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LPN exams medical-surgical practice questions, set 11

LPN exams · medical-surgical

LPN exams medical-surgical practice questions set 11

You practice adult health stems across systems, then name the action that changes the outcome. 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 medical-surgical questions with answers

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

Question 1

The nurse is writing a plan of care for a patient receiving immune suppressants for leukemia. What would be an appropriate nursing diagnosis for this patient?

  1. A. Anxiety related to diagnosis and drug therapy
  2. B. Acute pain related to central nervous system (CNS), gastrointestinal (GI), and flu-like effects
  3. C. Risk for infection related to immune stimulation
  4. D. Imbalanced nutrition: More than body requirements
Show answer and rationale

Correct answer: B — Acute pain related to central nervous system (CNS), gastrointestinal (GI), and flu-like effects

The correct answer is B: Acute pain related to central nervous system (CNS), gastrointestinal (GI), and flu-like effects. This is the most appropriate nursing diagnosis because immune suppressants commonly cause side effects like pain in the CNS, GI disturbances, and flu-like symptoms. The priority is to address the patient's immediate discomfort and provide appropriate pain management. Choice A (Anxiety related to diagnosis and drug therapy) may be a valid concern for the patient, but addressing acute pain is more urgent in this case. Choice C (Risk for infection related to immune stimulation) is incorrect because immune suppressants actually increase the risk of infection due to decreased immune response. Choice D (Imbalanced nutrition: More than body requirements) is not the most relevant nursing diagnosis for a patient receiving immune suppressants. Pain management takes precedence over addressing nutrition concerns.

Question 2

The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan?

  1. A. Liberally apply a lubricating cream three times daily.
  2. B. Use a humidifier at night.
  3. C. Use an alcohol-based cleanser in the morning.
  4. D. Take hot baths to reduce skin discomfort.
Show answer and rationale

Correct answer: B — Use a humidifier at night.

The correct answer is B: Use a humidifier at night. Psoriasis is a chronic skin condition characterized by dry, flaky skin. Using a humidifier at night helps to add moisture to the air, preventing further drying of the skin and reducing irritation. This is crucial in managing psoriasis symptoms. Explanation of why other choices are incorrect: A: Liberally apply a lubricating cream three times daily - While moisturizing is important for managing psoriasis, applying a lubricating cream too frequently may not be necessary and could potentially irritate the skin further. C: Use an alcohol-based cleanser in the morning - Alcohol-based cleansers can be harsh on the skin and may exacerbate psoriasis symptoms by drying out the skin further. D: Take hot baths to reduce skin discomfort - Hot baths can actually worsen psoriasis symptoms by stripping the skin of its natural oils and moisture, leading to further dryness and irritation.

Question 3

Which one of the following statements regarding genitourinary injuries is true?

  1. A. "Urethral injuries are associated with pelvic fractures"
  2. B. All patients with microscopic hematuria require evaluation of genitourinary tract
  3. C. Patients presenting with gross hematuria and shock will have a major renal injury as the source of hemorrhage
  4. D. Intraperitoneal bladder injuries are usually managed definitively with a urinary catheter
Show answer and rationale

Correct answer: A — "Urethral injuries are associated with pelvic fractures"

Rationale for Correct Answer A: "Urethral injuries are associated with pelvic fractures" 1. Urethral injuries are commonly seen in patients with pelvic fractures due to the close anatomical proximity and the mechanism of injury. 2. Pelvic fractures can cause direct trauma to the urethra, leading to urethral injuries. 3. Urethral injuries may present with blood at the meatus, inability to void, or high-riding prostate on rectal examination. 4. Prompt diagnosis and management are crucial to prevent complications such as urinary retention or urethral stricture. Summary: - Choice B is incorrect as not all patients with microscopic hematuria require genitourinary evaluation. - Choice C is incorrect as gross hematuria and shock can be due to various causes, not solely major renal injuries. - Choice D is incorrect as some intraperitoneal bladder injuries may require surgical intervention, not just urinary catheter placement.

Question 4

A characteristic of an unintentional wound is:

  1. A. Accidental
  2. B. High risk for infection
  3. C. Clean edges
  4. D. A and C
Show answer and rationale

Correct answer: D — A and C

A and C,' as unintentional wounds are characterized by being accidental and often having clean edges, depending on the cause. 'Accidental' fits because unintentional wounds result from unplanned events like falls or cuts, not deliberate actions like surgery. 'Clean edges' applies to wounds from sharp objects (e.g., a knife slice), common in accidents, though not universal jagged edges can occur too. 'High risk for infection' isn't exclusive to unintentional wounds; it depends on contamination, not intent, and intentional wounds (e.g., surgical) can also get infected if mishandled. Combining A and C captures key traits without overgeneralizing infection risk. In nursing, recognizing these features aids assessment accidental wounds may need tetanus prophylaxis, and clean edges suggest primary closure potential. 'All of the above' (E) overstates infection specificity, making D the precise choice per wound classification principles.

Question 5

A characteristic of an unintentional wound is:

  1. A. Accidental
  2. B. High risk for infection
  3. C. Clean edges
  4. D. A and C
Show answer and rationale

Correct answer: D — A and C

A and C,' as unintentional wounds are characterized by being accidental and often having clean edges, depending on the cause. 'Accidental' fits because unintentional wounds result from unplanned events like falls or cuts, not deliberate actions like surgery. 'Clean edges' applies to wounds from sharp objects (e.g., a knife slice), common in accidents, though not universal jagged edges can occur too. 'High risk for infection' isn't exclusive to unintentional wounds; it depends on contamination, not intent, and intentional wounds (e.g., surgical) can also get infected if mishandled. Combining A and C captures key traits without overgeneralizing infection risk. In nursing, recognizing these features aids assessment accidental wounds may need tetanus prophylaxis, and clean edges suggest primary closure potential. 'All of the above' (E) overstates infection specificity, making D the precise choice per wound classification principles.

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Ten more LPN exams medical-surgical questions

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Question 6

A client is receiving chemotherapy and is at risk for neutropenia. Which precaution should the nurse implement?

  1. A. Encourage regular visitors to boost morale.
  2. B. Ensure the client receives live vaccines.
  3. C. Place the client in a private room.
  4. D. Provide a diet high in fresh fruits and vegetables.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

After teaching a client who is at risk for the formation of pressure ulcers, a nurse assesses the client's understanding. Which dietary choice by the client indicates a good understanding of the teaching?

  1. A. Low-fat diet with whole grains and cereals and vitamin supplements
  2. B. High-protein diet with vitamins and mineral supplements
  3. C. Vegetarian diet with nutritional supplements and fish oil capsules
  4. D. Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet
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Question 8

Rolling' of neutrophils on endothelial cells is mediated by:

  1. A. Selectins expressed on endothelial cells
  2. B. Integrins expressed on leukocytes
  3. C. Chemokines such as CXCL-8 (IL-8)
  4. D. TNF
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan?

  1. A. Liberally apply a lubricating cream three times daily.
  2. B. Use a humidifier at night.
  3. C. Use an alcohol-based cleanser in the morning.
  4. D. Take hot baths to reduce skin discomfort.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

Which nursing action for a patient who has had right hip arthroplasty can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

  1. A. Reposition the patient every 1 to 2 hours.
  2. B. Assess for skin irritation on the patient’s back.
  3. C. Teach the patient quadriceps-setting exercises.
  4. D. Determine the patient’s pain intensity and tolerance.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

The dermis contains which of the following?

  1. A. blood vessels
  2. B. sweat glands
  3. C. sensory nerve endings
  4. D. sebaceous glands
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

What instructions should the nurse give to a patient with cervical cancer who is planned to receive external-beam radiation to prevent complications from the effects of the radiation?

  1. A. Test all stools for the presence of blood.
  2. B. Maintain a high-residue, high-fiber diet.
  3. C. Clean the perianal area carefully after every bowel movement.
  4. D. Inspect the mouth and throat daily for the appearance of thrush.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

The nurse is providing preoperative teaching to a client who will undergo a thyroidectomy. What information should the nurse include about postoperative care?

  1. A. Importance of maintaining neck stability
  2. B. How to care for the surgical drain
  3. C. Pain management strategies
  4. D. All of the above
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

The dermis contains which of the following?

  1. A. blood vessels
  2. B. sweat glands
  3. C. sensory nerve endings
  4. D. sebaceous glands
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

The dermis contains which of the following?

  1. A. blood vessels
  2. B. sweat glands
  3. C. sensory nerve endings
  4. D. sebaceous glands
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these LPN exams medical-surgical questions

LPN exams medical-surgical practice questions, set 11 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

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