Return to course: OIIAQ Question Bank
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Quiz 1
1. Madame Lemoine, age 67, has just received a prescription for an enteric-coated stool softener. The LPN must provide teaching related to the medication. Which instruction should the LPN give to Madame Lemoine?
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"Take the tablet with 2 to 3 ounces of orange juice."
"Avoid taking all other medications with any enteric-coated tablet."
"Crush the tablet before swallowing if you have problems with swallowing."
"Be sure to swallow the tablet whole without chewing it."
2. Émilie Fournier, age 43, is hospitalized with Mycoplasma pneumonia, an atypical respiratory infection. She has been coughing frequently and requires nasotracheal suctioning to clear secretions. As her LPN, you prepare to perform the suctioning procedure. You are aware that nasotracheal suctioning can stimulate coughing and aerosolize respiratory secretions, increasing the risk of droplet exposure. What personal protective equipment (PPE) should you wear to safely perform nasotracheal suctioning on this patient?
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Gloves and mask
Gloves, gown, goggles, and mask
Goggles and mask
Gloves and goggles
3. To avoid contaminating yourself, you must remove your PPE in the correct order based on infection prevention guidelines. What is the correct order for doffing PPE after caring for Émilie?
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Gloves then mask
Goggles then mask
Gloves, goggles, gown, then mask
Gloves, mask, goggles, then gown
4. LPN Sophie Tremblay is preparing to administer a medication to her patient. She retrieves an open multidose vial of the prescribed medication from the medication cart. She checks the label carefully and confirms that it contains the correct medication, and verifies that the expiration date has not passed. She now proceeds to draw the medication into a syringe. What is the next step the LPN should take before inserting the needle into the vial?
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Shake the vial vigorously to mix the medication.
Insert the needle into the vial to withdraw the medication.
Wipe the rubber seal of the vial with an alcohol swab.
Label the vial with the date and time it was opened.
5. Lucie Bernard, LPN, is caring for Mr. Henri Gagnon, a 68-year-old patient recovering from surgery. During his follow-up assessment, the LPN notes that the wound site on his lower abdomen has developed a small area of dehiscence with mild tunneling. The physician orders a daily dressing change with sterile iodoform wick packing.
Lucie prepares for the procedure, following sterile technique. After irrigating the wound with normal saline and assessing the depth of the tunnel, she begins to insert the wick using sterile forceps. Which of the following actions should the LPN take to complete the wick dressing procedure correctly?
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Fill the entire wound cavity tightly with wick material and apply a bandage.
Moisten the wick with antiseptic solution and leave all of it inside the wound.
Leave a portion of the wick exposed for easy removal, then cover with a secondary dressing and secure it.
Place the wick only on the surface of the wound to promote faster healing.
6. While providing care to Madame Céline Moreau, 82, you notice a shallow open ulcer on her buttock with partial skin loss involving the epidermis and dermis. The wound bed is red-pink, with no slough. Which stage best describes this skin injury?
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Stage I
Stage II
Stage III
Stage IV
7. You arrive at the scene of a bicycle accident. Monsieur Philippe Tremblay, 44 years old, has a deep bleeding wound on his lower leg. You rinse the area with clean water and apply a clean dressing. A few minutes later, you notice that the dressing is soaked with blood. What is the best action to take next?
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Lower the extremity while applying pressure to the wound.
Take off the first dressing and apply another clean or sterile dressing.
Encircle the client's ankle with your hands and apply pressure.
Reinforce the first layer of dressing with a second layer of dressing.
8. You are an LPN on a busy medical unit, administering morning medications. As you are about to give a dose to one of your assigned clients, a PAB (préposé aux bénéficiaires) rushes over and tells you that Monsieur Jean-Marc Lefebvre, 78 years old, has just fallen out of bed in his room. He is alert but lying on the floor. The PAB looks concerned but has not yet assessed him. You're currently holding a cup of pills for another patient. What is your priority intervention?
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Call the RN on duty.
Hold the medication and attend to the patient who fell immediately.
Finish administering the medication, then assess the fall.
Ask the PAB to lift the patient back to bed while you continue medication rounds.
9. You are an LPN working in the Post-Anesthesia Care Unit (PACU). Madame Lucie Bouchard, 62, is recovering from surgery under general anesthesia. She opens her eyes and says, "I think I'm going to be sick." What is the primary action the LPN should take?
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Position the client in the side-lying position.
Administer an anti-emetic.
Ask the client for more clarification.
Obtain an emesis basin.
10. You are an LPN working in an acute care setting. You are assigned to care for Émilie Gagnon, a 15-year-oldadmitted for dehydration secondary to gastroenteritis. The physician has prescribed intravenous rehydration therapy, and you are asked to start an IV line. Based on the LPN's scope of practice in Quebec, what is the best course of action?
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Refuse the procedure because the patient is a minor.
Proceed with the IV insertion as ordered, because the patient meets all conditions required.
Delegate the IV insertion to the RN, as LPNs are not authorized to insert IVs in minors.
Wait for parental consent before inserting the IV line.
11. ou are an LPN working on a surgical floor. Monsieur Gabriel Tremblay, 54 years old, is postoperative day 1following abdominal surgery. He is receiving epidural morphine sulfate (Astramorph) for pain control. During your routine assessment, you note that Gabriel is difficult to rouse and his respiratory rate is 8 breaths/min. His oxygen saturation is 89% on room air. You immediately notify the RN and the attending physician. Which medication would you anticipate to administer in this situation?
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Naloxone (Narcan)
Acetylcysteine (Mucomyst)
Methylprednisolone (Solu-Medrol)
Protamine sulfate
12. You are preparing Madame Sylvie Marchand, age 68, for discharge following an episode of stable angina. The physician has prescribed a transdermal nitroglycerin patch (Nitro-Dur) for ongoing prevention of chest pain. As part of her discharge teaching, you review how to properly use the patch. Which instruction should be included in Madame Marchand’s discharge education about Nitro-Dur?
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“If you get chest pain, apply a second patch next to the first patch.”
“If you get a headache, remove the patch for 4 hours and then reapply.”
“Make sure to rub a lotion or cream on the skin before putting on a new patch.”
“Apply the patch to a hairless, nonirritated area of the chest, upper arm, back or shoulder.”