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1. A postoperative patient reports sudden chest pain and shortness of breath.
The nurse notes tachycardia and hypotension. Which condition should the
nurse suspect first?
• CORRECT ANSWER ✔✔ Pulmonary embolism
2. The physician orders heparin 5,000 units subcutaneously every 8 hours. The
vial reads 10,000 units/mL. How many milliliters will the nurse administer
per dose?
• CORRECT ANSWER ✔✔ 0.5 mL
3. A patient with heart failure is prescribed furosemide (Lasix) 40 mg IV push.
Which laboratory value requires immediate notification of the healthcare
provider?
• CORRECT ANSWER ✔✔ Potassium 2.8 mEq/L
4. The LPN is reinforcing teaching for a patient starting warfarin (Coumadin).
Which statement by the patient indicates a need for further teaching?
• CORRECT ANSWER ✔✔ "I will take ibuprofen for my headaches."
5. A patient with an indwelling urinary catheter has not had output for 4 hours.
What is the priority nursing action?
• CORRECT ANSWER ✔✔ Check for kinks in the tubing
6. The physician orders digoxin 0.25 mg by mouth daily. Available is 0.125 mg
tablets. How many tablets will the nurse administer?
• CORRECT ANSWER ✔✔ 2 tablets
,7. Which finding in a patient with a tracheostomy requires immediate
intervention?
• CORRECT ANSWER ✔✔ Cyanosis of the nail beds
8. A patient with diabetes mellitus type 2 has a blood glucose of 45 mg/dL and
is unconscious. What should the nurse administer first?
• CORRECT ANSWER ✔✔ Glucagon 1 mg IM
9. The nurse is caring for a patient receiving a blood transfusion. Which
assessment finding indicates a transfusion reaction?
• CORRECT ANSWER ✔✔ Low back pain and chills
10.A patient with chronic obstructive pulmonary disease (COPD) has oxygen
ordered at 2 L/min via nasal cannula. The family asks why the flow is so
low. What is the best response by the LPN?
• CORRECT ANSWER ✔✔ "High oxygen levels can decrease his drive to
breathe."
11.The physician orders ciprofloxacin 500 mg IV every 12 hours. The
pharmacy sends 250 mg/50 mL. How many milliliters will be administered
per dose?
• CORRECT ANSWER ✔✔ 100 mL
12.Which clinical manifestation is the most reliable indicator of pain in a
patient with advanced dementia?
• CORRECT ANSWER ✔✔ Facial grimacing and agitation
13.A patient post-hip replacement surgery is on strict bed rest. Which
intervention is most important to prevent deep vein thrombosis (DVT)?
• CORRECT ANSWER ✔✔ Apply sequential compression devices
14.The LPN is caring for a patient with a new colostomy. Which stool
consistency is expected?
• CORRECT ANSWER ✔✔ Semi-formed to formed
, 15.A patient reports taking aspirin 81 mg daily for heart protection. The patient
is scheduled for a colonoscopy tomorrow. What should the LPN reinforce?
• CORRECT ANSWER ✔✔ Notify the physician because aspirin may
need to be stopped
16.The nurse assesses a surgical wound on postoperative day 3. Which finding
should be reported to the physician immediately?
• CORRECT ANSWER ✔✔ Greenish drainage with foul odor
17.A patient with hypertension is prescribed lisinopril. Which adverse effect
requires patient education?
• CORRECT ANSWER ✔✔ Persistent dry cough
18.The physician orders lorazepam (Ativan) 1 mg IM stat for a patient having a
seizure. Available is 2 mg/mL. How many milliliters will the nurse
administer?
• CORRECT ANSWER ✔✔ 0.5 mL
19.When caring for a patient on fall precautions, which intervention is most
appropriate?
• CORRECT ANSWER ✔✔ Place the call light within reach at all times
20.A patient with chronic kidney disease has a potassium level of 6.5 mEq/L.
Which finding does the nurse expect?
• CORRECT ANSWER ✔✔ ECG changes with peaked T waves
21.The LPN is reinforcing discharge instructions for a patient with a new
diagnosis of heart failure. Which statement indicates understanding?
• CORRECT ANSWER ✔✔ "I will weigh myself every morning before
breakfast."
22.A patient is receiving morphine sulfate via patient-controlled analgesia
(PCA). The nurse notes a respiratory rate of 8 breaths/minute. What is the
priority action?