LPN Semester 2 Final Exam — Modules 3–4 (Cumulative) 2026/2027
UPDATE
1. A nurse is assessing a patient with type 1 diabetes mellitus who is
experiencing diaphoresis, shakiness, and confusion. Which of the following
should be the nurse’s first action?
A. Check the patient’s blood glucose level
B. Administer 15g of rapid-acting carbohydrates
C. Administer the scheduled dose of regular insulin
D. Notify the healthcare provider immediately
Answer: A
Rationale: The first step in the nursing process is assessment. Confirming hypoglycemia
with a fingerstick glucose test is essential before treatment, provided the patient is
conscious and stable.
2. A patient is prescribed Digoxin for heart failure. Which of the following
clinical manifestations should the nurse identify as an early sign of Digoxin
toxicity?
A. Increased appetite
B. Sudden increase in blood pressure
C. Yellow-green visual halos
D. Tachycardia
Answer: C
Rationale: Visual disturbances, such as yellow or green halos, blurred vision, and anorexia
or nausea, are classic early signs of Digoxin toxicity.
,3. An LPN is caring for a patient with Chronic Obstructive Pulmonary Disease
(COPD). The patient is prescribed oxygen. What is the standard recommended
oxygen flow rate for a patient with chronic CO2 retention?
A. 6 to 10 L/min via simple face mask
B. 1 to 2 L/min via nasal cannula
C. 15 L/min via non-rebreather mask
D. No oxygen should be given to these patients
Answer: B
Rationale: In patients with COPD, high levels of oxygen can suppress the hypoxic drive to
breathe. A low flow rate of 1-2 L/min is usually preferred to maintain oxygenation without
suppressing ventilation.
4. Which of the following laboratory values should a nurse monitor closely for a
patient receiving Furosemide (Lasix)?
A. Serum Sodium
B. Serum Calcium
C. Serum Magnesium
D. Serum Potassium
Answer: D
Rationale: Furosemide is a loop diuretic that causes the excretion of potassium.
Hypokalemia is a significant risk and requires close monitoring.
5. A nurse finds a post-operative patient’s abdominal wound has eviscerated.
Which action should the nurse take first?
A. Push the organs back into the abdominal cavity
B. Instruct the patient to drink water to stay hydrated
C. Ask the patient to cough to check for further protrusion
D. Cover the protruding organs with sterile, saline-soaked dressings
Answer: D
, Rationale: Evisceration is a medical emergency. The nurse should cover the site with
sterile dressings moistened with sterile normal saline to keep the organs moist while
waiting for the surgical team.
6. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assisting a stable patient with a bed bath
B. Performing an initial admission assessment
C. Evaluating a patient’s response to pain medication
D. Providing discharge teaching for a new diabetic patient
Answer: A
Rationale: UAPs can perform tasks related to Activities of Daily Living (ADLs) on stable
patients. Assessment, evaluation, and teaching are within the scope of the licensed nurse.
7. According to Erikson’s stages of development, what is the primary
developmental task for a toddler (ages 1 to 3 years)?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Autonomy vs. Shame and Doubt
Answer: D
Rationale: Toddlers are focused on developing a sense of personal control over physical
skills and a sense of independence, which is the stage of Autonomy vs. Shame and Doubt.
UPDATE
1. A nurse is assessing a patient with type 1 diabetes mellitus who is
experiencing diaphoresis, shakiness, and confusion. Which of the following
should be the nurse’s first action?
A. Check the patient’s blood glucose level
B. Administer 15g of rapid-acting carbohydrates
C. Administer the scheduled dose of regular insulin
D. Notify the healthcare provider immediately
Answer: A
Rationale: The first step in the nursing process is assessment. Confirming hypoglycemia
with a fingerstick glucose test is essential before treatment, provided the patient is
conscious and stable.
2. A patient is prescribed Digoxin for heart failure. Which of the following
clinical manifestations should the nurse identify as an early sign of Digoxin
toxicity?
A. Increased appetite
B. Sudden increase in blood pressure
C. Yellow-green visual halos
D. Tachycardia
Answer: C
Rationale: Visual disturbances, such as yellow or green halos, blurred vision, and anorexia
or nausea, are classic early signs of Digoxin toxicity.
,3. An LPN is caring for a patient with Chronic Obstructive Pulmonary Disease
(COPD). The patient is prescribed oxygen. What is the standard recommended
oxygen flow rate for a patient with chronic CO2 retention?
A. 6 to 10 L/min via simple face mask
B. 1 to 2 L/min via nasal cannula
C. 15 L/min via non-rebreather mask
D. No oxygen should be given to these patients
Answer: B
Rationale: In patients with COPD, high levels of oxygen can suppress the hypoxic drive to
breathe. A low flow rate of 1-2 L/min is usually preferred to maintain oxygenation without
suppressing ventilation.
4. Which of the following laboratory values should a nurse monitor closely for a
patient receiving Furosemide (Lasix)?
A. Serum Sodium
B. Serum Calcium
C. Serum Magnesium
D. Serum Potassium
Answer: D
Rationale: Furosemide is a loop diuretic that causes the excretion of potassium.
Hypokalemia is a significant risk and requires close monitoring.
5. A nurse finds a post-operative patient’s abdominal wound has eviscerated.
Which action should the nurse take first?
A. Push the organs back into the abdominal cavity
B. Instruct the patient to drink water to stay hydrated
C. Ask the patient to cough to check for further protrusion
D. Cover the protruding organs with sterile, saline-soaked dressings
Answer: D
, Rationale: Evisceration is a medical emergency. The nurse should cover the site with
sterile dressings moistened with sterile normal saline to keep the organs moist while
waiting for the surgical team.
6. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assisting a stable patient with a bed bath
B. Performing an initial admission assessment
C. Evaluating a patient’s response to pain medication
D. Providing discharge teaching for a new diabetic patient
Answer: A
Rationale: UAPs can perform tasks related to Activities of Daily Living (ADLs) on stable
patients. Assessment, evaluation, and teaching are within the scope of the licensed nurse.
7. According to Erikson’s stages of development, what is the primary
developmental task for a toddler (ages 1 to 3 years)?
A. Trust vs. Mistrust
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Autonomy vs. Shame and Doubt
Answer: D
Rationale: Toddlers are focused on developing a sense of personal control over physical
skills and a sense of independence, which is the stage of Autonomy vs. Shame and Doubt.
