,LPN Exit Class Final Exam — 200 Practice Questions with
Verified Answers & Detailed Rationales the answers are at the
end of the document
PART I — QUESTIONS
Section 1: Management of Care & Prioritization (Questions 1–30)
1. A charge nurse is making assignments for a licensed practical nurse (LPN). Which task is
appropriate to delegate to the LPN?
A. Perform the initial admission assessment on a client with pneumonia
B. Administer a PRN enema to a constipated client
C. Develop the nursing care plan for a client with heart failure
D. Teach a client how to self-administer insulin
2. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The family asks what
DNR means. The nurse should respond:
A. "It means we will not provide any treatment to keep the client alive."
B. "It means that if the client stops breathing or the heart stops, we will not perform CPR or
advanced cardiac life support."
C. "I cannot discuss that; you need to talk to the doctor."
D. "It means the client will be allowed to die naturally without any medical care."
3. A charge nurse observes a new graduate nurse insert a urinary catheter and touch the inner
surface of the sterile drape without sterile gloves. The charge nurse should:
A. Praise the new nurse for completing the procedure quickly
B. Stop the procedure immediately and remind the new nurse about sterile technique
C. Ignore the error because the client is not at risk
D. Report the new nurse to the state board of nursing
4. A nurse manager is reviewing client rights with staff. Which statement indicates an
understanding of client rights?
A. "A client can refuse a treatment even if it is life-saving."
B. "A client cannot refuse a treatment once it has been started."
C. "A client's family can override the client's refusal."
D. "Only physicians can determine if a client is competent to refuse."
,5. A client is to receive a blood transfusion. Which IV solution is compatible for priming the
tubing?
A. 5% dextrose in water (D5W)
B. Lactated Ringer's (LR)
C. 0.9% normal saline
D. 0.45% normal saline (half-strength)
6. The LPN is assigned four clients at 07:30. The RN will make rounds at 08:00. Place the clients
in the order the LPN should see them.
• Client A: 54-year-old post-op laparoscopic cholecystectomy, first day post-op, asking for
pain medication, rating pain 8/10.
• Client B: 78-year-old on continuous cardiac monitoring, new onset irregular heart
rhythm noted at 07:25.
• Client C: 60-year-old scheduled for a barium swallow at 09:00, NPO since midnight.
• Client D: 45-year-old with pneumonia, IV antibiotics due at 08:00, no complaints.
A. B → A → D → C
B. A → B → C → D
C. D → B → A → C
D. C → A → B → D
7. A nurse is caring for a client with a history of depression. The client states, "I finally have
everything figured out and don't need to worry about the future anymore." What is the nurse's
priority action?
A. Document the client's improved mood and outlook.
B. Ask the client directly if they have a plan for self-harm.
C. Encourage the client to join a group therapy session.
D. Notify the family that the client is feeling better.
8. Which task is most appropriate for the LPN to delegate to unlicensed assistive personnel
(UAP)?
A. Assessing a client's surgical incision
B. Assisting a stable client with ambulation
C. Providing discharge instructions for a new medication
D. Adjusting the flow rate of an IV infusion
9. A nurse is caring for a postoperative client experiencing pain. According to the nursing
process, which step should the nurse perform immediately before implementing a non-
pharmacological pain relief intervention?
, A. Planning
B. Evaluation
C. Assessment
D. Diagnosis
10. A client tells the nurse, "I'm not sure I want to take this new medication. I've heard it can
cause a lot of side effects." Which nursing response best demonstrates therapeutic
communication?
A. "Don't worry; your doctor wouldn't prescribe it if it wasn't safe."
B. "You have concerns about the side effects of this medication. Tell me more about what
you've heard."
C. "All medications have side effects, but the benefits usually outweigh the risks."
D. "You should take it as prescribed; it's very important for your condition."
11. An LPN is assigned to a client who is 12 hours post-operative from abdominal surgery. The
client complains of nausea. Vital signs are stable, the dressing is dry and intact, and the client
has a nasogastric tube to intermittent suction. What is the best action?
A. Administer the prescribed antiemetic medication.
B. Notify the registered nurse of the client's complaint.
C. Assess the client's abdomen for distension and bowel sounds.
D. Encourage the client to drink clear fluids.
12. A nurse is reviewing the plan of care for a client with a stage 3 pressure injury. Which
finding must the LPN immediately report to the RN?
A. Temperature 37.6°C
B. Foul odor from the wound
C. Intake 250 mL greater than output
D. Yellow slough in the wound bed
13. A nurse is preparing to administer a DTaP vaccination to a 6-year-old child. Before
administering the vaccine, which action is essential?
A. Ask the child to state his birth date
B. Check the vial against the rights of medication administration
C. Have the parent sign a consent form if not already on file
D. Obtain a set of vital signs
14. The practical nurse (PN) observes a newly hired PN preparing to add liquid medication
directly to a client's feeding bag. What action should the PN take?
A. Demonstrate how to administer medication via a feeding tube.
B. Confirm that the medication is only administered once daily.
Verified Answers & Detailed Rationales the answers are at the
end of the document
PART I — QUESTIONS
Section 1: Management of Care & Prioritization (Questions 1–30)
1. A charge nurse is making assignments for a licensed practical nurse (LPN). Which task is
appropriate to delegate to the LPN?
A. Perform the initial admission assessment on a client with pneumonia
B. Administer a PRN enema to a constipated client
C. Develop the nursing care plan for a client with heart failure
D. Teach a client how to self-administer insulin
2. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The family asks what
DNR means. The nurse should respond:
A. "It means we will not provide any treatment to keep the client alive."
B. "It means that if the client stops breathing or the heart stops, we will not perform CPR or
advanced cardiac life support."
C. "I cannot discuss that; you need to talk to the doctor."
D. "It means the client will be allowed to die naturally without any medical care."
3. A charge nurse observes a new graduate nurse insert a urinary catheter and touch the inner
surface of the sterile drape without sterile gloves. The charge nurse should:
A. Praise the new nurse for completing the procedure quickly
B. Stop the procedure immediately and remind the new nurse about sterile technique
C. Ignore the error because the client is not at risk
D. Report the new nurse to the state board of nursing
4. A nurse manager is reviewing client rights with staff. Which statement indicates an
understanding of client rights?
A. "A client can refuse a treatment even if it is life-saving."
B. "A client cannot refuse a treatment once it has been started."
C. "A client's family can override the client's refusal."
D. "Only physicians can determine if a client is competent to refuse."
,5. A client is to receive a blood transfusion. Which IV solution is compatible for priming the
tubing?
A. 5% dextrose in water (D5W)
B. Lactated Ringer's (LR)
C. 0.9% normal saline
D. 0.45% normal saline (half-strength)
6. The LPN is assigned four clients at 07:30. The RN will make rounds at 08:00. Place the clients
in the order the LPN should see them.
• Client A: 54-year-old post-op laparoscopic cholecystectomy, first day post-op, asking for
pain medication, rating pain 8/10.
• Client B: 78-year-old on continuous cardiac monitoring, new onset irregular heart
rhythm noted at 07:25.
• Client C: 60-year-old scheduled for a barium swallow at 09:00, NPO since midnight.
• Client D: 45-year-old with pneumonia, IV antibiotics due at 08:00, no complaints.
A. B → A → D → C
B. A → B → C → D
C. D → B → A → C
D. C → A → B → D
7. A nurse is caring for a client with a history of depression. The client states, "I finally have
everything figured out and don't need to worry about the future anymore." What is the nurse's
priority action?
A. Document the client's improved mood and outlook.
B. Ask the client directly if they have a plan for self-harm.
C. Encourage the client to join a group therapy session.
D. Notify the family that the client is feeling better.
8. Which task is most appropriate for the LPN to delegate to unlicensed assistive personnel
(UAP)?
A. Assessing a client's surgical incision
B. Assisting a stable client with ambulation
C. Providing discharge instructions for a new medication
D. Adjusting the flow rate of an IV infusion
9. A nurse is caring for a postoperative client experiencing pain. According to the nursing
process, which step should the nurse perform immediately before implementing a non-
pharmacological pain relief intervention?
, A. Planning
B. Evaluation
C. Assessment
D. Diagnosis
10. A client tells the nurse, "I'm not sure I want to take this new medication. I've heard it can
cause a lot of side effects." Which nursing response best demonstrates therapeutic
communication?
A. "Don't worry; your doctor wouldn't prescribe it if it wasn't safe."
B. "You have concerns about the side effects of this medication. Tell me more about what
you've heard."
C. "All medications have side effects, but the benefits usually outweigh the risks."
D. "You should take it as prescribed; it's very important for your condition."
11. An LPN is assigned to a client who is 12 hours post-operative from abdominal surgery. The
client complains of nausea. Vital signs are stable, the dressing is dry and intact, and the client
has a nasogastric tube to intermittent suction. What is the best action?
A. Administer the prescribed antiemetic medication.
B. Notify the registered nurse of the client's complaint.
C. Assess the client's abdomen for distension and bowel sounds.
D. Encourage the client to drink clear fluids.
12. A nurse is reviewing the plan of care for a client with a stage 3 pressure injury. Which
finding must the LPN immediately report to the RN?
A. Temperature 37.6°C
B. Foul odor from the wound
C. Intake 250 mL greater than output
D. Yellow slough in the wound bed
13. A nurse is preparing to administer a DTaP vaccination to a 6-year-old child. Before
administering the vaccine, which action is essential?
A. Ask the child to state his birth date
B. Check the vial against the rights of medication administration
C. Have the parent sign a consent form if not already on file
D. Obtain a set of vital signs
14. The practical nurse (PN) observes a newly hired PN preparing to add liquid medication
directly to a client's feeding bag. What action should the PN take?
A. Demonstrate how to administer medication via a feeding tube.
B. Confirm that the medication is only administered once daily.
