LVN Cardiovascular & Respiratory Care

Question 1

A patient with heart failure is experiencing dyspnea and orthopnea. What position should the LVN place the patient in?

Accepted Answer

High Fowler's or Semi-Fowler's

Answer

Supine

Answer

Trendelenburg

Answer

Prone

Question 2

Which assessment finding is most characteristic of left-sided heart failure?

Accepted Answer

Pulmonary crackles (rales)

Answer

Peripheral edema

Answer

Ascites

Answer

Jugular vein distension

Question 3

Before administering digoxin, the LVN's priority assessment is to:

Accepted Answer

Assess the apical pulse for one full minute

Answer

Check blood pressure

Answer

Monitor respiratory rate

Answer

Check body temperature

Question 4

Which cluster of findings is most consistent with digoxin toxicity?

Accepted Answer

Nausea, vomiting, and bradycardia

Answer

Tachycardia and hypertension

Answer

Fever and increased urine output

Answer

Peripheral edema and weight gain

Question 5

A patient with COPD is receiving supplemental oxygen. What flow rate prevents suppression of the hypoxic drive?

Accepted Answer

1–2 L/min via nasal cannula

Answer

8–10 L/min via non-rebreather mask

Answer

5–6 L/min via simple face mask

Answer

10–15 L/min via Venturi mask

Question 6

Which breath sound is most commonly associated with bronchospasm and asthma?

Accepted Answer

Wheezing

Answer

Crackles (rales)

Answer

Stridor

Answer

Pleural friction rub

Question 7

After thoracentesis, the LVN should monitor the patient most closely for which priority complication?

Accepted Answer

Pneumothorax

Answer

Hypoglycemia

Answer

Deep vein thrombosis

Answer

Urinary retention