LPN Ultimate 4

Question 1

A patient with a pressure injury has a wound bed that is 75% yellow slough and 25% red granulation tissue. How should the LPN document this wound?

Accepted Answer

Stage III pressure injury with 75% yellow, 25% red tissue

Answer

Stage II pressure injury with granulation tissue

Answer

Unstageable pressure injury

Answer

Deep tissue pressure injury

Question 2

A patient is ordered 0.9% normal saline 125 mL/hr via gravity drip set calibrated at 15 gtt/mL. How many drops per minute should the LPN set?

Accepted Answer

31 gtt/min

Answer

21 gtt/min

Answer

25 gtt/min

Answer

42 gtt/min

Question 3

When ambulating a patient with right-sided weakness using a cane, the LPN should instruct the patient to hold the cane on which side?

Accepted Answer

The left (strong) side to bear weight during the weak leg's swing

Answer

The right (weak) side to support the affected limb

Answer

Either side based on patient preference

Answer

No preference — the cane should be used bilaterally

Question 4

A patient receiving heparin therapy has an aPTT result of 120 seconds (normal: 25–35 sec, therapeutic range: 60–100 sec). The LPN should:

Accepted Answer

Notify the provider immediately, as the level is supratherapeutic

Answer

Continue heparin at the current rate

Answer

Increase the heparin infusion rate

Answer

Administer protamine sulfate without waiting for orders

Question 5

A patient with hypothyroidism is started on levothyroxine. Which symptom would indicate the medication is having a therapeutic effect?

Accepted Answer

Improved energy level and normalization of heart rate

Answer

Increased weight gain and fatigue

Answer

Development of heat intolerance and tremors

Answer

Increased bradycardia

Question 6

The LPN is preparing to administer an IM injection in the ventrogluteal site. Which landmark correctly identifies this site?

Accepted Answer

Greater trochanter, anterior superior iliac spine, and iliac crest

Answer

Center of the upper outer quadrant of the buttock

Answer

Two fingerbreadths below the acromion process

Answer

Lateral thigh midway between knee and hip

Question 7

A patient with a nasogastric tube to low wall suction reports cramping and nausea. Assessment reveals decreased bowel sounds. Which complication should the LPN suspect?

Accepted Answer

Paralytic ileus

Answer

Tube migration into the trachea

Answer

Electrolyte imbalance from prolonged suctioning

Answer

Tube clogging requiring irrigation