Nursier
Register
Log in Register Register

LPN exams medical-surgical practice questions, set 8

LPN exams · medical-surgical

LPN exams medical-surgical practice questions set 8

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

Which of the following statements is incorrect about celiac disease?

  1. A. There is a strong genetic association: more than 90% of celiac patients express the HLA allele DO2 or DO8
  2. B. It is technically an allergy but has some features of autoimmunity
  3. C. The disease is mainly caused by an abnormal innate response to gluten while adaptive cells are not involved
  4. D. The disease is entirely driven by gluten exposure. The gut lesions observed in these patients disappeared upon removal of gluten from the diet
Show answer and rationale

Correct answer: C — The disease is mainly caused by an abnormal innate response to gluten while adaptive cells are not involved

The correct answer is C because celiac disease primarily involves an abnormal adaptive immune response to gluten, not an innate response. Here's the rationale: 1) Celiac disease is characterized by a T-cell mediated response to gluten peptides in genetically susceptible individuals. 2) The adaptive immune system, particularly T cells, plays a crucial role in the pathogenesis by recognizing gluten peptides presented by HLA-DQ2 or HLA-DQ8 molecules. 3) This adaptive immune response leads to inflammation and damage to the intestinal mucosa. 4) In contrast, the innate immune system may also be activated, but it is not the primary driver of the disease. Summary: A: Correct - There is a strong genetic association with HLA alleles. B: Incorrect - Celiac disease is primarily driven by an adaptive immune response, not just features of autoimmunity. D: Incorrect - While gluten exposure triggers the immune response, the disease is not solely driven by gluten intake.

Question 2

A client is being administered the first dose of belimumab for a systemic lupus erythematosus flare. What actions by the nurse are most appropriate? (Select one that does not apply.)

  1. A. Observe the client for at least 2 hours afterward.
  2. B. Instruct the client about the monthly infusion schedule.
  3. C. Inform the client not to drive or sign legal papers for 24 hours.
  4. D. Ensure emergency equipment is working and nearby.
Show answer and rationale

Correct answer: C — Inform the client not to drive or sign legal papers for 24 hours.

The correct answer is C: Inform the client not to drive or sign legal papers for 24 hours. This is because belimumab can cause dizziness and fatigue as side effects, which may impair the client's ability to drive or make important decisions. It is crucial for the nurse to ensure the safety of the client and others by advising against these activities for 24 hours post-administration. Choice A: Observing the client for at least 2 hours is important for monitoring immediate adverse reactions, but it is not the most appropriate action in this scenario. Choice B: Instructing the client about the monthly infusion schedule is important for treatment adherence, but it is not the most immediate concern after the first dose administration. Choice D: Ensuring emergency equipment is working and nearby is important for safety precautions, but advising the client not to drive or sign legal papers is more directly related to the potential side effects of belimumab.

Question 3

A client has a venous ulcer on the lower leg that is treated with compression therapy. The nurse instructs the client to elevate the leg above the level of the heart whenever possible. What is the rationale for this instruction?

  1. A. To reduce edema and venous pressure
  2. B. To increase arterial blood flow and oxygenation
  3. C. To prevent infection and inflammation
  4. D. To stimulate nerve regeneration and sensation
Show answer and rationale

Correct answer: A — To reduce edema and venous pressure

Choice A is correct because elevating the leg above the heart reduces edema and venous pressure, which is the primary rationale for this instruction in managing a venous ulcer. Venous ulcers stem from chronic venous insufficiency, causing blood pooling, increased pressure, and swelling in the lower legs. Elevation leverages gravity to enhance venous return to the heart, alleviating these issues and supporting healing. Increasing arterial blood flow and oxygenation is more relevant to arterial ulcers, where elevation might worsen perfusion by countering gravity's aid to arterial flow. Preventing infection and inflammation is critical but not directly tied to elevation; it relies more on wound care practices like cleansing and dressings. Stimulating nerve regeneration and sensation is unrelated to venous ulcers or elevation, as neuropathy isn't a primary concern here. Thus, reducing edema and venous pressure best explains the benefit of elevation in this context.

Question 4

A client has a venous ulcer on the lower leg that is treated with compression therapy. The nurse instructs the client to elevate the leg above the level of the heart whenever possible. What is the rationale for this instruction?

  1. A. To reduce edema and venous pressure
  2. B. To increase arterial blood flow and oxygenation
  3. C. To prevent infection and inflammation
  4. D. To stimulate nerve regeneration and sensation
Show answer and rationale

Correct answer: A — To reduce edema and venous pressure

Choice A is correct because elevating the leg above the heart reduces edema and venous pressure, which is the primary rationale for this instruction in managing a venous ulcer. Venous ulcers stem from chronic venous insufficiency, causing blood pooling, increased pressure, and swelling in the lower legs. Elevation leverages gravity to enhance venous return to the heart, alleviating these issues and supporting healing. Increasing arterial blood flow and oxygenation is more relevant to arterial ulcers, where elevation might worsen perfusion by countering gravity's aid to arterial flow. Preventing infection and inflammation is critical but not directly tied to elevation; it relies more on wound care practices like cleansing and dressings. Stimulating nerve regeneration and sensation is unrelated to venous ulcers or elevation, as neuropathy isn't a primary concern here. Thus, reducing edema and venous pressure best explains the benefit of elevation in this context.

Question 5

Multi-photon microscopy has proved to be an invaluable tool for the evaluation of the dynamics of immune responses in vivo. The following is a list of observations derived from intra-vital microscopy. Identify the incorrect statement.

  1. A. T cells make stable and prolonged contacts with APC presenting the specific antigen in the paracortex
  2. B. In the absence of antigens B cells move at the same speed and randomly in follicles
  3. C. In the presence of infection specific B cells quickly direct themselves towards the source of antigen
  4. D. Dendritic cells move rapidly through the germinal centre during an immune response
Show answer and rationale

Correct answer: D — Dendritic cells move rapidly through the germinal centre during an immune response

The correct answer is D because dendritic cells do not typically move rapidly through the germinal center during an immune response. Dendritic cells usually interact with T cells in the paracortex to present antigens, and they are not known to migrate rapidly through the germinal center. A: This statement is correct as T cells do make stable and prolonged contacts with APCs in the paracortex during immune responses. B: This statement is incorrect as B cells do not move at the same speed and randomly in follicles in the absence of antigens. They respond to signals and cues in the microenvironment. C: This statement is correct as specific B cells can quickly direct themselves towards the source of antigen during an infection. In summary, choice D is incorrect because dendritic cells do not move rapidly through the germinal center during an immune response, while the other choices accurately describe behaviors of immune cells during immune responses.

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.

Start studying See pricing

Ten more LPN exams medical-surgical questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

Which of the following word pairs is (are) appropriate?

  1. A. iatcgument-gland
  2. B. integument-tissue
  3. C. integument-organ
  4. D. all the above
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

Which of the following word pairs is (are) appropriate?

  1. A. iatcgument-gland
  2. B. integument-tissue
  3. C. integument-organ
  4. D. all the above
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

Which of the following word pairs is (are) appropriate?

  1. A. iatcgument-gland
  2. B. integument-tissue
  3. C. integument-organ
  4. D. all the above
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

Which of the following can pass most easily through the epidermis?

  1. A. proteins
  2. B. lipid-soluble molecules
  3. C. water-soluble compounds
  4. D. salts
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

Which of the following is true of bladder retraining?

  1. A. The NA should encourage the resident to drink plenty of fluids even if incontinence is a problem.
  2. B. The NA does not need to keep a record of the resident's bladder habits.
  3. C. The NA does not need to wear gloves when handling body wastes.
  4. D. The NA should let the resident know when he is taking too long to urinate.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

The nurse is preparing a client for discharge after a major surgical procedure. What is the priority instruction to include in the discharge teaching?

  1. A. Signs of infection to monitor for
  2. B. Pain management techniques
  3. C. Activity restrictions and safety measures
  4. D. All of the above
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

When a patient arrives in the emergency department with a facial fracture, which action will the nurse take first?

  1. A. Assess for nasal bleeding and pain.
  2. B. Apply ice to the face to reduce swelling.
  3. C. Use a cervical collar to stabilize the spine.
  4. D. Check the patient’s alertness and orientation.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:

  1. A. Primary intention
  2. B. Secondary intention
  3. C. Tertiary intention
  4. D. Quaternary intention
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:

  1. A. Primary intention
  2. B. Secondary intention
  3. C. Tertiary intention
  4. D. Quaternary intention
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

A healthcare provider is preparing to administer a scheduled dose of intravenous (IV) metoprolol (Lopressor) to a client. The client's apical pulse is 58 beats/minute. What action should the healthcare provider take?

  1. A. Administer the medication as prescribed.
  2. B. Hold the medication and notify the healthcare provider.
  3. C. Give half the prescribed dose and recheck the pulse in 30 minutes.
  4. D. Administer the medication and then recheck the pulse in 30 minutes.
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 8 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.

Start studying See pricing