LVN NCLEX EXAM NEWEST 2026 ACTUAL EXAM TEST
BANK| COMPLETE 500 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERRS (VERIFIED ANSWERS)
ALREADY GRADED A+| NCLEX LVN TEST BANK 2026
(BRAND NEW!!)
1. A client with diabetes mellitus is being discharged. The LVN
reinforces teaching about self-monitoring of blood glucose
(SMBG) and recognizes that which client statement indicates a
need for further teaching?
A) "I will clean my finger with soap and warm water before
testing."
B) "I will use the same finger every time to maintain
consistency."
C) "I will rotate sites to prevent calluses and soreness."
1
, D) "I will record my results in a logbook to share with my
provider."
Correct Answer: B
Rationale: Finger puncture sites should be rotated to prevent
tissue trauma, calluses, and infection. Using the same finger every
time is incorrect. The other options are correct: cleaning with
soap/water (not alcohol, which can affect readings), rotating
sites, and recording results .
2. The LVN is caring for a client with heart failure who has a
new prescription for furosemide. Which laboratory value is
most important to monitor before administering the first dose?
A) Hemoglobin
B) White blood cell count
C) Serum potassium
2
, D) Blood glucose
Correct Answer: C
Rationale: Furosemide is a loop diuretic that causes potassium
wasting. Hypokalemia increases the risk of cardiac arrhythmias,
especially in clients taking digoxin. Baseline potassium and renal
function should be checked before administration .
3. A client is admitted with a diagnosis of pneumonia. The
LVN notes that the client has advance directives indicating "do
not resuscitate" (DNR). The client’s spouse arrives and
demands that "everything be done." The LVN should:
A) Follow the spouse’s wishes to avoid conflict
B) Notify the charge nurse of the situation immediately
C) Change the DNR order to full code without further
discussion
3
, D) Ask the spouse to leave the unit immediately
Correct Answer: B
Rationale: The client’s advance directives are legally binding and
must be honored. If family members disagree, the charge nurse
and provider should be notified to facilitate a discussion. The
LVN should never unilaterally change a DNR order .
4. The LVN is reinforcing teaching with a client who has a
new prescription for warfarin. Which statement by the client
indicates correct understanding?
A) "I can take ibuprofen for headaches because it’s over-
the-counter."
B) "I will eat the same amount of green leafy vegetables
each week."
C) "I will stop taking warfarin if I notice bruising."
4
BANK| COMPLETE 500 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERRS (VERIFIED ANSWERS)
ALREADY GRADED A+| NCLEX LVN TEST BANK 2026
(BRAND NEW!!)
1. A client with diabetes mellitus is being discharged. The LVN
reinforces teaching about self-monitoring of blood glucose
(SMBG) and recognizes that which client statement indicates a
need for further teaching?
A) "I will clean my finger with soap and warm water before
testing."
B) "I will use the same finger every time to maintain
consistency."
C) "I will rotate sites to prevent calluses and soreness."
1
, D) "I will record my results in a logbook to share with my
provider."
Correct Answer: B
Rationale: Finger puncture sites should be rotated to prevent
tissue trauma, calluses, and infection. Using the same finger every
time is incorrect. The other options are correct: cleaning with
soap/water (not alcohol, which can affect readings), rotating
sites, and recording results .
2. The LVN is caring for a client with heart failure who has a
new prescription for furosemide. Which laboratory value is
most important to monitor before administering the first dose?
A) Hemoglobin
B) White blood cell count
C) Serum potassium
2
, D) Blood glucose
Correct Answer: C
Rationale: Furosemide is a loop diuretic that causes potassium
wasting. Hypokalemia increases the risk of cardiac arrhythmias,
especially in clients taking digoxin. Baseline potassium and renal
function should be checked before administration .
3. A client is admitted with a diagnosis of pneumonia. The
LVN notes that the client has advance directives indicating "do
not resuscitate" (DNR). The client’s spouse arrives and
demands that "everything be done." The LVN should:
A) Follow the spouse’s wishes to avoid conflict
B) Notify the charge nurse of the situation immediately
C) Change the DNR order to full code without further
discussion
3
, D) Ask the spouse to leave the unit immediately
Correct Answer: B
Rationale: The client’s advance directives are legally binding and
must be honored. If family members disagree, the charge nurse
and provider should be notified to facilitate a discussion. The
LVN should never unilaterally change a DNR order .
4. The LVN is reinforcing teaching with a client who has a
new prescription for warfarin. Which statement by the client
indicates correct understanding?
A) "I can take ibuprofen for headaches because it’s over-
the-counter."
B) "I will eat the same amount of green leafy vegetables
each week."
C) "I will stop taking warfarin if I notice bruising."
4
