LVN Patient Care Fundamentals 3 — Questions and Answers
Question 1: The LVN is changing a wound dressing and notices the wound edges are approximated with minimal redness. This describes which type of wound healing?
- Secondary intention
- Tertiary intention
- Primary intention (Correct answer)
- Granulation phase healing
Correct answer: Primary intention
Primary intention healing occurs when wound edges are closed (approximated), resulting in minimal scarring and faster healing.
Question 2: Which finding in wound drainage requires immediate reporting to the RN or provider?
- Serous drainage on day 1 post-op
- Serosanguineous drainage on day 2
- Purulent, foul-smelling drainage (Correct answer)
- Scant sanguineous drainage post-procedure
Correct answer: Purulent, foul-smelling drainage
Purulent, foul-smelling drainage indicates infection and must be reported immediately to the supervising RN or provider.
Question 3: An LVN is caring for a patient in contact precautions. In what order should PPE be donned before entering the room?
- Gloves, gown, mask, goggles
- Gown, mask, goggles, gloves (Correct answer)
- Mask, goggles, gown, gloves
- Goggles, mask, gown, gloves
Correct answer: Gown, mask, goggles, gloves
The correct donning order for full PPE is gown first, then mask/respirator, then goggles/face shield, then gloves last.
Question 4: A patient's urine output over 8 hours is 200 mL. The LVN should recognize this as:
- Normal output
- Polyuria
- Oliguria (Correct answer)
- Anuria
Correct answer: Oliguria
Oliguria is defined as urine output less than 30 mL/hour; 200 mL over 8 hours (25 mL/hr) falls below the acceptable threshold.
Question 5: When documenting patient care, the LVN makes an error in a paper chart. The correct action is to:
- Use correction fluid to cover the error
- Draw a single line through the error, initial, and date it (Correct answer)
- Erase the error completely
- Remove the page and rewrite the entry
Correct answer: Draw a single line through the error, initial, and date it
A single line through the error with initials and date preserves the original entry and meets legal documentation standards.
Question 6: Which route of medication administration has the fastest onset of action?
- Sublingual
- Intramuscular
- Intravenous (Correct answer)
- Subcutaneous
Correct answer: Intravenous
Intravenous administration delivers medication directly into the bloodstream, producing the fastest onset of action.
Question 7: A patient on a clear liquid diet asks if they can have orange juice. The LVN should explain that orange juice is:
- Allowed because it is a liquid
- Not allowed because it contains pulp and is opaque (Correct answer)
- Allowed if strained
- Not allowed because it is acidic
Correct answer: Not allowed because it contains pulp and is opaque
A clear liquid diet includes only transparent liquids; orange juice is opaque and contains pulp, making it inappropriate for this diet.
LVN Patient Care Fundamentals 3
The LVN is changing a wound dressing and notices the wound edges are approximated with minimal redness.
This describes which type of wound healing?