LPN - Certified Practical Nurse Reduction of Risk Potential Questions and Answers

Question 1

An LPN is assisting with the care of a client who is immobile after a stroke.
To reduce the risk of deep vein thrombosis (DVT), which of the following interventions is most appropriate for the LPN to implement?

Accepted Answer

Applying anti-embolism stockings and encouraging ankle pump exercises.

Answer

Massaging the client's lower legs firmly twice a day.

Answer

Encouraging the client to perform active range-of-motion exercises with the unaffected limbs.

Answer

Keeping the client's knees in a flexed position with a pillow for comfort.

Question 2

An LPN is caring for a client who is scheduled for a colonoscopy. The client's preparation includes a polyethylene glycol solution. The LPN should monitor the client for which potential complication related to this bowel prep?

Accepted Answer

Electrolyte imbalances and dehydration.

Answer

Hypertension and fluid overload.

Answer

Hyperglycemia and increased urine output.

Answer

Constipation and abdominal cramping.

Question 3

A newly admitted client has a history of generalized tonic-clonic seizures. Which of the following items is essential for the LPN to ensure is at the client's bedside to reduce the risk of injury?

Accepted Answer

Suction equipment and an oxygen source.

Answer

A padded tongue blade.

Answer

An oral airway.

Answer

Four-point leather restraints.

Question 4

An LPN is assisting in the transfer of a client with right-sided weakness from the bed to a wheelchair. Which action demonstrates the use of safe patient handling principles?

Accepted Answer

Positioning the wheelchair at a 45-degree angle to the bed on the client's strong (left) side.

Answer

Placing the wheelchair on the client's weak (right) side.

Answer

Having the client put their arms around the nurse's neck for support.

Answer

Keeping the bed at the highest position during the transfer.

Question 5

The LPN is reviewing laboratory results for a client receiving warfarin therapy. The client's International Normalized Ratio (INR) is 4.5. What is the LPN's priority action?

Accepted Answer

Notify the registered nurse (RN) or healthcare provider of the result.

Answer

Administer the daily dose of warfarin as ordered.

Answer

Encourage the client to increase intake of leafy green vegetables.

Answer

Document the result as within the normal therapeutic range.

Question 6

An LPN is caring for an older adult client who is identified as a high risk for falls. Which of the following interventions should the LPN implement to reduce this risk?

Accepted Answer

Place the bedside table and personal items within the client's reach.

Answer

Keep all four side rails raised on the bed at all times.

Answer

Ensure the client wears smooth-soled slippers when ambulating.

Answer

Administer a sedative at bedtime to ensure the client stays in bed.