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LPN NCLEX Case Study Questions and Answers Latest Exam 2024.Guaranteed Success, Exams of Nursing

Kingston University (KUL)Nursing

LPN NCLEX Case Study Questions and Answers Latest Exam 2024.Guaranteed Success

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LPN NCLEX Case Study Questions and Answers

Latest Exam 2024.Guaranteed Success

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 anticholinergics are contraindicated

in patients with glaucoma.

3. 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.

P a g e 1 | 174

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LPN NCLEX Case Study Questions and Answers

Latest Exam 2024.Guaranteed Success

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
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 anticholinergics are contraindicated in patients with glaucoma.
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.

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
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for parkinsonism? a. Encourage the patient to adhere to a high-protein diet. b. Inform the patient that perspiration may be dark and stain clothing. c. Advise the patient that glucose levels should be checked with urine testing. d. Warn the patient that it may take 4 to 5 days before symptoms are controlled. - answers> b. Inform the patient that perspiration may be dark and stain clothing.
What would the nurse teach a patient who is taking anticholinergic therapy for parkinsonism? (Select all that apply.) a. Avoid alcohol, cigarettes, and caffeine. b. Relieve dry mouth with hard candy or ice chips. c. Use sunglasses to reduce photophobia. d. Urinate 2 hours after taking the drug. e. Receive routine eye examinations. - answers> a. Avoid alcohol, cigarettes, and caffeine.
A patient is taking rivastigmine (Exelon) to improve cognitive function. What should the nurse teach the patient/family member to do? (Select all that apply.) a. Rise slowly to avoid dizziness. b. Remove obstacles from pathways to avoid injury.

a. Behavioral therapy b. Personality disorganization c. Deinstitutionalization d. Brain surgery - answers> c. Deinstitutionalization

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
The nurse is reviewing the assessment finding for a patient hospitalized with a stress disorder. What findings support the diagnoses? a. A vague feeling of depression b. An assumed role to protect the ego c. A main reason for all mental illnesses d. A response to any demand made upon the individual - answers> d. A response to any demand made upon the individual
The nurse is caring for a patient who is currently voicing feelings of anxiety. The nurse correctly recognizes what as the best description of the feelings that the patient is experiencing? a. A vague feeling of apprehension b. Feelings of paranoia c. Concerns about the impressions others have for her d. Emotional stability - answers> a. A vague feeling of apprehension

An assembly line manager in a factory was told that he would be laid off if his line did not meet the hourly quote. He promptly went to his workers and threatened to fire anyone who was found taking even 1 minute extra on a break. What is the manager displaying? a. Denial b. Regression c. Displacement d. Identification - answers> c. Displacement
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
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
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. mechanical lift b. slide transfer c. pivot transfer d. assisted transfer - answers> c. pivot transfer

Your client is to have an NG tube inserted. To mark the tube prior to insertion, you should: 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.
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
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.
Successful communication includes which of the following components? - answers> Appropriateness, efficiency, flexibility, feedback

According to Elizabeth Kubler-Ross, all of the following are considered stages of grief except: - answers> Resentment
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.
The purpose of inserting a chest tube is to: - answers> Restore negatie pressure int he intrapleural space.
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
A 70-year-old obese males admitted to the cardiac unit with new onset of atrial fibrillation. While in the hospital, the night shift nurse notes that the patient is snoring loudly, then waking abruptly. In the early morning , he reports being excessively tired during the day. The nurse is suspicious for which of the following? - answers> Obstructive sleep apnea
Obstructive sleep apnea is a disorder found most often in older obese males. It is the lack of air flow due to an obstruction of the pharynx during sleep. Patients with obstructive sleep apnea often snore loudly and awaken frequently throughout the night following episodes of apnea. They often report daytime tiredness, sore throat, and headaches. For severe cases of sleep apnea, a device called a continuous positive airway pressure (CPAP) machine may be utilized.
An elevated bilirubin may be a sign of: - answers> Liver disease

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
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.
Care for the patient with active TB involves wearing a: - answers> Respirator mask
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.
A "multiparous" woman is considered to have had: - answers> 2 or more childbirths pasts 20 weeks gestation.
The root "para" is used to describe births past 20 weeks gestation. The prefix "multi" is used to describe many. Therefore, "multiparous" is the term used in obstetrics to refer to a woman who has had more than 2 births past 20 weeks gestation.
The type of injection technique used to prevent staining and damage to the skin and subcutaneous tissue is known as: - answers> Z-track
The Z-track technique is a type of injection used to prevent staining and damage to the skin and subcutaneous tissue. It involves displacing the skin lateral to the injection site prior to injecting the medication. The common injection sites for this technique is the upper outer region of the gluteal.

Cancer occurs when: - answers> A cell's genetic mutations are defective and cannot induce cell death.
Cancer occurs when a cell's genetic mutations are defective and therefore cannot induce cell death, also known as apoptosis. In the absence of apoptosis, cell growth becomes uncontrolled and invades various systems of the body, leading to various levels of dysfunction. Uncontrolled cell growth masses are also known as tumors.
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
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.
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
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.

You are caring for a child who has a temperature of 104 degrees. The child suddenly begins to rhythmically convulse. What is the first thing you should do? a. gently restrain the child's movement b. ensure the child's safety c. call the doctor d. administer an antipyretic medication as ordered - answers> b. ensure the child's safety
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.
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
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.
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

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"
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
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.
Prior to delegating a task, the nurse should first: a. be certain the delegates can legally carry out the task b. attempt to complete the task on his or her own c. be certain the task can be delegated d. call the physician for an order to permit delegation - answers> c. be certain the task can be delegated
Tom is the licensed practical practical nurse caring for a busy group of 12 patients on a medical/surgical unit. Within his patient assignment , there are eight patients with DM who need to have their blood glucose checked prior to dinner. In a pinch for time, Tom only performs blood glucose checks on 6 of the eight patients. This is an example of:

c. Inform the parents that they are not allowed to leave the patient's room at any time d. ensure that the bars on the crib are raised to their highest level whenever the patient is unattended - answers> d. ensure that the bars on the crib are raised to their highest level whenever the patient is unattended

Ensuring that the bars on the crib are raised to their highest level will prevent the patient from falling. The infant will be unable to use a call bell. Providing 1:1 nursing care is not always feasible. Parents will need to leave the room for brief periods and should be reminded to ensure the bars on the crib are at the highest level. They should also be reminded to inform nursing staff when the patient is unattended
All of the following are teaching points for the patient with a colostomy except: a. change the colostomy bag while in front of a mirror b. change your pouch daily c. wash the stoma and skin around the stoma d. apply skin barrier prep or wipes before applying a new pouch - answers> b. change your pouch daily
pouches should be changed every 5 to 7 days or as needed in between
A nurse falsifying the narcotics record within a patient's medication administration record is an example of: a. felony b. unintentional tort c. negligence d. misdemeanor - answers> a. felony
You are a home health care nurse who is conducting an environment safety survey of the client's home. Which safety risk must be immediately addressed and corrected?

a. the unknown date of battery changes in the smoke alarms b. absence of food in the refrigerator c. not enough lighting in the house - answers> a. the unknown date of battery changes in the smoke alarms

Batteries in smoke alarms should be changed at least every 6 months. When the date of the last change is not known, the nurse should not assume that the batteries are still good. The nurse. therefore, must change the batteries and note the battery change date in order to protect the home client from fire hazards.
The most common sexually transmitted disease in the United States is: a. HIV b. Gonorrhea c. Chlamydia - answers> c. Chlamydia
The most common STD in the United States is chlamydia. Around 5 million people in the US contract the disease annually. In addition, it is estimated that around one billion health care dollars are spent each year on the diagnosis and treatment of chlamydia. Providing education to men and women about symptoms, transmissions, and prevention is essential.
The indirect Coombs test is performed on pregnant woman in order to: - answers> Determine if the mother has antibodies to the fetus's blood.
An indirect Coombs test determines whether there are antibodies to the Rh factor in the mother's blood. A normal, or negative, result means that the mothers not developed antibodies against the fetus's blood. A negative Coombs test indicates that the fetus is not presently in danger from problems relating to Rh incompatibility. An abnormal, or positive, result means that the mother had developed antibodies to the fetal RBCs and is sensitized. This result requires the injection of a medication called Rho(D) immune globulin.

d. request an ethical conflict resolution with the ethics committee or the nursing supervisor - answers> d. request an ethical conflict resolution with the ethics committee or the nursing supervisor

Many healthcare facilities have multidisciplinary ethics committee that convene to resolve ethical dilemmas and conflicts. Some of the commonly occurring ethical dilemmas that impact clients revolve around euthanasia, physician assisted suicide, the continued administration of pain medications to relieve pain even when it hastens death, advance directives, and withholding food and fluids
You are educating a newly diagnosed 55 year old male with type 2 diabetes. Which of the following will you tell your patient is most effective in attaining normal or near normal blood glucose levels? a. quitting smoking b. controlling hypertension c. weight loss d. exercising - answers> c. weight loss
Weight loss has been shown to help lower and maintain blood glucose levels. In addition to improving general health, all these measure will decrease the risk of developing cardiovascular disease
Your male patient has had a TURP (transurethral resection of the prostate). He has a 3 way catheter, and CBI (continuous bladder irrigation) is ongoing. He suddenly complains of lower abdominal discomfort. He is diaphoretic and tachycardia. You notice that his catheter is bypassing. What should you do first? a. increase the flow of the irrigation b. stop the irrigation immediately c. call the physician d. attempt to manually irrigate the catheter - answers> b. stop the irrigation immediately

You should turn the bladder irrigation immediately to prevent further distention of the bladder. It is likely that the catheter had become blocked, resulting in the patient's symptoms. You may manually irrigate the catheter if it is within your scope of practice. The physician should be notified, but the most important first step is to stop the irrigation
A 36 year old woman has just discovered she is pregnant. The pregnancy is unplanned and she feels ambivalent about it. She expresses to you that she feels guilty about not feeling more excited about the baby. What would be your best response? - answers> "It's normal to feel ambivalent at the beginning of a pregnancy"
The license practical nurse is reviewing laboratory data for a patient with COPD. She notes that the glucose levels are abnormally elevated, but the patient has no history of diabetes. Which medication is most likely to be responsible for elevated gluclose levels?
- answers> Glucocorticoids
Glucocorticoids are a type of steroid that maybe administered for patients with a history of asthma or breathing problems, among other indications. They are administered to reduce inflammation in the body. A well known side effect of steroids is hyperglycemia, which may be treated with short acting insulin if necessary.
A nurse is monitoring a postpartum client in the fourth stage of labor. Which of the following findings, If noted by the nurse, would indicate a complication related to a laceration of the birth canal? - answers> The saturation of more than one peripad per hour
In the first 24 hours after birth, the uterus will feel like a firmly contracted ball, roughly the size of a large grape fruit. One can easily locate the uterus at the level of the umbilicus. Saturation of more than one peripad per hour is considered excessive in the early postpartum period.
You need to perform an admission on a patient who does not speak English. What is the best course of action? - answers> Locate a translator and ask them to translate for you while you perform your admission assessment.

LPN NCLEX Case Study Questions and Answers Latest Exam 2024.Guaranteed Success, Exams of Nursing

Related documents

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Download LPN NCLEX Case Study Questions and Answers Latest Exam 2024.Guaranteed Success and more Exams Nursing in PDF only on Docsity!

LPN NCLEX Case Study Questions and Answers

Latest Exam 2024.Guaranteed Success