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

Furosemide causes potassium wasting; a level of 2.8 mEq/L indicates hypokalemia, which can cause life-threatening cardiac arrhythmias.

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

1,200 mL total minus 900 mL consumed equals 300 mL remaining for the rest of the day.

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

Infiltration occurs when IV fluid leaks into surrounding tissue, causing swelling, coolness, pallor, and absent blood return at the site.

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

The PAINAD scale assesses behavioral indicators of pain (breathing, vocalization, facial expression, body language, consolability) in patients with advanced dementia who cannot self-report.

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

Therapeutic communication begins with an open-ended statement that invites the patient to express their feelings before offering information or resources.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Licensed Practical Nurse MCQ 4