NCLEX LPN PHYSIOLOGICAL
ADAPTATION 4 QUESTIONS WITH 100%
CORRECT ANSWERS { GRADED A+}
The LPN/LVN identifies which of the following sets of vital signs as
within the normal range for an adult?
1. BP 80/50, P 110, R 32.
2. BP 110/80, P 56, R 20.
3. BP 120/70, P 68, R 16.
4. BP 130/90, P 72, R 24. - ✔✔Strategy: Think about each answer.
,(1)elevated pulse and decreased blood pressure indicate circulatory
shock
(2)blood pressure and respirations within normal range, but pulse is
low; acceptable range for adult is 60 to 100 bpm; at least 60 bpm
required to maintain vital functions
(3)CORRECT—average blood pressure is 120/80; need to emphasize
"average"; vital signs of clients below the average height and weight
may vary; gender also determines vital sign ranges
(4)diastolic reading is mildly elevated
The home care LPN/LVN cares for a client diagnosed with acute
myelogenous leukemia. The client's temperature is 101.0°F (38.3°C).
Which of the following actions should the LPN/LVN take FIRST?
,1. Notify the physician.
2. Offer the client oral fluids.
3. Administer an antipyretic.
4. Encourage the client to cough and deep breathe. - ✔✔Strategy:
"FIRST" indicates priority.
(1) CORRECT—client is immunocompromised and at risk for infection;
obtain temperature q 4 h; inspect wounds, skin, and mucous
membranes for redness, swelling, and drainage; notify physician
immediately so that appropriate treatment can be started
(2) hydration is important, but more important to notify physician
, (3) physician will order antibiotics, antifungals, and/or antiviral therapy
(4) will help prevent infection
The LPN/LVN prepares a client for a total laryngectomy. It is MOST
important for the LPN/LVN to make which of the following statements?
1. "You will have no difficulty speaking after the surgery."
2. "You will not have an audible laugh after the surgery."
3. "The surgery will not affect your sense of taste or smell."
4. "After surgery, you will not be able to cough or sneeze." -
✔✔Strategy: "MOST important" indicates that discrimination is
required to answer the question.
ADAPTATION 4 QUESTIONS WITH 100%
CORRECT ANSWERS { GRADED A+}
The LPN/LVN identifies which of the following sets of vital signs as
within the normal range for an adult?
1. BP 80/50, P 110, R 32.
2. BP 110/80, P 56, R 20.
3. BP 120/70, P 68, R 16.
4. BP 130/90, P 72, R 24. - ✔✔Strategy: Think about each answer.
,(1)elevated pulse and decreased blood pressure indicate circulatory
shock
(2)blood pressure and respirations within normal range, but pulse is
low; acceptable range for adult is 60 to 100 bpm; at least 60 bpm
required to maintain vital functions
(3)CORRECT—average blood pressure is 120/80; need to emphasize
"average"; vital signs of clients below the average height and weight
may vary; gender also determines vital sign ranges
(4)diastolic reading is mildly elevated
The home care LPN/LVN cares for a client diagnosed with acute
myelogenous leukemia. The client's temperature is 101.0°F (38.3°C).
Which of the following actions should the LPN/LVN take FIRST?
,1. Notify the physician.
2. Offer the client oral fluids.
3. Administer an antipyretic.
4. Encourage the client to cough and deep breathe. - ✔✔Strategy:
"FIRST" indicates priority.
(1) CORRECT—client is immunocompromised and at risk for infection;
obtain temperature q 4 h; inspect wounds, skin, and mucous
membranes for redness, swelling, and drainage; notify physician
immediately so that appropriate treatment can be started
(2) hydration is important, but more important to notify physician
, (3) physician will order antibiotics, antifungals, and/or antiviral therapy
(4) will help prevent infection
The LPN/LVN prepares a client for a total laryngectomy. It is MOST
important for the LPN/LVN to make which of the following statements?
1. "You will have no difficulty speaking after the surgery."
2. "You will not have an audible laugh after the surgery."
3. "The surgery will not affect your sense of taste or smell."
4. "After surgery, you will not be able to cough or sneeze." -
✔✔Strategy: "MOST important" indicates that discrimination is
required to answer the question.
