LVN Safe and Effective Care Environment Test 2

Question 1

Which action by a nurse best demonstrates understanding of the legal responsibilities related to nursing practice?

Accepted Answer

Documenting care accurately and promptly

Answer

Administering medication without checking the patient's identification

Answer

Providing care beyond the scope of practice defined by the state board of nursing

Answer

Disregarding a patient's request for privacy during care

Question 2

When preparing to transfer a patient from the bed to a chair, which action should the nurse prioritize?

Accepted Answer

Checking the chair's stability and locking the wheels

Answer

Moving the patient quickly to avoid discomfort

Answer

Transferring the patient without assistance to promote independence

Answer

Asking the patient to stand up without assistance

Question 3

Which condition should a nurse prioritize monitoring for a patient receiving diuretic therapy?

Accepted Answer

Hypovolemia

Answer

Hypertension

Answer

Hyperkalemia

Answer

Bradycardia

Question 4

Which technique should a nurse use to ensure proper hand hygiene?

Accepted Answer

Rubbing hands together vigorously for 10 seconds with soap and water

Answer

Using an alcohol-based hand rub for 5 seconds

Answer

Rinsing hands with cold water after using soap

Answer

Wiping hands with a dry paper towel after washing

Question 5

When caring for a patient with a nasogastric (NG) tube, which action should a nurse take to prevent complications?

Accepted Answer

Elevating the head of the bed to at least 30 degrees during feedings

Answer

Securing the NG tube to the patient's clothing

Answer

Using a small syringe to flush the NG tube with iced water

Answer

Administering medications through the NG tube without crushing them

Question 6

Which nursing intervention is appropriate for a patient with impaired skin integrity due to pressure ulcers?

Accepted Answer

Applying direct pressure to the ulcer to assess pain level

Answer

Massaging the area surrounding the ulcer to increase circulation

Answer

Using a moisture barrier cream to protect intact skin

Answer

Applying a transparent film dressing over the ulcer

Question 7

Which finding during a patient assessment indicates a potential complication of intravenous (IV) therapy?

Accepted Answer

IV site warm, red, and tender

Answer

Skin cool and clammy to touch

Answer

Normal saline solution running at 50 mL/hr

Answer

Patient reporting mild itching at the IV site

Question 8

Which statement by a patient receiving heparin therapy indicates understanding of potential adverse effects?

Accepted Answer

"I should stop taking heparin if I feel dizzy or nauseous."

Answer

"I should avoid foods high in vitamin K."

Answer

"I should use a soft toothbrush to prevent bleeding gums."

Answer

"I will take my medication with a large glass of grapefruit juice."

Question 9

Which nursing action is appropriate when caring for a patient with a urinary catheter?

Accepted Answer

Maintaining a dependent loop in the tubing

Answer

Irrigating the catheter daily with sterile water

Answer

Changing the catheter drainage bag every 24 hours

Answer

Securing the catheter tightly to the thigh with tape

Question 10

When transferring a patient from the bed to a chair, which technique should the nurse use to ensure patient safety?

Accepted Answer

Using a transfer belt around the patient's waist for support

Answer

Asking the patient to assist with the transfer to promote independence

Answer

Moving the patient quickly to minimize discomfort

Answer

Allowing the patient to hold onto furniture for stability