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

Checking gastric residual volume identifies whether delayed gastric emptying is causing nausea and distension, guiding next steps.

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

Clustering care activities and reducing stimulation in the evening support the patient's natural circadian rhythm and promote sleep onset.

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

Normal urine output is 0.5–1 mL/kg/hr; 250 mL over 8 hours equals ~0.39 mL/kg/hr for an 80 kg patient, which is below normal and should be reported.

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

Bathing proceeds from cleanest to least clean areas: face first, perineum last, to prevent transferring microorganisms to cleaner areas.

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

Placing the wheelchair on the patient's stronger side allows them to use that side to pivot and bear weight during the transfer.

(LPN) Certified Practical Nurse Practice Test