Comprehensive Predictor LPN

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Sample questions from Comprehensive Predictor LPN

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

1. 1.A practical nurse is caring for four residents. Which finding should the nurse report to the RN immediately?

   • A.A resident with heart failure who has gained 2 lb (0.9 kg) since yesterday
   • B.A resident with osteoarthritis who reports chronic knee pain of 3/10
   • C.A resident with diabetes whose fasting glucose is 118 mg/dL
   • D.A resident with a healing skin tear who has a small amount of dried blood on the dressing

   Rationale: A rapid weight gain in a resident with heart failure may indicate fluid retention and worsening heart failure, so it needs prompt reporting. Chronic mild pain can be addressed according to the existing plan, and a glucose of 118 mg/dL is not usually urgent. Dried blood on a healing dressing is less concerning unless it is increasing or accompanied by other changes. The exam takeaway is to prioritize new findings that may signal acute deterioration.

2. 2.A client with tuberculosis is placed on airborne precautions. Which action should the practical nurse take when entering the client's room?

   • A.Wear a fit-tested N95 respirator
   • B.Wear a surgical mask and keep the door open
   • C.Wear a gown and gloves but no mask
   • D.Place a surgical mask on the nurse and an N95 respirator on the client

   Rationale: Airborne precautions require a fit-tested N95 respirator or an equivalent device when entering the room. A surgical mask does not provide the required respiratory protection, and a gown and gloves alone are insufficient. The client may wear a surgical mask during necessary transport, not the nurse in place of an N95. The exam takeaway is to match personal protective equipment to the transmission route.

3. 3.A practical nurse is preparing to administer oral medications. The client says, 'That pill looks different from the one I take at home.' What should the nurse do?

   • A.Hold the medication and verify it against the medication record and with the appropriate nurse or pharmacist
   • B.Explain that generic medications often look different and administer it
   • C.Ask the client to take the medication and report any reaction
   • D.Crush the medication and mix it with applesauce so the client will take it

   Rationale: The nurse should pause and verify a medication when the client raises a credible concern about its appearance. Generic products can look different, but that does not remove the need to confirm the medication before administration. Asking the client to take it or crushing it without checking the order could cause harm. The exam takeaway is to resolve medication discrepancies before giving a dose.

4. 4.A client is newly diagnosed with hypertension and asks the practical nurse how to use a home blood pressure monitor. The RN has completed the initial teaching. Which response by the practical nurse is appropriate?

   • A.Reinforce the demonstrated steps and ask the client to show how the cuff is positioned
   • B.Design a complete hypertension teaching plan for the client
   • C.Change the client's medication schedule to improve blood pressure control
   • D.Tell the client to stop checking blood pressure if the readings are high

   Answer and rationale are in the full material.

5. 5.A client with diabetes is awake and able to swallow but is shaky and diaphoretic. The capillary blood glucose is 54 mg/dL. What should the practical nurse do first?

   • A.Give 15 g of a fast-acting oral carbohydrate according to the facility protocol
   • B.Give the scheduled long-acting insulin
   • C.Offer a high-protein snack and recheck the glucose in 1 hour
   • D.Ask the client to walk to improve circulation

   Answer and rationale are in the full material.