muscle ache, fever, thirst

14.  To make sure that the right client is receiving a prescribed medication, what action is essential for the nurse to do?

1.  Check the name on the patient's wristband

2.  Call the patient by name

3.  Read the name of the patient on the bed

4.  Check the medication record for the patient's room number

15.  When preparing to give medications to the elderly the nurse knows as a general rule medications for elderly patients should be give in:

1.  Smaller doses, closer together

2.  Larger doses, closer together

3.  Smaller doses, farther apart

4.  Larger doses, farther apart

16.  Which of the following actions that the nurse performs is most likely to decrease discomfort from an Intramuscular gluteal injection?

1.  Rub skin firmly with antiseptic swab

2.  Pull the skin tissue taut

3.  Aspirate for blood

4.  Inject the medication rapidly but consistently

17.  The nurse on duty notices  that the medication in the refrigerator are very warm and the temp is 80 degrees F (26.6 C), and that the medications stored inside are all warm.  The nurse should then:

1.  Notify the pharmacy and adjust the thermometer

2.  Close the door and report it later to the supervisor

3.  Adjust the temperature and recheck in an hour to be sure the temperature has dropped.

4.  Remove all of the medications and return them to the pharmacy.

18.  Mr.  Bloom has an order to begin receiving penicillin.  Which of the following quesitons should be the nurse ask the patient before administering the medication?

1.  Do you understanding how often you will be taking this medication?

2.  Do you have any medication allergies?

3.  Have you eaten recently?

4.  Do you you know what this medication is for?

19.  Which of the following symptoms should concern the nurse if she observed in a patient after receiving a bronchodilator?

1.  Fremitus

2.  Wheezing

3.  Rales or crackles

4.  Yellow thick sputum

20.  Before administering digoxin to a patient with congestive heart failure, the nurse wil hold giving the medications and report to the charge nurse if:

1.  Complains of nausea and vomiting and has a pulse rate of 52

2.  Complains of nause and vomiting and has a pulse rate of 80

3.  Has a regular  and strong pulse

4.  Complains of nause and vomiting

#3 LVN/LPN  EXAM "SAFETY AND INFECTION CONTROL COMPETENCY TEST"

1.  Which of the following are considered infection risks in a health care facility?

1.  Febrile illnesses and acute symptoms of infection among visitors.

2.  Individuals exposed to a communicable disease who are presently in the incubation stage

                (no signs or symptoms)

3.  Noncompliance with prevention of the spread of infection.

4.  All of the above

2.  If an employee is exposed to an unfamiliar hazardous material in the workplace, which of the following would be an appropriate resource for information?

1.  Material Safety Data Sheet (MSDS)

2.  Infection control manual

3.  Safety officer

4.  Occupational Safety and Health Administration (OSHA)

3.  What must be done if the eyes are splashed with contaminated material?

1.  Flush the eyes with water, remove contact lenses, and consult medical personnel.    

2.  Wipe fo the material and put on protective eye gear.

3.  Wash the face and put on a face shield.

4.  All of the above.

4.  While handling an oxygen tank remember that:

1.  The tank should not lay on its side to be secured

2.  The smoking area should be limited around the tank

3.  It is a combustible gas and can explode if dropped

4.  No special precautions are necessary.

5.  Proper handling of a specimen for a microbial culture, blood, bodily fluid, or tissute testing should include which of the following?

1.  Considering the specimen as potentially infection

2.  Using standard precations

3.  Obtaining the specimen in a leakproof container and labeling it appropriately

4.  All of the above

6.  How should household bleach be used for cleaning purposes?

1.  Dilute it with water to make a 1:10 solution

2.  Always use it full strength

3.  Mit it with detergent or another proper solvent

4.  Do not use bleach for cleaning purpose

7.  When is it appropriate to change gloves?

1.  When gloves are grossly contraindicated.

2.  When gloves become torn or punctured

3.  After using the gloves on a patient

4.  All of the above.

8.  If an employee has a seroconversion to a positive purified protein derivative (PPD) test, what does this indicate?

1.  The employee has tuberculosis (TB)

2.  The employee has been exposed to TB

3.  The employee requires yearly PPD screenings to follow progress

4.  The employee is considred infectious.

9.  When working or coming in contact with a patient who has a respiratory infection such as active tuberculosis, what is the most important isolation gear to wear to prevent infection from the aerosol or droplet inoculates?

1.  Mask and goggles

2.  Protective shoe coverings

3.  Gown and gloves

4.  All of the above

10.  Which of the following precautions should be taken with a patient diagnosed with varicella pneumonia?

1.  All in contact with the patient should have chickenpox immunity

2.  Pregnant females should not care for the patient

3.  Contact isolation alone should be instituted

4.  Skin testing should be performed.

11.  When assisting a child with an unknown diagnosis or history, it is appropriate to:

1.  Institute isolation procedure

2.  institue standard precautions

3.  institue no special precautions

4.  none of the above

12.  What is one of the best methods to prevent the spread of any infection?

1.  Use the proper isolation precations

2.  Wash the hands properly

3.  Obtain the properly immunization

4.  All of the above

13.  A few weeks after assting a patient, the patient is found to ahve tuberculosis.  What should the exposed employee do?

1.  Get tested by intradermal Mantoux test and receive a chest x-ray if the skin test is positive

2.  Receive prophylactic treatment with antituberculin medications if the skin test is positive

3.  Stop working if the chest x-ray is positive

4.  All of the above

14.  You notice a piece of equipment contaminated by blood that was just delivered to the patient care area.  What should you do?

1.  Send the equipment to be properly cleaned and decontaminated.

2.  Wash the equipment with soap and water.

3.  Used standard precautions when using the equipment.

4.  Use anti-infective soap or cleaner on the equipment.

15.  In storing pharmaceutical solutions, it is appropriate to:

1.  Store the solutions in a cool, dry place

2.  Store them in a dark, dry area

3.  Consult the manufacturer of the US Pharmacopecia (USP)

4.  Keep them out of direct sunlight

16.  Which of the following practices is considred unsafe in food handling and precaution?

1.   Cooking food for the proper amount of time to kill bacteria

2.  Serving cold foods at 55 degrees F (13 degrees C) and hot foods at 120 degrees F

                (49 degrees C)

3.  Washing the hands before and after food preparation.

4.  All of the above

17.  A teaching session for an adult learner should include all of the following except?

1.  Accurate and current informaton

2.  Uncomplicated teaching aids that are slightly below the level of the learner

3.  A period of time during which the learner can ask questions

4.  A physical setting conductive to learning

18.  Individuals who report a history of an allergly to vaccines should not be immunized.  An allergic reaction includes:

1.  hives, swelling of the throat, and difficulty breathing

2.  Nause and vomiting

3.  Sweating and feeling thirsty

4.  All of the above

19.  MMR vaccine is Contraindicated in:

1.  A person with thrombocytopenia

2.  An employee who has received immune globulin

3.  A patient who is pregnant

4.  None of the above

20.  If a piece of equipment such as a whirlpool is suspected of being contaminated with a resistant organism, which of the following actions is appropriate?

1.  Culturing the equipment

2.  Considering a change in the cleaning technique

3.  Allowing a patient to use the equipment

4.  Changing the product