LPN - Certified Practical Nurse Basic Care and Comfort Questions and Answers

Question 1

A client with dysphagia is placed on a modified diet. Which action by the LPN is most important to ensure the client's safety and nutritional intake?

Accepted Answer

Ensuring the client is in an upright position during and after meals.

Answer

Positioning the client upright (High Fowler's position) during and for a period after meals uses gravity to aid in swallowing and helps prevent aspiration, which is a major risk for clients with dysphagia. Using straws can increase the risk of aspiration. Large bites are a choking hazard, and mixing solids with liquids can be inappropriate depending on the specific diet consistency ordered.

Question 2

An elderly client recovering from hip surgery is hesitant to ambulate, stating, 'It hurts too much to move.' Which of the following is the most appropriate initial action for the LPN to take?

Accepted Answer

Administering a prescribed analgesic 30 minutes before planned ambulation.

Answer

The most appropriate action is to address the client's stated reason for not wanting to ambulate: pain. By administering a prescribed analgesic and allowing time for it to take effect, the LPN directly manages the pain, which will make ambulation more tolerable and successful for the client. This addresses the client's immediate need and promotes cooperation with the plan of care.

Question 3

Which of the following is a non-pharmacological comfort measure that an LPN can implement to assist a client with anxiety and mild pain?

Accepted Answer

Applying a cold pack to the affected area.

Answer

Applying a cold pack (cryotherapy) is a non-pharmacological intervention used to reduce inflammation and numb a painful area. Administering medication is a pharmacological intervention. Increasing a medication dosage or requesting a new prescription is outside the LPN's scope of practice without a provider's order.

Question 4

The LPN is providing perineal care to a female client with an indwelling urinary catheter. What is the most important technique to use to prevent infection?

Accepted Answer

Cleansing the perineal area from front to back (urinary meatus to rectum).

Answer

To prevent introducing bacteria from the rectal area into the urinary tract, it is crucial to clean from the area of least contamination (urinary meatus) to the area of most contamination (rectum). This front-to-back technique is a fundamental principle of infection control during perineal care.

Question 5

A client in a long-term care facility is having difficulty falling asleep at night. Which intervention should the LPN implement to promote rest and sleep?

Accepted Answer

Ensuring the client's room is dark, quiet, and at a comfortable temperature.

Answer

Creating a restful environment is key to promoting sleep. This includes minimizing environmental stimuli like light and noise and ensuring the room temperature is comfortable for the client. Late afternoon naps, heavy meals before bed, and screen time can all interfere with the ability to fall asleep.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN - Certified Practical Nurse Basic Care and Comfort Questions and Answers