LPN Licensed Practical Nurse-PN 5

Question 1

A patient on a low-sodium diet asks which food is acceptable to eat. The LPN should advise the patient to choose:

Accepted Answer

Fresh steamed broccoli

Answer

Canned vegetable soup

Answer

Processed deli turkey slices

Answer

Cottage cheese

Question 2

The LPN is caring for a patient with a closed chest tube drainage system. Which finding requires immediate reporting to the RN?

Accepted Answer

Cessation of all bubbling or tidaling with increasing shortness of breath

Answer

Gentle bubbling in the water-seal chamber during exhalation

Answer

Tidaling (fluctuation) of fluid in the water-seal tube with respirations

Answer

Drainage of 150 mL of serous fluid in the first 2 hours post-insertion

Question 3

A patient with a plaster leg cast reports that the cast feels hot and has an unpleasant smell. The LPN should:

Accepted Answer

Report the findings to the RN as signs of possible infection

Answer

Reassure the patient that heat and odor are normal as the cast dries

Answer

Petal the cast edges to improve comfort

Answer

Apply foot powder near the cast edges to reduce odor

Question 4

When assisting a patient with left-sided weakness to ambulate using a cane, the cane should be held:

Accepted Answer

On the right (strong) side to provide stability during weight bearing

Answer

On the left (weak) side to support the affected limb

Answer

Alternated between sides with each step

Answer

Behind the patient to assist with balance

Question 5

A patient states they have been reading about herbal supplements online and wants to start taking St. John's Wort. The LPN knows this herb has a significant interaction with which class of medication?

Accepted Answer

Antidepressants and SSRIs

Answer

Antihypertensives

Answer

Anticoagulants such as warfarin

Answer

Nonsteroidal anti-inflammatory drugs

Question 6

Which statement by a patient indicates understanding of how to use a metered-dose inhaler (MDI) correctly?

Accepted Answer

'I will shake the inhaler, exhale fully, press it as I begin to inhale slowly, then hold my breath for 10 seconds.'

Answer

'I will inhale quickly and forcefully right after I press the inhaler.'

Answer

'I will place the inhaler directly in my mouth and press it while I breathe normally.'

Answer

'I will press the inhaler two times rapidly before each use.'

Question 7

A nurse aide reports to the LPN that a resident in a long-term care facility has a large bruise on their back and seems afraid when the family visits. The LPN should:

Accepted Answer

Report the observations to the charge nurse and follow facility abuse reporting protocol

Answer

Reassure the aide and document the observation in the chart

Answer

Ask the family about the bruise during their next visit

Answer

Wait and monitor for additional signs before taking action