Free LVN Physiological Integrity Test 3

A LVN is assessing a patient's vital signs. Which vital sign provides the most immediate information about the patient's cardiovascular status?

Blood pressure

Temperature

Respiratory rate

Pulse

Correct! Wrong!

During a routine physical assessment, a LVN notices the patient has clubbing of the fingers. What condition might this indicate?

Chronic obstructive pulmonary disease (COPD)

Heart failure

Liver cirrhosis

Hyperthyroidism

Correct! Wrong!

When assessing a patient's fluid status, which finding indicates dehydration?

Pitting edema

Jugular venous distention

Decreased skin turgor

Crackles in the lungs

Correct! Wrong!

A LVN is caring for a patient with a nasogastric tube. What is the correct method to verify the tube's placement?

Auscultate for bowel sounds

Check the pH of aspirated gastric contents

Assess for abdominal distention

Measure the length of the tube

Correct! Wrong!

A LVN is administering medications to a patient with diabetes mellitus. Which finding requires immediate attention?

Shaking hands and sweating

Blood glucose level of 150 mg/dL

Dry oral mucosa

Urinary output of 30 mL/hour

Correct! Wrong!

A LVN is preparing to administer a unit of packed red blood cells to a patient. What is the most crucial assessment before starting the transfusion?

Checking the patient's identification

Assessing the patient's temperature

Monitoring the patient's blood pressure

Verifying the blood compatibility

Correct! Wrong!

A LVN is assessing a patient with suspected hypocalcemia. Which clinical manifestation should the LVN anticipate?

Increased heart rate

Positive Chvostek's sign

Elevated blood pressure

Hyperactive bowel sounds

Correct! Wrong!

A LVN is caring for a patient with chronic obstructive pulmonary disease (COPD). Which intervention promotes effective airway clearance?

Administering oxygen at 4 L/min via nasal cannula

Teaching pursed-lip breathing techniques

Encouraging the patient to lie flat in bed

Providing frequent suctioning of secretions

Correct! Wrong!

A LVN is monitoring a patient receiving intravenous (IV) fluids. Which finding indicates a potential complication?

Moist crackles in the lungs

Skin warm and dry to touch

Urine output of 40 mL/hour

Blood pressure within normal limits

Correct! Wrong!

During a dressing change, a LVN notes a foul odor and purulent drainage from a wound. What is the appropriate action?

Apply a dry dressing

Irrigate the wound with normal saline

Document the findings

Apply an antibiotic ointment

Correct! Wrong!

A LVN is caring for a patient with heart failure. Which assessment finding requires immediate intervention?

Edema in the lower extremities

Weight gain of 2 pounds in 24 hours

Heart rate of 90 beats per minute

Blood pressure of 130/80 mmHg

Correct! Wrong!