LPN Final Exam 2026: NCLEX-Style
Review by System and Concept
Home Safety Assessment
Remove clutter, cords, and throw rugs.
Chest Tube Drainage System
Keep drainage system below chest level.
Tracheal Suctioning
Use sterile technique.
Bronchoscopy
NPO before procedure.
TB Testing
Induration ≥10 mm = positive.
Epistaxis (Nosebleed)
Sit upright, lean forward.
Anemia
Causes: blood loss, iron/B12/folate deficiency.
Sickle Cell Anemia
Avoid cold, dehydration, high altitude.
Aplastic Anemia
Bone-marrow failure → infection/bleeding risk.
Thrombocytopenia
Low platelets → bleeding risk.
Transfusion Reaction
Stop transfusion immediately!
,Blood Transfusion Management
Verify type and consent.
Neutropenic Precautions
Avoid raw food, crowds, flowers/plants.
CBC with Differential
WBC ↑ = infection, ↓ = immunosuppression.
Multiple Myeloma
Bone pain, hypercalcemia.
Systemic Lupus Erythematosus (SLE)
Butterfly rash, fatigue, joint pain.
Acute MI
Crushing chest pain, radiates to jaw/arm.
AAA (Abdominal Aortic Aneurysm)
Pulsating abdominal mass, back pain.
Digoxin Toxicity
S/S: N/V, visual halos, bradycardia.
Heart Failure
Right-sided → edema, JVD.
Cardiac Catheterization
NPO 6-8 hrs.
Analyzing Rhythm Strips
Normal sinus = 60-100 bpm.
Shock
Low BP, high HR, cold clammy skin.
Multiple Sclerosis
Autoimmune demyelination → weakness, fatigue.
, Bacterial Meningitis
Fever, stiff neck, photophobia.
Glasgow Coma Scale
Eye (4), Verbal (5), Motor (6) = Max 15.
Head Trauma
Monitor for ↑ ICP: headache, vomiting, LOC changes.
Autonomic Dysreflexia
Seen in spinal cord injuries (T6+).
Osteoarthritis
Joint pain ↑ with activity.
Rheumatoid Arthritis
Autoimmune inflammation of joints.
Osteomyelitis
Bone infection → fever, pain.
Compartment Syndrome
Severe pain unrelieved by meds, numbness, pallor.
Rotator Cuff Tear
Shoulder weakness, pain lifting arm.
Accidental Amputation
Apply pressure, wrap limb in moist gauze, place in bag on ice.
Sprain
RICE: Rest, Ice, Compression, Elevation.
SIADH
Too much ADH → fluid overload, hyponatremia.
Diabetes Insipidus
Too little ADH → polyuria, dehydration.
Review by System and Concept
Home Safety Assessment
Remove clutter, cords, and throw rugs.
Chest Tube Drainage System
Keep drainage system below chest level.
Tracheal Suctioning
Use sterile technique.
Bronchoscopy
NPO before procedure.
TB Testing
Induration ≥10 mm = positive.
Epistaxis (Nosebleed)
Sit upright, lean forward.
Anemia
Causes: blood loss, iron/B12/folate deficiency.
Sickle Cell Anemia
Avoid cold, dehydration, high altitude.
Aplastic Anemia
Bone-marrow failure → infection/bleeding risk.
Thrombocytopenia
Low platelets → bleeding risk.
Transfusion Reaction
Stop transfusion immediately!
,Blood Transfusion Management
Verify type and consent.
Neutropenic Precautions
Avoid raw food, crowds, flowers/plants.
CBC with Differential
WBC ↑ = infection, ↓ = immunosuppression.
Multiple Myeloma
Bone pain, hypercalcemia.
Systemic Lupus Erythematosus (SLE)
Butterfly rash, fatigue, joint pain.
Acute MI
Crushing chest pain, radiates to jaw/arm.
AAA (Abdominal Aortic Aneurysm)
Pulsating abdominal mass, back pain.
Digoxin Toxicity
S/S: N/V, visual halos, bradycardia.
Heart Failure
Right-sided → edema, JVD.
Cardiac Catheterization
NPO 6-8 hrs.
Analyzing Rhythm Strips
Normal sinus = 60-100 bpm.
Shock
Low BP, high HR, cold clammy skin.
Multiple Sclerosis
Autoimmune demyelination → weakness, fatigue.
, Bacterial Meningitis
Fever, stiff neck, photophobia.
Glasgow Coma Scale
Eye (4), Verbal (5), Motor (6) = Max 15.
Head Trauma
Monitor for ↑ ICP: headache, vomiting, LOC changes.
Autonomic Dysreflexia
Seen in spinal cord injuries (T6+).
Osteoarthritis
Joint pain ↑ with activity.
Rheumatoid Arthritis
Autoimmune inflammation of joints.
Osteomyelitis
Bone infection → fever, pain.
Compartment Syndrome
Severe pain unrelieved by meds, numbness, pallor.
Rotator Cuff Tear
Shoulder weakness, pain lifting arm.
Accidental Amputation
Apply pressure, wrap limb in moist gauze, place in bag on ice.
Sprain
RICE: Rest, Ice, Compression, Elevation.
SIADH
Too much ADH → fluid overload, hyponatremia.
Diabetes Insipidus
Too little ADH → polyuria, dehydration.
