LVN Physiological Integrity Test 2

Question 1

A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. Which assessment finding requires immediate nursing intervention?

Accepted Answer

O2 saturation of 92%

Answer

Heart rate of 90 bpm

Answer

Respiratory rate of 24 breaths/min

Answer

Blood pressure of 140/88 mmHg

Question 2

When caring for a patient with diabetes mellitus, which finding indicates the need for immediate action?

Accepted Answer

Complaints of thirst and polyuria

Answer

Blood glucose level of 150 mg/dL

Answer

Capillary refill less than 3 seconds

Answer

Urine output of 60 mL/hr

Question 3

A patient with hypertension is prescribed hydrochlorothiazide. The nurse should monitor for which potential adverse effect?

Accepted Answer

Hyponatremia

Answer

Hyperkalemia

Answer

Hypoglycemia

Answer

Hypotension

Question 4

During a physical assessment, the nurse notes bilateral pitting edema of the lower extremities in a patient with heart failure. Which action should the nurse take first?

Accepted Answer

Assess respiratory status

Answer

Elevate the legs

Answer

Document the finding

Answer

Measure the circumference of the calves

Question 5

A patient is receiving a blood transfusion. The nurse should monitor the patient closely for which immediate transfusion reaction?

Accepted Answer

Chills and fever

Answer

Bradycardia

Answer

Hypertension

Answer

Urine output increase

Question 6

Which assessment finding is a potential complication of immobility in a hospitalized patient?

Accepted Answer

Decreased lung sounds

Answer

Increased appetite

Answer

Increased muscle strength

Answer

Increased urine output

Question 7

A patient with a head injury is suspected of having increased intracranial pressure (ICP). The nurse should monitor the patient for which early sign of increased ICP?

Accepted Answer

Change in level of consciousness

Answer

Bradycardia

Answer

Hypotension

Answer

Bradypnea

Question 8

When administering medications via a nasogastric tube, the nurse should take which action to ensure proper medication delivery?

Accepted Answer

Flush the tube with 30 mL of water before and after medication administration

Answer

Crush all medications

Answer

Use a large syringe to administer the medication

Answer

Administer medications rapidly

Question 9

Which vital sign should prioritize assessing first in a patient experiencing shortness of breath?

Accepted Answer

Respiratory rate

Answer

Blood pressure

Answer

Temperature

Answer

Pulse

Question 10

Which needle gauge is typically used for subcutaneous injections?

Accepted Answer

25 gauge

Answer

18 gauge

Answer

22 gauge

Answer

30 gauge