LPN 180QUESTION Exit Compredictor Exam

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Sample questions from LPN 180QUESTION Exit Compredictor Exam

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

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

   • A.A client with chronic arthritis who reports pain of 5/10 after walking
   • B.A client with pneumonia whose oxygen saturation has fallen from 95% to 88%
   • C.A client with diabetes whose premeal blood glucose is 162 mg/dL
   • D.A client awaiting discharge who requests help packing belongings

   Rationale: A falling oxygen saturation in a client with pneumonia may indicate worsening respiratory status and requires prompt reporting. The other findings are important but do not suggest the same immediate threat to breathing. Prioritize a significant change in respiratory status.

2. 2.A nurse is reinforcing hand hygiene with a client who has Clostridioides difficile infection. Which statement by the client shows understanding?

   • A.I will use alcohol hand rub after using the toilet.
   • B.I will wash my hands with soap and water after using the toilet.
   • C.I only need to clean my hands if they look dirty.
   • D.I can use the same gloves when helping with different tasks.

   Rationale: Soap and water is recommended after contact with C. difficile because alcohol hand rub does not reliably remove its spores. Alcohol hand rub alone is not the preferred method, visible dirt is not required for hand hygiene, and gloves must be changed between tasks as appropriate. Use contact precautions and meticulous hand hygiene.

3. 3.A client with heart failure reports new shortness of breath while lying flat. Which action should the practical nurse take first?

   • A.Assist the client to sit upright and promptly report the change to the RN.
   • B.Offer the client a large glass of water.
   • C.Encourage the client to walk in the hallway.
   • D.Document the symptom and reassess at the end of the shift.

   Rationale: Sitting upright can ease breathing while the nurse promptly reports a potentially worsening heart failure symptom. Water may worsen fluid overload, and walking could increase oxygen demand. Waiting until the end of the shift delays care for a significant change.

4. 4.A client taking warfarin asks which food choice should be reported because it may substantially increase vitamin K intake. Which choice is best?

   • A.A serving of spinach
   • B.A serving of white rice
   • C.A serving of applesauce
   • D.A serving of grilled chicken

   Answer and rationale are in the full material.

5. 5.A practical nurse is preparing to administer a prescribed oral medication. The client says, "This pill looks different from the one I take at home." What should the nurse do?

   • A.Explain that the hospital brand is always different and administer it.
   • B.Hold the medication and verify the medication order and product before giving it.
   • C.Ask the client's roommate whether the pill looks familiar.
   • D.Crush the medication and mix it with food to make it easier to take.

   Answer and rationale are in the full material.