Free Licensed Practical Nurse-PN Questions and Answers

Question 1

A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in this newborn?

Accepted Answer

Sunken fontanels

Answer

Sunken fontanels are a critical sign of dehydration in an infant. Phototherapy, used to treat high bilirubin levels, can increase insensible water loss, making infants susceptible to dehydration. Recognizing and addressing dehydration promptly is a priority to prevent serious complications in the newborn.

Question 2

The nurse who works in the behavioral health unit is creating a client's plan of care. The client is socially awkward, won't participate in group therapy sessions, and has a history of hurling objects at other clients. Which nursing diagnostic for the client is of the utmost importance?

Accepted Answer

Risk for other-directed violence

Answer

The client's history of 'hurling objects at other clients' directly indicates a potential for harm to others. In nursing, client and staff safety is always the highest priority. Therefore, 'Risk for other-directed violence' is the most crucial nursing diagnosis as it addresses the immediate potential for physical harm to individuals in the environment.

Question 3

A nurse is reinforcing teaching regarding colon cancer to a group of women ranging from 45 to 65 years of age. Which of the following is an appropriate statement by the nurse?

Accepted Answer

Fecal occult blood tests should be done annually beginning at age 50

Answer

Current guidelines recommend annual fecal occult blood tests (FOBT) or fecal immunochemical tests (FIT) starting at age 50 for individuals at average risk for colon cancer. These tests help detect hidden blood in the stool, which can be an early sign of colorectal cancer or polyps. Regular screening is vital for early detection and improving treatment outcomes.

Question 4

A nurse is reinforcing teaching with a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should be included in the teaching?

Accepted Answer

Increase protein in the diet

Answer

For clients with dumping syndrome, increasing protein and fat in the diet helps slow gastric emptying and reduce the rapid shift of fluids into the small intestine. Protein-rich foods are digested more slowly, which can alleviate symptoms like nausea, diarrhea, and dizziness. This dietary modification is a cornerstone of managing dumping syndrome.

Question 5

A client in the manic phase of bipolar disorder will not sit down to eat. Which can the nurse do to ensure adequate nutrition and improved self-care of this client? Select all that apply.

A) Discuss finger-food options with the dietitian
B) Use a jacket restraint at meal times
C) Ask the healthcare provider if intravenous feedings would be applicable
D) Provide frequent nutritious snacks
E) Provide a sedative before meals

Accepted Answer

Discuss finger-food options with the dietitian and Provide frequent nutritious snacks

Answer

Clients in the manic phase of bipolar disorder often have excessive energy and difficulty sitting still for meals, leading to inadequate nutritional intake. Offering finger foods allows them to eat while moving, and providing frequent nutritious snacks ensures they receive necessary calories and nutrients throughout the day. These strategies promote adequate nutrition without requiring prolonged sitting.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

Free Licensed Practical Nurse-PN Questions and Answers