LPN Basic Care and Comfort 5

Question 1

A patient with limited mobility is at risk for contractures. Which intervention best prevents hip flexion contractures?

Accepted Answer

Perform passive range-of-motion exercises and position the patient prone periodically

Answer

Keep the patient in a semi-Fowler's position at all times

Answer

Apply knee immobilizers bilaterally

Answer

Elevate the head of bed to 60 degrees during all rest periods

Question 2

A patient rates their pain as 3/10 after receiving an analgesic 30 minutes ago. The patient states they feel comfortable enough to sleep. The LPN should:

Accepted Answer

Document the pain reassessment and allow the patient to rest

Answer

Administer another dose of analgesic to achieve a pain score of 0

Answer

Wake the patient every hour to reassess pain

Answer

Request a stronger analgesic from the provider

Question 3

Which assessment finding indicates a correctly fitting pair of axillary crutches?

Accepted Answer

There is a 2–3 finger width gap between the axilla and the crutch pad

Answer

The axillary pad rests firmly in the axilla when standing

Answer

Elbows are fully extended when hands grip the handpieces

Answer

Crutch tips reach just below the patient's waist

Question 4

A patient who is NPO asks for water to take an oral medication. The LPN should:

Accepted Answer

Give the medication with a small sip of water after clarifying NPO orders with the provider

Answer

Deny all fluids including water regardless of the reason for NPO status

Answer

Crush the medication and mix it with the IV solution

Answer

Hold the medication until NPO status is lifted

Question 5

Which finding during a skin assessment requires the most urgent follow-up for a patient on bedrest?

Accepted Answer

Non-blanchable redness over the sacrum

Answer

Dry skin on the lower legs

Answer

A small bruise on the forearm

Answer

Blanchable redness over the scapula

Question 6

When teaching a patient about a low-sodium diet, which food choice by the patient indicates the need for further instruction?

Accepted Answer

Canned soup

Answer

Fresh baked chicken breast

Answer

Fresh steamed broccoli

Answer

Unsalted rice

Question 7

A patient with a stage 2 pressure injury on the coccyx has a moist wound base with no signs of infection. The most appropriate dressing choice is:

Accepted Answer

A hydrocolloid dressing to maintain a moist wound environment

Answer

Dry sterile gauze changed every 8 hours

Answer

Wet-to-dry gauze dressing

Answer

An occlusive petroleum gauze dressing left in place for 7 days