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    Exam Review

    1. A client's intraocular pressure (IOP) is measured at 28 mmHg during a routine eye exam. Which interpretation should the nurse make?
      A)The reading is expected and requires no follow-up.
      B)The client is experiencing acute eye injury.
      C)The client's IOP is within normal limits.
      D)The client's IOP is elevated and may indicate glaucoma.
    2. Which medication would cause surgery to be delayed if it had not been discontinued several days before surgery?
      A)Antibiotic
      B)Analgesic
      C)Anticoagulant
      D)Anti-hypertensive
    3. You have a patient that is hard of hearing, and you need to teach him how to use an incentive spirometer. The best way to promote communication is to:
      A)Teach with your mouth around the incentive spirometer to enhance demonstration
      B)Teach him without interrupting his television watching
      C)Sit at eye level facing forward and speak in a low tone voice
      D)Shout very loud to assure you are being heard
    4. Amanda is a 42 y.o. female who is married and has 4 school age children at home. She has chronic pain associated with fibromyalgia and is afraid of taking opiates. She does not have any knowledge of options and is unsure of how to manage her day to day pain. She seems withdrawn and has voiced her concerns that her physical complaints have put a strain on her husband and being able to care for their children What is the nurse's best response to get Amanda to open up about her specific concerns and help her explore her feelings?
      A)"Pain is a normal part of living and gets worse as we age"
      B)"Could you tell me more about your pain and what other options you have tried?"
      C)"You should try harder to stay active"
      D)"I'll notify the psychiatrist and have them talk to you"
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    Exam Review

    1. Which of the following best defines a sentinel event?
      A)An event causing death
      B)A routine complication
      C)A near miss
      D)An expected outcome
    2. The LPN knows that which federal organization is responsible for ensuring workplace safety?
      A)Center for Disease Control and Prevention (CDC)
      B)Occupational Safety and Health Administration (OSHA)
      C)National Institute of Health (NIH)
      D)World Health Organization (WHO)
    3. A nurse is assessing a patient's eyes during a routine physical exam. The nurse documents the pupils as "PERRLA." Which of the following findings -supports this documentation?
      A)Pupils are dilated and do not respond to light or accommodation
      B)Pupils are equal and round but remain fixed when exposed to light
      C)Pupils are unequal in size but round and reactive to light
      D)Pupils constrict in response to light and when focusing on a near object
    4. A nurse is preparing to give end-of-shift report on a group of clients. Which approach demonstrates best practice for effective handoff communication?
      A)Provide a detailed report on each client including all events from the past 24 hours
      B)Give a recorded report and leave before the oncoming nurse has questions
      C)Focus primarily on tasks that were completed during the shift
      D)Use an organized format like ISBAR-R with most essential information on each client
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    Exam Review

    1. Which of the following best describes the drainage in the picture?
      A)Purulent drainage
      B)Serosanguineous drainage
      C)Serous drainage
      D)Sanguineous drainage
    2. The LPN is conducting preoperative assessments in a surgical unit. Several patients are scheduled for elective procedures tomorrow. Which patients are at a higher risk for developing a surgical complication? (Drag and Drop)
      Low Risk for ComplicationHigh Risk for Complication
      35-year-old male with controlled hypertension✓
      Client that has been diagnosed with a bleeding disorder✓
      92-year-old female with COPD✓
      Immunocompromised client✓
      Client with untreated diabetes✓
    3. Which of the following are signs and symptoms of compartment syndrome?(SATA)
      A)Pain
      B)Pressure
      C)Paresthesia
      D)Pallor
      E)Paralysis
      F)Pulses
    4. Which of the following are considered incidents and need to be reported on an incident form? (Select all that apply)(SATA)
      A)A visitor slipping and falling in a wet floor in the hallway
      B)A client falling on the floor while getting out of bed
      C)Giving a client the wrong medication
      D)A patient reporting pain after a scheduled procedure
      E)A patient complaining about the care given by a nursing assistant
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    Exam Review

    1. Which nursing intervention is most effective in preventing postoperative blood clots in a surgical patient?
      A)Administering pain medication every 4 hours
      B)Keeping the patient on complete bed rest for 24 hours
      C)Rubbing the patient's legs to promote circulation
      D)Applying antiembolism stockings
    2. A newly admitted client has an order for Coumadin 2mg by mouth every day at bedtime. What is available are 1 mg tablets. How many tablets would the nurse give per dose? (Answer must be labeled)
    3. A nurse is preparing a patient for a scheduled endoscopy. The patient says, "I'm not sure why I need this test. The doctor said something about looking for bleeding, but I didn't really understand." What is the nurse's best action?
      A)Notify the provider that the patient has questions and requires further explanation before signing.
      B)Tell the patient to sign the form now and ask the physician questions after the procedure.
      C)Reassure the patient that the procedure is routine and have them sign the consent form.
      D)Provide detailed information about how the procedure is performed so the patient can sign.
    4. Which laboratory test should the nurse monitor to assess the therapeutic effectiveness of heparin?
      A)Hemoglobin and hematocrit
      B)White blood cell count (WBC)
      C)International Normalized Ratio (INR)
      D)Partial Thromboplastin Time (PTT)
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    Exam Review

    1. Which of the following is a true statement about osteoarthritis?
      A)It is where the cartilage in the joint deteriorates
      B)It effects the body bilaterally
      C)It is a systemic inflammatory disease
      D)It is decreased bone calcium
    2. A nurse is assessing a client who reports difficulty seeing while driving at night and describes their vision as "cloudy." Which of the following findings - would the nurse expect if the client has cataracts?
      A)Green or yellow eye discharge
      B)Blurred vision and decreased color perception
      C)Eye pain and pressure
      D)Sudden loss of peripheral vision
    3. You are preparing to do discharge teaching and conduct your learning barriers assessment. What are the identified barriers to communication? (Select all that apply)(SATA)
      A)The client speaks Spanish
      B)The client is very excited to learn
      C)The client is wearing their glasses to read the discharge instructions
      D)No social support
      E)The client is complaining of sharp radiating pain to the lower abdomen
    4. A nurse is teaching an older adult patient about primary prevention strategies to maintain mobility. Which statement by the -patient indicates correct understanding of the teaching?
      A)I should include weight-bearing exercises like walking most days of the week
      B)I will limit my dietary calcium to help keep my joints from getting stiff.
      C)Gaining some extra weight can protect my joints from injury.
      D)I will wait to begin exercising until I start having mobility
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