LPN Nursing 1 Fundamental Exam

Extract:

A client with a severe allergic response to a bee sting

Question 1 of 5

Which lab would the nurse expect to be the most elevated on the white blood count (WBC) differential in a client with a severe allergic response to a bee sting?

A. monocytesB. lymphocytesC. neutrophilsD. eosinophils

Correct Answer: D

Rationale: Eosinophils increase significantly during allergic reactions, such as anaphylaxis from a bee sting.

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:

At 1930 the nurse notes that the client has rapid, more labored respirations with frequent coughing that is producing thick tenacious secretions. The client is alert and oriented and able to speak, between coughing episodes. She states that the last time she had this much coughing, the respiratory therapist (RT) gave her a nebulizer treatment, which 'helped a lot.'

Question 3 of 5

What nursing actions would the nurse implement at this time in coordination with the registered nurse (RN)? Select all that apply.

A. Remind the client to drink additional fluids to thin secretions.B. Obtain the client's vital signs and note change from previous readings.C. Administer the antitussive medication as prescribed PRN.D. Ensure that the client is positioned in a high-Fowler position.E. Increase the supplemental oxygen flow.F. Call the respiratory therapist to administer a nebulizer treatment.G. Document findings and actions.

Correct Answer: B, D, E, F

Rationale: Obtaining vital signs (
B), positioning in high-Fowler (
D), increasing oxygen flow (E), calling for a nebulizer treatment (F), documenting (H), and listening to breath sounds (J) address the client's respiratory distress and monitor status effectively.

Extract:

Question 4 of 5

Which of the following statements made by the unlicensed assistive personnel (UAP) indicates an understanding of standard precaution techniques?

A. I will wear gloves and gown when bathing a client with open skin lesions.'B. I will wear gloves when taking blood pressures on all clients.'C. I will wear gloves, gown, and an N95 mask while caring for a client with diarrhea.'D. I will wear gloves at all times when in contact with any clients.'

Correct Answer: A

Rationale: Wearing gloves and a gown when bathing a client with open skin lesions aligns with standard precautions to prevent infection transmission.

Extract:

A newly hired nurse with a negative rubella titer

Question 5 of 5

What would be the next action for a newly hired nurse with a negative rubella titer?

A. obtain a repeat titerB. administration of immune globulinC. nothing, the nurse has protectionD. administration of the rubella vaccine

Correct Answer: D

Rationale: A negative rubella titer indicates lack of immunity, so administering the rubella vaccine is the next step.

LPN Nursing 1 Fundamental Exam | Nurselytic

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