LPN exams fundamentals practice questions, set 111

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LPN exams fundamentals practice questions set 111

You practice vitals, infection control, documentation, and the first nursing action when a patient is unstable. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.

Five fundamentals questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

A community nurse is making a visit to an older adult client. The nurse identifies which of the following strategies that can be used in prevention of abuse in this client population?

  1. A. Take the time to listen to the client and the family to offer resources and support.
  2. B. Talk to the caregiver or family member only since older adults are often confuse
  3. D. Talk to the older client alone without involving family members.
Show answer and rationale

Correct answer: A — Take the time to listen to the client and the family to offer resources and support.

The correct answer is A because taking the time to listen to both the client and their family allows the nurse to offer resources and support, which can help prevent abuse. By actively listening, the nurse can identify any signs of abuse, provide education on healthy relationships, and connect the client to appropriate services. This approach promotes client autonomy and ensures their needs are addressed. Choice B is incorrect because it assumes that older adults are always confused, which is a stereotype and can lead to overlooking potential abuse. Choice D is also incorrect as involving family members can be crucial in assessing the client's situation comprehensively and providing necessary support. Choice C is incomplete and does not provide a viable strategy for preventing abuse in older adult clients.

Question 2

A nursing student is researching various health care services that are provided in prisons. Which of the following describes these services?

  1. A. Funded by the Department of Defense (DO
  2. B. .
  3. C. Focus on health promotion interventions.
  4. D. Must be provided at an adequate level.
Show answer and rationale

Correct answer: C — Focus on health promotion interventions.

The correct answer is C because health care services in prisons typically focus on health promotion interventions to address the unique healthcare needs of incarcerated individuals. This includes preventive care, education on healthy lifestyle choices, and disease management. This approach helps improve the overall health and well-being of inmates and reduces the burden on the prison healthcare system. Choice A is incorrect as healthcare services in prisons are not typically funded by the Department of Defense, but rather by the Department of Justice or state corrections departments. Choice B is incomplete and does not provide any information related to healthcare services in prisons. Choice D is incorrect as the level of healthcare services in prisons may vary and is not always guaranteed to be adequate.

Question 3

A child with a diagnosis of appendicitis is scheduled for surgery. What preoperative intervention is important for the nurse to perform?

  1. A. Administering antibiotics
  2. B. Maintaining strict NPO status
  3. C. Encouraging fluid intake
  4. D. Monitoring for signs of infection
Show answer and rationale

Correct answer: D — Monitoring for signs of infection

The correct preoperative intervention for a child with appendicitis scheduled for surgery is to monitor for signs of infection. This is crucial to ensure that any potential infections are promptly identified and managed before surgery. Administering antibiotics, maintaining strict NPO status, and encouraging fluid intake are important interventions in various clinical situations but are not the priority in this scenario. Administering antibiotics may be part of the treatment plan but is typically prescribed by a physician. Maintaining NPO status is important to prevent complications related to anesthesia but may not directly address the specific needs of a child with appendicitis. Encouraging fluid intake is generally beneficial for hydration but may not be the primary concern before surgery for appendicitis.

Question 4

Which person would be expected to have the largest PAO2-PaO2 gradient? (A stands for alveolar and a-stands for arterial)

  1. A. Normal person during exercise
  2. B. Person with pulmonary fibrosis
  3. C. Person with anemia but normal lungs
  4. D. Person at 5000 meter above the sea level
Show answer and rationale

Correct answer: B — Person with pulmonary fibrosis

The PAO2-PaO2 gradient (alveolar-arterial O2 difference) is normally ~5-10 mmHg due to efficient diffusion. In pulmonary fibrosis, thickened alveolar walls impair O2 transfer, dropping PaO2 (e.g., to 60 mmHg) while PAO2 (~100 mmHg, per alveolar gas equation) stays closer to normal, widening the gradient (e.g., 40 mmHg). During exercise, a normal person's ventilation and perfusion match, keeping the gradient small despite higher O2 use. Anemia lowers O2-carrying capacity, not diffusion, so PaO2 ≈ PAO2, maintaining a normal gradient. At 5000 m, low atmospheric PO2 reduces both PAO2 and PaO2 (e.g., 50 vs. 45 mmHg), keeping the gradient small. Fibrosis's diffusion barrier creates the largest gradient, as O2 struggles to cross, a hallmark of restrictive disease affecting gas exchange, unlike other scenarios.

Question 5

What is the primary focus of community health nursing?

  1. A. Individual patient care
  2. B. Hospital-based care
  3. C. Community-wide health promotion and disease prevention
  4. D. Specialized medical treatment
Show answer and rationale

Correct answer: C — Community-wide health promotion and disease prevention

The correct answer is C: Community-wide health promotion and disease prevention. Community health nursing focuses on promoting health and preventing diseases within the community as a whole through education, advocacy, and collaboration. This includes addressing social determinants of health and implementing population-based interventions. Choice A is incorrect because community health nursing goes beyond individual patient care. Choice B is incorrect as it is more focused on acute care within hospital settings. Choice D is incorrect as it pertains to specialized medical treatment rather than the broader scope of community health nursing. In summary, the primary focus of community health nursing is on improving the health of the entire community through preventative measures and health promotion initiatives.

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Question 6

What should be included in the teaching plan for parents of an infant diagnosed with phenylketonuria (PKU)?

  1. A. Mental retardation occurs if PKU is untreated.
  2. B. Testing for PKU is done immediately after birth.
  3. C. Treatment for PKU includes lifelong dietary management.
  4. D. PKU is transmitted as an autosomal recessive trait.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

The healthcare provider understands that teaching has been effective when the patient verbalizes the following regarding influenza vaccinations:

  1. A. Since the vaccine is the live virus, I can expect to be ill for 4-7 days after receiving my shot.
  2. B. Influenza vaccines are a cure for the flu.
  3. C. The vaccine is an inactivated virus, but may cause some mild cold-like symptoms.
  4. D. If I have already had the vaccine last year, it is not recommended that I get it again this year.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

A public health nurse (PHN) uses a published systematic review to determine which exercises should be incorporated into a newly developed older adult exercise program. Which of the following resources would most likely contain this information?

  1. A. Evidence-Based Practice for Public Health Project
  2. B. Published
  3. C. Cochrane Public Health Group (PHRG)
  4. D. Task Force on Community Preventive Services
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Question 9

Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?

  1. A. Adult respiratory distress syndrome (ARDS)
  2. B. Atelectasis
  3. C. Bronchitis
  4. D. Pneumonia
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Question 10

The community health nurse is planning a series of educational courses about the healthcare system and meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a group of older adults?

  1. A. Peer concerns.
  2. B. Adult daycar
  3. D. Retirement issues.
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Question 11

Which action by the nurse demonstrates the application of community health principles to a program aimed at preventing cardiovascular disease through risk-factor modification?

  1. A. Providing individual counseling sessions for adults at risk for heart disease
  2. B. Promoting a weekly farmer's market for locally grown fruits and vegetables
  3. C. Assisting an adult with heart disease to develop a medication schedule that fits their lifestyle
  4. D. Developing a cardiac rehabilitation program for community members with heart failure
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

The school nurse is talking to fifth graders about the use of tissues when blowing one's nose. Which cause of a runny nose should the nurse include in the teaching session?

  1. A. Cells that line the breathing passages dying and releasing fluid
  2. B. Drinking lots of water when the weather turns cold
  3. C. Not enough coughing and sneezing to clear the nose
  4. D. Solid viruses becoming fluid when fever melts them
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Question 13

Which of the following is a benefit of antenatal care?

  1. A. Early detection of pregnancy complications
  2. B. Increased risk of preterm labor
  3. C. Decreased maternal weight gain
  4. D. Delayed fetal growth
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Question 14

Which of the following does not involve a bacterial exotoxin?

  1. A. diphtheria
  2. B. whooping cough
  3. C. scarlet fever
  4. D. Q fever
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Question 15

Oâ‚‚ dissociation curve shift to R by all of the following except

  1. A. Increase [H+]
  2. B. pCOâ‚‚
  3. C. Increase temperature
  4. D. Carbon monoxide
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About these LPN exams fundamentals questions

LPN exams fundamentals practice questions, set 111 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the LPN exams exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.