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 has a new prescription for lorazepam. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Avoid alcohol while taking this medication: Lorazepam, a benzodiazepine, can cause severe CNS depression when combined with alcohol. Generated rationale: Alcohol potentiates lorazepam's sedative effects, increasing the risk of respiratory depression and overdose.

Question 2 of 5

A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Morning stiffness: Rheumatoid arthritis causes prolonged joint stiffness, especially in the morning, due to inflammation. Generated rationale: Synovial inflammation in rheumatoid arthritis leads to stiffness, a hallmark symptom impacting daily function.

Extract:

Preoperative

0730:

Client is scheduled for a left stapedectomy.

Pupils 3.5 mm, equal, round, and reactive to light.

Smile symmetrical.

Mucous membranes show color expected for client's skin tone and moist.

Speech clear.

Skin warm and dry.

Lungs clear bilaterally.

Apical heart rate regular at 78/min.

Postoperative

1230:

Pupils 3 mm, equal, and reactive to light.

Smile asymmetrical.

Mucous membranes pink.

Speech hoarse.

Client with left facial droop.

Skin warm and dry.

Client reports vertigo and nausea.

Bilateral breath sounds clear and present throughout


Question 3 of 5

A client presents to the medical surgical unit. Which of the following findings requires further action by the nurse? Select all that apply.

Correct Answer: D,E

Rationale: Facial nerve assessment: Left facial droop suggests potential facial nerve injury. Vertigo: Persistent vertigo may indicate inner ear trauma.

Extract:


Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?

Correct Answer: A,B

Rationale: Encourage arm exercises on the affected side: Promotes mobility and prevents lymphedema. Keep the arm elevated when at rest: Reduces swelling. Generated rationale: These interventions support recovery by improving circulation and preventing complications like lymphedema.

Question 5 of 5

A nurse is caring for a client who has a new prescription for clonidine. Which of the following findings should the nurse monitor as an adverse effect?

Correct Answer: A

Rationale: Dry mouth: Clonidine, an alpha-2 agonist, commonly causes dry mouth as a side effect. Generated rationale: Clonidine's anticholinergic effects reduce salivary flow, requiring monitoring to manage patient comfort.

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