NCLEX-PN

8. Upon admission of a woman in labor to the unit, the LPN's role includes which of the following? Select all that apply. A.​ Promoting physical comfort by assisting with activity and therapeutic position changes.

B.​ Recording the frequency, duration, and severity of contractions. C.​ Monitoring pain and offering control measures per the birth plan. D.​ Performing comprehensive physical examinations E.​ Interpreting diagnostic tests Correct Response : A, B, C

Explanation : Options (A) , (B) , and (C) are all essential for providing care during labor and can be assigned to an LPN. However, ordering medications and performing comprehensive physical examinations are beyond the scope of an LPN. (See Providing Care to the Client in Labor: Understanding Labor Stages and Fetal Assessment ) 9. You assess your family as having a deficit in terms of their instrumental activities of daily living (ADLs). Which healthcare professional would you most likely refer to in order to address this deficit? A.​ A social worker B.​ A physical therapist C.​ An occupational therapist D.​ A speech therapist Correct Response : A Explanation : To address the family's deficits in instrumental activities of daily living (ADLs) , the most suitable healthcare professional for referral would be a social worker . Instrumental ADLs encompass more advanced daily tasks beyond basic ADLs and include activities like grocery shopping, housework, meal preparation, communication via telephone, and transportation. A social worker can provide assistance with transportation and teach the client how to manage activities like grocery shopping. Basic ADLs , on the other hand, involve tasks such as bathing, mobility, toileting, personal care, grooming, dressing, and eating. When deficits pertain to basic ADLs, it is more appropriate to refer the family to a physical and/or occupational therapist for intervention. (See Self Care Deficit Nursing Theory ) 10. The nurse is assessing the newborn’s respirations. Which of these findings would indicate a need for follow-up and further intervention? A.​ shallow respirations

B.​ abdominal respirations C.​ irregular respirations D.​ 70 breaths per minute

Correct Response : D Explanation : The respirations of neonates or newborns are usually abdominal, irregular, and shallow. However, the ideal respiratory rate in a newborn is 30–60 breaths per minute. Hence, a respiratory rate of 70 breaths per minute signals tachypnea and may require intervention. The other answer choices do not necessarily indicate the need for follow-up. (See Providing Care for Neonates, Infants, and Toddlers )

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