Return to course: OIIAQ Question Bank
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Quiz 1
1. Under the Professional Code, LPN’s may apply invasive measures for the maintenance of therapeutic equipment. Which of the following care methods does not relate to this activity?
*
Draining a peritoneal catheter used in dialysis
Cleaning the inner cannula of a tracheostomy tube
Performing a closed intermittent bladder irrigation using a three-way catheter
Providing skin care around percutaneous drain
2. A beneficiary is admitted to the medical unit. She has a sacral pressure wound covered with necrotic tissue. It is a stage 4 with dimensions of 5 cm by 2.5 cm. Which of the following wound care activities are reserved for LPN’s?
1. Applying a sterile dressing
2. Debriding the wound with a scalpel
3. Assessing the wound’s evolution
4. Irrigating the wound with a saline solution
*
1 and 2
1 and 4
2 and 3
3 and 4
3. In their field of practice, LPN’s may provide care and treatment for wounds. Which of the following activities does not relate to those reserved for LPN’s in wound care and treatment?
*
Changing the initial post-operative dressing
Disinfecting the wound with a saline solution
Applying a sterile bandage with a drain
Treating cuts with stitches
4. A patient is admitted to the medical unit after suffering a stroke following his hockey training. The RN notes in her TNP to monitor the patient’s state of consciousness. Which of the following activities does not relate to those reserved for LPN’s in observing a patient’s sate of consciousness?
*
Monitoring muscle function
Checking the capillary filling time
Checking pupil reflex
Checking spoken word stimuli
5. LPN’s work in medicine and must take several types of specimens during their work day. Which type of specimen would not be taken by an LPN in their field of practice?
*
Heel capillary punctures
Lumbar punctures
Gastric secretion specimens
Ear secretion specimens
6. Pharmacotherapy care practices are shared between RNs & LPNs. The latter may, when required, mix substances to prepare medication. Which of the following care methods is in the scope of LPN’s field of practice?
*
Adding medication to dialysis fluid
Adding adjuvants to intramuscular vaccines
Mixing medication for intravenous administration
Preparing NaCl and an anticoagulant for maintenance of an intravenous catheter
7. This morning, a CHSLD beneficiary says she has pain in the joints of her right hand. According to the beneficiary’s MAR, nothing is prescribed. However, a collective prescription is available for pain relief. What is the main action the LPN must perform before she can administer the available collective prescription?
*
Explain the medication’s side effects to the beneficiary
Have the beneficiary assessed and obtain authorization from the physician or RN
Verify that the beneficiary is not allergic to the prescribed medication
Verify that the beneficiary meets the requirements for the prescription
8. A diabetic patient has just given birth to her first child. Her blood glucose level is 12 mmol/L. The physician prescribes both a fast-acting SC insulin. Which of the following activities is not in the scope of those reserved for LPN’s when administering medication?
*
Mixing both types of insulin in the same syringe
Preparing the insulin pen
Administering insulin in a 100ml bolus
Installing a SC insulin pump
9. An LPN who has been working in palliative care for a few years has gained considerable experience in administering medications. She is responsible for training new LPN’s in the department. Since the LPN plays an important role in drug therapy activities, she can administer medications or substances, in accordance with a prescription. Which of the following interventions is the LPN not permitted to perform?
*
Administering a narcotic analgesic via gastrostomy
Administering an enema via colostomy
Applying a local anesthetic via pharynx
Giving an analgesic via peripheral nerve block
10. An LPN working at CLSC has just received training on administering Engerix B10 vaccine. She is asked to participate in a Hepatitis B vaccination campaign for fourth grade students at a primary school. Which of the following activities are in the scope of those reserved for LPN’s in administering vaccines?
1. Administering the vaccine in the presence of the RN
2. Administering the vaccine without a prescription
3. Informing the Director of Public Health of unusual manifestations
4. Filling out the vaccination booklet
*
1 and 2
1 and 4
2 and 3
3 and 4
11. LPN may introduce an instrument or a finger, according to a prescription, beyond the nasal vertibule, labia majora, urinary meatus or anal margin or into artificial opening in the human body. Which of the following intervention are LPN’s not permitted to perform?
*
Aspirating nasal secretions with a bulb syringe
Inserting an endotracheal intubation probe
Installing a nasogastric feeding tube
Using a vaginal speculum to take a specimen
12. The Professional Code, which determine LPN’s field of practice, reserves nine activities for them, which include introducing an instrument into a peripheral vein in order to take a specimen, according to a prescription. Which of the following activities are in the scope of those reserved for LPN’s when taking a blood specimen?
1. Taking specimens on behalf on Hema-Quebec
2. Taking specimens via arterial route to measure arterial gasometry
3. Taking specimens for liver function tests
4. Taking specimens via central venous catheter
*
1 and 2
1 and 3
2 and 4
3 and 4
13. A physician prescribes an intravenous infusion to a fifteen-year-old patient who suffers from peritonitis as a result of a ruptured appendix. Which of the following activities is not in the scope of practice of those authorized for LPN’s during intravenous therapy?
*
Setting up IV fluid with a butterfly needle
Setting up physiological saline using a short peripheral intravenous catheter
Setting up KCl solution using a short peripheral intravenous catheter
Installing a short peripheral catheter connected to an infusion pump
14. Under the Regulation respecting certain profession activities which may be engaged in by nursing assistants, and in accordance with certain conditions described in that regulation, LPN’s may contribute to IV therapy. Which of the following care methods related tot his activity is not permitted for LPN’s?
*
Installing a short peripheral catheter measuring less than 7.5 cm for a fifteen-year-old child
Installing a short peripheral catheter measuring less than 7.5 cm for a twelve-year-old child
Removing a short peripheral catheter measuring less than 7.5 cm for a two-year-old child
Checking an eight-year-old child’s intravenous and maintaining the flow rate
15. A 75-year-old patient is admitted to the emergency room for pulmonary emphysema. His morning cough causes him to coughing up whitish secretions, and his dyspnea prevents him from caring for his hygiene. He continuously receives oxygen at 2L/min via nasal cannula. Which of the following activities concerning the TNP is in the line with those reserved for LPN’s?
*
Assessing the patient and drawing up a clinical profile
Recording new data regarding follow-up into the TNP
Entering their initials once an intervention is over
Providing patient care and treatment, as directed
16. The Reglement sur la formation continue obligatoire des infirmieres et infirmiers auxilliaires du Quebec (obligation of continuing training) came in effect on March 29th, 2007. Which of the following obligations apply to LPN’s?
*
Completing five continuing education hours per one-year reference period
Completing at least one continuing education activity per two-year reference period
Completing ten continuing education hours per two-year reference period
Completing twenty continuing education hours per three-year reference