ShiftKey LPN/LVN Medical-Surgical
Nursing Assessment
2026/2027 |Newly Released
Actual Exam Questions and Verified Answers
with Rationales
Graded A+ | Guaranteed Pass |100% Correct
Question 1
A patient is receiving a continuous tube feeding via nasogastric tube. The LPN/LVN checks the
residual volume before the next feeding and obtains 250 mL. What is the most appropriate
action?
A. Continue the feeding as prescribed because the residual is less than 400 mL.
B. Slow the rate of the tube feeding and recheck the residual in 1 hour.
C. Discard the residual volume and administer the next feeding.
D. Hold the feeding and notify the registered nurse (RN) or charge nurse immediately.
Correct Answer: D
Rationale: Residual volumes greater than 200–250 mL (depending on facility policy) generally
indicate delayed gastric emptying or intolerance to the feeding. The LPN/LVN should hold the
feeding and report this finding to the RN or provider for further instructions, as this is outside the
scope of independent decision-making for adjusting feeding protocols.
Question 2
The nurse is preparing to administer a routine subcutaneous injection of insulin to a patient.
Which action is most important to prevent injury?
A. Aspirating for blood return after inserting the needle.
B. Rotating injection sites to prevent lipodystrophy.
C. Massaging the site vigorously after injection to absorb the medication.
D. Injecting the medication into the same site daily to reduce patient anxiety.
Correct Answer: B
, Rationale: Rotating injection sites is critical to prevent lipodystrophy, which is the accumulation
of fatty tissue or atrophy at the injection site. Aspiration is not recommended for subcutaneous
injections, and massaging the site can alter the absorption rate of the insulin.
Question 3
The LPN/LVN is caring for a patient placed on Contact Precautions due to a wound infection
with Methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment
(PPE) is required prior to entering the room?
A. Gown and gloves only.
B. N95 respirator and face shield.
C. Gown, gloves, and surgical mask.
D. Gloves and face shield.
Correct Answer: A
Rationale: Contact Precautions require the use of a gown and gloves to prevent direct contact
with the patient or contaminated objects in the environment. Masks and respirators are not
required for MRSA unless aerosol-generating procedures are performed or the patient is also on
Droplet or Airborne Precautions.
Question 4
The LPN/LVN is assigned to care for four patients. Which task should the nurse prioritize to
perform first?
A. Administer a scheduled oral pain medication to a patient reporting a pain level of 8/10.
B. Collect a sputum specimen from a patient with an order due this shift.
C. Assist a patient with ambulation to the bathroom who has been independent.
D. Check the vital signs of a patient who returned from the operating room 30 minutes ago.
Correct Answer: D
Rationale: Using the ABCs (Airway, Breathing, Circulation) and Maslow’s hierarchy, the patient
returning from surgery requires immediate assessment to detect unstable vital signs or
complications like hemorrhage. While pain management is important, post-operative stability is
the highest priority.
Question 5
When documenting a wound assessment in the medical record, which description is the most
accurate and objective?
A. "The wound looks red and angry today."
B. "Wound bed is 100% granulation tissue; no slough or eschar noted; scant serous drainage."
C. "The wound is healing well, better than yesterday."
D. "Large wound on the heel, very deep."
Nursing Assessment
2026/2027 |Newly Released
Actual Exam Questions and Verified Answers
with Rationales
Graded A+ | Guaranteed Pass |100% Correct
Question 1
A patient is receiving a continuous tube feeding via nasogastric tube. The LPN/LVN checks the
residual volume before the next feeding and obtains 250 mL. What is the most appropriate
action?
A. Continue the feeding as prescribed because the residual is less than 400 mL.
B. Slow the rate of the tube feeding and recheck the residual in 1 hour.
C. Discard the residual volume and administer the next feeding.
D. Hold the feeding and notify the registered nurse (RN) or charge nurse immediately.
Correct Answer: D
Rationale: Residual volumes greater than 200–250 mL (depending on facility policy) generally
indicate delayed gastric emptying or intolerance to the feeding. The LPN/LVN should hold the
feeding and report this finding to the RN or provider for further instructions, as this is outside the
scope of independent decision-making for adjusting feeding protocols.
Question 2
The nurse is preparing to administer a routine subcutaneous injection of insulin to a patient.
Which action is most important to prevent injury?
A. Aspirating for blood return after inserting the needle.
B. Rotating injection sites to prevent lipodystrophy.
C. Massaging the site vigorously after injection to absorb the medication.
D. Injecting the medication into the same site daily to reduce patient anxiety.
Correct Answer: B
, Rationale: Rotating injection sites is critical to prevent lipodystrophy, which is the accumulation
of fatty tissue or atrophy at the injection site. Aspiration is not recommended for subcutaneous
injections, and massaging the site can alter the absorption rate of the insulin.
Question 3
The LPN/LVN is caring for a patient placed on Contact Precautions due to a wound infection
with Methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment
(PPE) is required prior to entering the room?
A. Gown and gloves only.
B. N95 respirator and face shield.
C. Gown, gloves, and surgical mask.
D. Gloves and face shield.
Correct Answer: A
Rationale: Contact Precautions require the use of a gown and gloves to prevent direct contact
with the patient or contaminated objects in the environment. Masks and respirators are not
required for MRSA unless aerosol-generating procedures are performed or the patient is also on
Droplet or Airborne Precautions.
Question 4
The LPN/LVN is assigned to care for four patients. Which task should the nurse prioritize to
perform first?
A. Administer a scheduled oral pain medication to a patient reporting a pain level of 8/10.
B. Collect a sputum specimen from a patient with an order due this shift.
C. Assist a patient with ambulation to the bathroom who has been independent.
D. Check the vital signs of a patient who returned from the operating room 30 minutes ago.
Correct Answer: D
Rationale: Using the ABCs (Airway, Breathing, Circulation) and Maslow’s hierarchy, the patient
returning from surgery requires immediate assessment to detect unstable vital signs or
complications like hemorrhage. While pain management is important, post-operative stability is
the highest priority.
Question 5
When documenting a wound assessment in the medical record, which description is the most
accurate and objective?
A. "The wound looks red and angry today."
B. "Wound bed is 100% granulation tissue; no slough or eschar noted; scant serous drainage."
C. "The wound is healing well, better than yesterday."
D. "Large wound on the heel, very deep."
