LPN Nursing 1 Fundamental Exam

Extract:

A baby born temporarily immune to diseases to which the mother is immune

Question 1 of 5

The nurse would explain this to the mother as being which of the following types of immunity?

A. Naturally acquired active immunityB. Artificially acquired passive immunityC. Naturally acquired passive immunityD. Artificially acquired active immunity

Correct Answer: C

Rationale: Naturally acquired passive immunity occurs when antibodies are transferred from mother to baby, providing temporary protection.

Extract:

A client with leukopenia being discharged home

Question 2 of 5

Which of the following should the nurse include in the teaching plan for a client with leukopenia?

A. undertake mild exercise like gardeningB. avoid crowdsC. monitor oral temperature weeklyD. eat plenty of fresh fruits and vegetables

Correct Answer: B

Rationale: Avoiding crowds reduces infection risk for clients with leukopenia due to their compromised immunity.

Extract:

A 57-year old female client with left upper arm open wound infection (methicillin-resistant Staphylococcus aureus [MRSA]) and cellulitis

Question 3 of 5

Indicate whether the nursing actions are Indicated, Contraindicated, or Non-essential for the client's care.

A. Place the client on Contact Precautions.B. Apply cold compress on her left upper arm.C. Elevate the client's arm on a pillow.D. Take a wound culture every shift to determine if the infection is improving.E. Have RN initiate IV access for the client to receive fluids and antibiotic therapy.F. Administer subcutaneous sodium heparin every 12 hours.

Correct Answer: A, C, E

Rationale: A (Indicated): Contact precautions prevent MRSA spread. C (Indicated): Elevation reduces swelling. E (Indicated): IV access is needed for antibiotics. B (Contraindicated): Cold compress may worsen tissue damage. D (Non-essential): Frequent cultures are unnecessary. F (Non-essential): Heparin is not indicated unless clotting risk exists.

Extract:

A client diagnosed with gouty arthritis

Question 4 of 5

Which laboratory test is most important to perform to confirm a diagnosis of gouty arthritis?

A. arterial blood gasesB. uric acid levelsC. culture and sensitivityD. potassium levels

Correct Answer: B

Rationale: Gouty arthritis is characterized by elevated uric acid levels, leading to urate crystal deposition in joints.

Extract:

A client with a large abdominal wound

Question 5 of 5

The nurse knows to cleanse the wound from the inner to outer area. What is the rationale for cleaning the wound in this manner?

A. Prevent introduction of different organisms into the woundB. Decrease swelling in wound area from accumulation of organismsC. Decrease the pain caused by organisms that may have collectedD. Render area sterile

Correct Answer: A

Rationale: Cleaning from the inner to outer area prevents introducing microorganisms from the surrounding skin into the wound, reducing infection risk.

LPN Nursing 1 Fundamental Exam | Nurselytic

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