LVN Physiological Integrity Test 3

Question 1

A LVN is assessing a patient's vital signs. Which vital sign provides the most immediate information about the patient's cardiovascular status?

Accepted Answer

Pulse

Answer

Blood pressure

Answer

Temperature

Answer

Respiratory rate

Question 2

During a routine physical assessment, a LVN notices the patient has clubbing of the fingers. What condition might this indicate?

Accepted Answer

Chronic obstructive pulmonary disease (COPD)

Answer

Heart failure

Answer

Liver cirrhosis

Answer

Hyperthyroidism

Question 3

When assessing a patient's fluid status, which finding indicates dehydration?

Accepted Answer

Decreased skin turgor

Answer

Pitting edema

Answer

Jugular venous distention

Answer

Crackles in the lungs

Question 4

A LVN is caring for a patient with a nasogastric tube. What is the correct method to verify the tube's placement?

Accepted Answer

Check the pH of aspirated gastric contents

Answer

Auscultate for bowel sounds

Answer

Assess for abdominal distention

Answer

Measure the length of the tube

Question 5

A LVN is administering medications to a patient with diabetes mellitus. Which finding requires immediate attention?

Accepted Answer

Shaking hands and sweating

Answer

Blood glucose level of 150 mg/dL

Answer

Dry oral mucosa

Answer

Urinary output of 30 mL/hour

Question 6

A LVN is preparing to administer a unit of packed red blood cells to a patient. What is the most crucial assessment before starting the transfusion?

Accepted Answer

Verifying the blood compatibility

Answer

Checking the patient's identification

Answer

Assessing the patient's temperature

Answer

Monitoring the patient's blood pressure

Question 7

A LVN is assessing a patient with suspected hypocalcemia. Which clinical manifestation should the LVN anticipate?

Accepted Answer

Positive Chvostek's sign

Answer

Increased heart rate

Answer

Elevated blood pressure

Answer

Hyperactive bowel sounds

Question 8

A LVN is caring for a patient with chronic obstructive pulmonary disease (COPD). Which intervention promotes effective airway clearance?

Accepted Answer

Teaching pursed-lip breathing techniques

Answer

Administering oxygen at 4 L/min via nasal cannula

Answer

Encouraging the patient to lie flat in bed

Answer

Providing frequent suctioning of secretions

Question 9

A LVN is monitoring a patient receiving intravenous (IV) fluids. Which finding indicates a potential complication?

Accepted Answer

Moist crackles in the lungs

Answer

Skin warm and dry to touch

Answer

Urine output of 40 mL/hour

Answer

Blood pressure within normal limits

Question 10

During a dressing change, a LVN notes a foul odor and purulent drainage from a wound. What is the appropriate action?

Accepted Answer

Irrigate the wound with normal saline

Answer

Apply a dry dressing

Answer

Document the findings

Answer

Apply an antibiotic ointment