LVN Geriatric & Long-Term Care 2

Question 1

An elderly resident in a long-term care facility refuses to take a prescribed medication. What is the LVN's first action?

Accepted Answer

Document the refusal and notify the charge nurse

Answer

Documenting the refusal and notifying the charge nurse respects patient autonomy while ensuring proper communication and follow-up.

Question 2

Which assessment finding in an older adult most warrants immediate reporting to the RN?

Accepted Answer

Sudden onset confusion in a previously alert resident

Answer

Sudden onset confusion (acute delirium) in an older adult can indicate a serious underlying condition such as infection, medication toxicity, or stroke.

Question 3

A long-term care resident develops a stage 2 pressure injury. Which intervention is the priority?

Accepted Answer

Reposition the resident every 2 hours and apply an appropriate dressing

Answer

Repositioning every 2 hours relieves pressure and promotes circulation, while proper wound dressing supports healing of a stage 2 pressure injury.

Question 4

Which medication class is most commonly associated with fall risk in elderly patients?

Accepted Answer

Benzodiazepines

Answer

Benzodiazepines cause sedation, muscle relaxation, and impaired coordination, significantly increasing fall risk in older adults.

Question 5

An LVN is caring for a resident with dementia who is agitated. Which non-pharmacologic intervention should be tried first?

Accepted Answer

Redirect the resident with a calm voice and familiar activity

Answer

Redirection with a calm voice and familiar activity is the first-line non-pharmacologic approach to managing agitation in dementia patients.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Geriatric & Long-Term Care 2