A patient being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose.
The nurse should __________.
A. call the charge nurse to reach out to the ordering physician to verify the order including the correct medication, dose, route, and frequency
B. call the physician to verbally verify the order including correct medication, dose, route, and frequency
C. just go with his or her gut on what the typical dose is for this medication and administer to the patient so they do not have to wait on the physician
D. ask the attending physician to come back to the unit and to help read what the order states regarding the correct medication, dose, route, and frequency
The LPN notices a patient with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned.
What should the nurse do?
A. Speak with the attending physician about his concerns and request a referral for the patient to go to the hospital gym.
B. Speak with the attending physician about his concerns and request a referral to physical therapy.
C. Do nothing as this has nothing to do with why the patient was hospitalized.
D. Add this issue to the nursing care plan and have daily gait/balance training as an intervention.
An LPN is working on the care plan for a patient with diabetes mellitus.
Which of these outcomes would be the most appropriate?
A. The patient will maintain a blood glucose level within normal limits throughout my shift.
B. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy).
C. The patient will maintain a blood glucose level within normal range limits today.
D. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.
Which of these scenarios would not be considered a violation of HIPAA laws?
A. looking up only the address (not the medical portion) in the chart of a co-worker who just delivered a baby so you can surprise her with a gift
B. discussing discharge plans with a patient in a multi-bed recovery room with the curtain drawn around the patient's bed
C. looking up the medical information of a friend not in your care but who gave you permission
D. checking on your spouse's medical record because you are listed as her power of attorney
Which of these is true regarding advance directives?
A. An advanced directive is legally valid in every state, no matter which state it was created in.
B. A physician must determine when a patient is unable to make medical decisions for himself.
C. They must be reviewed and re-signed every 10 years in order to remain valid.
D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.
An LPN is talking with a patient scheduled to undergo a vasectomy in the next few minutes. He states, "I know I signed the form and all, but I'm not feeling so sure of this. It can be reversed pretty easily, right?"
What is the LPN's best response?
A. "Yes, vasectomies can be reversed, but I'm sure once you have it you won't regret it."
B. "It sounds like you might be a little nervous. Don't worry, this is a pretty minor procedure, and the doctor doing it is the best we have. You're in great hands."
C. "It's normal to feel a little nervous before a procedure like this one."
D. "It sounds like you have a few more questions you'd like answered. Let me grab the doctor quickly so he can answer them for you."
Which of these would be an appropriate assignment for the LPN/LVN?
A. a 20-year-old patient with Cystic Fibrosis who needs an early morning sputum sample collection
B. an 84-year-old patient 2 days post-op after knee replacement surgery who needs help ambulating
C. an 18-year-old femur fracture patient who is just returning to the floor from the recovery unit
D. a 35-year-old patient who is suffering from an acute asthma attack
Which of these patients should the LPN/LVN see first?
A. a patient with a newly placed NG who is complaining of pain around the face and a plugged nose
B. a patient in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected arm
C. a patient newly diagnosed with Hepatitis A who reports stomach pain and itchy skin
D. a post-op prostatectomy patient who complains of bladder spasms and blood in his foley bag
Which of these tasks would be inappropriate for an LPN to take?
A. teaching a 24-year-old first-time mother how to properly care for her new baby
B. adjustment of a 68-year-old patient's cervical traction as ordered by the attending doctor
C. obtaining an occult blood sample from a 16-year-old patient with ulcerative colitis
D. an assessment of a 36-year-old man newly admitted for chest pain
An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for patients of all ages.
What should he do?
A. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting.
B. He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice.
C. He should take the assignment, but ask to be paired with a more experienced LPN.
D. He should take the assignment, but make it clear he will only care for adult patients.
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