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Patient Care & Clinical Skills Flashcards

7 cards from real LPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Patient Care & Clinical Skills flashcards as text

  1. A patient with chronic kidney disease has an arteriovenous (AV) fistula in the left arm. Which action is appropriate?

    Answer: Palpate for a thrill and auscultate for a bruit every shift

    Assessing for thrill (palpable vibration) and bruit (audible swishing) each shift confirms fistula patency and early detection of clotting.

  2. An LPN is caring for a patient in alcohol withdrawal. Which finding is most concerning and requires immediate action?

    Answer: New-onset seizure activity

    Seizures during alcohol withdrawal (typically 24–48 hours after last drink) are a medical emergency requiring immediate intervention.

  3. Which intervention is correct when caring for a patient after a lumbar puncture?

    Answer: Position patient flat and encourage oral fluids

    Lying flat after lumbar puncture and increasing fluid intake helps prevent post-procedure spinal headache caused by CSF leakage.

  4. A patient's PCA pump delivers morphine. The patient's respiratory rate is 8 breaths/min and they are difficult to arouse. What is the priority action?

    Answer: Stop the PCA and administer naloxone as ordered

    Respiratory rate below 10 with decreased LOC indicates opioid overdose; the PCA must be stopped and naloxone administered immediately.

  5. When caring for a patient with a new colostomy, which finding indicates the stoma is healthy?

    Answer: Bright red, moist stoma with slight swelling

    A healthy stoma should be bright red to pink, moist, and slightly edematous in the early postoperative period.

  6. An LPN is measuring a patient's blood pressure and gets a reading of 180/110 mmHg. What should the LPN do next?

    Answer: Retake the blood pressure in the other arm and notify the provider

    A BP of 180/110 mmHg indicates hypertensive urgency; verifying with a second reading and promptly notifying the provider is the appropriate action.

  7. The LPN is caring for a patient with a nasogastric tube. Before administering a tube feeding, what is the priority assessment?

    Answer: Aspirate gastric contents and check pH

    Aspirating gastric contents and confirming pH of 5.5 or less (or per facility policy) is the most reliable bedside method to verify NG tube placement before feeding.