LPN Comprehensive Predictor 2023 | Nurselytic

Questions 147

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LPN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?

Correct Answer: D

Rationale: Advanced practice nurse: An advanced practice nurse (APN), such as a nurse practitioner or clinical nurse specialist, has advanced training in diagnosing, managing, and prescribing medications.

Question 2 of 5

A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Place the shoulder harnesses at the level of the infant's shoulders: For optimal safety, the shoulder harness straps should be at or just below the infant's shoulders when they are in a rear-facing car seat. This positioning helps to keep the baby secure and ensures the harness fits properly in the event of an accident.

Extract:

Day 1

0800:

Client admitted for epigastric abdominal pain. Client rates pain

as 8 on a 0 to 10 scale. Client states pain began 24 hr after

drinking alcohol and eating, a large meal. Client has history of

alcohol use disorder. Client indicated no relief of pain after

taking cimetidine. Client is alert and oriented to person, place and time. Lung sounds diminished in the bases bilaterally. Bowel sounds hypoactive in all four quadrants, abdomen distended. Client reports nausea and vomiting for the past 24 hr


Question 3 of 5

A nurse is assisting in the care of a newly admitted client. Which of the following findings should the nurse report immediately to the provider? Select all that apply.

Correct Answer: A,B,E,F

Rationale: Temperature: The client's temperature increased to 38.9°C (102°F), indicating possible infection. Blood pressure: Hypotension (92/48 mmHg) suggests volume depletion. Heart rate: Tachycardia (132/min) indicates compensatory shock. Respiratory status: Respiratory rate of 32/min and SpO2 of 88% suggest distress. Mental confusion: Disorientation indicates worsening condition. Cold, clammy skin: Suggests poor perfusion and shock.

Extract:


Question 4 of 5

A nurse is assisting with the care of a client who is receiving IV fluids. Which of the following findings should the nurse report immediately?

Correct Answer: A

Rationale: Swelling at the IV site: Swelling indicates possible infiltration or extravasation, requiring immediate cessation of the infusion. Generated rationale: IV infiltration can cause tissue damage or infection if not addressed promptly, necessitating urgent reporting.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for venlafaxine. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Report increased anxiety: Venlafaxine, an SNRI, can initially worsen anxiety, requiring close monitoring. Generated rationale: Early side effects like anxiety may indicate the need for dose adjustment or additional support.

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