LPN Patient Care & Clinical Skills 2

Question 1

A patient on bed rest develops redness over the sacrum that blanches with pressure. What stage is this pressure injury?

Accepted Answer

Stage 1

Answer

Stage 1 pressure injuries present as non-blanchable redness — if the redness blanches, it is pre-stage (at-risk skin), not yet a confirmed pressure injury.

Question 2

When performing a sterile dressing change, the LPN accidentally touches the sterile field with an ungloved hand. What is the correct action?

Accepted Answer

Discard contaminated supplies and start over

Answer

Any breach of sterile technique requires discarding contaminated items and establishing a new sterile field to prevent infection.

Question 3

An LPN is inserting a urinary catheter in a female patient. After inflating the balloon, the patient reports pain. What should the LPN do first?

Accepted Answer

Deflate the balloon and reposition the catheter

Answer

Pain after balloon inflation suggests the balloon may be in the urethra rather than the bladder, requiring immediate deflation and repositioning.

Question 4

Which position is most appropriate for a patient experiencing an acute asthma attack?

Accepted Answer

High Fowler's (90 degrees)

Answer

High Fowler's position maximizes lung expansion and reduces respiratory effort during an acute asthma attack.

Question 5

A patient's nasogastric tube feeding is infusing when the nurse assesses a residual volume of 300 mL. What is the priority action?

Accepted Answer

Stop the feeding and notify the provider

Answer

A gastric residual volume of 300 mL or more indicates delayed gastric emptying and risk of aspiration, requiring the provider to be notified.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Patient Care & Clinical Skills 2