CNA Medical-Surgical LPN (MSPNC(C)) Practice Questions - CNA Medical-Surgical Practical Nursing Certification (MSPNC(C)) Exam - CNA Medical-Surgical LPN (MSPNC(C)) Practice Questions - CNA Medical-Surgical Practical Nursing Certification (MSPNC(C)) Exam

Question 1

A client admitted with coronary artery disease (CAD) reports chest pain. Which assessment finding by the Licensed Practical Nurse (LPN) most strongly indicates that the pain is due to myocardial infarction (MI) rather than stable angina?

The pain is relieved within 5 minutes after placing one nitroglycerin tablet under the tongue. The pain began while the client was resting in bed and has lasted for more than 20 minutes. The pain is described as a squeezing pressure in the center of the chest that radiates to the left shoulder. The client's blood pressure increases from 120/80 mmHg to 142/88 mmHg during the episode.

Correct Answer:

The pain began while the client was resting in bed and has lasted for more than 20 minutes.

Question 2

The LPN is monitoring a client admitted with acute decompensated heart failure. Which assessment finding is the most reliable indicator of fluid retention and dictates a need to notify the healthcare provider?

An increase in body weight of 1.5 kg (3.3 lbs) over a 24-hour period. The presence of 1+ pitting edema in both ankles at the end of the day. A complaints of mild fatigue when walking to the bathroom. A blood pressure reading of 138/86 mmHg, which is unchanged from baseline.

Correct Answer:

An increase in body weight of 1.5 kg (3.3 lbs) over a 24-hour period.

Question 3

A client is prescribed lisinopril for the management of hypertension. Which educational instruction should the LPN emphasize to promote safety during the initiation of this medication?

Limit the intake of high-potassium foods such as bananas and spinach. Rise slowly from a lying or sitting position to prevent dizziness and falls. Check your pulse rate for a full minute and hold the medication if it is below 60 beats/minute. Expect a mild, productive cough to develop, which will subside within two weeks.

Correct Answer:

Rise slowly from a lying or sitting position to prevent dizziness and falls.

Question 4

The LPN is caring for a postoperative client who is at high risk for deep vein thrombosis (DVT). Which nursing intervention should be included in the client's care plan as the most effective method for DVT prophylaxis?

Placing a pillow under the client's knees while resting in bed. Assisting the client with early and frequent ambulation. Massaging the client's calves gently twice daily to promote blood flow. Teaching the client to perform deep breathing and coughing exercises.

Correct Answer:

Assisting the client with early and frequent ambulation.

Question 5

During a routine assessment, the LPN notes that a client's radial pulse is irregular and rapid. The client reports feeling 'a fluttering sensation' in the chest but denies chest pain or shortness of breath. Which action should the LPN take first?

Perform a focused assessment of the client's apical heart rate for one full minute. Administer a PRN dose of metoprolol as prescribed for tachycardia. Instruct the client to perform a Valsalva maneuver to slow the heart rate. Document the finding as a normal variation and reassess during the next shift.

Correct Answer:

Perform a focused assessment of the client's apical heart rate for one full minute.

Question 1

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Prepare with the CNA Medical-Surgical LPN (MSPNC(C)) Practice Questions - CNA Medical-Surgical Practical Nursing Certification (MSPNC(C)) Exam practice quiz. This question bank includes 100 questions covering client, action, prevent, pain, and disease. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CNA Medical-Surgical LPN (MSPNC(C)) Practice Questions - CNA Medical-Surgical Practical Nursing Certification (MSPNC(C)) Exam

This practice set contains 100 questions from the matching question bank and focuses on client, action, prevent, pain, and disease. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CNA Medical-Surgical LPN (MSPNC(C)) Practice Questions - CNA Medical-Surgical Practical Nursing Certification (MSPNC(C)) Exam

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