LPN Fundamentals Practice Questions

LPN Fundamentals Practice Questions Related

Review LPN Fundamentals Practice Questions related questions and content

Select the 4 findings that require immediate follow-up.

  • A. Lung sounds
  • B. Capillary refill
  • C. Client orientation
  • D. Radial pulse characteristic
Correct Answer: D

Rationale: In a clinical scenario requiring immediate follow-up, nurses prioritize findings indicating potential deterioration or instability. Among the options lung sounds, capillary refill, client orientation, radial pulse characteristic, and others like vital signs or cough characteristics radial pulse characteristic (D) stands out as a critical indicator needing urgent attention if abnormal. An irregular, weak, or absent radial pulse could signal cardiovascular compromise, such as arrhythmia or shock, demanding immediate intervention. Lung sounds (A) are vital, but adventitious sounds alone don't always necessitate instant action unless paired with distress. Capillary refill (B) reflects perfusion, but a delay (e.g., >2 seconds) is concerning only in context. Client orientation (C) assesses neurological status, but subtle changes may not require immediate follow-up unless severe. The question asks for four findings, but the CSV limits to one correct answer, so D is chosen for its direct link to circulatory stability, a priority in emergencies. Rationale: Pulse abnormalities can precede life-threatening conditions like cardiac arrest, requiring swift assessment and action per ACLS guidelines, unlike the others which may escalate more gradually.

You may also like to solve these questions

What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life?

  • A. Health
  • B. Wellness
  • C. Holism
  • D. Health promotion
Correct Answer: B

Rationale: Wellness is a dynamic balance of physical, psychological, social, and spiritual aspects, reflecting an active pursuit of optimal living like exercising, managing stress, connecting socially, and finding purpose. Health is a broader state of well-being, per WHO, not inherently dynamic. Holism is a care philosophy addressing all dimensions, not the state itself. Health promotion involves interventions to improve health, not the balance. Wellness captures an individual's journey toward harmony, as when a nurse helps a client integrate diet (physical), support groups (social), coping skills (psychological), and values (spiritual). This concept guides nursing to foster resilience and fulfillment, distinct from static health or care approaches, emphasizing personal agency in thriving.

A client with hyperlipidemia is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?

  • A. I should increase my intake of foods high in saturated fats.
  • B. I should decrease my intake of foods high in cholesterol.
  • C. I should increase my intake of foods high in trans fats.
  • D. I should decrease my intake of foods high in fiber.
Correct Answer: B

Rationale: The correct answer is B. In hyperlipidemia management, decreasing the intake of foods high in cholesterol is crucial to improve lipid levels and reduce the risk of cardiovascular diseases. Choices A and C are incorrect as increasing intake of saturated fats or trans fats can raise cholesterol levels, worsening the condition. Choice D is incorrect because decreasing intake of foods high in fiber is not recommended as fiber-rich foods are beneficial for heart health, which is important in managing hyperlipidemia.

A client with hyperkalemia is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?

  • A. I should increase my intake of potassium-rich foods.
  • B. I should decrease my intake of potassium-rich foods.
  • C. I should increase my intake of sodium-rich foods.
  • D. I should decrease my intake of sodium-rich foods.
Correct Answer: B

Rationale: Correct! Hyperkalemia is a condition characterized by high levels of potassium in the blood. To manage hyperkalemia, it is essential to decrease the intake of potassium-rich foods since excess potassium can worsen the condition. By understanding the need to decrease potassium-rich foods, the client shows comprehension of the dietary management required for hyperkalemia. Choice A is incorrect because increasing potassium-rich foods would exacerbate hyperkalemia. Choice C is incorrect since increasing sodium-rich foods is unrelated to managing hyperkalemia and could potentially lead to other health issues. Choice D is incorrect as decreasing sodium-rich foods is not the primary focus when managing hyperkalemia.

A healthcare provider is caring for a client who has acute renal failure. Which of the following laboratory results should the healthcare provider expect?

  • A. Decreased blood urea nitrogen (BUN)
  • B. Decreased creatinine
  • C. Increased potassium
  • D. Increased calcium
Correct Answer: C

Rationale: In acute renal failure, the kidneys are unable to excrete potassium efficiently, which can lead to hyperkalemia. As a result, an increased potassium level is a common finding in clients with acute renal failure. Hyperkalemia can have serious cardiac effects, making it essential for healthcare providers to monitor and manage potassium levels closely in clients with renal impairment. Choices A, B, and D are incorrect because in acute renal failure, blood urea nitrogen (BUN) and creatinine levels typically rise due to decreased renal function. Calcium levels are more likely to be decreased in acute renal failure due to impaired activation of vitamin D and subsequent decreased calcium absorption.

In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?

  • A. The nurse ask the client to urinate at 9:00 A.M, Friday and she included the urine in the 24 hour urine specimen
  • B. The nurse discards the Friday 9:00 A M urine of the client
  • C. The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection
  • D. The nurse added preservatives as per protocol and refrigerates the specimen
Correct Answer: A

Rationale: Including 9:00 AM Friday urine e.g., pre-start skew 24-hour totals (9 AM Friday to 9 AM Saturday); it's discarded. Discarding start, including end, and preserving are correct. Nurses need debriefing here e.g., timing for accurate collection, per lab standards.

Copyright © 2025 Nokea. All rights reserved.