LPN Licensed Practical Nurse-RN 2

Question 1

An LPN is caring for a patient with a nasogastric tube for enteral feeding. Before administering the feeding, the nurse should first:

Accepted Answer

Verify tube placement by checking gastric aspirate pH

Answer

Flush the tube with 30 mL of water

Answer

Warm the formula to body temperature

Answer

Elevate the head of the bed to 90 degrees

Question 2

A patient is prescribed potassium chloride 40 mEq IV. The LPN should:

Accepted Answer

Refuse to administer and notify the charge nurse

Answer

Administer it as an IV push over 2 minutes

Answer

Mix it in 100 mL NS and infuse over 1 hour

Answer

Add it directly to the existing IV bag at the bedside

Question 3

Which finding in a patient receiving heparin therapy requires IMMEDIATE reporting to the RN?

Accepted Answer

New-onset petechiae and oozing from IV site

Answer

aPTT of 60-100 seconds

Answer

Urine output of 40 mL/hour

Answer

Heart rate of 78 beats per minute

Question 4

An LPN is performing a sterile dressing change. The nurse accidentally touches the sterile field with an ungloved hand. The correct action is to:

Accepted Answer

Discard the sterile field and start over with new supplies

Answer

Continue the dressing change carefully

Answer

Apply an alcohol swab to the contaminated area and continue

Answer

Ask another nurse to complete the procedure

Question 5

A patient with Type 1 diabetes reports shakiness, diaphoresis, and confusion. The LPN checks the blood glucose and gets a reading of 48 mg/dL. The patient is conscious and able to swallow. The first intervention is:

Accepted Answer

Give 15-20 grams of fast-acting carbohydrates orally

Answer

Administer 1 mg glucagon intramuscularly

Answer

Start a D50 IV bolus immediately

Answer

Call the physician before doing anything

Question 6

When performing tracheostomy care, the LPN should change the tracheostomy ties when:

Accepted Answer

A second person is available to hold the tube in place

Answer

The ties are completely dry and intact

Answer

The patient is in a supine position with neck flexed

Answer

The tube has been in place for less than 72 hours

Question 7

An LPN is caring for a postoperative patient 4 hours after abdominal surgery. The patient's blood pressure drops from 118/76 to 88/54 mmHg and heart rate increases from 80 to 118 bpm. The LPN's priority action is to:

Accepted Answer

Notify the RN immediately and stay with the patient

Answer

Reposition the patient to the left lateral position

Answer

Administer the ordered PRN pain medication

Answer

Increase the IV fluid rate per standing orders