CSLB General Building (B) Trade Practice Test

Câu hỏi luyện tập mẫu

Một vài câu hỏi thực tế từ ngân hàng miễn phí này, kèm giải thích đầy đủ. Dùng công cụ luyện tập ở trên cho toàn bộ.

1. 1. Coordinated Care

   A charge nurse is assigning tasks on a medical unit. Which task is appropriate to delegate to the LPN/LVN?

   • a.Administering an oral antibiotic to a stable client
   • b.Developing the initial nursing care plan for a new admission
   • c.Performing the admission assessment on an unstable client
   • d.Providing discharge teaching about a new diagnosis

   Đáp án: a

   Giải thích: Administering routine oral medications to stable clients is within the LPN/LVN scope. Initial assessments, care-plan development, and client teaching about new content are RN responsibilities. The LPN/LVN reinforces teaching but does not perform the initial teaching.

2. 2. Coordinated Care

   A client's family asks the LPN/LVN to explain the surgeon's plan for an upcoming operation. What is the best response?

   • a."I will let the surgeon know you have questions about the plan."
   • b."The surgery is simple, so there is nothing to worry about."
   • c."I cannot discuss anything about the surgery with you."
   • d."Let me describe the entire surgical procedure for you."

   Đáp án: a

   Giải thích: Explaining the surgical plan and obtaining informed consent are the provider's responsibility. The nurse should facilitate communication by notifying the surgeon of the family's questions. Reassurance or refusal without follow-up does not meet the family's needs.

3. 3. Safety & Infection Control

   A client with a seizure disorder begins to have a generalized seizure. What is the priority nursing action?

   • a.Protect the head and turn the client to the side
   • b.Insert a padded tongue blade into the mouth
   • c.Restrain the client's arms and legs
   • d.Hold the client firmly to stop the movements

   Đáp án: a

   Giải thích: During a seizure the nurse protects the client from injury by cushioning the head and turning them to the side to maintain the airway. Nothing should be forced into the mouth, and the client should not be restrained. Movements should not be held back.

4. 4. Health Promotion

   A pregnant client in the third trimester reports occasional painless swelling of the feet at the end of the day. What is the best response?

   • a."This is a sign of serious kidney failure."
   • b."You must be admitted to the hospital immediately."
   • c."Mild foot swelling late in the day is common; elevate your legs and report sudden or facial swelling."
   • d."Stop drinking fluids to reduce the swelling."

   Đáp án: c

   Giải thích: Mild dependent edema is common in late pregnancy and improves with leg elevation. Sudden, severe, or facial swelling should be reported as it may indicate preeclampsia. Restricting fluids is not recommended.

5. 5. Psychosocial Integrity

   A client experiencing a panic attack is hyperventilating and pacing. What is the nurse's priority action?

   • a.Leave the client alone to calm down
   • b.Provide detailed education about anxiety disorders
   • c.Stay with the client and speak calmly using short, simple statements
   • d.Encourage the client to make a list of stressors immediately

   Đáp án: c

   Giải thích: During a panic attack the nurse should remain with the client and use a calm voice and simple directions to reduce stimulation. Detailed teaching and problem-solving are not effective during acute anxiety. Presence and reassurance promote safety.

6. 6. Physiological Integrity

   The LPN/LVN is collecting data on a client with heart failure. Which finding should be reported to the RN promptly?

   • a.Sudden weight gain of 3 pounds overnight
   • b.Blood pressure of 122/78 mmHg
   • c.Clear lung sounds bilaterally
   • d.Heart rate of 76 beats per minute

   Đáp án: a

   Giải thích: A sudden weight gain suggests fluid retention and worsening heart failure and should be reported. Normal blood pressure, clear lungs, and a normal heart rate are reassuring. Daily weights are a key monitoring tool in heart failure.

7. 7. Physiological Integrity

   The LPN/LVN is caring for a client with a seizure history who is NPO for a procedure. Which action is most appropriate regarding antiseizure medication?

   • a.Clarify with the RN or provider whether the medication should still be given
   • b.Automatically hold all medications because the client is NPO
   • c.Give the medication with a large glass of water
   • d.Double the next dose to make up for the missed one

   Đáp án: a

   Giải thích: Antiseizure medications are often continued even when a client is NPO, so the nurse should clarify orders rather than automatically holding them. Withholding may precipitate seizures. Doubling doses is unsafe.

8. 8. Physiological Integrity

   The LPN/LVN is caring for a client with a chest tube. The nurse notes continuous bubbling in the water-seal chamber. What is the appropriate action?

   • a.Check the tubing and connections for an air leak and notify the RN
   • b.Clamp the chest tube for the rest of the shift
   • c.Strip the tubing vigorously and continuously
   • d.Raise the drainage system above the chest

   Đáp án: a

   Giải thích: Continuous bubbling in the water-seal chamber may indicate an air leak in the system that should be investigated and reported. Clamping a chest tube can cause a tension pneumothorax. The system is kept below the chest.

9. 9. Pharmacological Therapies

   The LPN/LVN is preparing to give an intramuscular injection to an adult in the ventrogluteal site. Why is this site preferred?

   • a.It is away from major nerves and blood vessels
   • b.It has the least muscle mass
   • c.It is closest to the sciatic nerve
   • d.It is used only for infants

   Đáp án: a

   Giải thích: The ventrogluteal site is preferred for many intramuscular injections because it is away from major nerves and blood vessels and has adequate muscle mass. The dorsogluteal site poses more risk to the sciatic nerve. Correct site selection improves safety.

10. 10. Pharmacological Therapies

    The LPN/LVN prepares to administer a medication through a feeding tube. Which action is correct?

    • a.Flush the tube with water before and after the medication
    • b.Mix all medications together and crush enteric-coated tablets
    • c.Administer the medication without checking tube placement
    • d.Use a large-bore needle to push medication quickly

    Đáp án: a

    Giải thích: The tube should be flushed with water before and after medication to maintain patency and ensure the full dose is delivered. Enteric-coated tablets should not be crushed, and placement must be verified. Correct technique prevents clogging and errors.