Unitek LVN Term 1 Final Exam Questions
and Answers
the small intestine contains millions of small finger like projections called ____?
villi
The small intestine needs bile only a few times each day. Where is the bile stored?
gall bladder
how far should you go with passive range of motion?
as much as patient can tolerate
what digestive enzymes are produced in the pancreas?
amylase, lipase, and trypsin
What structure of the nephron is primarily responsible for the reabsorption of water and
solutes during urine formation?
proximal convulated tubule
Which is the major regulator of respiratory activities?
PCO2 (not oxygen)
event occurs in response to increase thoracic volume?
air enters respiratory passage
factor that stimulates bones to grow/get stronger
weight bearing
phase of the nursing process that requires you to establish intervention for your patient
ADPIE
most preventive technique that interrupts infectious process?
hand washing
checking O2 saturation, patient has pneumonia, reassuring human need according to
Maslows ?
physiological
where do you check for the apical pulse?
5th intercostal, mid clavicular on the left side
what document explains the scope practice of an LVN
State's Nurse Practice Act
you're administering a water and soap enema, what would be the steps to perform to
purge air from tubing?
open clamp and fill with solution
what do you document when inserting indwelling catheter?
date and time , procedure done, patient teaching, tolerance
what is the primary reason to use sterile technique when inserting and indwelling
catheter?
, avoid introduction of microorganisms
to provide competent transcultural nursing to specific clients in a geographic area, what
are they?
illness, cultural influence/beliefs about health, health practices
once hospice service has begun, your focus changes from rehab/restoration to what
type of care?
comfort care
why do nurses provide inservice providing a safe hospital environment?
to prevent injury
reinforcing teaching with a newly licensed nurse about use of restraints. what should
new nurse identify as requiring restraints?
keeps pulling at the central venous catheter
contributing to plan of care of a patient who has dementia, what do you include in POC?
provide daily routine, mental stimulation
assisting in admission of older confused patient, what is the statement by the
wife/husband indicates the patient is experiencing delirium?
sudden changes in behavior
reinforcing teaching about expected physiological changes of aging?
difficulty seeing due to sensitivity to glare, decreased cough reflex, decreased bladder
capacity, dehydration of intervertabral disc
bp is 124/84, what stage is this?
prehypertension
what happens when there is a complication of immobility?
reddened sacrococcygeal region
intervention of patient that has acute dysphagia, how do you position the head?
forward and down
what do you do prior to administer tube feeding?
verify position of tube in stomach by checking pH level of aspirate (should be low).
patient is receiving mechanically altered diet, what would be a food choice?
scrambled egg, cottage cheese, banana (except wheat toast)
manifestation of hypoxia
cyanosis
what do you do after tracheostomy care?
secure ties before removing old one
what do you do to obtain a culture and sensitivity from a catheter?
obtain a sterile specimen container
if we are teaching husband/wife of a pt on how to take BP, how do we tell them to
position arm?
center in brachial artery, check instruments gauge in 0, wrap cuff around arm (do not
put above heart level)
mr smith has hypertension and he starts to develop drooping face features, what do you
include in background component of SBAR?
Hx of hypertension
assisting patient , you are preparing he/she for colonoscopy and they're nervous about
what the Dr. will find , what do you do?
you restate their statement (clarification)
and Answers
the small intestine contains millions of small finger like projections called ____?
villi
The small intestine needs bile only a few times each day. Where is the bile stored?
gall bladder
how far should you go with passive range of motion?
as much as patient can tolerate
what digestive enzymes are produced in the pancreas?
amylase, lipase, and trypsin
What structure of the nephron is primarily responsible for the reabsorption of water and
solutes during urine formation?
proximal convulated tubule
Which is the major regulator of respiratory activities?
PCO2 (not oxygen)
event occurs in response to increase thoracic volume?
air enters respiratory passage
factor that stimulates bones to grow/get stronger
weight bearing
phase of the nursing process that requires you to establish intervention for your patient
ADPIE
most preventive technique that interrupts infectious process?
hand washing
checking O2 saturation, patient has pneumonia, reassuring human need according to
Maslows ?
physiological
where do you check for the apical pulse?
5th intercostal, mid clavicular on the left side
what document explains the scope practice of an LVN
State's Nurse Practice Act
you're administering a water and soap enema, what would be the steps to perform to
purge air from tubing?
open clamp and fill with solution
what do you document when inserting indwelling catheter?
date and time , procedure done, patient teaching, tolerance
what is the primary reason to use sterile technique when inserting and indwelling
catheter?
, avoid introduction of microorganisms
to provide competent transcultural nursing to specific clients in a geographic area, what
are they?
illness, cultural influence/beliefs about health, health practices
once hospice service has begun, your focus changes from rehab/restoration to what
type of care?
comfort care
why do nurses provide inservice providing a safe hospital environment?
to prevent injury
reinforcing teaching with a newly licensed nurse about use of restraints. what should
new nurse identify as requiring restraints?
keeps pulling at the central venous catheter
contributing to plan of care of a patient who has dementia, what do you include in POC?
provide daily routine, mental stimulation
assisting in admission of older confused patient, what is the statement by the
wife/husband indicates the patient is experiencing delirium?
sudden changes in behavior
reinforcing teaching about expected physiological changes of aging?
difficulty seeing due to sensitivity to glare, decreased cough reflex, decreased bladder
capacity, dehydration of intervertabral disc
bp is 124/84, what stage is this?
prehypertension
what happens when there is a complication of immobility?
reddened sacrococcygeal region
intervention of patient that has acute dysphagia, how do you position the head?
forward and down
what do you do prior to administer tube feeding?
verify position of tube in stomach by checking pH level of aspirate (should be low).
patient is receiving mechanically altered diet, what would be a food choice?
scrambled egg, cottage cheese, banana (except wheat toast)
manifestation of hypoxia
cyanosis
what do you do after tracheostomy care?
secure ties before removing old one
what do you do to obtain a culture and sensitivity from a catheter?
obtain a sterile specimen container
if we are teaching husband/wife of a pt on how to take BP, how do we tell them to
position arm?
center in brachial artery, check instruments gauge in 0, wrap cuff around arm (do not
put above heart level)
mr smith has hypertension and he starts to develop drooping face features, what do you
include in background component of SBAR?
Hx of hypertension
assisting patient , you are preparing he/she for colonoscopy and they're nervous about
what the Dr. will find , what do you do?
you restate their statement (clarification)
