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

Wound beds are documented by tissue type percentages; slough does not make a wound automatically unstageable unless the wound base is completely obscured.

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

Using the formula: (125 mL/hr × 15 gtt/mL) ÷ 60 min = 31.25, rounded to 31 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 cane is held on the stronger side to absorb weight-bearing stress when the weaker leg advances, improving balance and gait.

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

An aPTT of 120 seconds is above the therapeutic range, indicating excessive anticoagulation and bleeding risk requiring provider notification.

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

Levothyroxine replaces deficient thyroid hormone; therapeutic effects include improved energy, normalization of heart rate, and resolution of hypothyroid symptoms.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Ultimate 4