LPN Clinical Rotation: LTC Orientation & Basic Skills Check-Offs (2026
Update)
1. When performing hand hygiene, how long should a nurse lather their hands
with soap according to CDC standards?
A. At least 10 seconds
B. At least 20 seconds
C. Exactly 60 seconds
D. Until the water turns hot
Answer: B
Rationale: The CDC recommends scrubbing hands for at least 20 seconds to effectively
remove pathogens.
2. A resident in a long-term care facility is at high risk for pressure injuries. How
often should their position be changed?
A. Every 4 hours
B. Once per shift
C. At least every 2 hours
D. Only when the resident requests
Answer: C
Rationale: Standard protocol for pressure injury prevention is repositioning immobile
residents at least every 2 hours.
,3. Which of the following is the most accurate method for identifying a resident
before administering care?
A. Checking the identification band and asking the resident to state their name
B. Checking the name on the door
C. Using the facility’s facial recognition software
D. Asking the resident’s roommate
Answer: A
Rationale: Using two identifiers, such as an ID band and a verbal statement, is the standard
for resident safety.
4. When measuring a resident’s blood pressure, where should the arm be
positioned?
A. Above the level of the head
B. Dangling at the side
C. At the level of the heart
D. Resting on the floor
Answer: C
Rationale: The arm should be supported at heart level to ensure an accurate blood
pressure reading.
5. Which PPE should be donned first when entering a room under Contact
Precautions?
A. Goggles
B. Gloves
C. Mask
D. Gown
Answer: D
Rationale: According to standard donning sequences, the gown is applied before the mask,
goggles, and gloves.
, 6. A nurse is assisting a resident with left-sided weakness to ambulate with a
cane. On which side should the cane be held?
A. On the left side
B. In front of the resident
C. On the right side
D. By the nurse
Answer: C
Rationale: A cane should be held on the stronger side (the unaffected side) to provide
maximum support.
7. What is the primary purpose of a ‘Handoff Report’ during shift change in an
LTC facility?
A. To ensure continuity of care and resident safety
B. To discuss staff scheduling issues
C. To socialize with incoming staff
D. To complete all pending charting
Answer: A
Rationale: Handoff reports communicate vital resident information to ensure seamless
care transition and safety.
8. Which pulse site is most commonly used for routine vital sign checks in an
adult resident?
A. Carotid
B. Brachial
C. Dorsalis pedis
D. Radial
Answer: D
Rationale: The radial pulse is the standard site for assessing heart rate in stable adult
residents.
Update)
1. When performing hand hygiene, how long should a nurse lather their hands
with soap according to CDC standards?
A. At least 10 seconds
B. At least 20 seconds
C. Exactly 60 seconds
D. Until the water turns hot
Answer: B
Rationale: The CDC recommends scrubbing hands for at least 20 seconds to effectively
remove pathogens.
2. A resident in a long-term care facility is at high risk for pressure injuries. How
often should their position be changed?
A. Every 4 hours
B. Once per shift
C. At least every 2 hours
D. Only when the resident requests
Answer: C
Rationale: Standard protocol for pressure injury prevention is repositioning immobile
residents at least every 2 hours.
,3. Which of the following is the most accurate method for identifying a resident
before administering care?
A. Checking the identification band and asking the resident to state their name
B. Checking the name on the door
C. Using the facility’s facial recognition software
D. Asking the resident’s roommate
Answer: A
Rationale: Using two identifiers, such as an ID band and a verbal statement, is the standard
for resident safety.
4. When measuring a resident’s blood pressure, where should the arm be
positioned?
A. Above the level of the head
B. Dangling at the side
C. At the level of the heart
D. Resting on the floor
Answer: C
Rationale: The arm should be supported at heart level to ensure an accurate blood
pressure reading.
5. Which PPE should be donned first when entering a room under Contact
Precautions?
A. Goggles
B. Gloves
C. Mask
D. Gown
Answer: D
Rationale: According to standard donning sequences, the gown is applied before the mask,
goggles, and gloves.
, 6. A nurse is assisting a resident with left-sided weakness to ambulate with a
cane. On which side should the cane be held?
A. On the left side
B. In front of the resident
C. On the right side
D. By the nurse
Answer: C
Rationale: A cane should be held on the stronger side (the unaffected side) to provide
maximum support.
7. What is the primary purpose of a ‘Handoff Report’ during shift change in an
LTC facility?
A. To ensure continuity of care and resident safety
B. To discuss staff scheduling issues
C. To socialize with incoming staff
D. To complete all pending charting
Answer: A
Rationale: Handoff reports communicate vital resident information to ensure seamless
care transition and safety.
8. Which pulse site is most commonly used for routine vital sign checks in an
adult resident?
A. Carotid
B. Brachial
C. Dorsalis pedis
D. Radial
Answer: D
Rationale: The radial pulse is the standard site for assessing heart rate in stable adult
residents.
