LPN Licensed Practical Nurse-PN 3

Question 1

The LPN is preparing to administer a liquid medication through a nasogastric tube. Which action should be performed first?

Accepted Answer

Verify tube placement before administration

Answer

Flush the tube with 30 mL of water

Answer

Warm the medication to body temperature

Answer

Clamp the tube for 30 minutes after administration

Question 2

A patient newly diagnosed with type 2 diabetes asks the LPN when the best time to exercise is. What is the most appropriate response?

Accepted Answer

Exercise 1-2 hours after meals when blood glucose is elevated

Answer

Exercise first thing in the morning before eating

Answer

Avoid exercise until blood glucose is consistently controlled

Answer

Exercise only in the evening to prevent nocturnal hypoglycemia

Question 3

Which sign or symptom in a postoperative patient should the LPN report to the RN as a potential sign of internal bleeding?

Accepted Answer

Blood pressure drop from 128/80 to 98/60 with heart rate increase to 115

Answer

Temperature of 99.2°F

Answer

Mild incisional pain rated 4/10

Answer

Urine output of 45 mL/hr

Question 4

When caring for a patient who is deaf, which communication strategy should the LPN implement first?

Accepted Answer

Use written notes and verify patient comprehension

Answer

Speak loudly and slowly facing the patient

Answer

Arrange for a sign language interpreter for all care interactions

Answer

Ask a family member to interpret

Question 5

A patient's colostomy bag is one-third to one-half full. The LPN should take which action?

Accepted Answer

Empty the bag to prevent leakage and skin breakdown

Answer

Leave it until the next scheduled change

Answer

Replace the entire appliance immediately

Answer

Apply additional tape around the wafer edges

Question 6

Which clinical finding indicates that a patient with heart failure is responding positively to diuretic therapy?

Accepted Answer

Weight loss of 2 pounds since yesterday

Answer

Increase in blood pressure to 150/90 mmHg

Answer

Decrease in urine specific gravity to 1.005

Answer

Increase in serum sodium to 148 mEq/L

Question 7

A patient receiving a blood transfusion develops chills, back pain, and dark urine 20 minutes into the infusion. The LPN should first:

Accepted Answer

Stop the transfusion and notify the RN immediately

Answer

Slow the transfusion to keep the vein open

Answer

Administer diphenhydramine as ordered for allergic reaction

Answer

Take vital signs and continue monitoring