LPN Health Evaluation & Monitoring 3

Question 1

An LPN is assessing lung sounds and hears a high-pitched, continuous musical sound over the right lower lobe. This finding is best described as:

Accepted Answer

Wheezing

Answer

Wheezing is a high-pitched, continuous, musical sound caused by narrowed or obstructed airways.

Question 2

A patient with heart failure has pitting edema graded 3+. What does this finding indicate?

Accepted Answer

A 6 mm indentation persisting up to 1 minute

Answer

3+ pitting edema is characterized by a 6 mm deep indentation that persists for up to 1 minute before rebounding.

Question 3

When assessing a patient's pupils, the LPN notes one pupil is 6 mm and non-reactive while the other is 3 mm and reactive. The correct documentation is:

Accepted Answer

Anisocoria with right pupil fixed and dilated

Answer

Anisocoria refers to unequal pupils; a fixed and dilated pupil is a critical neurological sign that must be documented and reported immediately.

Question 4

The LPN is reviewing intake and output for a patient who received 1,200 mL IV fluid, drank 600 mL, and had 850 mL urine, 200 mL wound drainage, and 100 mL emesis. What is the 24-hour fluid balance?

Accepted Answer

+650 mL

Answer

Total intake is 1,800 mL; total output is 1,150 mL (850+200+100); fluid balance = +650 mL.

Question 5

A patient is receiving a blood transfusion and develops chills, back pain, and tea-colored urine 30 minutes after starting. The LPN's priority action is:

Accepted Answer

Stop the transfusion and infuse normal saline through new tubing

Answer

These signs indicate a hemolytic transfusion reaction; the transfusion must be stopped immediately and normal saline started through new IV tubing.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Health Evaluation & Monitoring 3