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

LPNs are mandatory reporters; allegations of abuse must be reported immediately to the charge nurse and appropriate authority regardless of the patient's cognitive status.

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

Acknowledging the patient's feelings and offering a gradual approach (observing first) respects autonomy and facilitates adaptation to the body change.

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

Daily weights taken consistently in the morning before eating and after voiding provide the most accurate reflection of fluid retention or loss.

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

A respiratory rate of 8/min indicates opioid-induced respiratory depression; naloxone must be administered immediately to reverse the opioid effect.

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

Logging out of the EHR after use protects patient data from unauthorized access, which is a core HIPAA privacy and security requirement.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN Ultimate 5