LPN Licensed Practical Nurse 4

Question 1

Which laboratory value is the LPN most concerned about in a patient receiving long-term heparin therapy?

Accepted Answer

Platelet count dropping from 250,000 to 60,000/µL

Answer

Complete blood count showing WBC 9,000/µL

Answer

Serum sodium of 138 mEq/L

Answer

Hemoglobin of 13.5 g/dL

Question 2

An LPN is performing a sterile dressing change. After opening the sterile field, which action contaminates it?

Accepted Answer

Reaching across the sterile field to place an item

Answer

Holding sterile supplies above waist level

Answer

Adding sterile saline directly to the sterile field

Answer

Keeping the outer 1-inch border of the sterile drape unsterile

Question 3

A patient with diabetes mellitus reports shakiness, diaphoresis, and confusion. The blood glucose reads 52 mg/dL. The patient is conscious. What is the priority intervention?

Accepted Answer

Give 15-20 grams of fast-acting carbohydrates orally

Answer

Administer IV dextrose 50%

Answer

Call the provider immediately before acting

Answer

Administer glucagon IM

Question 4

When performing tracheostomy suctioning, what is the maximum recommended suction duration per pass?

Accepted Answer

10 seconds

Answer

30 seconds

Answer

20 seconds

Answer

45 seconds

Question 5

The LPN is caring for a patient in alcohol withdrawal. Which medication class does the LPN expect to be ordered for symptom management?

Accepted Answer

Benzodiazepines

Answer

Opioid analgesics

Answer

Antipsychotics

Answer

Beta-blockers

Question 6

A patient is admitted with suspected appendicitis. Which assessment finding requires the LPN to notify the provider immediately?

Accepted Answer

Sudden relief of pain followed by a rigid abdomen

Answer

Right lower quadrant pain rated 5/10

Answer

Nausea without vomiting

Answer

Temperature of 98.6°F

Question 7

A patient with a chest tube is being ambulated. The LPN accidentally disconnects the drainage tubing from the chest tube. What is the immediate action?

Accepted Answer

Place the end of the chest tube in a cup of sterile water and call for help

Answer

Clamp the chest tube with a hemostat

Answer

Reconnect the tubing as quickly as possible and assess the patient

Answer

Remove the chest tube and apply a pressure dressing