Concorde Career College Grand Prairie LVN Test Bank

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Sample questions from Concorde Career College Grand Prairie LVN Test Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift, the practical nurse receives report on four clients. Which client should the nurse report to the RN first?

   • A.A client with diabetes whose premeal glucose is 168 mg/dL and who is awaiting lunch
   • B.A client 1 day after surgery who has new confusion and an oxygen saturation of 88% on room air
   • C.A client with a healing wound who requests assistance changing the dressing
   • D.A client with chronic arthritis who requests a warm pack for knee discomfort

   Rationale: New confusion with an oxygen saturation of 88% may indicate acute hypoxia and requires prompt reporting and follow-up. The other clients have needs that can generally be addressed after this urgent change is communicated. The exam takeaway is to prioritize acute changes in breathing and mental status over stable, expected needs.

2. 2.During a home visit, a client with heart failure reports gaining 2.3 kg (5 lb) in 3 days. What should the practical nurse do first?

   • A.Reinforce the prescribed low-sodium diet
   • B.Document the weight and reassess at the next visit
   • C.Report the weight gain to the RN or provider promptly
   • D.Encourage the client to walk for 20 minutes

   Rationale: Rapid weight gain can indicate fluid retention and worsening heart failure, so the finding should be reported promptly. Diet reinforcement and documentation are appropriate but do not replace escalation of a potentially significant change. Waiting until the next visit could delay needed evaluation.

3. 3.Refer to the client's chart. Which actions should the practical nurse take in response to the current findings? Select all that apply.

   • A.Apply a heating pad to the incision
   • B.Recheck the client's vital signs and general condition
   • C.Report the increasing temperature and heart rate to the RN promptly
   • D.Encourage oral fluids if the client is alert and has no fluid restriction
   • E.Document the observations and the actions taken

   Rationale: The temperature rose from 37.2 C to 38.4 C and the heart rate from 84 to 108/min, so prompt reporting and reassessment are appropriate. Oral fluids may be encouraged when safe and not restricted, and accurate documentation supports continuity of care. A heating pad over a postoperative incision is not an appropriate response to a possible infection and may injure the skin.

4. 4.A client is scheduled for a diagnostic procedure and says, 'I do not understand why I need this test.' What is the practical nurse's best response?

   • A.Tell the client the provider will explain the procedure and notify the RN that the client has questions
   • B.Explain the procedure's risks and obtain the client's consent
   • C.Reassure the client that the test is routine and should not be refused
   • D.Ask the client to sign the consent form before the provider arrives

   Answer and rationale are in the full material.

5. 5.The provider prescribes a medication, but the dose on the medication administration record differs from the dose the client says is taken at home. What should the practical nurse do?

   • A.Give the home dose because the client knows the usual regimen
   • B.Ask the client to choose which dose to take
   • C.Give half of each dose until the next provider visit
   • D.Hold the medication and clarify the discrepancy with the RN before administration

   Answer and rationale are in the full material.