Ultimate 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 Ultimate flashcards as text
A patient with a pressure injury has a wound bed that is 75% yellow slough and 25% red granulation tissue. How should the LPN document this wound?
Answer: Stage III pressure injury with 75% yellow, 25% red tissue
Wound beds are documented by tissue type percentages; slough does not make a wound automatically unstageable unless the wound base is completely obscured.
A patient is ordered 0.9% normal saline 125 mL/hr via gravity drip set calibrated at 15 gtt/mL. How many drops per minute should the LPN set?
Answer: 31 gtt/min
Using the formula: (125 mL/hr × 15 gtt/mL) ÷ 60 min = 31.25, rounded to 31 gtt/min.
When ambulating a patient with right-sided weakness using a cane, the LPN should instruct the patient to hold the cane on which side?
Answer: The left (strong) side to bear weight during the weak leg's swing
The cane is held on the stronger side to absorb weight-bearing stress when the weaker leg advances, improving balance and gait.
A patient receiving heparin therapy has an aPTT result of 120 seconds (normal: 25–35 sec, therapeutic range: 60–100 sec). The LPN should:
Answer: Notify the provider immediately, as the level is supratherapeutic
An aPTT of 120 seconds is above the therapeutic range, indicating excessive anticoagulation and bleeding risk requiring provider notification.
A patient with hypothyroidism is started on levothyroxine. Which symptom would indicate the medication is having a therapeutic effect?
Answer: Improved energy level and normalization of heart rate
Levothyroxine replaces deficient thyroid hormone; therapeutic effects include improved energy, normalization of heart rate, and resolution of hypothyroid symptoms.
The LPN is preparing to administer an IM injection in the ventrogluteal site. Which landmark correctly identifies this site?
Answer: Greater trochanter, anterior superior iliac spine, and iliac crest
The ventrogluteal site is located using the greater trochanter, anterior superior iliac spine, and iliac crest, forming a triangle.
A patient with a nasogastric tube to low wall suction reports cramping and nausea. Assessment reveals decreased bowel sounds. Which complication should the LPN suspect?
Answer: Paralytic ileus
Absent or decreased bowel sounds combined with cramping after prolonged NGT suction suggests paralytic ileus, a serious GI complication.