LPN Health Evaluation & Monitoring 2

Question 1

A patient's oxygen saturation drops from 97% to 89% over 30 minutes. What is the nurse's priority action?

Accepted Answer

Apply supplemental oxygen and notify the provider

Answer

An SpO2 of 89% is below the acceptable threshold of 95% and requires immediate oxygen supplementation and provider notification.

Question 2

When performing a head-to-toe assessment, the LPN notes the patient has periorbital edema. This finding is most associated with which condition?

Accepted Answer

Nephrotic syndrome

Answer

Periorbital edema is a classic sign of nephrotic syndrome due to significant protein loss and decreased oncotic pressure.

Question 3

A patient reports pain rated 7/10 with movement and 3/10 at rest. Which nursing action is most appropriate before administering PRN analgesics?

Accepted Answer

Assess the character, location, and precipitating factors of pain

Answer

A thorough pain assessment including character, location, and triggers guides safe and effective pain management decisions.

Question 4

Which urine output value over 8 hours should the LPN immediately report to the charge nurse or provider?

Accepted Answer

180 mL

Answer

Urine output below 30 mL/hour (240 mL over 8 hours) indicates oliguria; 180 mL over 8 hours is critically low and requires urgent reporting.

Question 5

During a neurological check, the LPN asks the patient to squeeze both hands simultaneously and notices the left grip is significantly weaker. What should the nurse document?

Accepted Answer

Left-sided hemiparesis with decreased grip strength

Answer

Asymmetrical grip strength with left-sided weakness must be documented as left-sided hemiparesis and reported promptly.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Health Evaluation & Monitoring 2