LPN to ADN Bridge Comprehensive Makeup Exam 2026/2027 UPDATE
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Administering an oral antibiotic to a stable client
B. Developing a plan of care for a client with complex needs
C. Performing an initial admission assessment on a new patient
D. Teaching a patient how to manage a newly diagnosed condition
Answer: A
Rationale: LPNs can administer medications that are not high-risk and care for stable
clients. Initial assessments, care plans, and initial teaching are RN responsibilities.
2. A client is receiving magnesium sulfate for preeclampsia. Which finding
should the nurse report to the provider immediately?
A. Urinary output of 40 mL per hour
B. Respiratory rate of 10 breaths per minute
C. Presence of deep tendon reflexes 2+
D. Patient reporting feeling warm and flushed
Answer: B
Rationale: Magnesium toxicity is indicated by respiratory depression (less than 12/min),
loss of deep tendon reflexes, and decreased urine output.
,3. The nurse is caring for a client with a potassium level of 6.2 mEq/L. Which
EKG change should the nurse monitor for?
A. Prominent U waves
B. ST-segment depression
C. Peaked T waves
D. Inverted T waves
Answer: C
Rationale: Hyperkalemia (K+ > 5.0) commonly causes peaked T waves, widened QRS
complexes, and potentially cardiac arrest.
4. A client is prescribed Warfarin. Which of the following lab values should the
nurse monitor to evaluate effectiveness?
A. INR
B. Platelet count
C. PTT
D. Hemoglobin
Answer: A
Rationale: INR (International Normalized Ratio) is the standard for monitoring Warfarin
therapy, while PTT is for Heparin.
5. The nurse is assigned to four clients. Which client should be assessed first?
A. A client with a blood glucose of 140 mg/dL
B. A client reporting calf pain and warmth in the right leg
C. A client with a blood pressure of 130/85 mmHg
D. A client requesting pain medication for chronic back pain
Answer: B
Rationale: Calf pain and warmth are signs of Deep Vein Thrombosis (DVT), which poses a
risk for pulmonary embolism and is an acute priority.
, 6. Which assessment finding indicates that a chest tube is functioning correctly
in a client with a pneumothorax?
A. Constant bubbling in the water-seal chamber
B. Fluctuation (tidaling) in the water-seal chamber with breathing
C. No movement in the water-seal chamber during inspiration
D. Drainage of 200 mL per hour of serosanguinous fluid
Answer: B
Rationale: Tidaling (fluctuation) indicates the tube is patent and reacting to pleural
pressure changes. Constant bubbling suggests an air leak.
7. A client with heart failure is prescribed Digoxin. Which symptom should the
nurse identify as a sign of toxicity?
A. Increased appetite
B. Visual disturbances like yellow halos
C. Increased heart rate
D. Hypertension
Answer: B
Rationale: Common signs of digoxin toxicity include anorexia, nausea, vomiting, and visual
changes (yellow/green halos or blurred vision).
8. A nurse is preparing to administer a blood transfusion. What is the priority
action?
A. Administer the blood through a 22-gauge needle
B. Warm the blood to room temperature for one hour
C. Check the patient’s identity with another RN
D. Start the infusion at 100 mL per hour immediately
Answer: C
Rationale: Verification of the patient and blood product by two licensed professionals is
the most critical safety step to prevent hemolytic reactions.
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Administering an oral antibiotic to a stable client
B. Developing a plan of care for a client with complex needs
C. Performing an initial admission assessment on a new patient
D. Teaching a patient how to manage a newly diagnosed condition
Answer: A
Rationale: LPNs can administer medications that are not high-risk and care for stable
clients. Initial assessments, care plans, and initial teaching are RN responsibilities.
2. A client is receiving magnesium sulfate for preeclampsia. Which finding
should the nurse report to the provider immediately?
A. Urinary output of 40 mL per hour
B. Respiratory rate of 10 breaths per minute
C. Presence of deep tendon reflexes 2+
D. Patient reporting feeling warm and flushed
Answer: B
Rationale: Magnesium toxicity is indicated by respiratory depression (less than 12/min),
loss of deep tendon reflexes, and decreased urine output.
,3. The nurse is caring for a client with a potassium level of 6.2 mEq/L. Which
EKG change should the nurse monitor for?
A. Prominent U waves
B. ST-segment depression
C. Peaked T waves
D. Inverted T waves
Answer: C
Rationale: Hyperkalemia (K+ > 5.0) commonly causes peaked T waves, widened QRS
complexes, and potentially cardiac arrest.
4. A client is prescribed Warfarin. Which of the following lab values should the
nurse monitor to evaluate effectiveness?
A. INR
B. Platelet count
C. PTT
D. Hemoglobin
Answer: A
Rationale: INR (International Normalized Ratio) is the standard for monitoring Warfarin
therapy, while PTT is for Heparin.
5. The nurse is assigned to four clients. Which client should be assessed first?
A. A client with a blood glucose of 140 mg/dL
B. A client reporting calf pain and warmth in the right leg
C. A client with a blood pressure of 130/85 mmHg
D. A client requesting pain medication for chronic back pain
Answer: B
Rationale: Calf pain and warmth are signs of Deep Vein Thrombosis (DVT), which poses a
risk for pulmonary embolism and is an acute priority.
, 6. Which assessment finding indicates that a chest tube is functioning correctly
in a client with a pneumothorax?
A. Constant bubbling in the water-seal chamber
B. Fluctuation (tidaling) in the water-seal chamber with breathing
C. No movement in the water-seal chamber during inspiration
D. Drainage of 200 mL per hour of serosanguinous fluid
Answer: B
Rationale: Tidaling (fluctuation) indicates the tube is patent and reacting to pleural
pressure changes. Constant bubbling suggests an air leak.
7. A client with heart failure is prescribed Digoxin. Which symptom should the
nurse identify as a sign of toxicity?
A. Increased appetite
B. Visual disturbances like yellow halos
C. Increased heart rate
D. Hypertension
Answer: B
Rationale: Common signs of digoxin toxicity include anorexia, nausea, vomiting, and visual
changes (yellow/green halos or blurred vision).
8. A nurse is preparing to administer a blood transfusion. What is the priority
action?
A. Administer the blood through a 22-gauge needle
B. Warm the blood to room temperature for one hour
C. Check the patient’s identity with another RN
D. Start the infusion at 100 mL per hour immediately
Answer: C
Rationale: Verification of the patient and blood product by two licensed professionals is
the most critical safety step to prevent hemolytic reactions.
