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

Absence of the gag reflex after bronchoscopy indicates the local anesthetic is still active and the client is at high risk for aspiration.

Question 2

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

Accepted Answer

aPTT

Answer

Activated partial thromboplastin time (aPTT) is the primary lab used to monitor and titrate IV heparin therapy.

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

Elevating the head of the bed 30–45 degrees continuously during tube feeding is the most effective intervention to prevent aspiration.

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

Urine output below 30 mL/hour indicates possible renal compromise or decreased perfusion and must be reported promptly.

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

Using sterile technique during dressing changes is the standard evidence-based practice to prevent surgical site infections.

(LPN) Certified Practical Nurse Practice Test