LVN Patient Care & Clinical Procedures 2

Question 1

When inserting a urinary catheter in a female patient, which step is performed immediately before inserting the catheter into the urethra?

Accepted Answer

Clean the urethral meatus with antiseptic solution

Answer

The urethral meatus must be cleaned with antiseptic from front to back immediately before catheter insertion to reduce infection risk.

Question 2

A patient's NG tube feeding is running at 60 mL/hr. Before beginning the next feeding, the nurse aspirates 250 mL of residual. The facility's threshold is 200 mL. What is the priority action?

Accepted Answer

Return the aspirate and hold the feeding, then reassess in 1 hour

Answer

When gastric residual exceeds the facility threshold, the aspirate is returned to prevent electrolyte loss, the feeding is held, and the patient is reassessed.

Question 3

While performing a sterile dressing change, the nurse accidentally touches the sterile field with an ungloved hand. What should the nurse do?

Accepted Answer

Discard the sterile field and obtain new supplies

Answer

Any contact of a non-sterile item with the sterile field contaminates it entirely; the field must be discarded and a new sterile setup obtained.

Question 4

Which position is most appropriate for a patient experiencing an acute asthma attack?

Accepted Answer

High Fowler's (90 degrees)

Answer

High Fowler's position maximizes lung expansion and reduces the work of breathing during respiratory distress.

Question 5

A patient has a prescribed PRN analgesic. She rates her pain 7/10 and requests medication. The nurse notes she last received the dose 3 hours ago and the interval is every 4 hours. What is the correct action?

Accepted Answer

Ask the patient to wait one more hour, reassess, and offer non-pharmacologic comfort measures

Answer

The prescribed interval has not elapsed, so the nurse should inform the patient, offer comfort measures, and reassess at the appropriate time.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Patient Care & Clinical Procedures 2