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

Digoxin is held and the provider notified when the apical pulse is below 60 bpm in adults, as bradycardia is a sign of toxicity.

Question 2

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

Accepted Answer

Hypokalemia

Answer

Hypokalemia potentiates digoxin toxicity because low potassium increases myocardial sensitivity to the drug.

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

Hydrocolloid dressings maintain a moist wound environment and are recommended for stage 2 pressure injuries with minimal to moderate exudate.

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

Evisceration requires immediate coverage with sterile saline-moistened gauze while the provider is notified emergently.

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

A temperature increase of 1°F or more during a transfusion signals a possible transfusion reaction and requires the infusion to be stopped immediately.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Licensed Practical Nurse 2