LPN Licensed Practical Nurse-RN 5

Question 1

A patient with a history of seizures is admitted after a witnessed tonic-clonic seizure. During the post-ictal phase, the LPN's priority intervention is to:

Accepted Answer

Position the patient in a lateral (recovery) position

Answer

Restrain the patient to prevent injury

Answer

Insert an oral airway immediately

Answer

Administer ordered lorazepam IV push

Question 2

Which statement by a patient newly diagnosed with heart failure indicates a need for further teaching?

Accepted Answer

'I can eat as much sodium as I want since I'm on a water pill.'

Answer

'I will weigh myself every morning before eating.'

Answer

'I should call my doctor if I gain 2 pounds in one day.'

Answer

'I will keep my legs elevated when sitting.'

Question 3

An LPN is delegating tasks to an unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

Accepted Answer

Measuring and recording a patient's vital signs

Answer

Assessing a patient's pain level after ambulation

Answer

Educating a patient on insulin self-injection technique

Answer

Changing a sterile surgical dressing

Question 4

A patient is receiving IV morphine for pain. Which finding requires the LPN to withhold the next dose and notify the RN?

Accepted Answer

Respiratory rate of 10 breaths per minute

Answer

Pain score of 6/10

Answer

Blood pressure of 118/76 mmHg

Answer

Patient reports mild nausea

Question 5

A patient with COPD is being discharged on home oxygen at 2 L/min via nasal cannula. Which instruction is MOST important for patient safety?

Accepted Answer

No smoking and keep oxygen away from open flames

Answer

Store oxygen tanks in a tightly sealed closet

Answer

Increase oxygen flow to 4 L/min if feeling short of breath

Answer

Wear the nasal cannula only during sleep

Question 6

An LPN is assessing a patient who had a hip arthroplasty yesterday. Which position should the nurse instruct the patient to AVOID?

Accepted Answer

Crossing the operative leg over the midline

Answer

Supine with legs in a neutral position

Answer

Semi-Fowler's position at 45 degrees

Answer

Ambulating with a walker to the bathroom

Question 7

A patient with myasthenia gravis reports sudden onset of extreme weakness, difficulty swallowing, and respiratory distress. The LPN recognizes this as:

Accepted Answer

A myasthenic crisis requiring emergency respiratory support

Answer

A cholinergic crisis from anticholinesterase overdose

Answer

An expected exacerbation that can be managed with rest

Answer

A side effect of corticosteroid therapy