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

Patients do not need to eliminate gas-producing foods entirely; they should identify personal triggers and manage their diet to minimize discomfort, not restrict all such foods.

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

Effective diuresis in heart failure is demonstrated by weight loss (approximately 1 lb per liter of fluid lost) and reduced edema.

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

Stopping the feeding and turning the patient on their side prevents aspiration, which is the immediate life-threatening risk during vomiting.

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

Medications with narrow therapeutic indices (e.g., digoxin, lithium, phenytoin) require verification of dose, route, timing, and current serum levels to prevent toxicity.

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

The PAINAD scale assesses pain through behavioral indicators such as breathing, vocalizations, facial expressions, body language, and consolability in patients who cannot self-report.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Licensed Practical Nurse 5