LPN to ADN Bridge Week 12 Quiz - NCLEX-RN Comprehensive Review
Prep 2026/2027 UPDATE |GALEN College
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the RN to delegate?
A. Performing the initial admission assessment on a new client
B. Administering a scheduled dose of oral antihypertensive medication
C. Developing the plan of care for a client with complex needs
D. Providing discharge teaching to a client post-appendectomy
Answer: B
Rationale: The RN is responsible for assessment, planning, and teaching. LPNs can
administer medications (depending on state law) but should not perform initial
assessments or develop plans of care.
2. A client presents with a pH of 7.31, PaCO2 of 52 mmHg, and HCO3 of 24
mEq/L. Which acid-base imbalance is the client experiencing?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mmHg with a normal
HCO3 indicates that the cause is respiratory.
,3. The nurse is monitoring a client receiving Digoxin. Which laboratory result
should the nurse report to the provider immediately?
A. Serum Potassium level of 3.2 mEq/L
B. Serum Digoxin level of 1.2 ng/mL
C. Serum Sodium level of 138 mEq/L
D. Serum Creatinine level of 1.0 mg/dL
Answer: A
Rationale: Hypokalemia (potassium < 3.5 mEq/L) significantly increases the risk of
digoxin toxicity, even if the digoxin level is within the therapeutic range.
4. Which clinical manifestation is expected in a client diagnosed with Diabetes
Insipidus (DI)?
A. Specific gravity of 1.035
B. Bradycardia and hypertension
C. Excessive thirst and high urine output
D. Fluid volume excess and edema
Answer: C
Rationale: DI is characterized by a deficiency of ADH, leading to massive diuresis
(polyuria) and extreme thirst (polydipsia) with low urine specific gravity.
5. A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which ECG
change should the nurse expect to see?
A. Prominent U waves
B. ST-segment depression
C. Prolonged QT interval
D. Tall, peaked T waves
Answer: D
Rationale: Hyperkalemia typically causes tall, peaked T waves, widened QRS complexes,
and potentially cardiac arrest if not treated.
, 6. A client is diagnosed with pulmonary tuberculosis (TB). Which type of
isolation precautions should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions
Answer: C
Rationale: TB is transmitted via small droplets that remain suspended in the air; therefore,
airborne precautions (including an N95 respirator and negative pressure room) are
required.
7. Which assessment finding in a client with heart failure indicates the most
immediate need for intervention?
A. Fine crackles in the lung bases
B. 3+ pitting edema in the lower extremities
C. Jugular venous distention
D. Pink, frothy sputum
Answer: D
Rationale: Pink, frothy sputum is a classic sign of acute pulmonary edema, a life-
threatening complication of heart failure requiring immediate action.
8. The nurse is teaching a client with COPD about pursed-lip breathing. What is
the primary purpose of this technique?
A. To strengthen the intercostal muscles
B. To prevent airway collapse during exhalation
C. To decrease the amount of oxygen inhaled
D. To increase the rate of respirations
Answer: B
Prep 2026/2027 UPDATE |GALEN College
1. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the RN to delegate?
A. Performing the initial admission assessment on a new client
B. Administering a scheduled dose of oral antihypertensive medication
C. Developing the plan of care for a client with complex needs
D. Providing discharge teaching to a client post-appendectomy
Answer: B
Rationale: The RN is responsible for assessment, planning, and teaching. LPNs can
administer medications (depending on state law) but should not perform initial
assessments or develop plans of care.
2. A client presents with a pH of 7.31, PaCO2 of 52 mmHg, and HCO3 of 24
mEq/L. Which acid-base imbalance is the client experiencing?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mmHg with a normal
HCO3 indicates that the cause is respiratory.
,3. The nurse is monitoring a client receiving Digoxin. Which laboratory result
should the nurse report to the provider immediately?
A. Serum Potassium level of 3.2 mEq/L
B. Serum Digoxin level of 1.2 ng/mL
C. Serum Sodium level of 138 mEq/L
D. Serum Creatinine level of 1.0 mg/dL
Answer: A
Rationale: Hypokalemia (potassium < 3.5 mEq/L) significantly increases the risk of
digoxin toxicity, even if the digoxin level is within the therapeutic range.
4. Which clinical manifestation is expected in a client diagnosed with Diabetes
Insipidus (DI)?
A. Specific gravity of 1.035
B. Bradycardia and hypertension
C. Excessive thirst and high urine output
D. Fluid volume excess and edema
Answer: C
Rationale: DI is characterized by a deficiency of ADH, leading to massive diuresis
(polyuria) and extreme thirst (polydipsia) with low urine specific gravity.
5. A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which ECG
change should the nurse expect to see?
A. Prominent U waves
B. ST-segment depression
C. Prolonged QT interval
D. Tall, peaked T waves
Answer: D
Rationale: Hyperkalemia typically causes tall, peaked T waves, widened QRS complexes,
and potentially cardiac arrest if not treated.
, 6. A client is diagnosed with pulmonary tuberculosis (TB). Which type of
isolation precautions should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions
Answer: C
Rationale: TB is transmitted via small droplets that remain suspended in the air; therefore,
airborne precautions (including an N95 respirator and negative pressure room) are
required.
7. Which assessment finding in a client with heart failure indicates the most
immediate need for intervention?
A. Fine crackles in the lung bases
B. 3+ pitting edema in the lower extremities
C. Jugular venous distention
D. Pink, frothy sputum
Answer: D
Rationale: Pink, frothy sputum is a classic sign of acute pulmonary edema, a life-
threatening complication of heart failure requiring immediate action.
8. The nurse is teaching a client with COPD about pursed-lip breathing. What is
the primary purpose of this technique?
A. To strengthen the intercostal muscles
B. To prevent airway collapse during exhalation
C. To decrease the amount of oxygen inhaled
D. To increase the rate of respirations
Answer: B
