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LPN exams fundamentals practice questions, set 87

LPN exams · fundamentals

LPN exams fundamentals practice questions set 87

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

The following take part in the fecundation process:

  1. A. a single ovule;
  2. B. a single fecundated spermatozoon;
  3. C. one ovule with two nuclei, which means the pregnancy is monovitelline twin;
  4. D. two ovules, which means the pregnancy is bivitelline twin;
Show answer and rationale

Correct answer: C — one ovule with two nuclei, which means the pregnancy is monovitelline twin;

The correct answer is C, one ovule with two nuclei, which means the pregnancy is monovitelline twin. This is correct because during fertilization, a single sperm fertilizes an ovum, resulting in the formation of a zygote with two nuclei. Monovitelline twins originate from the splitting of a single fertilized egg, leading to two embryos with shared genetic material. The other choices, A and B, are incorrect as they do not accurately represent the process of fecundation. Choice A refers to a single ovule before fertilization, and choice B refers to a single spermatozoon, which is involved in fertilization but does not lead to the formation of twins. Choice D is also incorrect as it describes bivitelline twins, which result from the fertilization of two separate eggs by two different sperm, leading to genetically distinct individuals.

Question 2

A patient with an eating disorder states, 'I heard people laughing behind me in the check-out line at the department store. I bet they thought it was hysterically funny that I gained a pound in the last few days.' The nurse documents that the patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?

  1. A. Magnification
  2. B. Personalization
  3. C. Overgeneralization
  4. D. Dichotomous thinking
Show answer and rationale

Correct answer: B — Personalization

The correct answer is B: Personalization. Personalization is a cognitive distortion where an individual attributes external events to themselves without any evidence. In this case, the patient is assuming that people laughing were directed at them and related to their weight gain, which is a distorted belief. A: Magnification involves blowing things out of proportion, which is not evident in this scenario. C: Overgeneralization involves drawing broad conclusions based on a single incident, which is not happening here. D: Dichotomous thinking involves seeing things in black and white terms, which is not demonstrated in the patient's statement. In summary, the patient's attribution of others' laughter to their weight gain without evidence aligns with the cognitive distortion of personalization, making it the correct choice.

Question 3

Which nursing action would compromise safety when administering a tube feeding to a client with a tracheostomy?

  1. A. Place the client in supine position
  2. B. Aspirate and return residual stomach contents
  3. C. Determine placement of tube
  4. D. Check bowel sounds
Show answer and rationale

Correct answer: A — Place the client in supine position

Correct Answer: A - Place the client in supine position Rationale: 1. When administering tube feeding to a client with a tracheostomy, the head of the bed should be elevated at least 30 degrees to prevent aspiration. 2. Placing the client in a supine position increases the risk of aspiration and compromises safety. 3. The supine position can lead to reflux of feeding contents into the trachea, causing respiratory complications. Summary of Incorrect Choices: B: Aspirating residual stomach contents is a standard practice to prevent overfeeding, not directly related to compromising safety. C: Determining tube placement is essential for safety, so this action does not compromise safety. D: Checking bowel sounds is unrelated to the administration of tube feeding to a client with a tracheostomy and does not compromise safety.

Question 4

A 40-year-old woman presents with complaints of fatigue and muscle weakness. On examination, she has ptosis and weakness of the proximal muscles of the upper limbs. What is the most likely diagnosis?

  1. A. Multiple sclerosis
  2. B. Myasthenia gravis
  3. C. Guillain-Barré syndrome
  4. D. Lambert-Eaton syndrome
Show answer and rationale

Correct answer: B — Myasthenia gravis

The most likely diagnosis for a 40-year-old woman presenting with ptosis, fatigue, and weakness of proximal upper limb muscles is myasthenia gravis (B). Myasthenia gravis is an autoimmune disorder characterized by muscle weakness that worsens with activity and improves with rest. Ptosis and proximal muscle weakness are classic features of myasthenia gravis due to antibodies targeting the acetylcholine receptors at the neuromuscular junction, leading to impaired muscle contraction. Multiple sclerosis (A) presents with neurological symptoms such as sensory deficits, vision changes, and coordination issues. Guillain-Barré syndrome (C) manifests as ascending muscle weakness and can have autonomic involvement. Lambert-Eaton syndrome (D) is characterized by muscle weakness that improves with activity, the opposite of myasthenia gravis.

Question 5

As a nurse manager, which of the following best describes this function?

  1. A. Initiate modification on client's lifestyle
  2. B. Protect client's right
  3. C. Coordinates the activities of other members of the health team in managing patient care
  4. D. Provide in service education programs, Use accurate nursing audit, formulate philosophy and vision of the institution
Show answer and rationale

Correct answer: D — Provide in service education programs, Use accurate nursing audit, formulate philosophy and vision of the institution

A nurse manager's role is multifaceted, encompassing planning, organizing, directing, and controlling, as outlined in management theories like Venzon's. This includes formulating a vision (e.g., quality care goals), providing in-service training (e.g., skill updates), and using audits (e.g., outcome reviews) to ensure standards. While initiating lifestyle changes aligns with a change agent, protecting rights with an advocate, and coordinating with a case manager, the manager's broader scope integrates these into institutional leadership. For instance, a manager might train staff on new protocols while auditing compliance, ensuring cohesive care delivery. This comprehensive function distinguishes it from narrower roles, making it pivotal in healthcare settings where strategic oversight drives patient outcomes and staff development.

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Question 6

The nurse is teaching a patient about the use of the diaphragm of a stethoscope. It is best used to detect:

  1. A. Low-pitched heart murmurs.
  2. B. High-pitched breath sounds.
  3. C. Vascular bruits.
  4. D. Extra heart sounds.
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Question 7

The nurse is caring for a 6-year-old child with leukemia who is having an oncological emergency. Which of the following signs and symptoms would indicate hyperleukocytosis?

  1. A. Bradycardia and distinct S1 and S2 sounds
  2. B. Wheezing and diminished breath sounds
  3. C. Respiratory distress and poor tissue perfusion
  4. D. Intermittent fever and frequent vomiting
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Question 8

A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient?

  1. A. Hard and fixed cervical nodes
  2. B. Enlarged and tender inguinal nodes
  3. C. Bilateral enlargement of the popliteal nodes
  4. D. Pelletlike nodes in the supraclavicular region
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Question 9

What is the significance of a hysteroscopy in infertility evaluation?

  1. A. To measure hormone levels in the uterus.
  2. B. To visualize and treat abnormalities within the uterine cavity.
  3. C. To monitor egg development during ovulation induction.
  4. D. To assess ovarian reserve through imaging.
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Question 10

The healthcare professional is assessing a client who is post-operative following abdominal surgery. Which assessment finding would require immediate intervention?

  1. A. Absent bowel sounds
  2. B. Pain level of 8/10
  3. C. Temperature of 100.4°F
  4. D. Saturated abdominal dressing
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Question 11

The nurse is reviewing the function of the cranial nerves (CNs). Which CN is responsible for conducting nerve impulses to the brain from the organ of Corti?

  1. A. I
  2. B. III
  3. C. VIII
  4. D. XI
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Question 12

Which challenge facing the healthcare industry today is having the most significant impact?

  1. A. For-profit versus not-for-profit tax and operating statuses
  2. B. Advancements in technology and institutional changes
  3. C. Risk and uncertainty
  4. D. Insurance
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Question 13

While flushing the proximal port of a triple lumen central venous catheter with heparin solution, the nurse meets resistance. What action should the nurse take?

  1. A. Remove the cap and apply direct gentle pressure with the syringe
  2. B. Contact the healthcare provider regarding the need for a chest x-ray
  3. C. Cover the cap with tape and label the port as being obstructed
  4. D. Remove the catheter while applying gentle pressure at the insertion site
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Question 14

Spirometry is used to determine the severity of COPD and to monitor disease progression. This test measures

  1. A. The ratio of volume of air the patient can forcibly exhale in 1 second and forced vital capacity.
  2. B. The ratio of residual volume when patient has fully exhaled and forced vital capacity.
  3. C. The ratio of forced vital capacity and volume of air the patient can forcibly exhale in 6 seconds.
  4. D. The ratio of respiratory effort and respiratory rate.
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Question 15

Which of these children at the site of a disaster at a child day care center would the triage nurse put in the treat last" category?"

  1. A. An infant with intermittent bulging anterior fontanel between crying episodes
  2. B. A toddler with severe deep abrasions over 98% of the body
  3. C. A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture
  4. D. A school-age child with singed eyebrows and hair on the arms
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About these LPN exams fundamentals questions

LPN exams fundamentals practice questions, set 87 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.

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