LPN Fundamentals Practice Questions

LPN Fundamentals Practice Questions Related

Review LPN Fundamentals Practice Questions related questions and content

A client is receiving continuous enteral feedings through a nasogastric tube. Which of the following actions should the nurse take?

  • A. Elevate the head of the bed to 30°
  • B. Flush the tube with 50 mL of water every 2 hours
  • C. Replace the feeding bag and tubing every 72 hours
  • D. Check the client's gastric residual every 8 hours
Correct Answer: A

Rationale: Elevating the head of the bed to 30° is the correct action to take when a client is receiving continuous enteral feedings through a nasogastric tube. This position helps prevent aspiration of the enteral feedings into the lungs, reducing the risk of aspiration pneumonia. Additionally, elevating the head of the bed promotes proper digestion and absorption of the feedings by utilizing gravity to facilitate movement into the stomach and through the gastrointestinal tract. Flushing the tube with water every 2 hours (Choice B) is not necessary for continuous feedings and may disrupt the feeding schedule. Replacing the feeding bag and tubing every 72 hours (Choice C) is not the standard recommendation unless there are specific concerns or complications. Checking the client's gastric residual every 8 hours (Choice D) is important but not the immediate action needed to prevent aspiration during enteral feedings.

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Which of the following statement best describe subjective data?

  • A. Measurable by the nurse
  • B. Reported by the client
  • C. Always accurate
  • D. A physical finding
Correct Answer: B

Rationale: Subjective data is reported by the client (B), per assessment e.g., pain level. Not measurable (A), not always accurate (C), not physical (D) client-based. B best defines subjective's source, making it correct.

Which of the following is TRUE about the human needs?

  • A. May not be deferred
  • B. Are not interrelated
  • C. Met in exact and rigid way
  • D. Priorities are alterable
Correct Answer: D

Rationale: Maslow's theory (1940s) allows need priorities to shift e.g., delaying hunger for safety in crisis. Needs interrelate (safety affects esteem), aren't rigid, and can be deferred. Nurses adapt care e.g., addressing fear before nutrition in trauma reflecting this alterability, key to responsive patient management.

The nurse is assisting in caring for the client immediately after removal of the endotracheal tube following radical neck dissection. The nurse interprets that which sign experienced by the client should be reported immediately to the registered nurse (RN)?

  • A. Stridor
  • B. Lung congestion
  • C. Occasional pink-tinged sputum
  • D. Respiratory rate of 26 breaths per minute
Correct Answer: A

Rationale: Post-extubation after radical neck dissection, stridor (A) indicates airway obstruction (e.g., edema, laryngospasm), requiring immediate RN reporting. Lung congestion (B) or pink sputum (C) suggest fluid but are less urgent. A rate of 26 (D) is elevated but not critical alone. A is correct. Rationale: Stridor signals potential airway compromise, a life-threatening emergency post-neck surgery due to swelling or structural changes, necessitating rapid intervention like reintubation or steroids, per post-operative care standards, unlike less acute findings.

Which intervention should the nurse implement to prevent contractures in a patient who is immobile?

  • A. Encouraging frequent changes in position
  • B. Applying heat packs to stiff joints
  • C. Administering muscle relaxants
  • D. Using soft restraints to immobilize the extremities
Correct Answer: A

Rationale: Frequent position changes prevent contractures in immobile patients by keeping joints mobile and reducing muscle shortening risks. Heat or relaxants offer relief but don't address root immobility, and restraints worsen stiffness. Nurses use this to maintain range of motion, ensuring flexibility and function, a proactive measure against permanent musculoskeletal damage in prolonged stillness.

During postoperative teaching following a hip arthroplasty, which instruction should the nurse include?

  • A. Avoid lying on your operative side.
  • B. Cross your legs at the ankles only.
  • C. Place a pillow between your legs when turning.
  • D. Avoid bending your hip more than 120 degrees.
Correct Answer: C

Rationale: The correct instruction for the nurse to include during postoperative teaching following a hip arthroplasty is to 'Place a pillow between your legs when turning.' Placing a pillow between the legs when turning is crucial as it helps prevent dislocation of the hip prosthesis. This position aids in maintaining proper alignment and stability, thereby reducing the risk of complications after hip arthroplasty surgery. Choices A, B, and D are incorrect because they do not directly address the specific action needed to protect the hip prosthesis and prevent complications.

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