FUNDAMENTALS
A patient with dysphagia needs oral meds. Best action?
Crush meds separately and mix with applesauce.
Potassium 3.1 — best food?
Bananas.
Glucose 52, alert — first action?
Give 4 oz fruit juice.
Prevent infection during catheter insertion?
Maintain sterile technique.
The LPN is caring for four clients. Which client should be seen FIRST?
A. A client with COPD whose O₂ saturation is 90% on 2 L/min
B. A client with a new colostomy asking how to empty their pouch
C. A client with heart failure reporting 3+ pitting edema in both legs
D. A client who is 2 hours post-op and reports chest pain rated 8/10
D. A client who is 2 hours post-op and reports chest pain rated 8/10
Which break in sterility requires restart?
Touching sterile field with non-sterile glove.
Check what before Digoxin?
Apical pulse 1 min; hold < 60 bpm.
HF — sign of improvement?
Decreased SOB on exertion.
Fire in patient room — first?
Rescue the patient (RACE).
Which client should the LPN assess FIRST?
A. A diabetic client with a blood glucose of 68 mg/dL and is alert
B. A client receiving a blood transfusion who reports chills
C. A client with COPD who is dyspneic during ambulation
D. A client scheduled for discharge needing medication teaching
B. Client reporting chills during transfusion
Best position for SOB?
High Fowler’s.
INR 6.2 — priority?
Notify provider immediately.
Expected COPD sat?
89–92%.
PPE for C. diff?
Gown + gloves + soap/water handwash.
The LPN has four clients at the start of the shift. Who should be seen FIRST?
A. A client with pneumonia who is febrile at 101°F
B. A client with a tracheostomy with thick, copious secretions
C. A client with a stage II pressure ulcer needing dressing changes
D. A client receiving IV antibiotics due now
B. Tracheostomy with thick secretions
Correct instruction about daily weights?
Weigh same time each morning after voiding.
Penicillin allergy — avoid which drug?
Amoxicillin.
Pancreatitis pain — best med route?
IV opioids.
Fall precautions — correct statement?
Call for help before getting out of bed.
Which task should the LPN prioritize FIRST?
A. Administer scheduled oral pain medications
B. Reinforce dressing on a surgical wound saturated with fresh blood
C. Assist a stable client with ambulation to the bathroom
D. Provide discharge instructions to a client leaving in 2 hours
B. Reinforce a dressing saturated with blood
What can LPN delegate to UAP?
VS on stable post-op patient.
Correct nitro teaching?
Take 3 tabs max, 5 min apart, call 911.
Renal failure — risk electrolyte?
Hyperkalemia.
Which requires incident report?
Wrong dose of medication given.
The LPN is caring for four clients. Who should be seen FIRST?
A. A client with hypertension whose BP is 158/92
B. A client with new onset confusion and foul-smelling urine
C. A client with chronic back pain requesting PRN medication
D. A postoperative client who has not voided in 8 hours
B. Confusion + foul-smelling urine