LPN to ADN Bridge Midterm Exam Review 2026/2027 UPDATE
1. Which step of the nursing process is the sole responsibility of the Registered
Nurse (RN) and cannot be delegated to an LPN?
A. Data collection
B. Implementation of routine care
C. Formulating the initial nursing diagnosis
D. Measuring vital signs
Answer: C
Rationale: While LPNs contribute to data collection, the RN is responsible for the analysis
of data and the formulation of the nursing diagnosis and initial plan of care.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with a history of heart failure reporting 2+ pitting edema
B. A patient with COPD who is restless and confused
C. A patient with asthma reporting a persistent non-productive cough
D. A patient 1-day postoperative with a fever of 100.2 F
Answer: B
Rationale: Restlessness and confusion in a COPD patient are early signs of hypoxia
(Airway/Breathing), making this patient the highest priority.
,3. An RN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the UAP?
A. Feeding a patient with dysphagia for the first time
B. Performing a sterile dressing change
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: UAPs can perform routine tasks such as ambulating stable patients. Teaching
and sterile procedures require higher clinical judgment.
4. The nurse is preparing to administer a medication that has a narrow
therapeutic index. What is the nurse’s priority action?
A. Administer the drug with food to prevent GI upset
B. Check the patient’s temperature
C. Teach the patient about potential hair loss
D. Monitor serum drug levels as ordered
Answer: D
Rationale: Drugs with a narrow therapeutic index have a small margin between a
therapeutic dose and a toxic dose; monitoring serum levels is critical for safety.
5. A patient refuses to take their prescribed antihypertensive medication. Which
ethical principle is the nurse upholding by respecting this decision?
A. Beneficence
B. Justice
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
including the right to refuse treatment.
, 6. Which of the following is an example of ‘Assault’ in a healthcare setting?
A. Performing a procedure without informed consent
B. Threatening to place a patient in restraints if they don’t stay in bed
C. Disclosing a patient’s diagnosis to their neighbor
D. Failing to turn a bedridden patient every 2 hours
Answer: B
Rationale: Assault is the threat of touch or harm that creates fear; Battery is the actual
unauthorized physical contact.
7. An RN is reviewing the Five Rights of Delegation. Which of the following is
one of those rights?
A. Right supervision/evaluation
B. Right documentation
C. Right medication
D. Right cost
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
8. A patient with a sodium level of 128 mEq/L is at risk for which complication?
A. Cardiac dysrhythmias
B. Muscle tetany
C. Seizures
D. Constipation
Answer: C
Rationale: Hyponatremia (sodium < 135 mEq/L) can cause cerebral edema, leading to
neurological symptoms and seizures.
1. Which step of the nursing process is the sole responsibility of the Registered
Nurse (RN) and cannot be delegated to an LPN?
A. Data collection
B. Implementation of routine care
C. Formulating the initial nursing diagnosis
D. Measuring vital signs
Answer: C
Rationale: While LPNs contribute to data collection, the RN is responsible for the analysis
of data and the formulation of the nursing diagnosis and initial plan of care.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with a history of heart failure reporting 2+ pitting edema
B. A patient with COPD who is restless and confused
C. A patient with asthma reporting a persistent non-productive cough
D. A patient 1-day postoperative with a fever of 100.2 F
Answer: B
Rationale: Restlessness and confusion in a COPD patient are early signs of hypoxia
(Airway/Breathing), making this patient the highest priority.
,3. An RN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the UAP?
A. Feeding a patient with dysphagia for the first time
B. Performing a sterile dressing change
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: UAPs can perform routine tasks such as ambulating stable patients. Teaching
and sterile procedures require higher clinical judgment.
4. The nurse is preparing to administer a medication that has a narrow
therapeutic index. What is the nurse’s priority action?
A. Administer the drug with food to prevent GI upset
B. Check the patient’s temperature
C. Teach the patient about potential hair loss
D. Monitor serum drug levels as ordered
Answer: D
Rationale: Drugs with a narrow therapeutic index have a small margin between a
therapeutic dose and a toxic dose; monitoring serum levels is critical for safety.
5. A patient refuses to take their prescribed antihypertensive medication. Which
ethical principle is the nurse upholding by respecting this decision?
A. Beneficence
B. Justice
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
including the right to refuse treatment.
, 6. Which of the following is an example of ‘Assault’ in a healthcare setting?
A. Performing a procedure without informed consent
B. Threatening to place a patient in restraints if they don’t stay in bed
C. Disclosing a patient’s diagnosis to their neighbor
D. Failing to turn a bedridden patient every 2 hours
Answer: B
Rationale: Assault is the threat of touch or harm that creates fear; Battery is the actual
unauthorized physical contact.
7. An RN is reviewing the Five Rights of Delegation. Which of the following is
one of those rights?
A. Right supervision/evaluation
B. Right documentation
C. Right medication
D. Right cost
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
8. A patient with a sodium level of 128 mEq/L is at risk for which complication?
A. Cardiac dysrhythmias
B. Muscle tetany
C. Seizures
D. Constipation
Answer: C
Rationale: Hyponatremia (sodium < 135 mEq/L) can cause cerebral edema, leading to
neurological symptoms and seizures.
