LPN/LVN Week 11 NCLEX-PN Preparation Quiz 2026 UPDATE |SBON
1. A nurse is monitoring a client receiving Digoxin. Which symptom most likely
indicates digoxin toxicity?
A. Increased appetite
B. Visual disturbances such as yellow halos
C. Hypertension
D. Tachycardia
Answer: B
Rationale: Visual disturbances, nausea, and bradycardia are classic signs of digoxin
toxicity.
2. Which legal principle is a nurse following when they ensure a patient’s
medical records are kept confidential?
A. The Nurse Practice Act
B. The Patient’s Bill of Rights
C. Informed Consent
D. HIPAA regulations
Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) mandates the
protection of sensitive patient health information.
,3. An LPN is preparing to administer NPH insulin. When should the nurse expect
the peak action of this medication to occur?
A. 30 to 60 minutes after injection
B. 4 to 12 hours after injection
C. 1 to 3 hours after injection
D. 18 to 24 hours after injection
Answer: B
Rationale: NPH is an intermediate-acting insulin with a peak usually occurring between 4
and 12 hours.
4. A client with congestive heart failure shows signs of fluid volume excess.
Which assessment finding is most consistent with this?
A. Flat neck veins
B. Crackles in the lung bases
C. Decreased blood pressure
D. Dry mucous membranes
Answer: B
Rationale: Fluid volume excess often leads to pulmonary edema, which presents as
crackles (rales) upon auscultation.
5. A nurse is caring for a patient with Methicillin-resistant Staphylococcus
aureus (MRSA). Which PPE is required?
A. N95 respirator
B. Gown and gloves
C. Surgical mask and goggles
D. No PPE is required unless splashing is expected
Answer: B
Rationale: MRSA requires contact precautions, which include the use of a gown and gloves.
, 6. Which medication is the designated antidote for Warfarin (Coumadin)
overdose?
A. Protamine sulfate
B. Vitamin K
C. Naloxone
D. Glucagon
Answer: B
Rationale: Vitamin K is the antagonist for Warfarin; Protamine sulfate is for Heparin.
7. When assessing a 4-year-old child’s heart rate, what is the most accurate
method?
A. Palpating the radial pulse for 30 seconds
B. Using a pulse oximeter only
C. Palpating the carotid pulse for 15 seconds
D. Auscultating the apical pulse for 60 seconds
Answer: D
Rationale: For children, auscultating the apical pulse for a full minute provides the most
accurate heart rate assessment.
8. A client with Chronic Obstructive Pulmonary Disease (COPD) is receiving
oxygen. Why should the flow rate usually be kept low?
A. To avoid suppressing the client’s hypoxic drive to breathe
B. Low flow prevents the drying of nasal mucosa
C. To prevent the client from becoming addicted to oxygen
D. High flow causes oxygen toxicity in minutes
Answer: A
Rationale: In some COPD patients, high oxygen levels can suppress the drive to breathe
which is triggered by low oxygen (hypoxic drive).
1. A nurse is monitoring a client receiving Digoxin. Which symptom most likely
indicates digoxin toxicity?
A. Increased appetite
B. Visual disturbances such as yellow halos
C. Hypertension
D. Tachycardia
Answer: B
Rationale: Visual disturbances, nausea, and bradycardia are classic signs of digoxin
toxicity.
2. Which legal principle is a nurse following when they ensure a patient’s
medical records are kept confidential?
A. The Nurse Practice Act
B. The Patient’s Bill of Rights
C. Informed Consent
D. HIPAA regulations
Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) mandates the
protection of sensitive patient health information.
,3. An LPN is preparing to administer NPH insulin. When should the nurse expect
the peak action of this medication to occur?
A. 30 to 60 minutes after injection
B. 4 to 12 hours after injection
C. 1 to 3 hours after injection
D. 18 to 24 hours after injection
Answer: B
Rationale: NPH is an intermediate-acting insulin with a peak usually occurring between 4
and 12 hours.
4. A client with congestive heart failure shows signs of fluid volume excess.
Which assessment finding is most consistent with this?
A. Flat neck veins
B. Crackles in the lung bases
C. Decreased blood pressure
D. Dry mucous membranes
Answer: B
Rationale: Fluid volume excess often leads to pulmonary edema, which presents as
crackles (rales) upon auscultation.
5. A nurse is caring for a patient with Methicillin-resistant Staphylococcus
aureus (MRSA). Which PPE is required?
A. N95 respirator
B. Gown and gloves
C. Surgical mask and goggles
D. No PPE is required unless splashing is expected
Answer: B
Rationale: MRSA requires contact precautions, which include the use of a gown and gloves.
, 6. Which medication is the designated antidote for Warfarin (Coumadin)
overdose?
A. Protamine sulfate
B. Vitamin K
C. Naloxone
D. Glucagon
Answer: B
Rationale: Vitamin K is the antagonist for Warfarin; Protamine sulfate is for Heparin.
7. When assessing a 4-year-old child’s heart rate, what is the most accurate
method?
A. Palpating the radial pulse for 30 seconds
B. Using a pulse oximeter only
C. Palpating the carotid pulse for 15 seconds
D. Auscultating the apical pulse for 60 seconds
Answer: D
Rationale: For children, auscultating the apical pulse for a full minute provides the most
accurate heart rate assessment.
8. A client with Chronic Obstructive Pulmonary Disease (COPD) is receiving
oxygen. Why should the flow rate usually be kept low?
A. To avoid suppressing the client’s hypoxic drive to breathe
B. Low flow prevents the drying of nasal mucosa
C. To prevent the client from becoming addicted to oxygen
D. High flow causes oxygen toxicity in minutes
Answer: A
Rationale: In some COPD patients, high oxygen levels can suppress the drive to breathe
which is triggered by low oxygen (hypoxic drive).
