{"id":11193,"date":"2026-10-28T00:20:54","date_gmt":"2026-10-28T08:20:54","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=11193"},"modified":"2026-09-17T12:20:22","modified_gmt":"2026-09-17T20:20:22","slug":"nclex-lpn-question-of-the-day-hepatic-injury","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-lpn-question-of-the-day-hepatic-injury","title":{"rendered":"NCLEX\u00ae LPN Question of the Day: Hepatic injury"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-lpn-question-of-the-day-hepatic-injury\/#The_correct_answer_to_todays_NCLEX_LPN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX LPN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-lpn-question-of-the-day-hepatic-injury\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-lpn-question-of-the-day-hepatic-injury\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-lpn-question-of-the-day-hepatic-injury\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today&#8217;s NCLEX\u00ae LPN question of the day focuses on the <em><strong>poisoning case of a <\/strong><\/em>five-year-old. Do you know the answer? Let&#8217;s find out!<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The nurse is caring for a 5-year-old patient who ingested 18 acetaminophen tablets. The nurse chooses the priority hypothesis of risk for hepatic injury and begins generating solutions. Which expected outcome is <em>most appropriate?<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. The patient\u2019s liver function tests will continue to increase<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. By discharge, the patient will not develop signs and symptoms of hepatotoxicity.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. By discharge, the patient will have no nausea or vomiting.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. The patient will receive all scheduled doses of acetylcysteine.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Learn with Osmosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iDxHtjjCMbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX_LPN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX LPN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. By discharge, the patient will not develop signs and symptoms of hepatotoxicity<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> An appropriate outcome statement is for this patient to not develop signs of hepatotoxicity. These <strong>clinical findings may include rash, stomach pain, nausea, vomiting, dark-colored urine, light-colored bowel movements, jaundice, loss of appetite, and fever<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The practical nurse contributes to generating solutions by identifying patient-centered expected outcomes that align with the prescribed plan of care. Outcomes are specific, measurable, achievable, realistic, and time-based. In this scenario, <strong>the priority hypothesis is risk for hepatic injury after acetaminophen overdose<\/strong>. An appropriate outcome is that the child <strong>will not develop signs or symptoms of hepatotoxicity by discharge<\/strong>. Findings that can indicate hepatotoxicity include abdominal pain, nausea, vomiting, dark-colored urine, light-colored stools, jaundice, loss of appetite, fever, or other concerning changes. The practical nurse monitors for these findings and reports them promptly.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. The patient\u2019s liver function tests will continue to increase<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale: <\/strong>Liver function tests that continue to increase indicate progressing liver damage. The desired trend is for these values to remain at baseline or, if elevated, to decrease from their peak values.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. By discharge, the patient will have no nausea or vomiting.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> This is a positive and patient-centered outcome, but it does not adequately evaluate the priority hypothesis of acute liver injury.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. The patient will receive all scheduled doses of acetylcysteine.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Acetylcysteine is used to prevent or reduce hepatic injury following a potentially toxic acetaminophen ingestion. However, this statement describes the completion of a treatment intervention rather than the patient\u2019s physiological response to treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch this Osmosis video: <\/strong><a href=\"https:\/\/www.osmosis.org\/learn\/Case_study_-_Poisoning_(pediatric):_Nursing\">Case study &#8211; Poisoning (pediatric): Nursing<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/lpn\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png?w=700\" alt=\"\" class=\"wp-image-5064\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em><strong>Get your\u00a0<a href=\"https:\/\/www.osmosis.org\/plans\/lpn\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0today to find out why millions of current and future clinicians and caregivers love learning by Osmosis.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 5-year-old is being treated after a potentially toxic medication ingestion. Can you identify the most appropriate patient-centered outcome for the priority nursing concern?<\/p>\n","protected":false},"author":167,"featured_media":11198,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,867,29,1368,1366],"tags":[3434,628,886,3436,3437,3147,2049,245,462,156,1331,267,3433,3435,956],"class_list":["post-11193","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-lpn","category-nclex","category-nclex-pn","category-questions","tag-acetaminophen-overdose","tag-clinical-judgment","tag-exam-prep","tag-expected-outcomes","tag-generating-solutions","tag-nclex-pn-2","tag-nursing-care-plan","tag-nursing-education","tag-osmosis","tag-patient-safety","tag-pediatric-emergency","tag-pediatric-nursing","tag-pediatric-poisoning","tag-practical-nursing","tag-toxicology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - 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