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LPN NCLEX Questions and Answers Latest Exam, Exams of Nursing

King's College London (KCL)Nursing

LPN NCLEX Questions and Answers Latest Exam LPN NCLEX Questions and Answers Latest Exam

Typology: Exams

2024/2025

Available from 11/26/2024

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[Date]
2
LPN NCLEX Questions and Answers
Latest Exam
1. Which of the following assessment findings could the nurse see in
a patient with parkinsonism? (Select all that apply.)
a. An abrupt onset of symptoms
b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
e. Bilateral muscle weakness - answers>b. Muscle rigidity
f. c. Involuntary tremors
g. d. Bradykinesia
2. A patient is receiving carbidopa-levodopa for parkinsonism. What
should the nurse know about this drug?
a. Carbidopa-levodopa may lead to hypertension.
b. Carbidopa-levodopa may lead to excessive salivation.
c. Dopaminergic and anticholinergic therapy may lead to
drowsiness and sedation.
d. Dopaminergics and anticholinergics are contraindicated in
patients with glaucoma. - answers>d. Dopaminergics and
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Download LPN NCLEX Questions and Answers Latest Exam and more Exams Nursing in PDF only on Docsity!

[Date]

LPN NCLEX Questions and Answers

Latest Exam

  1. Which of the following assessment findings could the nurse see in a patient with parkinsonism? (Select all that apply.) a. An abrupt onset of symptoms b. Muscle rigidity c. Involuntary tremors d. Bradykinesia e. Bilateral muscle weakness - answers> b. Muscle rigidity f. c. Involuntary tremors g. d. Bradykinesia
  2. A patient is receiving carbidopa-levodopa for parkinsonism. What should the nurse know about this drug? a. Carbidopa-levodopa may lead to hypertension. b. Carbidopa-levodopa may lead to excessive salivation. c. Dopaminergic and anticholinergic therapy may lead to drowsiness and sedation. d. Dopaminergics and anticholinergics are contraindicated in patients with glaucoma. - answers> d. Dopaminergics and

[Date] anticholinergics are contraindicated in patients with glaucoma.

  1. The nurse has initiated teaching for a family member of a patient with Alzheimer's disease. The nurse realizes more teaching is needed if the family member makes which statement? a. As the disease gets worse, the memory loss will get worse. b. There are several theories about the cause of the disease. c. Personality changes and hostility may occur. d. It may take several medications to cure the disease. - answers> d. It may take several medications to cure the disease.
  2. A patient is taking rivastigmine (Exelon). The nurse should teach the patient and family which information about rivastigmine? a. That hepatotoxicity may occur b. That the initial dose is 6 mg t.i.d. c. That GI distress is a common side effect d. That weight gain may be a side effect - answers> c. That GI distress is a common side effect
  3. 5.Which is a nursing intervention for a patient taking carbidopa- levodopa for parkinsonism?

[Date] e. Receive regular liver function tests. - answers> a. Rise slowly to avoid dizziness.

  1. b. Remove obstacles from pathways to avoid injury.
  2. c. Closely follow the drug dosing schedule.
  3. Your client has a fracture of the radius. There is swelling at the injury site and the client complains of pain in the area. Which stage of bone healing do these signs and symptoms represent? a. Cellular proliferation b. Inflammatory c. Ossification d. Callus formation - answers> b. Inflammatory
  4. During the inflammatory phase, bleeding occurs at the area of injury and results in a hematoma. Why plus I was rushed to the area of injury to begin to debride the dead cells. The patient will experience pain during this phase. Cellular proliferation occurs after approximately 5 days, when the interrupted blood supply is recreated and fibrin strands begin to form. The callus formation stage takes about 3 to 4 weeks, while the ossification stage may take as long as 3 to 4 months. Remodeling of the bone may take months to years.
  5. Who was the English Quaker who advocated humane care and built an asylum to reflect a household?

[Date] a. Florence Nightingale b. William Tukes c. Sigmund Freud d. Benjamin Rush - answers> b. William Tukes

  1. Changes in the delivery of mental health care that resulted from the development of electroconvulsive therapy and psychotherapeutic drugs brought about which phenomenon in the 20th century? a. Behavioral therapy b. Personality disorganization c. Deinstitutionalization d. Brain surgery - answers> c. Deinstitutionalization
  2. What is the best description of personality? a. The level of mental health that a person attains in life b. The relatively consistent set of attitudes and behaviors particular to an individual c. The result of a positive self-concept and acceptable behavior d. The ability to manage stress - answers> b. The relatively consistent set of attitudes and behaviors particular to an individual

[Date] a. Denial b. Regression c. Displacement d. Identification - answers> c. Displacement

  1. Punishment and abandonment were how mentally ill people were treated in medieval times. These practices continued until the 17th and 18th centuries. Which care practice that is still being used today did Dr. Phillipe Pinel of France advocate? a. Electroshock therapy for melancholy b. Humane care with record keeping of behaviors c. Psychoanalysis d. Home care in the community - answers> b. Humane care with record keeping of behaviors
  2. The student nurse is working on a presentation regarding OBRA. What was the result of this landmark legislation? a. Deinstitutionalization b. Approved surgical treatment for schizophrenia c. Prohibition of electroshock therapy d. Increased construction of state facilities for residential mental health care - answers> a. Deinstitutionalization

[Date]

  1. A 52-year old patient experienced cardiac arrest from a myocardial infarction. During his acute care stay in the hospital, the patient flirts with all female nurses. When he is asked to stop, he withdraws and later complains of chest heaviness. What is a possible explanation for the patient's behavior? a. Boredom from restricted activity b. Lack of motivation to recover c. Frustration from illness d. Threatened self-concept - answers> d. Threatened self- concept
  2. A 14-year-old tells the school nurse that she is self-conscious about her recent breast development. She reports that the boys in her class are teasing her. What is the first step for the nurse to take? a. Call her parents b. Have her describe what happened c. Ask who her friends are d. Provide her with a pamphlet outlining the changes associated with puberty - answers> b. Have her describe what happened
  3. Your patient with heart failure has been responding well to treatments that include medications such as ACE inhibitors and a loop diuretic. Today, the client is complaining about leg weakness

[Date] a. place the tip of the tube at the corner of the patient's eye and extend the tip to the earlobe, and then to the tip of the xiphoid process. b. place the tip of the tube at the corner of the mouth and extend the tip to the top of the patient's ear, and then to the umbilicus. c. place the tip of the tube at the patient's nostril and extend the tip of the earlobe, and then to the tip of the xiphoid process. d. place the tip of the tube at the patient's nostril , extend it to the tip of the earlobe, and then to the base of the ribcage. - answers> c. place the tip of the tube at the patient's nostril and extend the tip of the earlobe, and then to the tip of the xiphoid process.

  1. A patient with a history of alcohol abuse is arrested for driving under the influence. His wife bails him out of jail for the third time. His wife's response is an example of: a. attachement disorder b. reactivity c. codependency d. addiction - answers> c. codependency
  2. codependency is a type of dysfunction in which one individual supports the addiction, substance abuse, immaturity, or other poor behavior of another in a relationship.

[Date]

  1. Successful communication includes which of the following components? - answers> Appropriateness, efficiency, flexibility, feedback
  2. According to Elizabeth Kubler-Ross, all of the following are considered stages of grief except: - answers> Resentment
  3. Elizabeth Kubler-Ross, a psychiatrist, proposed a model that describes 5 stages commonly seen in those experiencing grief. These stages, which can occur in any order, include: denial, anger, bargaining, depression, and acceptance. The acronym "DABDA: can be used to help recall the 5 stages of grief.
  4. The purpose of inserting a chest tube is to: - answers> Restore negatie pressure int he intrapleural space.
  5. Insertion of a chest tube is an invasive procedure designed to restore negative pressure in the intrapleural space. When the normally negative pressure of the intrapleural space is disrupted, it causes the lung to collapse and a patient to develop respiratory symptoms. Therefore, the tube is placed to restore negative pressure until the underlying condition can heal. Conditions that commonly necessitate a chest tube include a pneumothorax, blunt chest trauma, empyema, or hemothorax

[Date]

  1. B-type natriuretic peptide (BNP) is secreted from the ventricles or lower chambers of the heart in response to changes in pressure that occur when heart failure develops and worsens. The level of BNP in the blood increases and worsens. The level of BNP in the blood increases when heart failure symptoms worsen, and decreases when the heart failure condition is stable.
  2. An 80-year-old male presents to the emergency department with dyspnea and a history of COPD. The licensed practical nurse teaches him about which type of the following positions to relieve dyspnea? - answers> Tripod
  3. Proper positioning can provide relief for patients with COPD. The tripod position, in which the patient sits or stands leaning forward with the arms supported, forces the diaphragm down and forward and stabilizes the chest while reducing the work of breathing. Purse-lipped breathing may also be encouraged to control dyspnea and shortness of breath.
  4. The organization responsible for promoting safer, higher quality care among hospital organizations in addition to evaluating and providing accreditation is known as: - answers> The joint commission (TJC)
  5. The Joint Commission is a non-profit organization that works to promote safer, higher quality care in hospital organizations. The

[Date] Joint Commission is also responsible for evaluating and designating organizations with accreditation. Finally, the Commission publishes annual patient safety goals in order to improve overall patient safety.

  1. You are assigned charge nurse responsibilities for the upcoming month. In creating the schedule, you assign a fellow nurse that you do not get along with every holiday shift, despite the requirements being one holiday per season. This action is a violation of which ethical principle? - answers> Non-maleficence
  2. Non-maleficence is the ethical principle that refers to "doing no harm." It can refer to doing no harm to patients, or doing no harm to fellow health care workers as well. Within this principle, one should act with empathy and without malicious intent.
  3. Care for the patient with active TB involves wearing a: - answers> Respirator mask
  4. To prevent droplet spread of TB, health care workers must DON an appropriately fitting respirator mask. Surgical masks do not provide an appropriate seal to prevent the transmission of droplets, and therefore are not recommended in the care of the patient with active TB. Hospitals and health care organizations often conduct fit testing for TB respirator masks to determine the appropriate size mask for each employee.

[Date] of dysfunction. Uncontrolled cell growth masses are also known as tumors.

  1. A nurse has performed a non stress test on a pregnant client and is reviewing the fetal monitoring strip. The nurse interprets the test as reactive and understands that this indicates which of the following? a. the need for further evaluation b. abnormal findings c. that the findings on the monitor were difficult to interpret d. normal findings - answers> d. normal findings
  2. A reactive non stress test is a normal test. To be considered reactive, the baseline fetal heart rate must be within normal range (120-160 BPM) with good long term viability.
  3. Your client is in active labor at 41 weeks. The membranes rupture and you note that the fluid is thick and green in color. This is indicative of: a. blood b. infected amniotic fluid c. normal amniotic fluid d. meconium - answers> d. meconium

[Date]

  1. Amniotic fluid that is stained a greenish color and is thickened contains meconium, the newborn's first stool. This is a warning sign of potential fetal distress. The physician should be notified, and the newborn may require tracheal suctioning immediately following delivery.
  2. Asepsis is a term that refers to which of the following? a. clean b. dirty c. sterile d. infectious - answers> c. sterile
  3. Assessment of clients with suicidal ideation should include: a. asking them whether they have a specific plan b. administering an antidepressant medication c. referring the client to a psychiatrist d. suggesting the client join a support group - answers> a. asking them whether they have a specific plan
  4. Asking whether the patient has a specific plan in an assessment question. The other answers are interventions.

[Date]

  1. Seizures place clients, both children and adults, at risk of injuries, some of which can be life threatening. The first priority is safety. Later, when the child is out of danger, you should call the doctor and administer antipyretic medications as ordered. Client movement should be protected but not restrained during seizures or convulsions.
  2. Your patient's abdominal wound dehisces, and bowel can be seen protruding through the opened incision. Nursing interventions include: a. assessment of the patient's vital signs every hour b. positioning the patient in bed with the knees bent and the head of the bed no higher than 20 degrees to prevent an increase in intraabdominal pressure c. covering the wound with gauze soaked in betadine d. gently reducing the exposed viscera - answers> b. positioning the patient in bed with the knees bent and the head of the bed no higher than 20 degrees to prevent an increase in intraabdominal pressure
  3. Positioning the patient appropriately will decrease abdominal pressure. Cover the wound with gauze or towels soaked in sterile saline. Do not attempt to replace any exposed organs. Assess vital signs every 15 minutes to watch for signs of shock.

[Date]

  1. A set code of ethics for LPNs has been published by: a. American Medical Association b. American Nurses Association c. National Federation of LPNs d. National Association for Practical Nurse Education and Service - answers> d. National Association for Practical Nurse Education and Service
  2. Within the code are principles that serve as a guide for LPNs when providing care to patients. NAPNEs also publishes a journal called the "Journal of Practical Nursing"
  3. You are caring for a child with epiglottitis. What equipment is most important to have at the bedside? a. chest tube and drainage system b. cricothyrotomy kit c. oxygen saturation minitor d. blood pressure monitor - answers> b. cricothyrotomy kit
  4. airway management is most important. Patients may deteriorate quickly, and airway equipment, including equipment needed for cricothyrotomy, should be present at the patient's bedside. You would not need to insert a chest tube in a patient with epiglottitis.