LVN Patient Care & Clinical Procedures 3

Question 1

A nurse is applying sequential compression devices (SCDs) to a postoperative patient. Which assessment finding is a contraindication for SCD use?

Accepted Answer

Patient has a deep vein thrombosis in the left leg

Answer

SCDs are contraindicated in confirmed DVT because the compression could dislodge a clot and cause a pulmonary embolism.

Question 2

A patient develops redness, swelling, and warmth at an IV site. The nurse stops the infusion. What is the next priority action?

Accepted Answer

Remove the IV catheter and apply pressure

Answer

Signs of phlebitis or infiltration require immediate removal of the IV catheter to prevent further tissue damage.

Question 3

During a bed bath, the nurse should wash the patient's body in which sequence?

Accepted Answer

Face → arms → chest → abdomen → perineum → legs → back

Answer

The bed bath proceeds from cleanest to most contaminated areas, starting at the face and ending with the perineum and back.

Question 4

A nurse is performing postural drainage on a patient. The patient suddenly becomes dyspneic and cyanotic. What is the priority action?

Accepted Answer

Return the patient to a normal anatomical position and call for help

Answer

Acute dyspnea and cyanosis during postural drainage indicate the procedure must be stopped immediately and the patient repositioned upright.

Question 5

When applying a transdermal medication patch, what must the nurse do before applying the new patch?

Accepted Answer

Remove the previous patch and clean the skin thoroughly

Answer

The old patch must be removed and the skin cleaned to prevent medication accumulation and overdose.

(LVN) Licensed Vocational Nurses Certification Practice Test