Quiz 2

1. You are a Licensed Practical Nurse (LPN) working in a long-term care facility. Your patient, M. Jean-Pierre Dupont, a 76-year-old man with a history of angina, is complaining of chest pain that he rates as 6/10. His blood pressure is 135/85 mmHg, and his heart rate is 78 bpm. You check his Medication Administration Record (MAR) and see that nitroglycerin is prescribed as a PRN medication for chest pain. The order states: "Nitroglycerin 0.4 mg SL every 5 minutes PRN for chest pain, up to 3 doses." Can the LPN administer the nitroglycerin as prescribed without notifying the RN first? *

No, the LPN needs to notify the RN first so the RN can perform a full assessment before the LPN administers the PRN nitroglycerin.

No, the LPN cannot administer PRN medications independently under any circumstances; all PRN medications require an RN's assessment first.

Yes, the LPN can administer the nitroglycerin as it is within the LPN's scope of practice to administer PRN medications for chest pain as prescribed, provided that the patient's condition does not exceed the LPN's level of competence.

Yes, the LPN can administer the nitroglycerin because all PRN medications can be given by LPNs without any prior assessment or consideration of the patient’s condition.

2. Mr. Denis Gagnon, 63 years old, is on the surgical unit following an incision and drainage of an abdominal abscess performed 48 hours ago. During the morning care, the LPN removes the old dressing and observes a small open cavity with serosanguinous drainage. The wound is clean, and the physician’s order states: “Apply saline-moistened wick dressing BID.” The LPN prepares sterile supplies and is about to insert a new wick into the wound. Based on the LPN’s scope of practice, what should the LPN do? *

Notify the RN because only RNs can apply wick dressings

Wait for a physician since wick dressings require medical supervision

Proceed with applying the wick dressing as prescribed

Leave the wound uncovered until the RN can assess it

3. During your morning rounds at the long-term care facility, you find Monsieur Dubois sitting on the floor near his bed. He has fallen and appears disoriented. Upon closer examination, you notice that he has a laceration on his forehead, and there is noticeable bleeding. You assess the wound, which is approximately 3 cm long, with moderate bleeding but no visible bone or severe tissue damage. The patient is conscious and alert but seems confused about how the fall occurred. You applied a dressing to stop the bleeding and immediately inform the charge nurse about the situation. Is your intervention permissible in the absence of a prescription? *

Yes, but only if the charge nurse is present.

No, the LPN must wait for a physician's order.

Yes, as this is considered a first aid or emergency intervention.

No, the LPN should only notify the family first.

4. Marie-Claire Dubois, an LPN at a long-term care facility in Quebec. She is reviewing her requirements for continuing education to maintain her professional license under the OIIAQ. She wants to ensure she fulfills her obligation for continuing professional development. How many hours of continuing education does Marie-Claire need to complete to maintain her license as an LPN according to the OIIAQ? *

5 hours per year

10 hours per 2 years

15 hours per year

20 hours per 2 years

5. LPN can suture a wound? *

True

False

6. LPN can remove sutures? *

True

False

7. LPN can remove staples? *

True

False

8. LPN can close a wound using adhesive/skin glue? *

True

False

9. LPN can close a wound with staples? *

True

False

10. LPN can apply Steri-Strips to a wound? *

True

False

11. A 65-year-old patient is returning to the medical-surgical unit from the operating room after an abdominal surgery. The surgeon has ordered a change in intravenous (IV) fluids from Lactated Ringer's (LR) to Dextrose 5% in Normal Saline (D5NS) to maintain the patient's hydration and blood glucose levels. The licensed practical nurse (LPN) is preparing to change the IV fluids as per the order. Is the LPN allowed to change the IV fluids from LR to D5NS? *

Yes, the LPN is allowed to change the IV fluids from LR to D5NS.

No, the LPN is not allowed to change the IV fluids; only an RN can perform this task.

No, the LPN cannot administer any IV fluids containing dextrose.

Yes, but only if the LPN is under direct supervision of an RN.

12. A 45-year-old patient is in the emergency department and requires wound suturing for a laceration on their left forearm. The healthcare provider has ordered Lidocaine to be administered subcutaneously for local anesthesia prior to the procedure. The licensed practical nurse (LPN) is preparing to administer the Lidocaine injection. Is the LPN allowed to administer Lidocaine subcutaneously before the wound suturing procedure? *

Yes, the LPN is allowed to administer Lidocaine subcutaneously for local anesthesia.

No, the LPN cannot administer any anesthetic agents; only a physician can do this.

No, the LPN can only administer Lidocaine if it is given intravenously, not subcutaneously.

Yes, but only if the LPN has direct supervision from an RN while administering the Lidocaine.

13. LPN can mix Ceftriaxone with 1% Lidocaine for an IM injection to reduce pain? *

True

False

14. An RN in the operating room is preparing for a surgery and needs to administer an IV infusion of Vancomycin, a commonly used antibiotic in surgical procedures. The RN asks the LPN to mix the Vancomycin for the IV infusion, while clarifying that the RN will administer the medication to the patient. The LPN considers whether to proceed with mixing the medication. What should the LPN do? *

Refuse to mix the medication because LPNs are not authorized to mix drugs for IV administration.

Mix the medication because there are no legal restrictions on LPNs mixing drugs for IV administration in the operating room, as long as the RN administers the drug.

Refuse to mix the medication unless a pharmacist is present to supervise the process.

Mix the medication only if the RN provides a written order for the LPN to do so.

15. An LPN is caring for a post-operative client who has been experiencing nausea and vomiting, with a urine output of only 200 mL over the past 8 hours. The client's blood pressure is 90/60, indicating potential dehydration.

The physician's medical orders are as follows:
-Administer a 750 mL IV bolus of normal saline.
-Monitor vital signs every 30 minutes for 2 hours.
-Encourage oral intake of fluids as tolerated.
-Administer antiemetic medication as needed for nausea.

The LPN is considering whether they can administer the IV bolus of normal saline. What should the LPN do? *

Administer the IV bolus of normal saline, as long as there are no additives in the solution.

Refuse to administer the IV bolus, as LPNs are not permitted to administer bolus infusions.

Administer the IV bolus only if an RN is present to supervise.

Request a change to the medical order, as the client's low blood pressure may indicate a need for a different intervention.

16. LPN can administer the prescribed PRN medications autonomously? *

True

False

17. LPN can administer these PRN medications:
-hydrALAZINE 10 mg = 0.5 mL, IV Push, PRN Q4hr
-Diphenhydramine (Benadryl) 25mg IV push, Q6h PRN for itching *

True

False

18. LPN can administer PRN medications that are written on the Therapeutic Nursing Plan (TNP)? *

True

False