LPN Fundamentals Practice Questions

LPN Fundamentals Practice Questions Related

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A group of nursing students has attended a presentation about the National Student Nurses' Association (NSNA). Which statement by the group indicates that they have understood the information presented?

  • A. The NSNA contributes to the improvement of public health
  • B. The organization provides programs of current professional interest
  • C. It is run by a group of registered nurses
  • D. It is funded by the national government
Correct Answer: B

Rationale: The National Student Nurses' Association (NSNA) is a student-led organization designed to support nursing students' professional development, and understanding its purpose is key for students. The correct statement, that it provides programs of current professional interest, reflects its role in offering educational events, leadership opportunities, and resources tailored to students' needs, preparing them for their future careers. The NSNA does not primarily focus on improving public health, which is more aligned with bodies like the Commission on Collegiate Nursing Education. It is not run by registered nurses but by students themselves, emphasizing peer leadership and engagement. Additionally, it is student-funded through membership dues, not supported by the national government. This distinction highlights the NSNA's unique position as a grassroots organization fostering professional growth, networking, and advocacy among nursing students, ensuring they are well-equipped to enter the profession with relevant skills and knowledge.

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The nurse is to administer digoxin (Lanoxin) elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should:

  • A. Record the heart rate and call the physician
  • B. Record the heart rate and administer the medication
  • C. Administer the medication and recheck the heart rate in 15 minutes
  • D. Hold the medication and recheck the heart rate in 30 minutes
Correct Answer: B

Rationale: For a 6-month-old, an apical pulse of 100 beats per minute falls within the normal range (80-150 bpm), indicating it's safe to administer digoxin, a cardiac glycoside for heart defects, without delay. Recording and calling the physician or holding the dose isn't warranted unless the rate drops below 90-100 bpm (per pediatric guidelines). Rechecking post-administration isn't standard unless symptoms arise. Nurses document and proceed, ensuring timely therapy while monitoring for toxicity signs like bradycardia later.

A healthcare provider is caring for a client who is receiving IV therapy via a peripheral catheter. The healthcare provider should identify that which of the following findings is an indication of infiltration?

  • A. Redness at the infusion site
  • B. Edema at the infusion site
  • C. Warmth at the infusion site
  • D. Oozing of blood at the infusion site
Correct Answer: B

Rationale: Edema at the infusion site is an indication of infiltration, where fluid leaks into the surrounding tissues causing swelling. This can compromise the delivery of medication and fluids, potentially leading to complications. Redness, warmth, and oozing of blood are more suggestive of inflammation or infection rather than infiltration. Infiltration requires prompt recognition and intervention to prevent further issues with the IV therapy.

A client is postoperative following abdominal surgery. Which of the following actions should be taken to prevent respiratory complications?

  • A. Instruct the client to exhale into an incentive spirometer
  • B. Reposition the client every 8 hours
  • C. Assist the client with early ambulation
  • D. Maintain the client on bed rest for the first 48 hours
Correct Answer: C

Rationale: Assisting the client with early ambulation is crucial in preventing respiratory complications after abdominal surgery. Early ambulation helps to prevent conditions like atelectasis and pneumonia by promoting lung expansion and preventing pooling of respiratory secretions. It also aids in improving circulation, reducing the risk of deep vein thrombosis, and enhancing overall recovery. Instructing the client to exhale into an incentive spirometer (Choice A) is beneficial for lung expansion but is more focused on respiratory therapy rather than preventing complications. Repositioning the client every 8 hours (Choice B) is important for preventing pressure ulcers but is not directly related to preventing respiratory complications. Maintaining the client on bed rest for the first 48 hours (Choice D) can lead to complications such as atelectasis, pneumonia, and deep vein thrombosis due to decreased lung expansion and mobility.

Which of the following statement is NOT true about safety protocols?

  • A. Reduce harm
  • B. Guide care
  • C. Only for emergencies
  • D. Part of nursing
Correct Answer: C

Rationale: Safety protocols reduce harm (A), guide care (B), are nursing (D) 'only for emergencies' (C) isn't true, used always, per standards. C's limit contradicts broad use, like Mr. Gary's routine care, making it untrue.

The nurse ensured Mr. Gary's treatment wishes were followed. This is an example of?

  • A. Advocacy
  • B. Management
  • C. Health literacy
  • D. Quality improvement
Correct Answer: A

Rationale: Ensuring treatment wishes is advocacy (A) protecting rights, per definition. Management (B) organizes, literacy (C) understands, QI (D) enhances not rights-specific. A fits patient voice, making it correct.

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