NCLEX Chronic Illness Practice Questions

ATI LPN · NCLEX Chronic Illness Practice Questions

Question 1 of 68

All of the following are potential factors leading to weight gain EXCEPT:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 2 of 68

A 56 year old lady with Type 2 DM and a BMI of 30 kg/m2 is reviewed by her family doctor due to poor glycaemic control. She is treated with oral gliclazide since she is diagnosed as diabetic and currently she is on 160 mg bid. Her serum creatinine is 110 ÃŽÂ¼mol/L. Which ONE of the following medications should be most appropriately to be added next?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 3 of 68

Toxic shock syndrome:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 4 of 68

Four clients are receiving tyrosine kinase inhibitors (TKIs). Which of these four clients should the nurse assess first?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 5 of 68

The spinothalamic and dorsal column sensation are examined as part of a neurological examination. One of the items belonging to dorsal column sensation is the sense of vibration, which is examined by means of a tuning fork. Question: What is the required frequency of this tuning fork?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 6 of 68

After a road traffic accident at 50 miles per hour, a healthy 30-year-old patient is admitted to a major trauma centre with a closed femoral shaft fracture and pulmonary contusion. Routine management in the intensive care unit is likely to include:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 7 of 68

Which of the following statements is true related to nonmodifiable risk factors for chronic illness?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 8 of 68

A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse, 'I am so tired I can hardly get out of bed in the morning.' Which intervention should the nurse add to the plan of care?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 9 of 68

Which of the following countries has the highest percentage of diabetes patients?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 10 of 68

Which is not an AIDS defining illness?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 11 of 68

Which of these organisms causing gastroenteritis produce the toxin in the food prior to ingestion?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 12 of 68

Which of the following laboratory abnormalities is NOT associated with fatty liver?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 13 of 68

Sodium-glucose-co-transporter-2 (SGLT-2) inhibitors were shown to reduce albuminuria and proteinuria by X%. What is X?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 14 of 68

Which of the following clients would not be a candidate for thrombolytic therapy?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 15 of 68

A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 16 of 68

Appropriate statements regarding markers of outcome after major surgery in England in 2014 include:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 17 of 68

The pathophysiology of Asthma differs from COPD as:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 18 of 68

Which statement is not true?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 19 of 68

A 62-year-old woman diagnosed with breast cancer is scheduled for a partial mastectomy. The oncology nurse explained that the surgeon will want to take tissue samples to ensure the disease has not spread to adjacent axillary lymph nodes. The patient has asked if she will have her lymph nodes dissected, like her mother did several years ago. What alternative to lymph node dissection will this patient most likely undergo?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 20 of 68

People with metabolic syndrome have an increased risk of which of the following disorders, besides type 2 diabetes mellitus?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 21 of 68

After percutaneous cervical cordotomy:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 22 of 68

The nurse teaching a young women's community service group about breast self-examination (BSE) will include that:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 23 of 68

Which of the following medication is recommended for all patients with NAFLD in improving liver histology?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 24 of 68

A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 25 of 68

A 60-year-old patient with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this patient's subsequent plan of care?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 26 of 68

How do you decrease the severity and duration of pertussis infection?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 27 of 68

Diabetes is associated with pathophysiological mechanisms that contribute to the development of cardiovascular events. Question: What is the approximate percentage of diabetes patients who also have hypertension?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 28 of 68

Renal failure is the second cause of death in patients with diabetes mellitus. Question: What is the end (histological) stage in the development of diabetic nephropathy?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 29 of 68

A 50-year-old man diagnosed with leukemia will begin chemotherapy. What would the nurse do to combat the most common adverse effects of chemotherapy?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 30 of 68

Which agent should not be part of the management of generalized tetanus?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 31 of 68

The nurse is preparing an adolescent diagnosed with leukemia for a lumbar puncture. The nurse determines that the child understands the reason for the procedure when the child states that the procedure is done to:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 32 of 68

Which of the following is a pharmacologic treatment option for a client with dilated cardiomyopathy?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 33 of 68

During the teaching session for a patient who has a new diagnosis of acute leukemia, the patient is restless and looks away without making eye contact. The patient asks the nurse to repeat the information about the complications associated with chemotherapy. Based on this assessment, which nursing diagnosis is appropriate for the patient?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 34 of 68

You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 35 of 68

A patient has been assigned the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers. Which nursing action will be most effective in improving oral intake?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 36 of 68

The New York Heart Association functional class has four grades and is used to assess severity of CHF and impact on QOL. Class III is described as:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 37 of 68

Rehabilitation is an ongoing process which is individual for each patient. Which of the following concepts are not part of the goals of the rehabilitation process for the patient?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 38 of 68

A hospitalized client has a platelet count of 58,000/mmÃ‚Â³. What action by the nurse is best?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 39 of 68

A nurse is caring for a client who recently underwent a heart transplant. Which of the following postoperative nursing interventions is the priority?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 40 of 68

Which of the following is FALSE about brain natriuretic peptide (BNP)?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 41 of 68

The blood glucose level rises after meals. This glucose is stored in various organs under the influence of insulin. Question: During the postprandial period, most glucose is stored in which tissue?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 42 of 68

In assigning patients with alterations related to gastrointestinal (GI) cancer, which would be the most appropriate nursing care tasks to assign to the LPN/LVN, under supervision of the team leader RN?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 43 of 68

During artificial ventilation in a patient with chronic obstructive pulmonary disease, air trapping:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 44 of 68

A nurse who works in an oncology clinic is assessing a patient who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the patient's skin appears yellow. Which blood tests should be done to further explore this clinical sign?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 45 of 68

Clients with chronic illness want the health care system to provide them with which of the following?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 46 of 68

Non modifiable risk factors for developing chronic illness includes

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 47 of 68

Early Goal Directed Therapy in severe sepsis and septic shock (Rivers et al) does NOT recommend:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 48 of 68

The mechanism of action of Rosiglitazone is a

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 49 of 68

Which of the following is NOT an example of intermittent fasting?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 50 of 68

The nurse is orienting a new nurse to the oncology unit. When reviewing the safe administration of antineoplastic agents, what action should the nurse emphasize?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 51 of 68

Spirometry is used to determine the severity of COPD and to monitor disease progression. This test measures

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 52 of 68

Which statement with respect to the disadvantages of insufficient physical activity is most correct?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 53 of 68

Mr Xavier, a 60-year-old accountant, was recently started on allopurinol 100 mg two months ago. This was increased to 200 mg three weeks ago in your clinic. He informed you that he was diagnosed with UTI and started on ciprofloxacin. Today, he returns to your clinic with maculopapular rashes on his trunk and abdomen. He has a low-grade fever of 37.5Ã‚Â°C. Which is the most appropriate next step?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 54 of 68

The nurse is caring for a patient who smokes two packs/day. Which action by the nurse could help reduce the patient's risk of lung cancer?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 55 of 68

Which of the following interventions should be included in the nutrition care plan of the client with atherosclerosis?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 56 of 68

The nurse is caring for a 4-year-old child following surgical removal of a stage I neuroblastoma. Which of the following interventions will be most appropriate for this child?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 57 of 68

Which of the following is the priority nursing intervention for a client experiencing a transfusion reaction?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 58 of 68

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 59 of 68

The nurse is discharging home a client at risk for venous thromboembolism on enoxaparin sodium. What instruction is a priority for the nurse to provide to this client?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 60 of 68

Oxygen radicals play a role in the development of which of the following options?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 61 of 68

A nurse is caring for a client recently diagnosed with leukemia. Which of the following signs and symptoms are consistent with this diagnosis?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 62 of 68

The following are major causes of death among patients with NAFLD over the long term, except:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 63 of 68

The following are true about education for insulin therapy EXCEPT:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 64 of 68

What is the relationship between hyperlipidaemia and non-alcoholic steatohepatitis (NASH)?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 65 of 68

The nurse receives change-of-shift report on the oncology unit. Which patient should the nurse assess first?

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 66 of 68

The following strategies can be used to help patients overcome the barriers and challenges faced in insulin therapy EXCEPT:

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ATI LPN · NCLEX Chronic Illness Practice Questions

Question 67 of 68

The single most effective intervention to reduce the risk of developing COPD and stop its progression is

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Question 68 of 68

What is the essence of motivational interviewing?

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