LPN - NClex Review and Final Exam Review

LPN - NClex Review and Final Exam Review Latest Update - Questions and 100% Verified Correct Answers Guaranteed A+ Approved by the Professor

• The nurse is gathering data from a client who is being treated for obsessive

compulsive disorder. Which of the following is the most important question to ask this client?

1) Do you find yourself forgetting simple things 2) Do you find it hard to stay on a task?3) Do you have trouble controlling upsetting thoughts

4) Do you experience feelings of panic in a closed area - CORRECT ANSWER:

NEEDED INFO: Obsessions are recurrent and persistent thoughts, ideas, impulses or images that are experienced as intrusive and senseless. The client is aware of this but cannot stop, forget or control them. Compulsions are repetitive behaviors performed in a certain way to prevent discomfort and neutralize anxiety

1) Do you find yourself forgetting simple things - should be used to assess client with suspected cognitive disorder 2) Do you find it hard to stay on a task? - for disorders that disrupt the ability to concentrate, such as depression

3) Do you have trouble controlling upsetting thoughts - CORRECT: one feature of

obsessive-compulsive disorder is the client's inability to control intrusive thoughts that repeat over and over 4) Do you experience feelings of panic in a closed area? - for clients with suspected panic disorder related to closed spaces or claustrophobia

• The nurse is caring for a client who states, "I just want to die." The nurse should

examine the client's medical record for which of the following documents?

1) Advanced directives 1 / 3

2) Power of attorney 3) DNR order 4) Living will - CORRECT ANSWER: NEEDED INFO: Advanced directives specific instructions by the client that are legally binding. Advanced directives must be provided in written form to health care providers. They include: DNR, living will, durable power of attorney/health care surrogate.

1) Advanced directives - CORRECT: advanced directives specify the client's wishes regarding health care decisions 2) Power of attorney - surrogate or proxy if the client is incompetent 3) DNR order - Do not resuscitate - only a part of advanced directives 4) Living will - only a part of advanced directives

• A newly admitted client with a history of convulsions suddenly says to the nurse, "I

hear drums." Which of the following should the nurse do first?

1) Tell the client to ignore the drums 2) Place the client in a darkened room away from the nurse's station 3) Continue to question the client 4) Insert an oral airway in the client. - CORRECT ANSWER: NEEDED INFO: AURA: brief sensory alteration preceding seizure or migraine, likely for clients with history of convulsion. Petit mal seizures: usually occur in children, not associated with an aura.

Grand mal seizures: involve loss of consciousness and convulsions

1) Tell the client to ignore the drums - an auditory sensation that may signal the a start of convulsion 2) Place the client in a darkened room away from the nurse's station - needs continued observation 3) Continue to question the client - many adults experience unusual sensory perceptions (an aura) before the onset of a seizure; this client has a history of seizures.4) Insert an oral airway in the client. - CORRECT: airway prevents client from biting cheek or tongue during a seizure. 2 / 3

• A client diagnosed with multiple myeloma is admitted to the unit after developing

pneumonia. When the nurse enters the client's room wearing a mask, the client says, annoyed, "Why are you wearing the mask?" Which of the following responses by the nurse is best?

1) The chest x-ray taken this morning indicates you have pneumonia.2) What have you been told about the x-rays that were taken this morning?3) You have been placed on contact precautions due to your infection.

4) I am trying to protect you from the germs in the hospital. - CORRECT ANSWER:

NEEDED INFO: Multiple Myeloma: neoplastic disease that infiltrates bone and bone marrow, causes anemia, renal lesions, and high globulin levels in blood; pneumonia is inflammatory process resulting in edema of lung tissue and extravasion of fluid into alveoli, causing hypoxia.

1) The chest x-ray taken this morning indicates you have pneumonia. - does not assess what client knows; physician responsible for telling client the medical diagnosis 2) What have you been told about the x-rays that were taken this morning? - CORRECT: data collection; determines what client knows before responding; allows client to verbalize 3) You have been placed on contact precautions due to your infection. - pneumonia requires droplet precautions 4) I am trying to protect you from the germs in the hospital - pneumonia requires droplet precautions.

• A nursing team consists of an RN, an LPN, and a CNA. The LPN should be assigned

to which of the following clients?

1) A 72 year old client with diabetes who requires a dressing change for a stasis ulcer.2) A 42 year old client who has cancer of the bone and is complaining of pain.3) A 55 year old client with terminal cancer who is being transferred to hospice home care.

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