LPN Licensed Practical Nurse MCQ 2

Question 1

A patient is prescribed digoxin 0.125 mg PO daily. Before administering the dose, the LPN assesses an apical pulse of 54 bpm. What is the priority action?

Accepted Answer

Hold the medication and notify the charge nurse

Answer

Administer the dose as ordered

Answer

Administer half the dose

Answer

Document and give the next scheduled dose instead

Question 2

Which finding in a patient with a urinary catheter should the LPN report immediately to the RN?

Accepted Answer

Cloudy, foul-smelling urine with sediment

Answer

Urine output of 40 mL/hr

Answer

Catheter tubing positioned below bladder level

Answer

Small amount of mucus in the drainage bag

Question 3

An LPN is caring for a patient receiving IV potassium chloride. Which assessment finding requires the most immediate intervention?

Accepted Answer

Irregular heart rhythm on the monitor

Answer

Mild burning at the IV site

Answer

Urine output of 35 mL/hr

Answer

Blood pressure of 138/86 mmHg

Question 4

A patient with a nasogastric tube for feeding reports nausea and vomiting. The LPN aspirates 320 mL of gastric residual. What is the appropriate action?

Accepted Answer

Hold the feeding and notify the nurse in charge

Answer

Continue the feeding at the current rate

Answer

Flush the tube and restart feeding

Answer

Decrease the feeding rate by half

Question 5

Which positioning is most appropriate for a patient following a below-knee amputation to prevent contractures?

Accepted Answer

Position the patient prone for 20–30 minutes several times daily

Answer

Elevate the residual limb on pillows at all times

Answer

Keep the residual limb in a dependent position

Answer

Place the patient in Trendelenburg position

Question 6

An LPN is reinforcing teaching for a patient starting warfarin therapy. Which statement by the patient indicates a need for further instruction?

Accepted Answer

'I can take ibuprofen for my headaches instead of aspirin.'

Answer

'I will have regular blood tests to check my INR.'

Answer

'I should use a soft-bristled toothbrush.'

Answer

'I will notify my provider before starting any new supplements.'

Question 7

A patient on a medical unit is placed on contact precautions for C. difficile infection. Which action by the LPN demonstrates correct understanding of these precautions?

Accepted Answer

Wearing a gown and gloves when entering the room

Answer

Using alcohol-based hand sanitizer after removing gloves

Answer

Placing the patient in a negative-pressure room

Answer

Using an N95 respirator when within 3 feet of the patient