LPN Licensed Practical Nurse Comprehensive Semester 1 Review (2026
Update)
1. Which phase of the nursing process is the Licensed Practical Nurse (LPN)
primarily responsible for assisting the Registered Nurse (RN) with?
A. Formulating a nursing diagnosis
B. Developing the comprehensive care plan
C. Data collection and implementation
D. Evaluating long-term outcomes independently
Answer: C
Rationale: While the RN is responsible for the overall nursing process, the LPN role
focuses heavily on data collection (assessment) and implementing the interventions
defined in the care plan.
2. A patient refuses a scheduled dose of antihypertensive medication. Which
action should the nurse take first?
A. Crush the medication and hide it in applesauce
B. Inform the patient of the risks of refusal and document it
C. Call the family to persuade the patient
D. Administer the medication via injection instead
Answer: B
Rationale: Patients have the right to refuse treatment. The nurse must educate the patient
on the consequences, respect the decision, and document the refusal and education
provided.
,3. When performing hand hygiene with soap and water, what is the minimum
recommended duration for friction?
A. 5 seconds
B. 60 seconds
C. 20 seconds
D. 2 minutes
Answer: C
Rationale: CDC guidelines recommend scrubbing hands with soap for at least 20 seconds
to effectively remove pathogens.
4. Which pulse site is most commonly used to assess a patient’s heart rate
during an emergency or CPR?
A. Radial
B. Carotid
C. Brachial
D. Dorsalis pedis
Answer: B
Rationale: The carotid pulse is the most accessible and reliable site to assess circulation
during emergency situations like CPR in adults.
5. According to Maslow’s Hierarchy of Needs, which patient need should the
nurse prioritize first?
A. Self-esteem enhancement
B. Physiological needs like oxygen and fluid
C. Belonging and love
D. Safety and security
Answer: B
Rationale: Physiological needs (breathing, food, water) are the foundation of Maslow’s
hierarchy and must be met before higher-level needs.
, 6. A nurse is documenting care in a patient’s electronic health record. Which
entry is most objective?
A. The patient seems very angry today.
B. Patient stated ‘I feel better’ after the walk.
C. Patient is uncooperative during the dressing change.
D. The wound looks much worse than yesterday.
Answer: B
Rationale: Objective documentation uses direct quotes or measurable facts rather than the
nurse’s interpretations or judgments.
7. What is the primary purpose of the ‘S’ in the SBAR communication tool?
A. To state the background information of the patient
B. To describe the current situation necessitating the call
C. To suggest a specific solution
D. To summarize the assessment findings
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘S’ identifies the immediate reason for the communication.
8. Which transmission-based precaution is required for a patient diagnosed with
Pulmonary Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Standard Precautions only
D. Airborne Precautions
Answer: D
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring Airborne Precautions, including an N95 respirator and a negative-pressure room.
Update)
1. Which phase of the nursing process is the Licensed Practical Nurse (LPN)
primarily responsible for assisting the Registered Nurse (RN) with?
A. Formulating a nursing diagnosis
B. Developing the comprehensive care plan
C. Data collection and implementation
D. Evaluating long-term outcomes independently
Answer: C
Rationale: While the RN is responsible for the overall nursing process, the LPN role
focuses heavily on data collection (assessment) and implementing the interventions
defined in the care plan.
2. A patient refuses a scheduled dose of antihypertensive medication. Which
action should the nurse take first?
A. Crush the medication and hide it in applesauce
B. Inform the patient of the risks of refusal and document it
C. Call the family to persuade the patient
D. Administer the medication via injection instead
Answer: B
Rationale: Patients have the right to refuse treatment. The nurse must educate the patient
on the consequences, respect the decision, and document the refusal and education
provided.
,3. When performing hand hygiene with soap and water, what is the minimum
recommended duration for friction?
A. 5 seconds
B. 60 seconds
C. 20 seconds
D. 2 minutes
Answer: C
Rationale: CDC guidelines recommend scrubbing hands with soap for at least 20 seconds
to effectively remove pathogens.
4. Which pulse site is most commonly used to assess a patient’s heart rate
during an emergency or CPR?
A. Radial
B. Carotid
C. Brachial
D. Dorsalis pedis
Answer: B
Rationale: The carotid pulse is the most accessible and reliable site to assess circulation
during emergency situations like CPR in adults.
5. According to Maslow’s Hierarchy of Needs, which patient need should the
nurse prioritize first?
A. Self-esteem enhancement
B. Physiological needs like oxygen and fluid
C. Belonging and love
D. Safety and security
Answer: B
Rationale: Physiological needs (breathing, food, water) are the foundation of Maslow’s
hierarchy and must be met before higher-level needs.
, 6. A nurse is documenting care in a patient’s electronic health record. Which
entry is most objective?
A. The patient seems very angry today.
B. Patient stated ‘I feel better’ after the walk.
C. Patient is uncooperative during the dressing change.
D. The wound looks much worse than yesterday.
Answer: B
Rationale: Objective documentation uses direct quotes or measurable facts rather than the
nurse’s interpretations or judgments.
7. What is the primary purpose of the ‘S’ in the SBAR communication tool?
A. To state the background information of the patient
B. To describe the current situation necessitating the call
C. To suggest a specific solution
D. To summarize the assessment findings
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘S’ identifies the immediate reason for the communication.
8. Which transmission-based precaution is required for a patient diagnosed with
Pulmonary Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Standard Precautions only
D. Airborne Precautions
Answer: D
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring Airborne Precautions, including an N95 respirator and a negative-pressure room.
