LPN Reduction of Risk Potential 2

Question 1

A client returns from a bronchoscopy procedure. Which assessment finding requires the LPN to notify the charge nurse immediately?

Accepted Answer

Absence of gag reflex

Answer

Mild throat soreness

Answer

Blood pressure 118/76 mmHg

Answer

Heart rate of 78 bpm

Question 2

The LPN is caring for a client receiving IV heparin. Which lab value is most important to monitor?

Accepted Answer

aPTT

Answer

PT/INR

Answer

Platelet count only

Answer

Serum fibrinogen

Question 3

A client with a nasogastric tube is prescribed continuous tube feeding. What is the most important nursing action to reduce aspiration risk?

Accepted Answer

Keep the head of the bed elevated at least 30–45 degrees

Answer

Flush the tube with 30 mL water every 8 hours

Answer

Check residuals once per shift

Answer

Run the feeding at room temperature

Question 4

The LPN notes a client's urine output has been 20 mL/hour for the past 3 hours. What is the priority action?

Accepted Answer

Report the finding to the charge nurse immediately

Answer

Increase the IV fluid rate independently

Answer

Document the finding and recheck in 1 hour

Answer

Encourage oral fluid intake

Question 5

Which action by the LPN best reduces the risk of a surgical site infection in a postoperative client?

Accepted Answer

Change the dressing using sterile technique

Answer

Apply antibiotic ointment from the supply cart

Answer

Remove the dressing to allow air exposure

Answer

Irrigate the wound with tap water

Question 6

A client is scheduled for a colonoscopy and asks why they need to complete a bowel prep. What is the best response by the LPN?

Accepted Answer

It helps the physician see the bowel lining clearly and reduces infection risk

Answer

It reduces the risk of bleeding during the procedure

Answer

It prevents constipation after the procedure

Answer

It lowers your blood pressure so you tolerate sedation better

Question 7

The LPN is caring for a client on bedrest. Which intervention is the highest priority to reduce the risk of deep vein thrombosis (DVT)?

Accepted Answer

Apply sequential compression devices (SCDs) as ordered

Answer

Encourage deep breathing exercises

Answer

Provide a high-protein diet

Answer

Reposition the client every 4 hours