LPN Basic Care and Comfort 4

Question 1

An LPN is caring for a post-operative patient on a clear liquid diet. Which item is appropriate to offer?

Accepted Answer

Gelatin (Jell-O)

Answer

Cream of wheat

Answer

Orange juice with pulp

Answer

Tomato soup

Question 2

A patient is on bedrest following surgery. Which intervention is most important to prevent hypostatic pneumonia?

Accepted Answer

Encourage deep breathing and coughing exercises every 2 hours

Answer

Restrict oral fluids to reduce secretions

Answer

Keep the patient supine to conserve energy

Answer

Apply an abdominal binder continuously

Question 3

A patient receiving opioid analgesics reports constipation. The most appropriate nursing intervention is:

Accepted Answer

Encourage increased fluid intake, fiber, and mobility as tolerated

Answer

Discontinue the opioid and notify the provider

Answer

Administer a Fleet enema without an order

Answer

Restrict fluids to reduce bowel motility

Question 4

When applying a cold pack to a patient's sprained ankle, the LPN should:

Accepted Answer

Limit application to 15–20 minutes and place a cloth barrier between pack and skin

Answer

Apply the cold pack directly to bare skin for maximum effect

Answer

Leave the cold pack in place continuously for the first 24 hours

Answer

Apply cold only if the ankle is not visibly swollen

Question 5

Which statement by a patient indicates correct understanding of crutch walking with the three-point gait?

Accepted Answer

'I advance both crutches forward, then bring my injured leg forward while bearing weight on the crutches.'

Answer

'I move both crutches and my good leg forward together, then swing my injured leg.'

Answer

'I move the left crutch and right leg forward together, then the right crutch and left leg.'

Answer

'I keep both feet flat on the ground and push the crutches forward.'

Question 6

A patient has a nursing diagnosis of impaired skin integrity related to urinary incontinence. Which intervention is the priority?

Accepted Answer

Apply a moisture barrier cream to protect perineal skin after each incontinent episode

Answer

Insert an indwelling catheter immediately

Answer

Place the patient in restraints to prevent bed soiling

Answer

Restrict fluid intake to reduce incontinence episodes

Question 7

An elderly patient has not had a bowel movement in 4 days and reports discomfort. The LPN should first:

Accepted Answer

Assess bowel sounds and palpate the abdomen, then report findings to the charge nurse

Answer

Administer a bisacodyl suppository without checking for an order

Answer

Perform a digital rectal exam to check for impaction immediately

Answer

Increase IV fluid rate to stimulate peristalsis