NCLEX LPN MANAGEMENT OF CARE 4 EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)NCLEX LPN MANAGEMENT OF CARE 4 EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)NCLEX LPN MANAGEMENT OF CARE 4 EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)NCLEX LPN M...
NCLEX LPN MANAGEMENT OF CARE 4 EXAM
QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
The LPN/LVN cares for a conscious client diagnosed with severe
ketoacidosis. The LPN/LVN is MOST likely to administer which of the
following?
1. Orange juice.
2. Peanut butter.
3. Regular insulin.
4. NPH insulin. - ANS ✓Strategy: Think about each answer.
(1.) increases blood sugar; appropriate action for insulin reaction
(2.) commonly administered for hypoglycemia together with a natural
glucose source to prevent rebound hypoglycemia
(3.) CORRECT— because regular insulin has a rapid onset and can be
administered intravenously, it is the main therapeutic measure in the
treatment of diabetic ketoacidosis
(4.) because NPH has an onset of 6 to 8 hours, it does not match the urgency
of the client's need; even if it could be administered intravenously, the
onset would not meet the needs of a client with severe ketoacidosis
The LPN/LVN cares for clients in the outpatient clinic. A client who had a
bone marrow biopsy two days ago contacts the LPN/LVN for reassurance
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that he is caring for the aspiration site appropriately. The LPN/LVN should
intervene if the client states which of the following?
1. "A warm bath feels good."
2. "I am taking aspirin for the discomfort."
3. "I walked one mile on the treadmill today."
4. "I have increased my intake of fruits and fresh vegetables." - ANS
✓Strategy: "Should intervene" indicates something is wrong.
(1) bone marrow biopsy performed to assess quality and quantity of each
type of cell produced within the marrow; warm bath appropriate to
decrease any discomfort
(2) CORRECT—slight risk of bleeding after procedure; aspirin alters
platelet function and should not be used; can take acetaminophen
(3) no reason to intervene
(4) good health promotion habits; no reason to intervene
The LPN/LVN cares for clients in the long-term care facility. After receiving
report, which of the following clients should the LPN/LVN see FIRST?
1. A client due to receive blood pressure medicine.
2. A client due to receive a metered dose inhaler (MDI).
3. A client whose family member is threatening to sue the institution if the
LPN/LVN doesn't talk to them immediately.
4. A client who has been verbally abusive to staff and is becoming
increasingly more agitated. - ANS ✓Strategy: "FIRST" indicates priority.
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(1.) safety takes precedence over administration of routine; non-emergent
medications
(2.) safety takes precedence over administration of routine; non-emergent
medications
(3.) although angry, the family member does not pose an immediate
physical threat to the clients, staff, or other visitors
(4.) CORRECT— client poses a potentially immediate physical threat to
himself, staff members, and/or other clients and visitors if the situation is
allowed to escalate further; intervene and initiate protocols prescribed by
the individual facility to maintain a safe environment
The LPN/LVN assists in the management of the health care of an older adult
client suspected of having syndrome of inappropriate antidiuretic hormone
(SIADH). The LPN/LVN is MOST concerned if which of the following is
observed?
1. The client's serum sodium level is 137 mEq/L.
2. The client is drinking water.
3. The client is oriented to person, place, and time.
4. The client is lying in bed with the rails up. - ANS ✓Strategy: "MOST
concerned" indicates something is wrong.
(1.) normal range for sodium is 135 to 145 mEq/L
(2.) CORRECT— SIADH causes a dilutional hyponatremia; water intake
monitored closely
(3.) would indicate the absence of cerebral edema commonly associated
with excessive fluid retention related to SIADH
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NCLEX LPN
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