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 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.

Question 2 of 5

A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report immediately?

Correct Answer: D

Rationale: Clay-colored stools: This may indicate bile duct obstruction, a serious complication requiring immediate evaluation. Generated rationale: Absence of bile in the stool suggests a blockage post-cholecystectomy, which could lead to jaundice or pancreatitis if untreated.

Question 3 of 5

A nurse is reinforcing teaching with a client who is starting chemotherapy and is concerned about hair loss. Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Let's discuss some head-covering options to help you feel comfortable: This response addresses the client's concern empathetically and offers practical solutions. Generated rationale: Acknowledging hair loss concerns and providing options like wigs or scarves supports emotional well-being during chemotherapy.

Question 4 of 5

A nurse is assisting with the care of a client who has a new diagnosis of breast cancer. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Provide information about support groups: Support groups offer emotional and social support, helping clients cope with their diagnosis. Generated rationale: Psychosocial support is critical in cancer care to address emotional needs and improve quality of life.

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


Question 5 of 5

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client:

OptionsAnticipatedContraindicated
Airborne precautions
Rifampin
Contact precautions
Isoniazid
Monthly TB skin test for 1 year
Pyrazinamide
Ethambutol

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

Rationale: Airborne precautions: TB requires negative pressure isolation. Rifampin, Isoniazid, Pyrazinamide, Ethambutol: Standard TB treatment regimen.

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