LPN Licensed Practical Nurse-RN 4

Question 1

An LPN is caring for a patient with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. This finding indicates:

Accepted Answer

An air leak in the system or the pleural space

Answer

Continuous bubbling in the water-seal chamber indicates an air leak that must be identified and reported to the RN immediately.

Question 2

A patient asks an LPN to witness their signature on a consent form for surgery. The LPN should:

Accepted Answer

Witness only that the patient signed voluntarily, not that informed consent was given

Answer

An LPN may witness a patient's signature, attesting only to voluntary signing; obtaining informed consent and explaining risks is the physician's responsibility.

Question 3

A patient with chronic kidney disease (CKD) stage 4 has a serum potassium of 6.1 mEq/L. Which food should the LPN advise the patient to AVOID?

Accepted Answer

Bananas

Answer

Bananas are high in potassium and should be avoided by patients with hyperkalemia secondary to CKD.

Question 4

Which patient is at the HIGHEST risk for developing a deep vein thrombosis (DVT)?

Accepted Answer

A 70-year-old patient 3 days post total hip replacement on bedrest

Answer

Virchow's triad (stasis, hypercoagulability, endothelial injury) is maximally present in elderly post-orthopedic surgery patients on bedrest.

Question 5

An LPN is preparing to administer an oral medication and the patient states, 'I've never seen this pill before.' The correct response is:

Accepted Answer

Hold the medication and verify the order before administration

Answer

Patient concerns about medication should always prompt the nurse to stop and verify the order against the medication administration record before proceeding.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Licensed Practical Nurse-RN 4