LPN Licensed Practical Nurse 5

Question 1

Which statement by a patient indicates a need for further teaching about colostomy care?

Accepted Answer

I should not eat any foods that may cause gas.

Answer

I will empty my pouch when it is one-third to one-half full.

Answer

I should change my pouch system every 3-7 days or when leaking.

Answer

I can shower with my pouch on or off.

Question 2

The LPN is caring for a patient in heart failure. Which assessment finding indicates that diuretic therapy is effective?

Accepted Answer

Daily weight decreased by 2 lb and edema reduced

Answer

Weight gain of 2 lb in 24 hours

Answer

Increased bilateral crackles on auscultation

Answer

Urine output of 200 mL over 8 hours

Question 3

A patient is receiving a continuous tube feeding and begins to vomit. What is the LPN's first action?

Accepted Answer

Stop the feeding and turn the patient on their side

Answer

Increase the head of bed to 90 degrees and continue the feeding

Answer

Slow the infusion rate and document

Answer

Reposition the NG tube and continue feeding

Question 4

A patient is ordered a medication that has a narrow therapeutic index. Which nursing action is most important before administration?

Accepted Answer

Verify the dose, time, route, and check current serum drug level if applicable

Answer

Administer quickly to avoid delays in treatment

Answer

Ask the patient if they have taken the medication before

Answer

Check the medication against a drug reference only

Question 5

Which pain assessment tool is most appropriate for a patient with moderate dementia who cannot verbally report pain?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia) scale

Answer

Numeric Rating Scale (NRS) 0-10

Answer

Visual Analog Scale (VAS)

Answer

Wong-Baker FACES scale

Question 6

A patient on a medical-surgical unit pulls out their peripheral IV while the LPN is out of the room. The LPN enters and finds the site bleeding. What is the first action?

Accepted Answer

Apply firm direct pressure to the site

Answer

Reinsert the IV catheter immediately

Answer

Call the provider for orders

Answer

Document the incident and apply a bandage

Question 7

The LPN is preparing to administer medications through a patient's jejunostomy tube (J-tube). Which action is correct?

Accepted Answer

Verify each medication is appropriate for jejunal delivery and flush between each

Answer

Crush all medications and mix them together before instilling

Answer

Administer medications rapidly to reduce tube clogging

Answer

Mix medications with the enteral formula for ease of administration