LPN 240 Final Exam 2025| Actual 70
Questions Complete with Correct
Answers and Explanations for
Guaranteed Pass
Question 1
The nurse determines that which client is at greatest risk for development of acute respiratory
distress syndrome (ARDS)?
A. A client with pancreatitis and gram-negative sepsis
B. A client with a fractured femur
C. A client with chronic obstructive pulmonary disease (COPD)
D. A client recovering from a viral upper respiratory infection
Correct Answer: A. A client with pancreatitis and gram-negative sepsis
Explanation:
ARDS is triggered by severe conditions like sepsis, trauma, or pancreatitis, which cause systemic
inflammation leading to lung injury. Pancreatitis with gram-negative sepsis is the highest risk
due to the inflammatory cascade. A fractured femur (B) may cause fat embolism, not ARDS.
COPD (C) is chronic, and a viral infection (D) is less likely to precipitate ARDS compared to
sepsis.
Question 2
An adult client trapped in a burning house suffered burns to the back of the head, the upper half
of the posterior trunk, and the back of both arms. Using the rule of nines, the nurse determines
the extent of the burn injury to be which percentage?
A. 18%
B. 22.5%
C. 27%
D. 36%
,Correct Answer: B. 22.5%
Explanation:
Per the rule of nines: back of the head = 4.5% (half of 9% for the head), upper half of posterior
trunk = 9% (half of 18% for posterior trunk), back of both arms = 9% (4.5% per arm). Total:
4.5% + 9% + 9% = 22.5%. Other options do not match this calculation.
Question 3
An adult client was burned as a result of an explosion. The burn initially affected the client's
entire face (the anterior half of the head) and the upper half of the anterior torso, and there were
circumferential burns to the lower half of both arms. The client's clothes caught on fire and the
client ran, which caused subsequent burn injuries of the posterior surface of the head and the
upper half of the posterior torso. According to the rule of nines, what is the extent of this client's
burn injury?
A. 27%
B. 36%
C. 45%
D. 54%
Correct Answer: B. 36%
Explanation:
Rule of nines: entire face (anterior head) = 4.5%, upper half of anterior torso = 9%, lower half of
both arms = 9% (4.5% per arm), posterior head = 4.5%, upper half of posterior torso = 9%.
Total: 4.5% + 9% + 9% + 4.5% + 9% = 36%. Other options are incorrect based on this
calculation.
Question 4
A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is
reinforcing instructions to the client regarding the program. Which instruction should the nurse
include?
A. Take a blood glucose test before exercising
B. Exercise during peak insulin action times
C. Increase insulin dosage before exercise
D. Avoid eating carbohydrates before exercise
,Correct Answer: A. Take a blood glucose test before exercising
Explanation:
Exercise can lower blood glucose in type 1 diabetes, risking hypoglycemia. Testing glucose
before exercise ensures safe levels (100–250 mg/dL). Exercising during peak insulin action (B)
increases hypoglycemia risk. Increasing insulin (C) is not routine and requires provider input.
Avoiding carbohydrates (D) may cause hypoglycemia.
Question 5
The clinic nurse is teaching a client who has just been diagnosed with osteoporosis about
nutritional therapy. Which comment by the client indicates a need for further teaching?
A. "I should increase my calcium intake with dairy products."
B. "I'm glad I can still drink as much coffee as I want."
C. "I need to include more vitamin D in my diet."
D. "Weight-bearing exercises can help strengthen my bones."
Correct Answer: B. "I'm glad I can still drink as much coffee as I want."
Explanation:
Excessive caffeine reduces calcium absorption, worsening osteoporosis. The client’s statement
shows a misunderstanding, needing further teaching. Options A, C, and D reflect correct
management strategies for osteoporosis.
Question 6
The nurse is caring for the client with epididymitis. Which treatment modalities should be
implemented?
A. Ice packs, bed rest, scrotal elevation, antibiotics
B. Heat therapy, ambulation, analgesics, hydration
C. Surgery, ice packs, scrotal support, bed rest
D. Antibiotics, fluid restriction, elevation, heat packs
Correct Answer: A. Bed rest, sitz bath, antibiotics, scrotal elevation
Explanation:
Epididymitis treatment includes bed rest to reduce strain, sitz baths for comfort, antibiotics to
treat infection, and scrotal elevation to reduce swelling. Ice packs (A) are sometimes used, but
, sitz baths are more specific per the question. Options B, C, and D include inappropriate measures
like heat (worsens inflammation), surgery (not first-line), or fluid restriction (unrelated).
Question 7
The nurse is suctioning a client through a tracheostomy tube. During the procedure, the client
begins to cough, and the nurse notes the presence of an audible wheeze. The nurse attempts to
remove the suction catheter from the client's trachea but is unable to do so. What is the nurse's
priority response?
A. Call for emergency assistance
B. Disconnect the suction source from the catheter
C. Increase the suction pressure to dislodge the catheter
D. Administer oxygen through the tracheostomy tube
Correct Answer: B. Disconnect the suction source from the catheter
Explanation:
A stuck suction catheter requires immediate disconnection of the suction source to stop negative
pressure, preventing trauma or hypoxia. Emergency assistance (A) may follow, but
disconnection is the priority. Increasing suction (C) risks damage, and oxygen administration (D)
is not feasible with the catheter in place.
Question 8
A client has just returned from the cardiac catheterization laboratory. The left femoral vessel was
used as the access site. After returning the client to bed and conducting an initial assessment, the
nurse assisting in caring for the client expects the cardiologist to write a prescription for the
client to remain on bed rest. In which position should the bed be positioned?
A. Flat with no elevation
B. With the head of bed elevated no more than 30 degrees
C. With the foot of bed elevated 45 degrees
D. In Trendelenburg position
Correct Answer: B. With the head of bed elevated no more than 30 degrees
Explanation:
Post-femoral catheterization, the head of the bed is kept at ≤30 degrees to prevent bleeding or
hematoma at the access site while maintaining comfort. Flat positioning (A) may increase
Questions Complete with Correct
Answers and Explanations for
Guaranteed Pass
Question 1
The nurse determines that which client is at greatest risk for development of acute respiratory
distress syndrome (ARDS)?
A. A client with pancreatitis and gram-negative sepsis
B. A client with a fractured femur
C. A client with chronic obstructive pulmonary disease (COPD)
D. A client recovering from a viral upper respiratory infection
Correct Answer: A. A client with pancreatitis and gram-negative sepsis
Explanation:
ARDS is triggered by severe conditions like sepsis, trauma, or pancreatitis, which cause systemic
inflammation leading to lung injury. Pancreatitis with gram-negative sepsis is the highest risk
due to the inflammatory cascade. A fractured femur (B) may cause fat embolism, not ARDS.
COPD (C) is chronic, and a viral infection (D) is less likely to precipitate ARDS compared to
sepsis.
Question 2
An adult client trapped in a burning house suffered burns to the back of the head, the upper half
of the posterior trunk, and the back of both arms. Using the rule of nines, the nurse determines
the extent of the burn injury to be which percentage?
A. 18%
B. 22.5%
C. 27%
D. 36%
,Correct Answer: B. 22.5%
Explanation:
Per the rule of nines: back of the head = 4.5% (half of 9% for the head), upper half of posterior
trunk = 9% (half of 18% for posterior trunk), back of both arms = 9% (4.5% per arm). Total:
4.5% + 9% + 9% = 22.5%. Other options do not match this calculation.
Question 3
An adult client was burned as a result of an explosion. The burn initially affected the client's
entire face (the anterior half of the head) and the upper half of the anterior torso, and there were
circumferential burns to the lower half of both arms. The client's clothes caught on fire and the
client ran, which caused subsequent burn injuries of the posterior surface of the head and the
upper half of the posterior torso. According to the rule of nines, what is the extent of this client's
burn injury?
A. 27%
B. 36%
C. 45%
D. 54%
Correct Answer: B. 36%
Explanation:
Rule of nines: entire face (anterior head) = 4.5%, upper half of anterior torso = 9%, lower half of
both arms = 9% (4.5% per arm), posterior head = 4.5%, upper half of posterior torso = 9%.
Total: 4.5% + 9% + 9% + 4.5% + 9% = 36%. Other options are incorrect based on this
calculation.
Question 4
A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is
reinforcing instructions to the client regarding the program. Which instruction should the nurse
include?
A. Take a blood glucose test before exercising
B. Exercise during peak insulin action times
C. Increase insulin dosage before exercise
D. Avoid eating carbohydrates before exercise
,Correct Answer: A. Take a blood glucose test before exercising
Explanation:
Exercise can lower blood glucose in type 1 diabetes, risking hypoglycemia. Testing glucose
before exercise ensures safe levels (100–250 mg/dL). Exercising during peak insulin action (B)
increases hypoglycemia risk. Increasing insulin (C) is not routine and requires provider input.
Avoiding carbohydrates (D) may cause hypoglycemia.
Question 5
The clinic nurse is teaching a client who has just been diagnosed with osteoporosis about
nutritional therapy. Which comment by the client indicates a need for further teaching?
A. "I should increase my calcium intake with dairy products."
B. "I'm glad I can still drink as much coffee as I want."
C. "I need to include more vitamin D in my diet."
D. "Weight-bearing exercises can help strengthen my bones."
Correct Answer: B. "I'm glad I can still drink as much coffee as I want."
Explanation:
Excessive caffeine reduces calcium absorption, worsening osteoporosis. The client’s statement
shows a misunderstanding, needing further teaching. Options A, C, and D reflect correct
management strategies for osteoporosis.
Question 6
The nurse is caring for the client with epididymitis. Which treatment modalities should be
implemented?
A. Ice packs, bed rest, scrotal elevation, antibiotics
B. Heat therapy, ambulation, analgesics, hydration
C. Surgery, ice packs, scrotal support, bed rest
D. Antibiotics, fluid restriction, elevation, heat packs
Correct Answer: A. Bed rest, sitz bath, antibiotics, scrotal elevation
Explanation:
Epididymitis treatment includes bed rest to reduce strain, sitz baths for comfort, antibiotics to
treat infection, and scrotal elevation to reduce swelling. Ice packs (A) are sometimes used, but
, sitz baths are more specific per the question. Options B, C, and D include inappropriate measures
like heat (worsens inflammation), surgery (not first-line), or fluid restriction (unrelated).
Question 7
The nurse is suctioning a client through a tracheostomy tube. During the procedure, the client
begins to cough, and the nurse notes the presence of an audible wheeze. The nurse attempts to
remove the suction catheter from the client's trachea but is unable to do so. What is the nurse's
priority response?
A. Call for emergency assistance
B. Disconnect the suction source from the catheter
C. Increase the suction pressure to dislodge the catheter
D. Administer oxygen through the tracheostomy tube
Correct Answer: B. Disconnect the suction source from the catheter
Explanation:
A stuck suction catheter requires immediate disconnection of the suction source to stop negative
pressure, preventing trauma or hypoxia. Emergency assistance (A) may follow, but
disconnection is the priority. Increasing suction (C) risks damage, and oxygen administration (D)
is not feasible with the catheter in place.
Question 8
A client has just returned from the cardiac catheterization laboratory. The left femoral vessel was
used as the access site. After returning the client to bed and conducting an initial assessment, the
nurse assisting in caring for the client expects the cardiologist to write a prescription for the
client to remain on bed rest. In which position should the bed be positioned?
A. Flat with no elevation
B. With the head of bed elevated no more than 30 degrees
C. With the foot of bed elevated 45 degrees
D. In Trendelenburg position
Correct Answer: B. With the head of bed elevated no more than 30 degrees
Explanation:
Post-femoral catheterization, the head of the bed is kept at ≤30 degrees to prevent bleeding or
hematoma at the access site while maintaining comfort. Flat positioning (A) may increase
