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 nurse aide reports that a confused elderly patient stated 'the night nurse hit me last night.' Under mandatory reporting requirements, the LPN should:
Answer: Report the allegation to the charge nurse and/or appropriate authority immediately
LPNs are mandatory reporters; allegations of abuse must be reported immediately to the charge nurse and appropriate authority regardless of the patient's cognitive status.
A patient with a new colostomy refuses to look at the stoma or participate in care. The LPN's best therapeutic response is:
Answer: 'I understand this is difficult. Would you like to watch while I care for it today?'
Acknowledging the patient's feelings and offering a gradual approach (observing first) respects autonomy and facilitates adaptation to the body change.
A patient with chronic heart failure is prescribed furosemide. Which daily assessment is most important for monitoring fluid status?
Answer: Daily weight at the same time each morning
Daily weights taken consistently in the morning before eating and after voiding provide the most accurate reflection of fluid retention or loss.
A patient is ordered morphine 4 mg IV push for pain. After administration, the patient's respiratory rate drops to 8 breaths/min. The LPN's priority action is to:
Answer: Administer naloxone (Narcan) per standing orders and notify the provider
A respiratory rate of 8/min indicates opioid-induced respiratory depression; naloxone must be administered immediately to reverse the opioid effect.
Which action by the LPN best demonstrates understanding of HIPAA regulations?
Answer: Logging out of the electronic health record after reviewing a patient's chart
Logging out of the EHR after use protects patient data from unauthorized access, which is a core HIPAA privacy and security requirement.
A patient with Clostridium difficile (C. diff) infection requires which type of isolation precautions?
Answer: Contact precautions with gown and gloves
C. diff spreads via the fecal-oral route through spores on surfaces; contact precautions (gown and gloves) and handwashing with soap and water are required.
A patient with myasthenia gravis is in crisis and has increasing difficulty swallowing and speaking. The LPN's immediate priority is to:
Answer: Assess and protect the airway and notify the provider immediately
Myasthenic crisis causes progressive respiratory muscle weakness; airway compromise is life-threatening and requires immediate provider notification and airway management.