LPN Licensed Practical Nurse MCQ 5

Question 1

A patient with a history of alcoholism is admitted for detoxification. Which early sign of alcohol withdrawal should the LPN monitor for most closely?

Accepted Answer

Tremors, diaphoresis, and anxiety

Answer

Hypotension and bradycardia

Answer

Hypothermia and bradypnea

Answer

Miosis and decreased reflexes

Question 2

An LPN is preparing to give a subcutaneous injection of heparin. Which action is correct?

Accepted Answer

Pinch up abdominal fat and inject at a 90-degree angle

Answer

Aspirate before injecting to confirm placement

Answer

Inject into the deltoid muscle

Answer

Massage the site vigorously after injection

Question 3

A patient with Parkinson's disease is at highest risk for which nursing diagnosis?

Accepted Answer

Risk for falls related to impaired gait and balance

Answer

Risk for fluid volume excess

Answer

Impaired skin integrity related to diaphoresis

Answer

Acute confusion related to medication

Question 4

The LPN receives a telephone order from a provider. Which is the correct procedure for accepting a verbal/telephone order?

Accepted Answer

Read back and verify the complete order before ending the call

Answer

Write the order and have another nurse co-sign immediately

Answer

Implement the order immediately and document afterward

Answer

Refuse the order until it can be received in writing

Question 5

A patient with heart failure reports waking at night unable to breathe unless sitting upright. The LPN documents this as:

Accepted Answer

Paroxysmal nocturnal dyspnea

Answer

Orthopnea

Answer

Dyspnea on exertion

Answer

Cheyne-Stokes respiration

Question 6

When administering an enema, the LPN should position the patient in which position?

Accepted Answer

Left lateral (Sims') position

Answer

Supine with legs elevated

Answer

Right lateral decubitus

Answer

High Fowler's position

Question 7

A patient taking metformin for type 2 diabetes is scheduled for a contrast CT scan tomorrow. The LPN reinforces which instruction?

Accepted Answer

Hold metformin on the day of the scan and until kidney function is confirmed normal afterward

Answer

Take a double dose of metformin the morning of the procedure

Answer

Continue metformin as usual since it does not interact with contrast dye

Answer

Switch to insulin only on the day of the procedure