LVN Safe and Effective Care Environment 3

Question 1

An LVN is caring for a post-operative client at high risk for falls. Which intervention is the priority?

Accepted Answer

Keeping the bed in the lowest position with side rails up

Answer

Keeping the bed in the lowest position and raising side rails reduces fall risk by minimizing fall height and providing support.

Question 2

When a physical restraint is applied to a client, the LVN must reassess the client at minimum every:

Accepted Answer

2 hours

Answer

CMS and The Joint Commission standards require restraint assessment, including circulation and skin integrity checks, at least every 2 hours.

Question 3

The LVN smells smoke in the hallway. Using the RACE mnemonic, which action comes first?

Accepted Answer

Rescue — move clients in immediate danger

Answer

RACE stands for Rescue, Alarm, Contain, Extinguish — rescuing clients in immediate danger is always the first priority.

Question 4

A client who was given a sedative needs to use the restroom. The LVN's best action is to:

Accepted Answer

Accompany and assist the client to the restroom

Answer

Sedatives impair balance and judgment, so the LVN must accompany and assist the client to prevent falls.

Question 5

Which client requires the highest priority when assigning rooms in a medical-surgical unit?

Accepted Answer

A newly admitted client with active tuberculosis

Answer

A client with active TB requires immediate placement in a negative-pressure isolation room to protect other clients and staff.

(LVN) Licensed Vocational Nurse Practice Test