NCLEX LPN Practice 1 Exam with Questions and Answers

NCLEX LPN Practice 1 Exam with Questions and Answers Which of the following nursing approaches is BEST for the LPN/LVN to use when caring for a client with a conversion reaction paralysis? 1. Give special attention to the paralyzed limb. 2. Point out to the client that his paralysis reflects his anxiety. 3. Minimize the sick role and secondary gains. 4. Attempt to have the client move periodically. ANSWER (3) CORRECT—emphasis for clients with conversion reaction is to minimize the sick role and support the client's strength; it's important to remember client is not consciously attempting to have needs met by others, but is trying to relieve anxiety in an acceptable way; minimizing this instability allows care to be focused on the client's feelings and acceptance of those feelings without encouraging regression and dependence The home care LPN/LVN cares for a 62-year-old client with a history of breast cancer. The client states that she drinks milk and walks daily, but she is afraid that she is getting shorter. It is MOST important for the LPN/LVN to advise the client to ask her health care provider about prescribing which of the following medications? 1. Calcium supplement 1,500 mg PO daily. 2. Estrogen supplement 0.625 mg PO daily. 3. Progestin (medroxyprogesterone acetate) 10 mg PO daily. 4. Actonel (risedronate sodium) 5 mg OD. ANSWER (4) CORRECT—decreases bone resorption, resulting in the prevention of osteoporosis; instruct to take 30 minutes before eating or taking other medication, remain upright for 30 minutes after taking medication to prevent esophageal irritation