LPN/LVN Final Comprehensive Exam Prep (2026/2027) UPDATE
|SBON
1. A patient with type 1 diabetes is found unresponsive and clammy. What is
the nurse’s priority action?
A. Administer 15g of oral glucose gel
B. Check the patient’s blood glucose level
C. Administer Glucagon IM or SQ per protocol
D. Wait for the healthcare provider to arrive
Answer: C
Rationale: In an unresponsive patient with suspected hypoglycemia, an oral carbohydrate
is unsafe due to aspiration risk. Glucagon is the standard emergency treatment for
unconscious patients when IV access is not available.
2. Which clinical manifestation should the nurse expect to find in a patient
diagnosed with right-sided heart failure?
A. Crackles in the lungs
B. Shortness of breath (Dyspnea)
C. Pink frothy sputum
D. Peripheral edema
Answer: D
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention, and liver enlargement. Pulmonary symptoms like
crackles and dyspnea are associated with left-sided failure.
,3. Before administering Digoxin (Lanoxin), which action is most important for
the nurse to take?
A. Check the radial pulse for 30 seconds
B. Measure the apical pulse for one full minute
C. Assess the patient’s blood pressure
D. Monitor the patient’s respiratory rate
Answer: B
Rationale: The apical pulse must be checked for one full minute before Digoxin
administration. The medication is withheld if the heart rate is below 60 bpm in adults to
prevent bradycardia.
4. A patient is prescribed Warfarin (Coumadin). Which laboratory value will the
nurse monitor to determine therapeutic effectiveness?
A. INR (International Normalized Ratio)
B. PTT (Partial Thromboplastin Time)
C. Platelet count
D. Hemoglobin level
Answer: A
Rationale: INR is the standard measurement used to monitor the effectiveness of Warfarin
therapy. PTT is used for Heparin monitoring.
5. Which task is most appropriate for the LPN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s surgical incision
B. Administering oral medication to a stable patient
C. Developing a plan of care for a new admission
D. Performing routine catheter care
Answer: D
, Rationale: UAPs can perform routine tasks like catheter care, vital signs on stable patients,
and ADLs. Assessment, medication administration, and care planning are nursing
responsibilities.
6. What is the primary purpose of the ‘Time-Out’ procedure in the operating
room?
A. To allow the surgeon to rest
B. To count the number of sponges used
C. To check the functionality of anesthesia equipment
D. To verify the correct patient, site, and procedure
Answer: D
Rationale: A ‘Time-Out’ is a safety protocol designed to prevent wrong-site, wrong-patient,
and wrong-procedure surgeries.
7. An elderly patient reports a loss of central vision but states peripheral vision
is intact. This is characteristic of:
A. Macular Degeneration
B. Cataracts
C. Glaucoma
D. Retinal Detachment
Answer: A
Rationale: Macular degeneration involves the deterioration of the macula, leading to loss
of central vision. Glaucoma typically affects peripheral vision first.
|SBON
1. A patient with type 1 diabetes is found unresponsive and clammy. What is
the nurse’s priority action?
A. Administer 15g of oral glucose gel
B. Check the patient’s blood glucose level
C. Administer Glucagon IM or SQ per protocol
D. Wait for the healthcare provider to arrive
Answer: C
Rationale: In an unresponsive patient with suspected hypoglycemia, an oral carbohydrate
is unsafe due to aspiration risk. Glucagon is the standard emergency treatment for
unconscious patients when IV access is not available.
2. Which clinical manifestation should the nurse expect to find in a patient
diagnosed with right-sided heart failure?
A. Crackles in the lungs
B. Shortness of breath (Dyspnea)
C. Pink frothy sputum
D. Peripheral edema
Answer: D
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention, and liver enlargement. Pulmonary symptoms like
crackles and dyspnea are associated with left-sided failure.
,3. Before administering Digoxin (Lanoxin), which action is most important for
the nurse to take?
A. Check the radial pulse for 30 seconds
B. Measure the apical pulse for one full minute
C. Assess the patient’s blood pressure
D. Monitor the patient’s respiratory rate
Answer: B
Rationale: The apical pulse must be checked for one full minute before Digoxin
administration. The medication is withheld if the heart rate is below 60 bpm in adults to
prevent bradycardia.
4. A patient is prescribed Warfarin (Coumadin). Which laboratory value will the
nurse monitor to determine therapeutic effectiveness?
A. INR (International Normalized Ratio)
B. PTT (Partial Thromboplastin Time)
C. Platelet count
D. Hemoglobin level
Answer: A
Rationale: INR is the standard measurement used to monitor the effectiveness of Warfarin
therapy. PTT is used for Heparin monitoring.
5. Which task is most appropriate for the LPN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s surgical incision
B. Administering oral medication to a stable patient
C. Developing a plan of care for a new admission
D. Performing routine catheter care
Answer: D
, Rationale: UAPs can perform routine tasks like catheter care, vital signs on stable patients,
and ADLs. Assessment, medication administration, and care planning are nursing
responsibilities.
6. What is the primary purpose of the ‘Time-Out’ procedure in the operating
room?
A. To allow the surgeon to rest
B. To count the number of sponges used
C. To check the functionality of anesthesia equipment
D. To verify the correct patient, site, and procedure
Answer: D
Rationale: A ‘Time-Out’ is a safety protocol designed to prevent wrong-site, wrong-patient,
and wrong-procedure surgeries.
7. An elderly patient reports a loss of central vision but states peripheral vision
is intact. This is characteristic of:
A. Macular Degeneration
B. Cataracts
C. Glaucoma
D. Retinal Detachment
Answer: A
Rationale: Macular degeneration involves the deterioration of the macula, leading to loss
of central vision. Glaucoma typically affects peripheral vision first.
