LPN Licensed Practical Nurse-PN 2

Question 1

A patient receiving IV potassium chloride develops pain and redness at the IV site. What is the priority nursing action?

Accepted Answer

Discontinue the IV and notify the physician

Answer

Signs of phlebitis or infiltration require immediate discontinuation of the IV to prevent tissue damage.

Question 2

Which laboratory value should the LPN report immediately to the registered nurse for a patient on digoxin therapy?

Accepted Answer

Serum potassium of 2.9 mEq/L

Answer

Hypokalemia (potassium below 3.5 mEq/L) increases the risk of digoxin toxicity and must be reported promptly.

Question 3

An LPN is caring for a patient in Buck's traction. Which action is most important to prevent complications?

Accepted Answer

Assess neurovascular status of the affected limb every 4 hours

Answer

Regular neurovascular checks detect early signs of compromised circulation or nerve damage in patients in traction.

Question 4

When performing oral suctioning on an unconscious patient, the LPN should position the patient in which way?

Accepted Answer

Semi-Fowler's with head turned to one side

Answer

Turning the head to the side allows secretions to drain by gravity and reduces the risk of aspiration.

Question 5

A patient with a urinary catheter has output of 20 mL over 2 hours. After ruling out catheter obstruction, what is the LPN's next action?

Accepted Answer

Report the finding to the RN

Answer

Urine output less than 30 mL/hr may indicate renal insufficiency or hypovolemia and must be reported to the RN.

LPN - Licensed Practical Nurse Practice Test