LPN Fundamentals Practice Questions

LPN Fundamentals Practice Questions Related

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A client has a tracheostomy and requires suctioning. Which of the following actions should be taken?

  • A. Hyperoxygenate the client before suctioning
  • B. Insert the catheter while exhalation
  • C. Apply suction after inserting the catheter
  • D. Limit suctioning to no more than 15 seconds
Correct Answer: A

Rationale: Hyperoxygenating the client before suctioning is crucial to prevent hypoxia during the procedure. By using a manual resuscitation bag with 100% oxygen, the nurse should provide several breaths to the client to ensure sufficient oxygenation before starting suctioning. This approach helps maintain oxygen levels and decreases the risk of hypoxia, which may arise when suctioning interrupts the normal respiratory process. Choices B, C, and D are incorrect because inserting the catheter during exhalation, applying suction while inserting the catheter, and limiting suctioning to 15 seconds do not address the priority of hyperoxygenating the client to prevent hypoxia.

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Which of the following statement is NOT true about active listening?

  • A. Involves feedback
  • B. Shows empathy
  • C. Ignores patient
  • D. Part of communication
Correct Answer: C

Rationale: Active listening involves feedback (A), shows empathy (B), is communication (D) 'ignores patient' (C) isn't true, focuses on them, per technique. C's neglect contradicts listening's intent, like with Mr. Gary, making it untrue.

All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:

  • A. Increased oxidative enzyme levels
  • B. Alcohol taken with medication
  • C. Medications containing magnesium
  • D. Decreased serum albumin
Correct Answer: A

Rationale: Oxidative enzyme levels decrease with age, not increase, affecting drug metabolism.

Client perceptions about their health problems are:

  • A. Objective data
  • B. Observational recordings
  • C. Aucilliary reports from the data collector
  • D. Subjective data
Correct Answer: D

Rationale: Subjective data are clients' perceptions e.g., 'I feel dizzy' reported directly, capturing experiences unmeasurable by others. This contrasts with objective data (e.g., pulse), observable by nurses. Observational recordings are objective, like noting pallor, not perceptions. Ancillary reports (e.g., lab results) are objective, external data, not client-voiced. Subjective data's focus on personal input e.g., pain severity enriches assessment, guiding nurses to explore symptoms' impact (e.g., anxiety's role), making it vital for holistic care and the correct classification here.

The nurse is caring for a client with an endotracheal tube attached to a ventilator. The high-pressure alarm sounds on the ventilator. The nurse prepares to perform which priority nursing intervention?

  • A. Suction the client.
  • B. Check for a disconnection.
  • C. Notify the respiratory therapist.
  • D. Evaluate the tube cuff for a leak.
Correct Answer: A

Rationale: A high-pressure alarm on a ventilator indicates obstruction or resistance, often from secretions; suctioning (A) is the priority to clear the airway. Checking for disconnection (B) fits low-pressure alarms. Notifying respiratory therapy (C) delays action. Evaluating the cuff (D) addresses leaks, not high pressure. A is correct. Rationale: Suctioning resolves common causes like mucus plugs, restoring ventilation swiftly, a first-line action per ventilator management protocols, critical to prevent hypoxia or barotrauma.

A patient about to undergo abdominal inspection is best placed in which of the following positions?

  • A. Prone
  • B. Trendelenburg
  • C. Supine
  • D. Side-lying
Correct Answer: C

Rationale: Supine allows full abdominal exposure for inspection.

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