Sample Questions

1. Directions: Carefully read the question and all answer choices. Examine each answer choice and determine whether it is an appropriate response. Indicate your decision in the column labeled “Correct/Incorrect” and give the reason for your choice.
   

1. A client has been hospitalized for two days for treatment of hepatitis A. When the LPN/LVN enters the client’s room, the client asks the LPN/LVN to leave him alone and stop bothering him. Which of the following responses by the LPN/LVN would be most appropriate?

   1. “I understand and will leave you alone for now.”
   2. “Why are you angry with me?”
   3. “Are you upset because you do not feel better?”
   4. “You seem upset this morning.”

2. A client states she is afraid to have her cast removed from her fractured arm. Which of the following is the most appropriate response by the LPN/LVN?

   1. “I know it is unpleasant. Try not to be afraid. I will help you.”
   2. “You seem very anxious. I will stay with you while the cast is removed.”
   3. “I don’t blame you. I’d be afraid also.”
   4. “My aunt just had a cast removed and she’s just fine.”

3. A client comes to the clinic because she thinks she is pregnant. She tells the LPN/LVN that she wants the pregnancy terminated because she and her husband do not want to have children, and then begins to cry. Which of the following statements by the LPN/LVN is the most appropriate?

   1. “Are you upset because you forgot to use birth control?”
   2. “Why are you so upset? You’re married. There’s no reason not to have the baby.”
   3. “If you’re so upset, why don’t you have the baby and put it up for adoption?”
   4. “You seem upset. Let’s talk about how you’re feeling.”

4. A client is in the terminal stages of carcinoma of the lung. A family member asks the LPN/LVN, “How much longer will it be?” Which of the following responses by the LPN/LVN would be most appropriate?

   1. “I cannot say exactly. What are your concerns at this time?”
   2. “I don’t know. I’ll call the doctor.”
   3. “This must be a terrible situation for you.”
   4. “Don’t worry, it will be very soon.”

5. A client is admitted to the hospital with a diagnosis of bipolar disorder. The man approaches the nurse and says, “Hi, baby,” and opens his robe, under which he is naked. Which of the following comments by the LPN/LVN would be most appropriate?

   1. “This is inappropriate behavior. Please close your robe and return to your room.”
   2. “Please dress in your clothes and then join us for lunch in the dining room.”
   3. “I am offended by your behavior and will have to report you.”
   4. “Do you need some assistance dressing today?”

6. A client is placed in Buck’s traction. The LPN/LVN assigned to her prepares to assist her with a bath. The woman says, “You’re too young to know how to do this. Get me somebody who knows what they’re doing.” Which of the following responses by the LPN/LVN would be most appropriate?

   1. “I am young, but I graduated from nursing school.”
   2. “If I don’t bathe you now, you’ll have to wait until I’m finished with my other clients.”
   3. “Can you be more specific about your concerns?”
   4. “Your concerns are unnecessary. I know what I’m doing.”

7. A client is admitted to the hospital with an abdominal mass and is scheduled for an exploratory laparotomy. She asks the LPN/LVN admitting her, “Do you think I have cancer?” Which of the following responses by the LPN/LVN would be most appropriate?

   1. “Would you like me to call your doctor so that you can discuss your specific concerns?”
   2. “Your tests show a mass. It must be hard not knowing what is wrong.”
   3. “It sounds like you are afraid that you are going to die from cancer.”
   4. “Don’t worry about it now; I’m sure you have many healthy years ahead of you.”

8. A client is admitted to the postpartum unit following a miscarriage. The next day the LPN/LVN finds the woman crying while looking at the babies in the newborn nursery. Which of the following approaches by the LPN/LVN would be most appropriate?

   1. Assure the woman that the loss was “for the best.”
   2. Explain to her that she is young enough to have more children.
   3. Ask her why she is looking at the babies.
   4. Acknowledge the loss and be supportive.

9. An elderly client is hospitalized with major neurocognitive disorder (NCD) due to Alzheimer’s disease. His daughter tells the LPN/LVN that caring for him is too hard, but that she feels guilty placing him in a nursing home. Which of the following statements by the LPN/LVN is most appropriate?

   1. “It is hard to be caught between taking care of your needs and your father’s needs.”
   2. “Would you like me to help you find a nursing home?”
   3. “Don’t feel guilty. The only solution is to place your father in a nursing home.”
   4. “I think I would feel guilty too if I had to place my father in a nursing home.”