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

Digoxin is held and the provider notified when the apical pulse is below 60 bpm in adults, as bradycardia is a sign of toxicity.

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

Cloudy, foul-smelling urine with sediment indicates a possible catheter-associated urinary tract infection (CAUTI) requiring prompt evaluation.

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

Hyperkalemia from IV potassium can cause life-threatening cardiac dysrhythmias requiring immediate intervention.

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

A gastric residual volume above 250–500 mL (per facility policy) indicates delayed gastric emptying; the feeding should be held and the RN notified.

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

Prone positioning helps prevent hip flexion contractures that commonly develop after lower-limb amputation.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Licensed Practical Nurse MCQ 2