LPN Licensed Practical Nurse MCQ 4

Question 1

The LPN is reviewing morning labs for a patient on furosemide. Which result requires the most immediate notification to the RN?

Accepted Answer

Potassium 2.8 mEq/L

Answer

Sodium 138 mEq/L

Answer

Creatinine 1.0 mg/dL

Answer

Hemoglobin 11.5 g/dL

Question 2

A patient with chronic kidney disease is on a fluid restriction of 1,200 mL/day. The patient has already consumed 900 mL by noon. How much fluid remains for the rest of the day?

Accepted Answer

300 mL

Answer

200 mL

Answer

400 mL

Answer

500 mL

Question 3

An LPN notes that a patient's IV site is swollen, cool, and pale with no blood return. These findings are most consistent with:

Accepted Answer

Infiltration

Answer

Phlebitis

Answer

Thrombophlebitis

Answer

Systemic infection

Question 4

Which pain assessment tool is most appropriate for an LPN to use with a non-verbal patient who has dementia?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia)

Answer

Numeric Rating Scale (NRS)

Answer

Visual Analog Scale (VAS)

Answer

Wong-Baker FACES Scale

Question 5

A patient with a new colostomy expresses embarrassment and states, 'I'll never be able to go out in public again.' The LPN's best initial response is:

Accepted Answer

'Tell me more about what worries you most about going out.'

Answer

'Many people with colostomies lead completely normal lives.'

Answer

'You'll get used to it; it just takes time.'

Answer

'Would you like me to arrange a visit from the ostomy nurse?'

Question 6

A patient is in skeletal traction for a femur fracture. Which nursing action is the LPN's priority?

Accepted Answer

Assessing neurovascular status of the affected extremity every 2–4 hours

Answer

Removing the weights when repositioning the patient

Answer

Keeping the traction ropes parallel to the bed frame at all times

Answer

Massaging bony prominences vigorously to prevent pressure injuries

Question 7

The LPN is educating a patient about pursed-lip breathing. Which outcome best indicates the patient understood the technique?

Accepted Answer

'I inhale through my nose for 2 counts and exhale slowly through pursed lips for 4 counts.'

Answer

'I breathe in slowly through pursed lips and out through my nose.'

Answer

'I breathe as fast as possible through my pursed lips to move more air.'

Answer

'I use this technique only when I feel a panic attack coming on.'