Licensed Practical Nurse MCQ 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 Licensed Practical Nurse MCQ flashcards as text
A patient is prescribed digoxin 0.125 mg PO daily. Before administering the dose, the LPN assesses an apical pulse of 54 bpm. What is the priority action?
Answer: Hold the medication and notify the charge nurse
Digoxin is held and the provider notified when the apical pulse is below 60 bpm in adults, as bradycardia is a sign of toxicity.
Which finding in a patient with a urinary catheter should the LPN report immediately to the RN?
Answer: Cloudy, foul-smelling urine with sediment
Cloudy, foul-smelling urine with sediment indicates a possible catheter-associated urinary tract infection (CAUTI) requiring prompt evaluation.
An LPN is caring for a patient receiving IV potassium chloride. Which assessment finding requires the most immediate intervention?
Answer: Irregular heart rhythm on the monitor
Hyperkalemia from IV potassium can cause life-threatening cardiac dysrhythmias requiring immediate intervention.
A patient with a nasogastric tube for feeding reports nausea and vomiting. The LPN aspirates 320 mL of gastric residual. What is the appropriate action?
Answer: Hold the feeding and notify the nurse in charge
A gastric residual volume above 250–500 mL (per facility policy) indicates delayed gastric emptying; the feeding should be held and the RN notified.
Which positioning is most appropriate for a patient following a below-knee amputation to prevent contractures?
Answer: Position the patient prone for 20–30 minutes several times daily
Prone positioning helps prevent hip flexion contractures that commonly develop after lower-limb amputation.
An LPN is reinforcing teaching for a patient starting warfarin therapy. Which statement by the patient indicates a need for further instruction?
Answer: 'I can take ibuprofen for my headaches instead of aspirin.'
Both ibuprofen and aspirin increase bleeding risk and are contraindicated with warfarin; the patient should use acetaminophen for pain relief instead.
A patient on a medical unit is placed on contact precautions for C. difficile infection. Which action by the LPN demonstrates correct understanding of these precautions?
Answer: Wearing a gown and gloves when entering the room
Contact precautions require a gown and gloves upon room entry; alcohol-based hand sanitizers are ineffective against C. difficile spores—soap and water must be used.