Quiz 3

1. You are a self-employed LPN, providing private blood sample collection services for clients undergoing medical assessments for life insurance purposes. One of your clients, Mr. Richard Tremblay, has questions about your qualifications and whether you are authorized to take blood samples in this setting. How should you respond to Mr. Tremblay’s concerns? *

"I am only authorized to take blood samples in hospital or clinical settings."

"I can only collect certain types of blood samples when working independently.”

"As an LPN, I am allowed to take all types of blood samples from all types of clients in any care setting, including private services.”

"Taking blood samples independently is beyond my scope of practice, so I partner with a registered nurse for these services."

2. The licensed practical nurse can centrifuge the samples she takes in a medical clinic. *

True

False

3. You are an LPN working in a hospital setting, and a patient, Mr. Olivier, arrives with symptoms suggestive of pharyngitis-tonsillitis. His symptoms include a fever over 38°C, headaches, difficulty swallowing, a sudden sore throat, and swollen tonsils with pus deposits. Recognizing these signs, you suspect a possible streptococcal infection and perform a rapid strep test to screen for strep throat. Later, your charge nurse asks about the steps you took for the patient’s assessment and management. *

Yes, because LPNs are allowed to conduct any screening tests independently when symptoms indicate a likely infection.

No, because an LPN requires a doctor’s prescription to perform a rapid strep test.

Yes, because the symptoms strongly indicate strep throat, and the test is necessary to confirm the diagnosis quickly.

No, because LPNs are only allowed to perform invasive procedures with a doctor’s order.

4. Marie, a Licensed Practical Nurse (LPN), has been working on a busy medical-surgical floor for the past three years. Her Basic Life Support (BLS) certification, which includes CPR training, was last renewed 18 months ago. While preparing for her annual performance review, Marie notices a reminder from the hospital’s education department regarding CPR training. According to hospital policy, all health professionals are required to keep their CPR certifications current in compliance with Heart and Stroke Foundation recommendations. What is the most appropriate course of action for Marie regarding her CPR training? *

Ignore the reminder because her certification is still valid until she reaches two years.

Schedule a refresher course immediately, as it has been more than a year since her last training.

Wait until her next performance review to discuss whether she should renew her CPR certification.

Plan to update her CPR training within the next six months to stay compliant with the two-year recommendation.

5. The licensed practical nurse can practice when his training in cardiopulmonary resuscitation (CPR) has not been updated? *

True

False

6. Sophie, a Licensed Practical Nurse (LPN) working in a long-term care facility, encounters a patient, Mr. Beaudoin, who suddenly collapses in the hallway. He is unresponsive and not breathing. Sophie immediately considers performing CPR but remembers her certification expired last month. Other staff members arrive and look to her for guidance. What should Sophie do in this situation? *

Refrain from performing CPR, as her certification is no longer valid.

Wait for another staff member with up-to-date CPR training to intervene.

Begin CPR immediately to assist Mr. Beaudoin, as this is an emergency situation.

Request that the facility's emergency response team handle the situation instead of intervening herself.

7. The License Practical Nurse can perform therapeutic phlebotomy (bloodletting)? *

True

False

8. Licensed Practical Nurse (LPN) Julie is working in a private medical clinic where patients often come in for minor procedures and follow-up care. Today, a patient, Mr. Michel Tremblay, presents with dehydration and needs IV fluid therapy. The clinic physician asks Julie to set up an intravenous (IV) solution for Mr. Tremblay. : In a private medical clinic, can an IV solution be installed by the licensed practical nurse? *

Yes, LPNs are trained to install IV solutions in any healthcare setting, including private clinics.

No, LPNs are only allowed to monitor IV solutions but not install them.

Yes, but only under the direct supervision of a registered nurse or physician in a private clinic.

No, contributing to intravenous therapy is a restricted activity, and it must be performed in a health services institution.

9. Apart from installing the IV, the LPN can assess the insertion site, patency of the catheter, condition of the tubing, infusion rate, and integrity of the dressing. *

True

False

10. LPN Émilie is working the evening shift in a long-term care facility. She checks on her patient, Monsieur René, a 78-year-old with a history of chronic obstructive pulmonary disease (COPD). During her rounds, Émilie notices that René appears to be struggling to breathe, is using accessory muscles to breathe, and has a bluish tint around his lips and fingertips. There is no registered nurse or physician immediately available on-site. What is Émilie’s most appropriate course of action? *

Call the attending physician for an oxygen order and wait for instructions before taking any further action.

Administer oxygen at a low flow rate and closely monitor René’s respiratory status until the RN or doctor arrives.

Reassure René, encourage him to relax, and wait until the RN or physician can evaluate his condition.

Transport René to the nearest hospital immediately, as she cannot administer oxygen without an order.

11. The LPN can take a sample of bronchial secretions by aspiration. *

True

False

12. The LPN can perform tracheobronchial instillation with a 0.9% NaCl solution. *

True

False

13. The LPN should ensure that an RN stays in the building when administering a vaccine. *

True

False

14. The LPN must obtain authorization from the nurse or doctor before administering a vaccine. *

True

False

15. You are an LPN working in a community health clinic. Today, you are caring for Ella, a 3-month-old baby, whose parents have brought her in for her scheduled BCG vaccination. As you prepare to administer the vaccine, you consider your scope of practice and ensure that all necessary protocols are in place. As an LPN, are you permitted to administer the BCG vaccine to Ella? *

No, only an RN can administer vaccines, regardless of route.

Yes, you can administer the BCG vaccine because it is given intradermally.

No, because LPNs cannot administer vaccines to children under 5 years old.

Yes, you can administer the BCG vaccine because it is given subcutaneously.

16. Mr. Marc Desrosiers, 41 years old, receives a tetanus booster at the CLSC. Ten minutes later, he develops widespread hives, dizziness, and tightness in his throat. The LPN immediately brings him to the observation area, applies emergency measures according to protocol, and calls the RN.

Once the client is stable, the team must complete the Adverse Effect Following Immunization (AEFI) report required by public health.

According to public health reporting procedures, who is responsible for formally reporting an AEFI to the appropriate authorities? *

The LPN who first assessed the reaction

The physician, since a medical diagnosis is required

The RN responsible for immunization reporting according to institutional protocol

The client, who must notify public health directly