The LPN is planning care for a 4 year old client who has been sexually
abused by the father. Play therapy is scheduled. The LPN knows that the
primary goal of play therapy for a 4 year old client is which of the
following?
a) Provide the opportunity to express anger and hostility by playing with
dolls
b) Promote communication because the client may lack capacity to
verbally express perceptions
c) Assess whether the client functions at age-appropriate developmental
level
d) Reveal the type of abuse experienced through direct observation of
the client at play – ANSWER- b
Explanation: Play is the universal language of children. The purpose
of play therapy is to give children the opportunity to communicate
using their own language.
The client is being treated for heart failure with diuretic therapy. Which
of the following findings best indicates to the LPN that the client’s
condition is improving?<\/p>\n\n\n\n
a) The client’s weight has remained stable since admission
b) The client’s systolic blood pressure has decreased
c) There are fewer crackles heard when auscultating the client’s lungs
d) The client’s urinary output is 1,500 mL per day – ANSWER- c
Explanation: A client with heart failure has crackles due to
pulmonary edema. Diuretics are given to promote excretion of
sodium and water through the kidneys. Decreased crackles would
indicate that the pulmonary edema is improving.<\/p>\n\n\n\n
NCLEX PN 2024<\/p>\n\n\n\n
A preschool-age child is brought to the emergency department (ED) by
the parents for treatment of a femur fracture. When asked how the injury
occurred, the parents state that the child fell from the sofa. On
examination, the LPN finds old and new lesions on the child’s buttocks.
Which of the following statements most appropriately reflects how the
LPN should document these findings?
a) “six lesions in various stages of healing noted on buttocks”
b) “multiple lesions on buttocks due to child abuse”
c) “lesions noted on buttocks from unknown causes”
d) several lesions noted on buttocks – ANSWER- a
Explanation: Good documenting is accurate, objective, concise and
complete. It must reflect the client’s current status.
A client admitted to the hospital for treatment of active tuberculosis
(TB). The LPN reinforces teaching about TB. Which of the following
statements by the client indicates to the LPN that further teaching is
necessary?<\/p>\n\n\n\n
a) “I will have to take medications for 6 months”
b) “I should cover my nose and mouth when coughing or sneezing”
c) “I will remain in isolation for at least 6 weeks”
d) “I will always have a positive skin test for TB” – ANSWER- c
Explanation: The client does not need to be isolated for 6 weeks. The
client’s activities will be restricted for about 2-3 weeks after
medication therapy is initiated.
The client will need to take medication, such as isonicotinyl
hydrazine (INH) for 6 months or longer. TB can be transmitted by
droplet contamination, so the client should cover their nose and
mouth when coughing or sneezing. A positive skin test indicates that
the client has developed antibodies to the tuberculosis bacillus.
A client admitted to the hospital in premature labor has been treated
successfully. The client is to receive a regimen of betamethasone. Which
of the following statements by the client indicates to the LPN that the
client understands the teaching about the medication?
a) “As long as I receive my medication, I won’t deliver prematurely”
b) “It is important that I count the fetal movements for one hour, twice a
day”
c) “I have insomnia and a rapid heart beat while on this medication”
d) “Bed rest is necessary in order for the medication to work properly” –
ANSWER- c
Explanation: You should ask yourself- what is true about
betamethasone. Betamethasone is a corticosteroid. Side effects<\/p>\n\n\n\n
include: insomnia, increased maternal heart rate, and hypertension.
It will help with fetal lung maturation in case the client delivers
prematurely, but it does not prevent premature delivery. Bed rest
does not influence whether or not the medication will work.
The LPN is explaining the procedure for a clean catch urine specimen
collection for culture and sensitivity to a male client. Which of the
following explanation by the LPN would be most accurate?
a) “The urinary meatus is cleansed with an iodine solution and then a
urinary drainage catheter is inserted to obtain urine”
b) “You will be asked to empty your bladder one-half hour before the
test; you will then be asked to void into a container”
c) “Before voiding, the urinary meatus is cleansed with an iodine
solution and urine is voided into a sterile container; the container must
not touch the penis”
d) “You must void a few drops of urine, then stop; then void the
remaining urine into a clean container, which should be immediately
covered” – ANSWER- c
Explanation: This is true of a clean catch urine specimen.
Catheterization is not used due to increased risk of infection. For
answer b, this describes a double voided specimen. This action is
usually done when testing for glucose and ketones. It is not relevant
for a clean-catch urine specimen. For answer d, the answer is mostly
correct except for the container must be sterile not “clean”
The LPN is checking the morning serum electrolyte results for a client.
The LPN notes that the client’s sodium is 142 mEq\/L, potassium is 4.4<\/p>\n\n\n\n