Quiz 5

1. Mme Hélène Moreau, 79 years old, is admitted to the geriatric unit for confusion and recurrent falls. During the morning care, the LPN observes that Mme Moreau is repeatedly trying to get out of bed despite being unsteady. The LPN performs a Berg Balance Test, assesses deep tendon reflexes, and completes a Mini-Mental State Exam as part of the nursing data collection.

After documenting the findings, the patient attempts to stand again and nearly falls. There is no restraint order on the chart.

Based on the LPN’s scope of practice, what should the LPN do next? *

Apply a waist restraint temporarily to prevent another fall

Initiate a restraint and notify the RN afterward

Inform the RN about the safety concerns and assessment findings

Apply soft mitts because confusion is increasing

2. Mme Carla Gendron, 63 years old, is scheduled for a minor procedure in the operating room. The LPN is preparing medications according to institutional protocols. The LPN has experience mixing medications for administration by another professional and has reconstituted powdered preparations many times.

The surgeon then asks the LPN to prepare an intravenous medication that the LPN will administer directly to the patient during the procedure.

Which of the following activities is NOT within the LPN’s scope of practice? *

Mixing medications that will be administered intravenously in the operating room by another professional

Reconstituting a powdered medication before its administration

Mixing medications or substances for administration by a physician

Preparing and administering an intravenous medication for direct IV injection during the procedure

3. According to the scope of practice of LPNs in Québec, which of the following acts is NOT permitted for an LPN to perform? *

Administering botulinum toxin (Botox) under medical delegation

Performing peritoneal dialysis in a home-care or clinical setting

Performing cryotherapy on benign skin lesions under supervision

Injecting a sclerosant for the treatment of varicose veins

4. Under the Professional Code and the Québec LPN scope of practice, which of the following acts is an LPN NOT permitted to perform? *

Administering a blood product by intramuscular or subcutaneous route

Administering a medication via a continuous subcutaneous infusion pump

Instilling medication through a colostomy or directly into the bladder

Administering an intravenous blood transfusion

5. Josée Tremblay, an LPN, registered with the Ordre des infirmières et infirmiers auxiliaires du Québec (OIIAQ), recently decided to return to work after taking a three-year maternity leave to care for her first child. Before her leave, she worked as an LPN for 400 hours in her first year of registration. Now that she wants to resume her profession, she is unsure if she needs to complete additional stages (practical placements) or courses mandated by the OIIQ to meet their practice requirements.

As a nurse educator, you are asked to clarify Josée’s obligations based on her situation.

Does Josée need to complete additional stages or courses imposed by the OIIQ before resuming her LPN practice? *

Yes, because she has not worked for three consecutive years and needs to refresh her skills.

No, because the OIIQ requires only 400 hours of practice within four years to maintain active registration.

Yes, because all LPNs must complete mandatory courses if they stop working for over two years.

No, because LPNs are exempt from any requirements if they are registered on the membership roll.

6. An LPN graduated and received her LPN license certificate in 2020 but never registered on the OIIAQ membership roll until 2025. She now wants to practice for the first time. According to OIIAQ rules, what requirement will the Order likely impose? *

She may begin practicing immediately

She must complete a refresher stage or training before being allowed to practice

She only needs to attend a short orientation session at her workplace

She must redo the licensing exam

7. An LPN practiced actively until 2019 but stopped renewing her membership. After 5 years of not being registered, she now wants to return to the profession. What must she do according to OIIAQ requirements? *

Pay registration fees only

Complete a refresher stage or training before reinstatement

Retake the OIIAQ exam

Submit proof of employment from previous years

8. An LPN stayed registered with the OIIAQ but has only accumulated 180 hours of nursing practice over the last four years due to family obligations. She now wants to work full-time again. What will the OIIAQ likely require? *

Nothing—she is registered so she may practice immediately

She must complete a refresher stage or training

She must redo her entire LPN diploma

She must shadow an RN for one week

9. An LPN was struck off the OIIAQ roll for failure to comply with requirements. Two years later, she completes all administrative steps and is successfully reinstated. Because of her long absence from practice, the OIIAQ must now determine her competence. What requirement will most likely be imposed? *

Immediate return to practice since she is reinstated

Mandatory refresher stage or course

Retaking the entire LPN program

Only paying administrative reinstatement fees

10. An LPN contacts the OIIAQ to renew her right to practice. The Order notices that she has been registered on the membership roll but has not practiced nursing for the last four years, accumulating less than 400 hours of practice. According to OIIAQ rules regarding stages (clinical refresher) or courses that may be imposed, what is the most likely requirement for this LPN? *

No action is required because she has maintained her registration on the membership roll

She must complete a mandatory refresher stage or course imposed by the OIIAQ

She only needs to pay a late fee and complete the annual continuing education hours

She must redo the entire LPN program from the beginning

11. A 32-year-old woman visits a community clinic to receive her routine influenza vaccine. During the post-vaccination monitoring period, she reports feeling slightly warm but denies dizziness, rash, or difficulty breathing. The LPN prepares to document the vaccine and continue observing her. A newly hired staff member asks the LPN which tasks fall within the LPN’s scope during vaccination activities. Which of the following tasks is NOT within the LPN’s scope of practice during vaccination? *

Monitoring the client immediately after the vaccination

Recording the vaccine in the client’s file and vaccination booklet

Monitoring the client immediately after the vaccination

Diagnosing an anaphylactic reaction and deciding independently to administer epinephrine

12. A community health clinic is holding a walk-in vaccination day. An LPN is assigned to prepare and administer routine vaccines to adults and children. Before beginning, the LPN verifies that the vaccination room is ready and that emergency equipment is accessible. The LPN then checks whether the RN responsible for clinical supervision has arrived for the shift.Which action must the LPN take to comply with safe practice and regulatory requirements before administering vaccines? *

Begin administering vaccines independently, as long as the physician can be reached by phone

Start vaccination as soon as another LPN is available nearby for assistance

Confirm that a registered nurse (RN) is physically present in the building before administering vaccines

Proceed with vaccination if the RN is scheduled to arrive later, as long as the LPN monitors clients closely

13. A 72-year-old client visits the ambulatory clinic reporting decreased sensation in both feet and a feeling of “fullness” in the right ear. The LPN is asked to complete the initial assessment. The LPN prepares to perform an external ear irrigation as well as a monofilament test and sensory/motor function testing. The physician then asks the LPN to add one more procedure to complete the assessment. Which of the following tasks is outside the LPN’s scope of practice? *

Performing external ear irrigation to remove cerumen

Conducting a monofilament test to screen for peripheral neuropathy

Assessing motor and sensory function of the lower extremities

Manually removing cerumen with a curette inside the ear canal

14. An 81-year-old client arrives at the clinic accompanied by her daughter, who is concerned about the client’s recent forgetfulness and difficulty managing daily tasks. The LPN is asked to complete an initial cognitive screening to help determine whether further evaluation is needed. The LPN gathers the tools used for psychometric screening. The physician later requests an additional assessment to be added to the LPN’s evaluation. Which of the following requested assessments is outside the LPN’s scope of practice? *

Performing a rapid dementia screening tool

Administering the Montreal Cognitive Assessment (MoCA)

Conducting the Mini-Mental State Exam (MMSE)

Completing a full neuropsychological evaluation

15. A 66-year-old client is brought to the outpatient clinic after experiencing new-onset right-sided weakness and slurred speech that resolved within 20 minutes. The physician suspects a transient ischemic attack (TIA) and asks the LPN to conduct an initial neurological signs assessment. The LPN prepares to assess level of consciousness, pupil reaction, limb strength, gait, and speech. Later, another healthcare professional asks the LPN to add an additional neurological evaluation. Which of the following requested tasks is outside the LPN’s scope of practice? *

Assessing neurological signs related to a possible stroke

Evaluating neurological status following a head injury

Monitoring neurological signs for a client with epilepsy

Interpreting a CT scan of the brain to identify ischemic changes