LPN Comprehensive Exam 2025
Correct answers are marked with ✅
1. A nurse is caring for a client who is postoperative. Which of the following actions should the
nurse take to prevent deep-vein thrombosis (DVT)?
A. Place a pillow under the client's knees
B. Massage the client's lower extremities
✅ C. Encourage the client to ambulate frequently
D. Maintain the client on bed rest
2. A nurse is reinforcing teaching with a client about how to prevent urinary tract infections
(UTIs). Which of the following instructions should the nurse include ?
A. Wipe from back to front after voiding
B. Take tub baths instead of showers
✅ C. Drink at least 2 liters of fluid per day
D. Wear tight-fitting underwear
3. A client who is receiving chemotherapy has developed stomatitis. Which of the following is
an appropriate nursing intervention?
A. Provide lemon-glycerin swabs
✅ B. Offer mouth rinses with normal saline
C. Encourage brushing teeth with a stiff toothbrush
D. Use alcohol-based mouthwash
4. A nurse is reinforcing discharge teaching for a client who has a new prescription for digoxin.
Which of the following client statements indicates understanding?
A. "I will take an extra dose if I miss one."
✅ B. "I will check my pulse before taking this medication."
C. "I can take this with antacids."
D. "Blurred vision is a normal side effect."
5. Which of the following findings is a priority for the nurse to report when assessing a
client who has a chest tube?
,A. 50 mL of drainage in the last hour
✅ B. Continuous bubbling in the water seal chamber
C. Client reports pain at the insertion site
D. Occlusive dressing intact
6. A nurse is caring for a client who has COPD. Which of the following oxygen delivery
devices should the nurse use to deliver precise oxygen concentration?
A. Nasal cannula
B. Simple face mask
C. Nonrebreather mask
✅ D. Venturi mask
7. A nurse is assisting with the admission of a client who has tuberculosis. Which type of
room should the nurse prepare for the client?
✅ A. Negative pressure room
B. Positive airflow room
C. Semi-private room with curtain
D. Shared room with another TB patient
8. A nurse is reinforcing teaching about insulin injection to a client with newly diagnosed
diabetes. Which of the following client statements indicates a need for further teaching?
A. "I will rotate injection sites regularly."
✅ B. "I will inject insulin into my thigh before running."
C. "I can use the abdomen for faster absorption."
D. "I will check my blood glucose regularly."
9. A nurse is collecting data from a client who is taking furosemide. Which of the following
findings should the nurse report to the provider?
✅ A. Serum potassium 3.0 mEq/L
B. Urine output of 1200 mL/day
C. Weight loss of 1 kg in 2 days
D. Blood pressure 128/78 mm Hg
10. A nurse is caring for a client who has Alzheimer’s disease. Which of the following
interventions is appropriate to include in the client’s plan of care?
A. Provide several choices of clothing each morning
, ✅ B. Use a calendar to assist with orientation
C. Avoid using night lights in the room
D. Reposition frequently to prevent wandering
11. A nurse is caring for a client who is on a low-residue diet. Which food should the nurse
recommend?
A. Raw carrots
B. Whole-grain bread
✅ C. White rice
D. Broccoli
12. Which of the following is a sign of fluid volume overload?
A. Hypotension
✅ B. Crackles in the lungs
C. Increased hematocrit
D. Weight loss
13. A nurse is caring for a client with a history of heart failure who is receiving IV fluids.
Which assessment finding requires immediate action?
A. Blood pressure of 126/78 mmHg
✅ B. New onset of crackles in the lungs
C. Capillary refill < 2 seconds
D. Warm, dry skin
14. A nurse is preparing to administer medications through a client’s NG tube. What
should the nurse do first?
✅ A. Verify placement of the NG tube
B. Crush all medications together
C. Mix medications with enteral feeding
D. Flush tube with 100 mL of water
15. Which of the following should the nurse report immediately in a client receiving opioid pain
medication?
A. Constipation
B. Nausea
Correct answers are marked with ✅
1. A nurse is caring for a client who is postoperative. Which of the following actions should the
nurse take to prevent deep-vein thrombosis (DVT)?
A. Place a pillow under the client's knees
B. Massage the client's lower extremities
✅ C. Encourage the client to ambulate frequently
D. Maintain the client on bed rest
2. A nurse is reinforcing teaching with a client about how to prevent urinary tract infections
(UTIs). Which of the following instructions should the nurse include ?
A. Wipe from back to front after voiding
B. Take tub baths instead of showers
✅ C. Drink at least 2 liters of fluid per day
D. Wear tight-fitting underwear
3. A client who is receiving chemotherapy has developed stomatitis. Which of the following is
an appropriate nursing intervention?
A. Provide lemon-glycerin swabs
✅ B. Offer mouth rinses with normal saline
C. Encourage brushing teeth with a stiff toothbrush
D. Use alcohol-based mouthwash
4. A nurse is reinforcing discharge teaching for a client who has a new prescription for digoxin.
Which of the following client statements indicates understanding?
A. "I will take an extra dose if I miss one."
✅ B. "I will check my pulse before taking this medication."
C. "I can take this with antacids."
D. "Blurred vision is a normal side effect."
5. Which of the following findings is a priority for the nurse to report when assessing a
client who has a chest tube?
,A. 50 mL of drainage in the last hour
✅ B. Continuous bubbling in the water seal chamber
C. Client reports pain at the insertion site
D. Occlusive dressing intact
6. A nurse is caring for a client who has COPD. Which of the following oxygen delivery
devices should the nurse use to deliver precise oxygen concentration?
A. Nasal cannula
B. Simple face mask
C. Nonrebreather mask
✅ D. Venturi mask
7. A nurse is assisting with the admission of a client who has tuberculosis. Which type of
room should the nurse prepare for the client?
✅ A. Negative pressure room
B. Positive airflow room
C. Semi-private room with curtain
D. Shared room with another TB patient
8. A nurse is reinforcing teaching about insulin injection to a client with newly diagnosed
diabetes. Which of the following client statements indicates a need for further teaching?
A. "I will rotate injection sites regularly."
✅ B. "I will inject insulin into my thigh before running."
C. "I can use the abdomen for faster absorption."
D. "I will check my blood glucose regularly."
9. A nurse is collecting data from a client who is taking furosemide. Which of the following
findings should the nurse report to the provider?
✅ A. Serum potassium 3.0 mEq/L
B. Urine output of 1200 mL/day
C. Weight loss of 1 kg in 2 days
D. Blood pressure 128/78 mm Hg
10. A nurse is caring for a client who has Alzheimer’s disease. Which of the following
interventions is appropriate to include in the client’s plan of care?
A. Provide several choices of clothing each morning
, ✅ B. Use a calendar to assist with orientation
C. Avoid using night lights in the room
D. Reposition frequently to prevent wandering
11. A nurse is caring for a client who is on a low-residue diet. Which food should the nurse
recommend?
A. Raw carrots
B. Whole-grain bread
✅ C. White rice
D. Broccoli
12. Which of the following is a sign of fluid volume overload?
A. Hypotension
✅ B. Crackles in the lungs
C. Increased hematocrit
D. Weight loss
13. A nurse is caring for a client with a history of heart failure who is receiving IV fluids.
Which assessment finding requires immediate action?
A. Blood pressure of 126/78 mmHg
✅ B. New onset of crackles in the lungs
C. Capillary refill < 2 seconds
D. Warm, dry skin
14. A nurse is preparing to administer medications through a client’s NG tube. What
should the nurse do first?
✅ A. Verify placement of the NG tube
B. Crush all medications together
C. Mix medications with enteral feeding
D. Flush tube with 100 mL of water
15. Which of the following should the nurse report immediately in a client receiving opioid pain
medication?
A. Constipation
B. Nausea
