LVN Geriatric & Long-Term Care 4

Question 1

Which sign or symptom is most indicative of a urinary tract infection (UTI) in an elderly resident with dementia?

Accepted Answer

Sudden increase in confusion or behavioral changes

Answer

Elderly patients with dementia often cannot verbalize UTI symptoms; instead, a sudden change in behavior or increased confusion is a common atypical presentation.

Question 2

A resident's family member asks to see their loved one's medical record. What is the LVN's best response?

Accepted Answer

Explain that HIPAA requires a signed authorization from the resident unless the resident lacks decision-making capacity

Answer

HIPAA protects patient privacy; family members need the resident's authorization to access records unless the resident lacks decision-making capacity or has designated them as a representative.

Question 3

Which intervention is most appropriate for a resident at high risk for aspiration pneumonia?

Accepted Answer

Elevate the head of the bed to 90 degrees during meals and 30 minutes after

Answer

Keeping the head of the bed elevated at 90 degrees during meals and for 30 minutes after significantly reduces the risk of aspiration.

Question 4

Which behavior by a long-term care staff member constitutes elder abuse?

Accepted Answer

Yelling at a resident to hurry up during morning care

Answer

Yelling at a resident is psychological/emotional abuse, which is a form of elder abuse and violates residents' rights.

Question 5

A resident taking warfarin in a long-term care facility has a PT/INR of 4.5. What is the LVN's priority action?

Accepted Answer

Withhold the dose and notify the charge nurse or physician immediately

Answer

An INR of 4.5 is supratherapeutic and indicates excessive anticoagulation, creating a serious bleeding risk that requires immediate notification and dose withholding.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Geriatric & Long-Term Care 4