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,CHAPTER 01: FOUNDATIONS OF NURSING,
1. A nursing student is preparing for the NCLEX-PN and feels overwhelmed by the amount of material.
Which action best demonstrates effective test preparation?
A. Cramming all content the night before the exam
B. Reviewing notes briefly and hoping for the best
C. Using a structured study schedule with regular review sessions
D. Skipping difficult topics to focus only on strengths
Answer: C
Rationale: Spaced, structured review improves retention and reduces anxiety. Cramming and avoidance of
weak areas are ineffective study habits.
2. An LPN is caring for a client who speaks limited English. Which action best ensures informed consent?
A. Asking a family member to interpret
B. Using a certified medical interpreter
C. Speaking loudly and slowly in English
D. Having the client sign without explanation
Answer: B
Rationale: A certified medical interpreter ensures accurate communication and protects the client's legal
rights. Family members may misinterpret or omit information.
3. A client refuses a prescribed medication. What is the LPN's best action?
A. Administer the medication anyway
B. Document the refusal and notify the RN or provider
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,C. Threaten the client with consequences
D. Crush the medication and hide it in food
Answer: B
Rationale: Clients have the right to refuse treatment. The nurse must document and report the refusal, not
force or conceal medication.
4. An LPN observes an unlicensed assistive personnel (UAP) performing a sterile dressing change. What
should the LPN do first?
A. Ignore it since the task is complete
B. Report the UAP to the state board of nursing
C. Stop the procedure and explain that sterile dressing changes are outside UAP scope
D. Assist the UAP to finish quickly
Answer: C
Rationale: Sterile dressing changes require nursing judgment and are outside UAP scope. The LPN should
intervene immediately to protect client safety.
5. A client is admitted with suspected tuberculosis. Which precaution should the LPN initiate?
A. Standard precautions only
B. Contact precautions
C. Airborne precautions
D. Droplet precautions
Answer: C
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, Rationale: Tuberculosis requires airborne precautions, including an N95 respirator and a negative-
pressure room.
6. An LPN is documenting care for a client with a stage 2 pressure ulcer. Which information is most
important to include?
A. The client's favorite food
B. Location, size, and appearance of the wound
C. The nurse's opinion of the client
D. The client's insurance provider
Answer: B
Rationale: Objective wound characteristics guide treatment and document progress. Subjective or
irrelevant details do not belong in wound documentation.
7. A client scheduled for surgery asks the LPN to explain the procedure. What is the LPN's best response?
A. Provide a detailed explanation of the surgery
B. Tell the client the surgeon will explain
C. Reassure the client that everything will be fine
D. Ignore the question
Answer: B
Rationale: Explaining surgical procedures is the provider's responsibility. The LPN should refer the client
to the surgeon for informed consent.
8. An LPN notices a colleague appears impaired while preparing medications. What is the priority action?
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,CHAPTER 01: FOUNDATIONS OF NURSING,
1. A nursing student is preparing for the NCLEX-PN and feels overwhelmed by the amount of material.
Which action best demonstrates effective test preparation?
A. Cramming all content the night before the exam
B. Reviewing notes briefly and hoping for the best
C. Using a structured study schedule with regular review sessions
D. Skipping difficult topics to focus only on strengths
Answer: C
Rationale: Spaced, structured review improves retention and reduces anxiety. Cramming and avoidance of
weak areas are ineffective study habits.
2. An LPN is caring for a client who speaks limited English. Which action best ensures informed consent?
A. Asking a family member to interpret
B. Using a certified medical interpreter
C. Speaking loudly and slowly in English
D. Having the client sign without explanation
Answer: B
Rationale: A certified medical interpreter ensures accurate communication and protects the client's legal
rights. Family members may misinterpret or omit information.
3. A client refuses a prescribed medication. What is the LPN's best action?
A. Administer the medication anyway
B. Document the refusal and notify the RN or provider
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,C. Threaten the client with consequences
D. Crush the medication and hide it in food
Answer: B
Rationale: Clients have the right to refuse treatment. The nurse must document and report the refusal, not
force or conceal medication.
4. An LPN observes an unlicensed assistive personnel (UAP) performing a sterile dressing change. What
should the LPN do first?
A. Ignore it since the task is complete
B. Report the UAP to the state board of nursing
C. Stop the procedure and explain that sterile dressing changes are outside UAP scope
D. Assist the UAP to finish quickly
Answer: C
Rationale: Sterile dressing changes require nursing judgment and are outside UAP scope. The LPN should
intervene immediately to protect client safety.
5. A client is admitted with suspected tuberculosis. Which precaution should the LPN initiate?
A. Standard precautions only
B. Contact precautions
C. Airborne precautions
D. Droplet precautions
Answer: C
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, Rationale: Tuberculosis requires airborne precautions, including an N95 respirator and a negative-
pressure room.
6. An LPN is documenting care for a client with a stage 2 pressure ulcer. Which information is most
important to include?
A. The client's favorite food
B. Location, size, and appearance of the wound
C. The nurse's opinion of the client
D. The client's insurance provider
Answer: B
Rationale: Objective wound characteristics guide treatment and document progress. Subjective or
irrelevant details do not belong in wound documentation.
7. A client scheduled for surgery asks the LPN to explain the procedure. What is the LPN's best response?
A. Provide a detailed explanation of the surgery
B. Tell the client the surgeon will explain
C. Reassure the client that everything will be fine
D. Ignore the question
Answer: B
Rationale: Explaining surgical procedures is the provider's responsibility. The LPN should refer the client
to the surgeon for informed consent.
8. An LPN notices a colleague appears impaired while preparing medications. What is the priority action?
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