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ATI LPN · Community Health · Chronic Illness NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 75-year-old lady is listed for an anterior resection to treat a cancer in the descending hemicolon. She has never previously been in hospital. She gives no history of shortness of breath or angina, but admits that she does not take part in strenuous activity. Apart from painkillers, she takes no medications. Appropriate statements regarding preoperative testing include:

A. Resting echocardiography is a useful test of her functional capacity.
B. Coronary angiography is indicated.
C. Cardiopulmonary exercise testing is a useful test of functional capacity.
D. Brain natriuretic peptide level is a useful test that indicates heart failure.

Expert Explanatory Rationale

Correct Answer: Cardiopulmonary exercise testing is a useful test of functional capacity.

Question 2 of 5

A 30yr NZ man goes to PNG, takes 300 mg chloroquine weekly for 2 weeks prior and 4 weeks post his trip. 3/12 later gets febrile/sweats/maleana with malaria parasites on film. The following is true

A. He took 1/2 the normal dose of chloroquine
B. If he took primaquine for 2/52 this wouldn't have happened
C. Assume chloroquine resistance and treat accordingly
D. This is probably p. falciparum

Expert Explanatory Rationale

Correct Answer: Assume chloroquine resistance and treat accordingly

Question 3 of 5

Which drug should not be given with midazolam?

A. zidovudine
B. lamivudine
C. nevirapine
D. indinavir

Expert Explanatory Rationale

Correct Answer: indinavir

Question 4 of 5

A patient who has ovarian cancer is crying and tells the nurse, 'My husband rarely visits. He just doesn't care.' The husband indicates to the nurse that he does not know what to say to his wife. Which nursing diagnosis is appropriate for the nurse to add to the plan of care?

A. Compromised family coping related to disruption in lifestyle
B. Impaired home maintenance related to perceived role changes
C. Risk for caregiver role strain related to burdens of caregiving responsibilities
D. Dysfunctional family processes related to effect of illness on family members

Expert Explanatory Rationale

Correct Answer: Dysfunctional family processes related to effect of illness on family members

Question 5 of 5

For care of a patient who has oral cancer, which task would be appropriate to delegate to the LPN/LVN?

A. Assist the patient to brush and floss
B. Explain when brushing and flossing are contraindicated
C. Give antacids and sucralfate suspension as ordered
D. Recommend saliva substitutes

Expert Explanatory Rationale

Correct Answer: Give antacids and sucralfate suspension as ordered

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