LPN Test Bank

Free preview · Original latest version

Sample questions from LPN Test Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A practical nurse is caring for a client with heart failure who reports new shortness of breath while resting. Which action should the nurse take first?

   • A.Review the client's low-sodium diet choices.
   • B.Raise the head of the bed and assess the client's breathing.
   • C.Ask the client to walk to the bathroom to assess activity tolerance.
   • D.Document the client's report in the medical record.

   Rationale: Raising the head of the bed can ease breathing while the nurse promptly collects focused respiratory data. Reviewing diet and documenting are appropriate later but do not address the immediate change. Walking the client could worsen respiratory distress; report the findings promptly to the RN.

2. 2.A practical nurse is assigned to a client with diabetes who has a scheduled meal-time insulin dose. The meal tray has not arrived, and the client is waiting to eat. What should the nurse do?

   • A.Ask the client to eat food brought in by another client.
   • B.Give the full dose now because the insulin is scheduled.
   • C.Check the medication order and blood glucose, and coordinate administration with meal availability according to the order and facility policy.
   • D.Hold all insulin for the rest of the day.

   Rationale: Meal-time insulin should be coordinated with food intake according to the specific order and facility policy, with glucose data collected and concerns reported as needed. Giving it before food is available may cause hypoglycemia. Skipping insulin for the entire day or using another client's food is unsafe and does not follow the prescribed plan.

3. 3.A practical nurse is caring for a client who is scheduled for discharge after a new colostomy. The client says, "I am not sure I can manage the pouch at home." Which action is appropriate?

   • A.Ask the client to demonstrate the pouch change and report any difficulty to the RN.
   • B.Tell the client that the pouch is easy to manage after a few days.
   • C.Cancel the discharge without notifying the RN.
   • D.Develop a new discharge care plan independently.

   Rationale: Observing a return demonstration is within the practical nurse's role and helps identify learning needs to report to the RN. Reassurance alone does not establish the client's ability to manage the pouch. The PN does not independently create the care plan or change the discharge plan; concerns should be promptly communicated to the RN.

4. 4.A client with a new prescription for warfarin asks whether to stop eating green vegetables. Which response is best?

   • A."Avoid all green vegetables while taking warfarin."
   • B."Take an extra dose of warfarin if you eat a large salad."
   • C."Eat extra green vegetables whenever you notice bruising."
   • D."Keep your intake of vitamin K-rich foods consistent and report changes in your diet to your health care team."

   Answer and rationale are in the full material.

5. 5.A client with chronic obstructive pulmonary disease is being discharged with home oxygen. Which finding should the practical nurse report promptly to the RN?

   • A.The client plans to smoke while using oxygen.
   • B.The client wants to know whether the tubing can be extended.
   • C.The client asks how to clean the nasal cannula.
   • D.The client reports mild dryness of the nose.

   Answer and rationale are in the full material.