LPN Licensed Practical Nurse 2

Question 1

A patient is prescribed digoxin 0.125 mg daily. Before administering, the LPN assesses an apical pulse of 52 bpm. What is the priority action?

Accepted Answer

Hold the medication and notify the provider

Answer

Administer the dose as prescribed

Answer

Administer half the dose

Answer

Document and reassess in 30 minutes

Question 2

Which electrolyte imbalance most increases a patient's risk for digoxin toxicity?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hypermagnesemia

Answer

Hypercalcemia

Question 3

An LPN is caring for a patient with a stage 2 pressure injury on the coccyx. Which dressing type is most appropriate?

Accepted Answer

Hydrocolloid dressing

Answer

Dry gauze dressing

Answer

Wet-to-dry dressing

Answer

Alginate dressing

Question 4

A patient is 24 hours post-operative from abdominal surgery. The LPN notices the wound edges are separated and the bowel is visible. What is the priority intervention?

Accepted Answer

Cover the wound with saline-moistened sterile gauze

Answer

Apply a dry sterile dressing

Answer

Push the bowel back and apply pressure

Answer

Document and notify the charge nurse at shift change

Question 5

Which finding in a patient receiving a blood transfusion requires the LPN to stop the infusion immediately?

Accepted Answer

Temperature rise of 1°F within 15 minutes of starting

Answer

Mild fatigue

Answer

Blood pressure 128/80 mmHg

Answer

Urine output of 40 mL/hr

Question 6

A patient with COPD is receiving oxygen therapy. Which oxygen flow rate is safest to initiate?

Accepted Answer

1-2 L/min via nasal cannula

Answer

6-8 L/min via simple mask

Answer

10-12 L/min via non-rebreather

Answer

15 L/min via non-rebreather

Question 7

The LPN is preparing to administer a subcutaneous insulin injection. Which site should be avoided in a patient who is about to exercise their legs?

Accepted Answer

Thigh

Answer

Abdomen

Answer

Upper arm

Answer

Upper back