LPN Licensed Practical Nurse Comprehensive Final Exam V1
2026/2027 UPDATE
1. Which task is most appropriate for the LPN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication
B. Teaching a patient how to use a walker
C. Performing a sterile dressing change
D. Assisting a stable patient with a bed bath
Answer: D
Rationale: Standard nursing practice allows delegation of Activities of Daily Living (ADLs)
such as bathing to UAPs, whereas evaluation, teaching, and sterile procedures are nursing
responsibilities.
2. A patient with heart failure is taking Furosemide. Which lab value should the
nurse monitor most closely?
A. Serum Potassium
B. Serum Sodium
C. Serum Calcium
D. Serum Magnesium
Answer: A
Rationale: Furosemide is a loop diuretic that causes the excretion of potassium, placing the
patient at risk for hypokalemia.
,3. A patient is diagnosed with Tuberculosis. Which type of isolation precautions
should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions only
Answer: C
Rationale: Tuberculosis is transmitted through small droplets that remain suspended in
the air, requiring Airborne Precautions, including an N95 respirator.
4. Which pulse site should the nurse use to assess the heart rate of an infant
during CPR?
A. Radial
B. Brachial
C. Carotid
D. Dorsalis Pedis
Answer: B
Rationale: In infants, the brachial pulse is the most accessible and reliable site to assess
circulation during emergency situations.
5. The nurse is caring for a patient who is 1 day postoperative after a hip
replacement. Which intervention is most important to prevent dislocation?
A. Encourage the patient to cross their legs
B. Keep the affected leg adducted
C. Place the patient in a high-Fowler’s position
D. Use an abduction pillow between the legs
Answer: D
Rationale: An abduction pillow prevents the surgical hip from crossing the midline, which
is essential to prevent dislocation after a total hip replacement.
, 6. A patient receiving Warfarin has an International Normalized Ratio (INR) of
5.0. What is the priority nursing action?
A. Administer the next dose as scheduled
B. Apply a warm compress to the injection site
C. Encourage the patient to eat leafy greens
D. Notify the healthcare provider
Answer: D
Rationale: An INR of 5.0 is above the therapeutic range (typically 2.0-3.0), indicating a high
risk for bleeding; the provider must be notified immediately.
7. What is the first sign of a pressure ulcer in a light-skinned patient?
A. Broken skin with visible fat
B. Necrotic black tissue
C. A fluid-filled blister
D. Non-blanchable erythema
Answer: D
Rationale: Stage 1 pressure ulcers are characterized by intact skin with non-blanchable
redness, meaning the area does not turn white when pressed.
8. The nurse is preparing to administer Digoxin. At what apical heart rate should
the nurse withhold the medication for an adult?
A. Less than 60 beats per minute
B. Less than 80 beats per minute
C. Greater than 100 beats per minute
D. Greater than 110 beats per minute
Answer: A
Rationale: Digoxin slows the heart rate; therefore, it is typically withheld if the apical pulse
is less than 60 bpm in adults to prevent bradycardia.
2026/2027 UPDATE
1. Which task is most appropriate for the LPN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication
B. Teaching a patient how to use a walker
C. Performing a sterile dressing change
D. Assisting a stable patient with a bed bath
Answer: D
Rationale: Standard nursing practice allows delegation of Activities of Daily Living (ADLs)
such as bathing to UAPs, whereas evaluation, teaching, and sterile procedures are nursing
responsibilities.
2. A patient with heart failure is taking Furosemide. Which lab value should the
nurse monitor most closely?
A. Serum Potassium
B. Serum Sodium
C. Serum Calcium
D. Serum Magnesium
Answer: A
Rationale: Furosemide is a loop diuretic that causes the excretion of potassium, placing the
patient at risk for hypokalemia.
,3. A patient is diagnosed with Tuberculosis. Which type of isolation precautions
should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions only
Answer: C
Rationale: Tuberculosis is transmitted through small droplets that remain suspended in
the air, requiring Airborne Precautions, including an N95 respirator.
4. Which pulse site should the nurse use to assess the heart rate of an infant
during CPR?
A. Radial
B. Brachial
C. Carotid
D. Dorsalis Pedis
Answer: B
Rationale: In infants, the brachial pulse is the most accessible and reliable site to assess
circulation during emergency situations.
5. The nurse is caring for a patient who is 1 day postoperative after a hip
replacement. Which intervention is most important to prevent dislocation?
A. Encourage the patient to cross their legs
B. Keep the affected leg adducted
C. Place the patient in a high-Fowler’s position
D. Use an abduction pillow between the legs
Answer: D
Rationale: An abduction pillow prevents the surgical hip from crossing the midline, which
is essential to prevent dislocation after a total hip replacement.
, 6. A patient receiving Warfarin has an International Normalized Ratio (INR) of
5.0. What is the priority nursing action?
A. Administer the next dose as scheduled
B. Apply a warm compress to the injection site
C. Encourage the patient to eat leafy greens
D. Notify the healthcare provider
Answer: D
Rationale: An INR of 5.0 is above the therapeutic range (typically 2.0-3.0), indicating a high
risk for bleeding; the provider must be notified immediately.
7. What is the first sign of a pressure ulcer in a light-skinned patient?
A. Broken skin with visible fat
B. Necrotic black tissue
C. A fluid-filled blister
D. Non-blanchable erythema
Answer: D
Rationale: Stage 1 pressure ulcers are characterized by intact skin with non-blanchable
redness, meaning the area does not turn white when pressed.
8. The nurse is preparing to administer Digoxin. At what apical heart rate should
the nurse withhold the medication for an adult?
A. Less than 60 beats per minute
B. Less than 80 beats per minute
C. Greater than 100 beats per minute
D. Greater than 110 beats per minute
Answer: A
Rationale: Digoxin slows the heart rate; therefore, it is typically withheld if the apical pulse
is less than 60 bpm in adults to prevent bradycardia.
