Hondros Nursing Final ACTUAL EXAM
2026/2027 | 100 Q&A | Complete Exam
Material | Verified Q&A | Pass
Guaranteed - A+ Graded
FUNDAMENTALS (Q1–Q15)
Q1: The LPN is caring for a patient who returned from surgery 2 hours ago. The patient has a tympanic
temperature of 37.2°C (99.0°F), pulse 88 bpm, respirations 18/min, and blood pressure 132/78 mmHg.
Which action by the LPN is most appropriate?
A. Notify the surgeon immediately of the elevated temperature
B. Document the findings and continue routine monitoring [CORRECT]
C. Administer acetaminophen for the low-grade fever
D. Increase the IV fluid rate to prevent dehydration
Correct Answer: B
Rationale: A temperature of 37.2°C (99.0°F) within the first 24 hours postoperatively is typically a normal
inflammatory response to tissue trauma and anesthesia. The vital signs are otherwise stable, and
routine monitoring with documentation is the appropriate nursing action. Immediate notification or
intervention is not warranted for this expected finding.
Q2: The LPN is preparing to administer a medication via intramuscular injection to an adult patient.
Which site is the preferred location for a 2 mL injection of an irritating medication?
A. Deltoid muscle
B. Dorsogluteal muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle [CORRECT]
Correct Answer: D
,Rationale: The ventrogluteal site is the preferred intramuscular injection site for adults because it is free
of major nerves and blood vessels, has a large muscle mass, and can accommodate up to 2.5 mL of
medication. The dorsogluteal site is no longer recommended due to the risk of sciatic nerve injury. The
deltoid is limited to 1 mL or less.
Q3: The LPN is caring for a patient on contact precautions for Clostridioides difficile infection. Which PPE
is required when entering the room to obtain a blood pressure?
A. Gloves and gown [CORRECT]
B. Gloves only
C. Gloves, gown, and N95 respirator
D. Gloves, gown, and face shield
Correct Answer: A
Rationale: Contact precautions for C. difficile require gloves and a gown for all interactions involving
contact with the patient or the patient's environment. A N95 respirator is not required as C. difficile is
not airborne. A face shield is unnecessary unless splash exposure is anticipated. Hand hygiene with soap
and water (not alcohol-based sanitizer) is required upon exiting due to spore-forming nature of the
organism.
Q4: The LPN is assisting a patient with a history of osteoporosis to ambulate for the first time after a 3-
day hospitalization. Which intervention is the priority?
A. Encourage the patient to bear full weight immediately
B. Use a gait belt and provide standby assistance [CORRECT]
C. Have the patient use a walker without supervision
D. Ask the patient to dangle at the bedside for 30 minutes first
Correct Answer: B
Rationale: A gait belt provides the nurse with a secure hold to assist and prevent falls during ambulation,
while standby assistance ensures immediate intervention if the patient becomes unstable. This
approach balances safety with progressive mobility. Prolonged dangling is unnecessary and may cause
orthostatic hypotension.
Q5: The LPN is performing morning hygiene care for a patient who is bedridden. Which action
demonstrates proper perineal care technique for a female patient?
A. Clean from the anal area toward the urethral area
B. Use the same washcloth for the entire perineal area
,C. Clean from the urethral area toward the anal area [CORRECT]
D. Use a circular motion around the perineum
Correct Answer: C
Rationale: Perineal care for a female patient must always proceed from front to back (urethral area
toward anal area) to prevent contamination of the urinary meatus and vaginal area with fecal
organisms, which reduces the risk of urinary tract infection. A clean portion of the washcloth or a new
washcloth should be used for each stroke.
Q6: The LPN is documenting patient care using the SOAP format. Which component includes the
patient's subjective report of symptoms?
A. Subjective [CORRECT]
B. Objective
C. Assessment
D. Plan
Correct Answer: A
Rationale: The SOAP documentation format uses "S" for Subjective data, which includes information
reported by the patient such as symptoms, feelings, or concerns that cannot be directly observed or
measured by the nurse. Objective data includes measurable findings, Assessment includes the nurse's
clinical judgment, and Plan includes interventions.
Q7: The LPN is caring for a patient with a BMI of 31.2 kg/m² who is prescribed a 1,800-calorie diet.
Which meal selection by the patient best aligns with therapeutic nutrition goals?
A. Fried chicken, mashed potatoes with gravy, and biscuits
B. Grilled salmon, steamed broccoli, and brown rice [CORRECT]
C. Spaghetti with meat sauce and garlic bread
D. Cheeseburger with French fries and a milkshake
Correct Answer: B
Rationale: A BMI of 31.2 kg/m² indicates obesity (Class I). A therapeutic diet should emphasize lean
proteins, complex carbohydrates, and vegetables while limiting saturated fats, simple sugars, and excess
calories. Grilled salmon provides omega-3 fatty acids and lean protein, steamed broccoli provides fiber
and vitamins with minimal calories, and brown rice provides complex carbohydrates and fiber.
, Q8: The LPN is calculating intake and output for a patient over an 8-hour shift. The patient received
1,000 mL IV fluids, drank 240 mL water, 180 mL juice, and 120 mL broth. Urine output was 1,400 mL,
emesis 200 mL, and wound drainage 150 mL. What is the patient's net fluid balance?
A. +210 mL
B. –210 mL [CORRECT]
C. +790 mL
D. –790 mL
Correct Answer: B
Rationale: Total intake = 1,000 mL (IV) + 240 mL (water) + 180 mL (juice) + 120 mL (broth) = 1,540 mL.
Total output = 1,400 mL (urine) + 200 mL (emesis) + 150 mL (wound drainage) = 1,750 mL. Net balance =
Intake – Output = 1,540 – 1,750 = –210 mL, indicating a negative fluid balance of 210 mL.
Q9: The LPN is caring for a patient with a stage 2 pressure injury on the coccyx. Which intervention is
most appropriate?
A. Massage the area with moisturizing lotion to promote circulation
B. Keep the head of the bed elevated at 45 degrees at all times
C. Reposition the patient every 2 hours and use a pressure-redistributing surface [CORRECT]
D. Apply a dry sterile gauze dressing and change daily
Correct Answer: C
Rationale: Stage 2 pressure injuries involve partial-thickness skin loss. The primary interventions include
repositioning every 2 hours to relieve pressure, using a pressure-redistributing mattress or overlay, and
maintaining moisture balance with appropriate dressings. Massaging the area can cause further tissue
damage. The head of the bed should be kept at 30 degrees or less to prevent shearing forces.
Q10: The LPN is preparing to transfer a patient from bed to wheelchair using a pivot transfer. The
patient is able to bear weight on the left leg but not the right. Which positioning is correct?
A. Position the wheelchair on the patient's right side
B. Position the wheelchair on the patient's left side [CORRECT]
C. Position the wheelchair at the foot of the bed
D. Position the wheelchair on either side; the patient's preference determines placement
Correct Answer: B
2026/2027 | 100 Q&A | Complete Exam
Material | Verified Q&A | Pass
Guaranteed - A+ Graded
FUNDAMENTALS (Q1–Q15)
Q1: The LPN is caring for a patient who returned from surgery 2 hours ago. The patient has a tympanic
temperature of 37.2°C (99.0°F), pulse 88 bpm, respirations 18/min, and blood pressure 132/78 mmHg.
Which action by the LPN is most appropriate?
A. Notify the surgeon immediately of the elevated temperature
B. Document the findings and continue routine monitoring [CORRECT]
C. Administer acetaminophen for the low-grade fever
D. Increase the IV fluid rate to prevent dehydration
Correct Answer: B
Rationale: A temperature of 37.2°C (99.0°F) within the first 24 hours postoperatively is typically a normal
inflammatory response to tissue trauma and anesthesia. The vital signs are otherwise stable, and
routine monitoring with documentation is the appropriate nursing action. Immediate notification or
intervention is not warranted for this expected finding.
Q2: The LPN is preparing to administer a medication via intramuscular injection to an adult patient.
Which site is the preferred location for a 2 mL injection of an irritating medication?
A. Deltoid muscle
B. Dorsogluteal muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle [CORRECT]
Correct Answer: D
,Rationale: The ventrogluteal site is the preferred intramuscular injection site for adults because it is free
of major nerves and blood vessels, has a large muscle mass, and can accommodate up to 2.5 mL of
medication. The dorsogluteal site is no longer recommended due to the risk of sciatic nerve injury. The
deltoid is limited to 1 mL or less.
Q3: The LPN is caring for a patient on contact precautions for Clostridioides difficile infection. Which PPE
is required when entering the room to obtain a blood pressure?
A. Gloves and gown [CORRECT]
B. Gloves only
C. Gloves, gown, and N95 respirator
D. Gloves, gown, and face shield
Correct Answer: A
Rationale: Contact precautions for C. difficile require gloves and a gown for all interactions involving
contact with the patient or the patient's environment. A N95 respirator is not required as C. difficile is
not airborne. A face shield is unnecessary unless splash exposure is anticipated. Hand hygiene with soap
and water (not alcohol-based sanitizer) is required upon exiting due to spore-forming nature of the
organism.
Q4: The LPN is assisting a patient with a history of osteoporosis to ambulate for the first time after a 3-
day hospitalization. Which intervention is the priority?
A. Encourage the patient to bear full weight immediately
B. Use a gait belt and provide standby assistance [CORRECT]
C. Have the patient use a walker without supervision
D. Ask the patient to dangle at the bedside for 30 minutes first
Correct Answer: B
Rationale: A gait belt provides the nurse with a secure hold to assist and prevent falls during ambulation,
while standby assistance ensures immediate intervention if the patient becomes unstable. This
approach balances safety with progressive mobility. Prolonged dangling is unnecessary and may cause
orthostatic hypotension.
Q5: The LPN is performing morning hygiene care for a patient who is bedridden. Which action
demonstrates proper perineal care technique for a female patient?
A. Clean from the anal area toward the urethral area
B. Use the same washcloth for the entire perineal area
,C. Clean from the urethral area toward the anal area [CORRECT]
D. Use a circular motion around the perineum
Correct Answer: C
Rationale: Perineal care for a female patient must always proceed from front to back (urethral area
toward anal area) to prevent contamination of the urinary meatus and vaginal area with fecal
organisms, which reduces the risk of urinary tract infection. A clean portion of the washcloth or a new
washcloth should be used for each stroke.
Q6: The LPN is documenting patient care using the SOAP format. Which component includes the
patient's subjective report of symptoms?
A. Subjective [CORRECT]
B. Objective
C. Assessment
D. Plan
Correct Answer: A
Rationale: The SOAP documentation format uses "S" for Subjective data, which includes information
reported by the patient such as symptoms, feelings, or concerns that cannot be directly observed or
measured by the nurse. Objective data includes measurable findings, Assessment includes the nurse's
clinical judgment, and Plan includes interventions.
Q7: The LPN is caring for a patient with a BMI of 31.2 kg/m² who is prescribed a 1,800-calorie diet.
Which meal selection by the patient best aligns with therapeutic nutrition goals?
A. Fried chicken, mashed potatoes with gravy, and biscuits
B. Grilled salmon, steamed broccoli, and brown rice [CORRECT]
C. Spaghetti with meat sauce and garlic bread
D. Cheeseburger with French fries and a milkshake
Correct Answer: B
Rationale: A BMI of 31.2 kg/m² indicates obesity (Class I). A therapeutic diet should emphasize lean
proteins, complex carbohydrates, and vegetables while limiting saturated fats, simple sugars, and excess
calories. Grilled salmon provides omega-3 fatty acids and lean protein, steamed broccoli provides fiber
and vitamins with minimal calories, and brown rice provides complex carbohydrates and fiber.
, Q8: The LPN is calculating intake and output for a patient over an 8-hour shift. The patient received
1,000 mL IV fluids, drank 240 mL water, 180 mL juice, and 120 mL broth. Urine output was 1,400 mL,
emesis 200 mL, and wound drainage 150 mL. What is the patient's net fluid balance?
A. +210 mL
B. –210 mL [CORRECT]
C. +790 mL
D. –790 mL
Correct Answer: B
Rationale: Total intake = 1,000 mL (IV) + 240 mL (water) + 180 mL (juice) + 120 mL (broth) = 1,540 mL.
Total output = 1,400 mL (urine) + 200 mL (emesis) + 150 mL (wound drainage) = 1,750 mL. Net balance =
Intake – Output = 1,540 – 1,750 = –210 mL, indicating a negative fluid balance of 210 mL.
Q9: The LPN is caring for a patient with a stage 2 pressure injury on the coccyx. Which intervention is
most appropriate?
A. Massage the area with moisturizing lotion to promote circulation
B. Keep the head of the bed elevated at 45 degrees at all times
C. Reposition the patient every 2 hours and use a pressure-redistributing surface [CORRECT]
D. Apply a dry sterile gauze dressing and change daily
Correct Answer: C
Rationale: Stage 2 pressure injuries involve partial-thickness skin loss. The primary interventions include
repositioning every 2 hours to relieve pressure, using a pressure-redistributing mattress or overlay, and
maintaining moisture balance with appropriate dressings. Massaging the area can cause further tissue
damage. The head of the bed should be kept at 30 degrees or less to prevent shearing forces.
Q10: The LPN is preparing to transfer a patient from bed to wheelchair using a pivot transfer. The
patient is able to bear weight on the left leg but not the right. Which positioning is correct?
A. Position the wheelchair on the patient's right side
B. Position the wheelchair on the patient's left side [CORRECT]
C. Position the wheelchair at the foot of the bed
D. Position the wheelchair on either side; the patient's preference determines placement
Correct Answer: B
