LPN Basic Care and Comfort 3

Question 1

A patient receiving enteral tube feedings via NG tube complains of nausea and abdominal distension. What should the LPN do first?

Accepted Answer

Check gastric residual volume

Answer

Increase the infusion rate to clear the tube

Answer

Flush the tube with 60 mL of water

Answer

Remove the NG tube immediately

Question 2

Which action by the LPN best promotes sleep for a hospitalized patient who reports insomnia?

Accepted Answer

Cluster care activities and reduce environmental noise/lighting in the evening

Answer

Administer a prescribed sedative immediately at bedtime

Answer

Schedule painful procedures and vitals checks at night to consolidate daytime rest

Answer

Encourage the patient to nap frequently throughout the day

Question 3

The nurse notes a patient's urine output is 250 mL over 8 hours. The patient weighs 80 kg. This urine output is:

Accepted Answer

Below normal and requires immediate reporting

Answer

Within the normal range (0.5–1 mL/kg/hr)

Answer

Slightly above normal and warrants fluid restriction

Answer

Normal only if the patient is receiving diuretics

Question 4

When providing a bed bath, the LPN should wash the patient in which sequence?

Accepted Answer

Face → neck → arms → chest → abdomen → legs → perineum

Answer

Feet → legs → abdomen → chest → face

Answer

Perineum → legs → abdomen → chest → face

Answer

Chest → abdomen → face → legs → perineum

Question 5

A patient with left-sided weakness is being transferred from bed to wheelchair. The wheelchair should be placed:

Accepted Answer

On the patient's right (stronger) side at a 45-degree angle

Answer

On the patient's left side at a 90-degree angle

Answer

Directly in front of the bed

Answer

On the patient's left side at a 45-degree angle

Question 6

Which dietary modification is most appropriate for a patient with dysphagia secondary to a stroke?

Accepted Answer

Thickened liquids and minced or pureed foods as tolerated

Answer

Clear liquid diet only

Answer

Regular diet with extra fluids

Answer

High-fiber diet to prevent constipation

Question 7

A patient asks why a warm compress is being applied to a muscle spasm. The best LPN response is:

Accepted Answer

'It promotes vasodilation and muscle relaxation, reducing pain.'

Answer

'It draws fluid away from the area to reduce swelling.'

Answer

'It constricts blood vessels to prevent bruising.'

Answer

'It destroys bacteria in the tissue.'