LPN Licensed Practical Nurse-PN 4

Question 1

A patient taking warfarin asks what to do if they miss a dose. The LPN should instruct the patient to:

Accepted Answer

Take the missed dose as soon as remembered if it is the same day

Answer

Take double the dose the next day to compensate

Answer

Stop taking warfarin until the next INR check

Answer

Take a half dose for the next two days

Question 2

The LPN is performing a head-to-toe assessment and notes that a patient's abdomen is rigid and board-like with guarding. The priority action is to:

Accepted Answer

Report the finding to the RN immediately

Answer

Apply a heating pad to the abdomen for comfort

Answer

Encourage ambulation to stimulate bowel motility

Answer

Document and reassess in one hour

Question 3

Which action by the LPN best demonstrates correct wound care for a stage 2 pressure injury?

Accepted Answer

Covering the wound with a moisture-retentive dressing after gentle cleansing

Answer

Packing the wound with dry gauze and securing with tape

Answer

Cleaning the wound with povidone-iodine and leaving it open to air

Answer

Applying ice packs to reduce inflammation twice daily

Question 4

A patient with peripheral vascular disease reports leg pain while walking that resolves with rest. The LPN recognizes this as:

Accepted Answer

Intermittent claudication

Answer

Restless leg syndrome

Answer

Deep vein thrombosis

Answer

Cellulitis

Question 5

When teaching a patient about taking iron supplements, the LPN should instruct the patient to:

Accepted Answer

Expect stools to turn black while taking iron supplements

Answer

Take iron with milk to reduce stomach upset

Answer

Take iron supplements within one hour of taking antacids

Answer

Limit vitamin C intake while on iron supplements

Question 6

A patient with a fractured hip is in Buck's traction preoperatively. The LPN notices the patient has slid down in bed so the weights are resting on the floor. The correct action is to:

Accepted Answer

Reposition the patient up in bed so the weights hang freely

Answer

Lift the weights off the floor and reposition the patient

Answer

Remove the traction until the surgeon can reassess

Answer

Call the orthopedic technician to reset the traction

Question 7

Which behavior indicates that a patient with alcohol use disorder is experiencing alcohol withdrawal and needs immediate nursing intervention?

Accepted Answer

Experiencing tremors, diaphoresis, and reporting seeing insects on the walls

Answer

Requesting extra blankets due to feeling cold

Answer

Reporting mild headache and fatigue on day two of admission

Answer

Expressing anxiety about being unable to drink