PRACTICAL NURSING | COMPREHENSIVE REVIEW
LPN / LVN
FULL-LENGTH PRACTICE EXAM
100 ORIGINAL QUESTIONS | ANSWER KEY + RATIONALES
Multiple choice | Five 20-question sections | Print-friendly
BUILD CONFIDENCE. THINK SAFELY. PROVIDE COMPASSIONATE CARE.
Independent educational practice | Not an official NCLEX-PN exam
,Exam Instructions
Suggested time: 120 minutes. Choose the single best answer for each question. Record answers on separate paper, then review the
answer key and rationales after completing all five sections.
Coverage: medical-surgical care, pharmacology, fundamentals and safety, delegation, maternity/newborn, pediatrics, mental health,
emergency care, assessment, infection prevention, dosage calculations, and clinical judgment.
This independent study resource is newly assembled for review. It is not an official NCLEX-PN exam, secure test content, publisher test bank, or
affiliated product. Practice within your license, local law, and employer policy.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
LPN / LVN | FULL-LENGTH PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
MED-SURG I 1. COPD patient newly somnolent; rising PaCO2
A. Notify surgical team promptly
B. Support prescribed fluids, analgesia, and bowel rest
C. Hold insulin; replace potassium as prescribed
D. Assess ventilation and urgently escalate for hypercapnia
Answer: ______
PHARMACOLOGY 2. Digoxin due; apical pulse 54/min
A. Report immediately; assess for rhabdomyolysis
B. Consider euglycemic DKA
C. Use infusion pump; never administer IV push
D. Withhold and follow ordered hold parameters
Answer: ______
FUNDAMENTALS & SAFETY 3. High-fall-risk patient tries to stand
A. Wash site and immediately follow exposure protocol
B. Stop transfusion; maintain IV with saline per protocol
C. Keep flames and smoking materials away
D. Low bed, reachable call light, assisted mobility
Answer: ______
LEADERSHIP & DELEGATION 4. Stable patient needs routine vital signs
A. Arrange case management/home health as needed
B. Respect refusal and notify team
C. Delegate collection to trained UAP; RN interprets
D. Stop feeding and assess swallow safety
Answer: ______
MATERNITY & NEWBORN 5. 32-week pregnancy; painless bright-red bleeding
A. Suspect placenta previa; avoid vaginal exam pending evaluation
B. Preterm labor
C. Check BP and urgently notify provider
D. Prevent cold stress and support feeding
Answer: ______
PEDIATRICS 6. Croup with stridor at rest and retractions
A. Use droplet precautions
B. Give glucagon or IV dextrose per access/protocol
C. Keep child calm; urgent airway evaluation
D. Assess perfusion and begin prescribed rehydration
Answer: ______
LPN / LVN | FULL-LENGTH PRACTICE EXAM 3
LPN / LVN
FULL-LENGTH PRACTICE EXAM
100 ORIGINAL QUESTIONS | ANSWER KEY + RATIONALES
Multiple choice | Five 20-question sections | Print-friendly
BUILD CONFIDENCE. THINK SAFELY. PROVIDE COMPASSIONATE CARE.
Independent educational practice | Not an official NCLEX-PN exam
,Exam Instructions
Suggested time: 120 minutes. Choose the single best answer for each question. Record answers on separate paper, then review the
answer key and rationales after completing all five sections.
Coverage: medical-surgical care, pharmacology, fundamentals and safety, delegation, maternity/newborn, pediatrics, mental health,
emergency care, assessment, infection prevention, dosage calculations, and clinical judgment.
This independent study resource is newly assembled for review. It is not an official NCLEX-PN exam, secure test content, publisher test bank, or
affiliated product. Practice within your license, local law, and employer policy.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
LPN / LVN | FULL-LENGTH PRACTICE EXAM 2
, SECTION 1 | QUESTIONS 1-20
MED-SURG I 1. COPD patient newly somnolent; rising PaCO2
A. Notify surgical team promptly
B. Support prescribed fluids, analgesia, and bowel rest
C. Hold insulin; replace potassium as prescribed
D. Assess ventilation and urgently escalate for hypercapnia
Answer: ______
PHARMACOLOGY 2. Digoxin due; apical pulse 54/min
A. Report immediately; assess for rhabdomyolysis
B. Consider euglycemic DKA
C. Use infusion pump; never administer IV push
D. Withhold and follow ordered hold parameters
Answer: ______
FUNDAMENTALS & SAFETY 3. High-fall-risk patient tries to stand
A. Wash site and immediately follow exposure protocol
B. Stop transfusion; maintain IV with saline per protocol
C. Keep flames and smoking materials away
D. Low bed, reachable call light, assisted mobility
Answer: ______
LEADERSHIP & DELEGATION 4. Stable patient needs routine vital signs
A. Arrange case management/home health as needed
B. Respect refusal and notify team
C. Delegate collection to trained UAP; RN interprets
D. Stop feeding and assess swallow safety
Answer: ______
MATERNITY & NEWBORN 5. 32-week pregnancy; painless bright-red bleeding
A. Suspect placenta previa; avoid vaginal exam pending evaluation
B. Preterm labor
C. Check BP and urgently notify provider
D. Prevent cold stress and support feeding
Answer: ______
PEDIATRICS 6. Croup with stridor at rest and retractions
A. Use droplet precautions
B. Give glucagon or IV dextrose per access/protocol
C. Keep child calm; urgent airway evaluation
D. Assess perfusion and begin prescribed rehydration
Answer: ______
LPN / LVN | FULL-LENGTH PRACTICE EXAM 3
