LPN - Certified Practical Nurse Coordinated Care Questions and Answers 1

Question 1

An LPN is participating in a multidisciplinary care conference for an elderly client preparing for discharge to home following a hip replacement. What is the most important contribution the LPN can make to the care coordination process?

Accepted Answer

Providing input on the client's ability to perform activities of daily living (ADLs) and response to pain management.

Answer

The LPN has direct, hands-on knowledge of the patient's daily functional status, pain levels, and response to interventions. This information is vital for the team (RN, PT, social worker) to create a realistic and effective discharge plan. The other options are outside the LPN's scope of practice, which involves contributing to the care plan under the supervision of an RN or physician.

Question 2

Which of the following actions by an LPN best exemplifies effective coordination of care for a client being transferred to a skilled nursing facility?

Accepted Answer

Providing a detailed, written, and verbal report to the receiving nurse using a standardized format.

Answer

A structured and comprehensive hand-off report is crucial for ensuring continuity of care. It provides the receiving facility with all necessary information about the client's current status, needs, medications, and plan of care, preventing errors and gaps in treatment. The other options are either insufficient or not the primary responsibility for care coordination.

Question 3

An LPN is caring for a client who is being seen by a cardiologist, a pulmonologist, and a primary care physician. The LPN notes conflicting medication orders in the client's chart. What is the LPN's priority action to coordinate this client's care?

Accepted Answer

Notify the supervising RN or primary care physician of the discrepancy.

Answer

The LPN's role is to identify and report potential problems to the supervising RN or physician who can then clarify the orders with the specialists. It is outside the LPN's scope of practice to decide which order to follow, ask the patient to choose, or administer conflicting medications. This action ensures patient safety and proper care coordination.

Question 4

The primary goal of a standardized hand-off report, such as SBAR (Situation, Background, Assessment, Recommendation), in coordinated care is to:

Accepted Answer

Provide a structured, predictable, and concise way to communicate critical patient information.

Answer

SBAR is a communication framework designed to ensure that information passed between healthcare providers is clear, concise, and complete, which is essential for patient safety and effective care coordination. It standardizes communication to reduce the risk of errors and misunderstandings during patient hand-offs.

Question 5

An LPN in a home health setting is teaching a client's family member how to perform a dressing change. To ensure care is coordinated with the entire healthcare team, what is the most important action for the LPN to take after the teaching session?

Accepted Answer

Document the teaching, the family member's understanding, and their ability to perform a return demonstration.

Answer

Thorough documentation is essential for care coordination. It informs the entire healthcare team (including the supervising RN, physician, and other visiting nurses) that the training occurred, assesses the caregiver's competency, and maintains a legal record of the instruction provided. This ensures everyone is aware of who is responsible for the care task and their level of training.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN - Certified Practical Nurse Coordinated Care Questions and Answers 1