LPN Ultimate 2

Question 1

A patient on warfarin reports eating large amounts of leafy green vegetables daily. What is the primary concern?

Accepted Answer

Decreased anticoagulant effect due to high vitamin K intake

Answer

Increased bleeding risk due to vitamin K deficiency

Answer

Renal toxicity from oxalate accumulation

Answer

Hyperkalemia from excess potassium

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 the contaminated supplies and obtain a new sterile setup

Answer

Continue the procedure quickly to minimize contamination time

Answer

Apply an antiseptic to the touched area and proceed

Answer

Document the breach and monitor for infection

Question 3

A patient's oxygen saturation drops to 88% while sleeping. Which position change should the LPN implement first?

Accepted Answer

High Fowler's position

Answer

Trendelenburg position

Answer

Left lateral decubitus position

Answer

Prone position

Question 4

A patient with end-stage renal disease is prescribed aluminum hydroxide antacids. What is the therapeutic purpose in this population?

Accepted Answer

Binding dietary phosphate in the GI tract

Answer

Treating gastric ulcers

Answer

Correcting metabolic acidosis

Answer

Preventing constipation

Question 5

Which assessment finding in a postoperative patient requires immediate reporting to the charge nurse?

Accepted Answer

Blood pressure of 88/52 mmHg

Answer

Urine output of 35 mL/hour

Answer

Temperature of 99.2°F at 24 hours post-op

Answer

Mild incisional pain rated 3/10

Question 6

A patient receiving enteral tube feedings develops diarrhea. Which intervention should the LPN implement first?

Accepted Answer

Check the rate and concentration of the formula

Answer

Discontinue the tube feeding immediately

Answer

Administer an antidiarrheal medication

Answer

Obtain a stool culture

Question 7

During a blood transfusion, the patient develops chills, fever, and low back pain 15 minutes into the infusion. The LPN's priority action is to:

Accepted Answer

Stop the transfusion and maintain IV access with normal saline

Answer

Slow the transfusion rate and monitor closely

Answer

Administer acetaminophen and continue the transfusion

Answer

Obtain a repeat blood type and crossmatch