LPN | Licensed Practical Nurse | Final Exam V3 — Instructor NCLEX-PN
Simulation 2026/2027 UPDATE
1. A client is scheduled for a procedure that requires informed consent. Which
action is within the LPN/LVN’s scope of practice regarding this process?
A. Explaining the risks and benefits of the surgery
B. Explaining the procedure details to the family
C. Providing alternative treatment options to the client
D. Obtaining the initial consent from the client
D. Witnessing the client’s signature on the consent form
Answer: D
Rationale: The nurse’s role in informed consent is to witness the client’s signature. The
provider is responsible for explaining risks, benefits, and alternatives.
2. Which assessment finding should the nurse report immediately for a client
who just returned from a cardiac catheterization?
A. Pulse rate of 88 beats per minute
B. A hematoma the size of a golf ball at the insertion site
C. Client report of thirst
D. Capillary refill of 2 seconds in the affected extremity
Answer: B
Rationale: A hematoma at the insertion site indicates active bleeding or a complication
from the arterial puncture and requires immediate pressure and notification.
,3. A nurse is preparing to administer Digoxin to a client. Which vital sign must
be checked prior to administration?
A. Apical pulse
B. Blood pressure
C. Respiratory rate
D. Temperature
Answer: A
Rationale: Digoxin decreases the heart rate. The apical pulse should be taken for one full
minute, and the medication held if the rate is below 60 bpm in adults.
4. A client with Type 1 Diabetes Mellitus is found shaky, diaphoretic, and
confused. What is the priority nursing action?
A. Give the client a high-protein snack
B. Administer 10 units of regular insulin
C. Call the healthcare provider
D. Check the client’s blood glucose level
Answer: D
Rationale: The symptoms suggest hypoglycemia. The nurse should first verify the blood
glucose level before implementing treatment protocols.
5. Which of the following is an early sign of hypoxia in a client with pneumonia?
A. Restlessness and agitation
B. Cyanosis of the nail beds
C. Bradypnea
D. Clubbing of the fingers
Answer: A
Rationale: Restlessness, agitation, and apprehension are early signs of hypoxia. Cyanosis
and clubbing are late signs.
, 6. The nurse is reinforcing teaching about a low-sodium diet for a client with
hypertension. Which food choice indicates the client understands the teaching?
A. Canned vegetable soup
B. Fresh grilled chicken breast
C. Smoked ham slices
D. Cottage cheese
Answer: B
Rationale: Fresh meats are naturally lower in sodium compared to processed, canned, or
smoked foods.
7. A nurse is caring for a client in skeletal traction. Which action is appropriate
for the nurse to perform?
A. Remove the weights once per shift to check skin integrity
B. Lift the weights when repositioning the client
C. Adjust the amount of weight based on client comfort
D. Ensure the weights are hanging freely off the floor
Answer: D
Rationale: Weights in traction must hang freely to maintain proper alignment and
continuous pull. They should never be removed or lifted without a specific order.
8. Which personal protective equipment (PPE) should the nurse don before
entering a room of a client with C. difficile?
A. Mask and gloves
B. N95 respirator and goggles
C. Gown and gloves
D. Gloves only
Answer: C
Rationale: C. difficile requires contact precautions, which include a gown and gloves to
prevent the spread of spores.
Simulation 2026/2027 UPDATE
1. A client is scheduled for a procedure that requires informed consent. Which
action is within the LPN/LVN’s scope of practice regarding this process?
A. Explaining the risks and benefits of the surgery
B. Explaining the procedure details to the family
C. Providing alternative treatment options to the client
D. Obtaining the initial consent from the client
D. Witnessing the client’s signature on the consent form
Answer: D
Rationale: The nurse’s role in informed consent is to witness the client’s signature. The
provider is responsible for explaining risks, benefits, and alternatives.
2. Which assessment finding should the nurse report immediately for a client
who just returned from a cardiac catheterization?
A. Pulse rate of 88 beats per minute
B. A hematoma the size of a golf ball at the insertion site
C. Client report of thirst
D. Capillary refill of 2 seconds in the affected extremity
Answer: B
Rationale: A hematoma at the insertion site indicates active bleeding or a complication
from the arterial puncture and requires immediate pressure and notification.
,3. A nurse is preparing to administer Digoxin to a client. Which vital sign must
be checked prior to administration?
A. Apical pulse
B. Blood pressure
C. Respiratory rate
D. Temperature
Answer: A
Rationale: Digoxin decreases the heart rate. The apical pulse should be taken for one full
minute, and the medication held if the rate is below 60 bpm in adults.
4. A client with Type 1 Diabetes Mellitus is found shaky, diaphoretic, and
confused. What is the priority nursing action?
A. Give the client a high-protein snack
B. Administer 10 units of regular insulin
C. Call the healthcare provider
D. Check the client’s blood glucose level
Answer: D
Rationale: The symptoms suggest hypoglycemia. The nurse should first verify the blood
glucose level before implementing treatment protocols.
5. Which of the following is an early sign of hypoxia in a client with pneumonia?
A. Restlessness and agitation
B. Cyanosis of the nail beds
C. Bradypnea
D. Clubbing of the fingers
Answer: A
Rationale: Restlessness, agitation, and apprehension are early signs of hypoxia. Cyanosis
and clubbing are late signs.
, 6. The nurse is reinforcing teaching about a low-sodium diet for a client with
hypertension. Which food choice indicates the client understands the teaching?
A. Canned vegetable soup
B. Fresh grilled chicken breast
C. Smoked ham slices
D. Cottage cheese
Answer: B
Rationale: Fresh meats are naturally lower in sodium compared to processed, canned, or
smoked foods.
7. A nurse is caring for a client in skeletal traction. Which action is appropriate
for the nurse to perform?
A. Remove the weights once per shift to check skin integrity
B. Lift the weights when repositioning the client
C. Adjust the amount of weight based on client comfort
D. Ensure the weights are hanging freely off the floor
Answer: D
Rationale: Weights in traction must hang freely to maintain proper alignment and
continuous pull. They should never be removed or lifted without a specific order.
8. Which personal protective equipment (PPE) should the nurse don before
entering a room of a client with C. difficile?
A. Mask and gloves
B. N95 respirator and goggles
C. Gown and gloves
D. Gloves only
Answer: C
Rationale: C. difficile requires contact precautions, which include a gown and gloves to
prevent the spread of spores.
