LPN Comprehensive Predictor 2023 | Nurselytic

Questions 147

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LPN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: I should leave my steri-strips on until they fall off: Steri-strips are used to help close the incision site and should remain in place until they naturally fall off.

Extract:

Client reports, “I have a cough”

History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports “blood-tinged sputum”. Client also reports, “I used to weigh 167 pounds. Now I weigh 162 pounds.” Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.

Family history: Child has asthma. All other family members healthy.

Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks

The nurse is administering medications to the client and is monitoring potential adverse effects of medications


Question 2 of 5

The nurse is administering medications to the client and is monitoring potential adverse effects of medications. For each body system below, click to specify the assessment findings that could indicate a serious adverse reaction.

Body system
Yellowing of the eyes
Blurred vision
Dry eyes
Abdominal pain
Weight gain
Increased bruising
Increased bleeding tendencies

Correct Answer: A,B,D,F,G

Rationale: Yellowing of the eyes: Indicates hepatotoxicity from isoniazid or rifampin. Blurred vision: Ethambutol can cause optic neuritis. Abdominal pain: Hepatotoxicity or gastric irritation from TB drugs. Increased bruising and bleeding tendencies: Rifampin may cause thrombocytopenia.

Extract:


Question 3 of 5

A nurse is collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the interprofessional team?

Correct Answer: B

Rationale: Case manager: The case manager is the most appropriate team member to refer to in this situation. A case manager is responsible for assessing the client's needs and connecting them with resources such as financial assistance, community support programs, or social services.

Question 4 of 5

A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: I should leave my steri-strips on until they fall off: Steri-strips are used to help close the incision site and should remain in place until they naturally fall off.

Question 5 of 5

A nurse is assisting with the care of a client who is receiving oxygen therapy via nasal cannula. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Check the nares for skin breakdown: Prolonged oxygen use can cause irritation or breakdown, requiring regular assessment. Generated rationale: Monitoring skin integrity prevents complications from pressure or dryness caused by the cannula.

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