LPN Ultimate 5

Question 1

A nurse aide reports that a confused elderly patient stated 'the night nurse hit me last night.' Under mandatory reporting requirements, the LPN should:

Accepted Answer

Report the allegation to the charge nurse and/or appropriate authority immediately

Answer

Document the statement and monitor the patient for further complaints

Answer

Investigate independently before involving administration

Answer

Dismiss the claim because the patient is confused

Question 2

A patient with a new colostomy refuses to look at the stoma or participate in care. The LPN's best therapeutic response is:

Accepted Answer

'I understand this is difficult. Would you like to watch while I care for it today?'

Answer

'You'll need to learn this before discharge.'

Answer

'Many patients feel the same way at first, but you'll get used to it.'

Answer

'Your family can take care of this for you at home.'

Question 3

A patient with chronic heart failure is prescribed furosemide. Which daily assessment is most important for monitoring fluid status?

Accepted Answer

Daily weight at the same time each morning

Answer

Blood pressure sitting and standing

Answer

Intake and output every 8 hours

Answer

Respiratory rate every 4 hours

Question 4

A patient is ordered morphine 4 mg IV push for pain. After administration, the patient's respiratory rate drops to 8 breaths/min. The LPN's priority action is to:

Accepted Answer

Administer naloxone (Narcan) per standing orders and notify the provider

Answer

Apply supplemental oxygen and reposition the patient

Answer

Document the finding and reassess in 15 minutes

Answer

Withhold the next scheduled dose of morphine

Question 5

Which action by the LPN best demonstrates understanding of HIPAA regulations?

Accepted Answer

Logging out of the electronic health record after reviewing a patient's chart

Answer

Discussing a patient's condition with the family in the hallway when no other patients are nearby

Answer

Sharing login credentials with a coworker to access lab results quickly during a code

Answer

Faxing medical records without a cover sheet to another facility

Question 6

A patient with Clostridium difficile (C. diff) infection requires which type of isolation precautions?

Accepted Answer

Contact precautions with gown and gloves

Answer

Airborne precautions with N95 respirator

Answer

Droplet precautions with surgical mask

Answer

Neutropenic (reverse) isolation precautions

Question 7

A patient with myasthenia gravis is in crisis and has increasing difficulty swallowing and speaking. The LPN's immediate priority is to:

Accepted Answer

Assess and protect the airway and notify the provider immediately

Answer

Administer the next scheduled dose of pyridostigmine

Answer

Encourage the patient to rest and reassess in one hour

Answer

Obtain a stat chest X-ray