LPN NCLEX Comprehensive Practice Exam With
A+ Graded Solutions.
1. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min via
nasal cannula. The LPN notes the client’s oxygen saturation is 88%. What is the most
appropriate action?
A. Increase the oxygen to 6 L/min immediately.
B. Encourage the client to perform pursed-lip breathing.
C. Position the client in a supine position.
D. Notify the physician to request a non-rebreather mask.
Correct Answer: B. Encourage the client to perform pursed-lip breathing.
2. A nurse is caring for a client who is 24 hours post-operative following an abdominal
cholecystectomy. The client reports severe pain in the right shoulder. What should the LPN
recognize as the cause?
A. Incisional infection.
B. Myocardial infarction.
C. Carbon dioxide used during surgery irritating the phrenic nerve.
D. Pulmonary embolism.
Correct Answer: C. Carbon dioxide used during surgery irritating the phrenic nerve.
3. The LPN is preparing to administer a tube feeding via a nasogastric (NG) tube. What is the
priority action to ensure client safety?
A. Warm the formula to room temperature.
B. Aspirate gastric contents to check pH or check an X-ray report.
C. Place the client in a left side-lying position.
D. Flush the tube with 100 mL of water.
Correct Answer: B. Aspirate gastric contents to check pH or check an X-ray report.
4. A client is prescribed Furosemide 40 mg daily. Which laboratory value should the LPN
monitor most closely?
A. Serum Sodium.
B. Serum Potassium.
C. Serum Calcium.
D. White Blood Cell count.
Correct Answer: B. Serum Potassium.
5. A mother brings her 2-year-old child to the clinic for a well-child checkup. Which
developmental milestone should the LPN expect the child to have achieved?
A. Tying shoelaces.
B. Using a spoon to eat.
C. Hopping on one foot.
D. Drawing a person with six body parts.
Correct Answer: B. Using a spoon to eat.
6. An LPN is caring for a client with a new diagnosis of Type 1 Diabetes. The client asks why they
cannot take an oral pill instead of insulin injections. What is the best response?
A. Pills are too expensive for most patients.
B. Oral medications only work for people who are overweight.
, C. Your body no longer produces insulin, and insulin is destroyed by stomach acid.
D. You will be able to switch to pills once your blood sugar is stable.
Correct Answer: C. Your body no longer produces insulin, and insulin is destroyed by
stomach acid.
7. A client with a hip fracture is placed in Buck’s Traction. What is the primary purpose of this
type of traction?
A. To realign the bone fragments.
B. To provide permanent immobilization.
C. To reduce muscle spasms and maintain alignment before surgery.
D. To allow the client to turn freely in bed.
Correct Answer: C. To reduce muscle spasms and maintain alignment before surgery.
8. The LPN is reinforcing teaching about a low-purine diet for a client with Gout. Which food
should the client be instructed to avoid?
A. Leafy green vegetables.
B. Organ meats and sardines.
C. Whole grain bread.
D. Skim milk.
Correct Answer: B. Organ meats and sardines.
9. While assessing a client’s IV site, the LPN notes the area is cool, pale, and swollen. The client
reports a "tight" feeling at the site. What is the priority action?
A. Apply a warm compress.
B. Slow the infusion rate.
C. Stop the infusion and remove the catheter.
D. Flush the line with normal saline.
Correct Answer: C. Stop the infusion and remove the catheter.
10. A client is diagnosed with Thrombophlebitis in the left leg. Which intervention should the
LPN implement?
A. Massage the leg to improve circulation.
B. Apply ice packs every 2 hours.
C. Maintain the client on bed rest with the leg elevated.
D. Encourage the client to walk around the unit.
Correct Answer: C. Maintain the client on bed rest with the leg elevated.
11. The LPN is preparing to administer Digoxin to a client. The client’s apical pulse is 54 beats per
minute. What is the correct action?
A. Administer the medication as scheduled.
B. Withhold the dose and notify the supervisor/provider.
C. Give the dose and re-check the pulse in one hour.
D. Administer half the dose.
Correct Answer: B. Withhold the dose and notify the supervisor/provider.
12. A client has a prescription for Nitroglycerin sublingual tablets for chest pain. How should the
LPN instruct the client to store this medication?
A. In a clear plastic container in the refrigerator.
B. In the original dark glass bottle, away from light and heat.
C. In a pill organizer with other daily medications.
A+ Graded Solutions.
1. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min via
nasal cannula. The LPN notes the client’s oxygen saturation is 88%. What is the most
appropriate action?
A. Increase the oxygen to 6 L/min immediately.
B. Encourage the client to perform pursed-lip breathing.
C. Position the client in a supine position.
D. Notify the physician to request a non-rebreather mask.
Correct Answer: B. Encourage the client to perform pursed-lip breathing.
2. A nurse is caring for a client who is 24 hours post-operative following an abdominal
cholecystectomy. The client reports severe pain in the right shoulder. What should the LPN
recognize as the cause?
A. Incisional infection.
B. Myocardial infarction.
C. Carbon dioxide used during surgery irritating the phrenic nerve.
D. Pulmonary embolism.
Correct Answer: C. Carbon dioxide used during surgery irritating the phrenic nerve.
3. The LPN is preparing to administer a tube feeding via a nasogastric (NG) tube. What is the
priority action to ensure client safety?
A. Warm the formula to room temperature.
B. Aspirate gastric contents to check pH or check an X-ray report.
C. Place the client in a left side-lying position.
D. Flush the tube with 100 mL of water.
Correct Answer: B. Aspirate gastric contents to check pH or check an X-ray report.
4. A client is prescribed Furosemide 40 mg daily. Which laboratory value should the LPN
monitor most closely?
A. Serum Sodium.
B. Serum Potassium.
C. Serum Calcium.
D. White Blood Cell count.
Correct Answer: B. Serum Potassium.
5. A mother brings her 2-year-old child to the clinic for a well-child checkup. Which
developmental milestone should the LPN expect the child to have achieved?
A. Tying shoelaces.
B. Using a spoon to eat.
C. Hopping on one foot.
D. Drawing a person with six body parts.
Correct Answer: B. Using a spoon to eat.
6. An LPN is caring for a client with a new diagnosis of Type 1 Diabetes. The client asks why they
cannot take an oral pill instead of insulin injections. What is the best response?
A. Pills are too expensive for most patients.
B. Oral medications only work for people who are overweight.
, C. Your body no longer produces insulin, and insulin is destroyed by stomach acid.
D. You will be able to switch to pills once your blood sugar is stable.
Correct Answer: C. Your body no longer produces insulin, and insulin is destroyed by
stomach acid.
7. A client with a hip fracture is placed in Buck’s Traction. What is the primary purpose of this
type of traction?
A. To realign the bone fragments.
B. To provide permanent immobilization.
C. To reduce muscle spasms and maintain alignment before surgery.
D. To allow the client to turn freely in bed.
Correct Answer: C. To reduce muscle spasms and maintain alignment before surgery.
8. The LPN is reinforcing teaching about a low-purine diet for a client with Gout. Which food
should the client be instructed to avoid?
A. Leafy green vegetables.
B. Organ meats and sardines.
C. Whole grain bread.
D. Skim milk.
Correct Answer: B. Organ meats and sardines.
9. While assessing a client’s IV site, the LPN notes the area is cool, pale, and swollen. The client
reports a "tight" feeling at the site. What is the priority action?
A. Apply a warm compress.
B. Slow the infusion rate.
C. Stop the infusion and remove the catheter.
D. Flush the line with normal saline.
Correct Answer: C. Stop the infusion and remove the catheter.
10. A client is diagnosed with Thrombophlebitis in the left leg. Which intervention should the
LPN implement?
A. Massage the leg to improve circulation.
B. Apply ice packs every 2 hours.
C. Maintain the client on bed rest with the leg elevated.
D. Encourage the client to walk around the unit.
Correct Answer: C. Maintain the client on bed rest with the leg elevated.
11. The LPN is preparing to administer Digoxin to a client. The client’s apical pulse is 54 beats per
minute. What is the correct action?
A. Administer the medication as scheduled.
B. Withhold the dose and notify the supervisor/provider.
C. Give the dose and re-check the pulse in one hour.
D. Administer half the dose.
Correct Answer: B. Withhold the dose and notify the supervisor/provider.
12. A client has a prescription for Nitroglycerin sublingual tablets for chest pain. How should the
LPN instruct the client to store this medication?
A. In a clear plastic container in the refrigerator.
B. In the original dark glass bottle, away from light and heat.
C. In a pill organizer with other daily medications.
