LVN Safe and Effective Care Environment Test 3

Question 1

A patient diagnosed with diabetes mellitus is admitted for uncontrolled blood glucose levels. Which action by the nurse demonstrates understanding of safe medication administration?

Accepted Answer

Double-checking the patient's identification before administering insulin

Answer

Administering insulin based on the patient's reported blood glucose level without verification

Answer

Preparing and administering insulin quickly to avoid delays in treatment

Answer

Asking the patient to administer their own insulin to promote independence

Question 2

During a morning assessment, the nurse notes that a patient's intravenous (IV) site is swollen, cool to touch, and painful. What should the nurse do first?

Accepted Answer

Remove the IV catheter immediately

Answer

Apply a warm compress to the site

Answer

Document the findings in the patient's chart

Answer

Administer pain medication to the patient

Question 3

A patient with chronic obstructive pulmonary disease (COPD) has been prescribed oxygen therapy. What should the nurse prioritize when administering oxygen?

Accepted Answer

Adjusting the oxygen flow rate according to the patient's respiratory status

Answer

Placing the oxygen tubing under the patient's bed linens

Answer

Removing the oxygen mask periodically to assess the patient's skin integrity

Answer

Using petroleum-based products on the patient's face to prevent dryness

Question 4

A nurse is preparing to administer medication to a patient with dysphagia. Which action demonstrates understanding of safe medication administration?

Accepted Answer

Administering each medication separately with a small amount of thickened liquid

Answer

Crushing all medications together and mixing them with food

Answer

Using a straw to administer liquid medications directly into the patient's mouth

Answer

Encouraging the patient to swallow medications without water to avoid choking

Question 5

When assessing a patient's skin integrity, which finding should the nurse prioritize reporting to the healthcare provider?

Accepted Answer

Ecchymosis (bruising) on the patient's forearm

Answer

Pink, warm, intact skin with no signs of redness

Answer

A stage 1 pressure ulcer on the patient's sacrum

Answer

Dry, cracked skin on the patient's heels

Question 6

Which action should the nurse take to promote a safe environment for a patient at risk for falls?

Accepted Answer

Placing the patient's call light within reach

Answer

Encouraging the patient to use the bathroom independently

Answer

Keeping the patient's bed in the highest position

Answer

Administering sedative medications as prescribed

Question 7

Which intervention should the nurse prioritize when caring for a patient with a urinary catheter to prevent infection?

Accepted Answer

Maintaining a closed urinary drainage system

Answer

Changing the catheter every 48 hours regardless of condition

Answer

Allowing the catheter bag to touch the floor during patient care

Answer

Using soap and water to clean around the catheter insertion site

Question 8

Which statement by a patient indicates understanding of discharge instructions related to home oxygen therapy?

Accepted Answer

"I will avoid smoking and stay away from open flames while using oxygen."

Answer

"I will use an extension cord to reach my oxygen tank when I'm in another room."

Answer

"I will turn up the oxygen flow rate when I feel short of breath."

Answer

"I will use petroleum-based lotions on my face to keep my skin moist."

Question 9

Which action should the nurse take to ensure safe administration of insulin to a diabetic patient?

Accepted Answer

Rotating injection sites within the same anatomical area

Answer

Administering insulin without verifying the patient's blood glucose level

Answer

Using the same syringe to draw up regular and NPH insulin

Answer

Administering insulin immediately after mixing it with regular saline

Question 10

A patient is prescribed heparin therapy for deep vein thrombosis (DVT). Which finding requires immediate intervention by the nurse?

Accepted Answer

Hematuria (blood in urine)

Answer

Mild bruising at the injection site

Answer

Slight increase in body temperature

Answer

Nausea without vomiting