LPN Licensed Practical Nurse 3

Question 1

A patient is ordered to receive IV potassium chloride 40 mEq in 100 mL NS over 1 hour. What is the safest administration method?

Accepted Answer

Via infusion pump through a peripheral IV

Answer

IV bolus push over 5 minutes

Answer

Mixed into a 50 mL bag and given rapidly

Answer

Administered undiluted via central line

Question 2

Which assessment finding indicates that a patient with a urinary catheter may have a catheter-associated urinary tract infection (CAUTI)?

Accepted Answer

Cloudy, foul-smelling urine with fever

Answer

Urine output of 60 mL/hr

Answer

Clear, pale yellow urine

Answer

Specific gravity of 1.015

Question 3

An LPN is educating a patient about warfarin therapy. Which food should the patient be instructed to consume consistently rather than avoid entirely?

Accepted Answer

Leafy green vegetables

Answer

Grapefruit juice

Answer

Alcohol

Answer

Cranberry juice

Question 4

A patient with a hip fracture repair is being positioned in bed. Which position is contraindicated?

Accepted Answer

Side-lying with affected hip adducted past midline

Answer

Supine with pillow under calf

Answer

Semi-Fowler's at 30 degrees

Answer

Legs elevated with abductor pillow

Question 5

The LPN notes that a patient's nasogastric (NG) tube feeding bag has been hanging for 9 hours. What action is required?

Accepted Answer

Change the bag and tubing per facility policy (typically every 4-8 hours)

Answer

Continue the infusion as the bag still has formula

Answer

Add more formula to the existing bag

Answer

Cap the tube and hold feedings for 2 hours

Question 6

Which action by the LPN best demonstrates proper hand hygiene technique according to CDC guidelines?

Accepted Answer

Washing hands with soap and water for at least 20 seconds

Answer

Using alcohol-based hand rub for 5 seconds

Answer

Rinsing hands under warm water without soap

Answer

Wiping hands on a paper towel without washing

Question 7

A patient is in Buck's traction for a femur fracture. The LPN notices the weights are resting on the floor. What is the correct action?

Accepted Answer

Elevate the foot of the bed to restore countertraction

Answer

Leave the weights on the floor to reduce pain

Answer

Remove the weights and reapply later

Answer

Notify the surgeon and document only