LPN Licensed Practical Nurse-RN 3

Question 1

A patient tells the LPN they want to leave the hospital against medical advice (AMA). The LPN's first action should be to:

Accepted Answer

Notify the RN and charge nurse immediately

Answer

Lock the patient's room door to prevent departure

Answer

Ask the patient to sign the AMA form right away

Answer

Call security to detain the patient

Question 2

When administering an intramuscular (IM) injection to an obese adult patient, the LPN should use a needle length of:

Accepted Answer

1.5 inches

Answer

5/8 inch

Answer

1 inch

Answer

2-3 inches

Question 3

A patient is ordered furosemide (Lasix) 40 mg IV. Which lab value should the LPN review BEFORE administration?

Accepted Answer

Serum potassium

Answer

Serum sodium

Answer

Serum calcium

Answer

Serum magnesium

Question 4

A patient in restraints must be assessed every:

Accepted Answer

30 minutes

Answer

1 hour

Answer

2 hours

Answer

4 hours

Question 5

An LPN is preparing to administer a unit of packed red blood cells. Before hanging the blood, the nurse must verify with another nurse:

Accepted Answer

The blood type, unit number, expiration date, and patient identification

Answer

The patient's most recent hemoglobin level and diagnosis

Answer

That the patient has signed the blood transfusion consent form only

Answer

The IV catheter gauge and site patency only

Question 6

A patient is receiving a blood transfusion and develops fever, chills, and lower back pain 15 minutes into the infusion. The LPN should FIRST:

Accepted Answer

Stop the transfusion and maintain IV access with normal saline

Answer

Slow the transfusion rate and administer acetaminophen

Answer

Notify the blood bank to send a replacement unit

Answer

Increase the flow rate to complete the transfusion quickly

Question 7

A patient with a pressure injury stage II has a wound with a shallow open ulcer and a red-pink wound bed. The appropriate dressing for this wound is:

Accepted Answer

Hydrocolloid or foam dressing

Answer

Wet-to-dry gauze dressing

Answer

Dry sterile gauze

Answer

Transparent film only over intact skin