LPN NCLEX Comprehensive Practice Exam: Set
2 With Questions And A+ Graded Answers.
1. A client with a history of Angina is experiencing chest pain. The LPN should instruct the client
to take a sublingual Nitroglycerin tablet and wait how many minutes before taking a second
dose if pain persists?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
Correct Answer: B. 5 minutes
2. The LPN is monitoring a client with an Aortic Aneurysm. Which vital sign change is the most
sensitive indicator of a potential rupture?
A. Increased temperature
B. Decreased blood pressure and increased heart rate
C. Decreased respiratory rate
D. Increased oxygen saturation
Correct Answer: B. Decreased blood pressure and increased heart rate
3. A client is diagnosed with Active Tuberculosis (TB). Which type of room assignment is
required?
A. Semi-private room with another TB client
B. Standard room with a curtain pulled
C. Private, negative-pressure airflow room
D. Private room with positive-pressure airflow
Correct Answer: C. Private, negative-pressure airflow room
4. Which assessment finding should the LPN report immediately for a client with a Pelvic
Fracture?
A. Bruising on the hip
B. Pain level of 6/10
C. Hematuria (blood in the urine)
D. Decreased appetite
Correct Answer: C. Hematuria (blood in the urine)
5. A client with Cirrhosis has developed Hepatic Encephalopathy. Which laboratory value does
the LPN expect to be elevated?
A. Serum Albumin
B. Ammonia
C. Hemoglobin
D. Platelets
Correct Answer: B. Ammonia
6. The LPN is caring for a client with Hypokalemia. Which food should be encouraged to
increase potassium levels?
A. White rice
B. Baked potato with skin
C. Processed American cheese
, D. Angel food cake
Correct Answer: B. Baked potato with skin
7. A client is prescribed Phenytoin (Dilantin) for seizures. What is a priority teaching point for
this medication?
A. Take the medication only when you feel a seizure coming on.
B. Stop the medication immediately if you get a headache.
C. Maintain meticulous oral hygiene and visit the dentist regularly.
D. Drink at least 4 liters of water a day.
Correct Answer: C. Maintain meticulous oral hygiene and visit the dentist regularly.
8. During a home visit, the LPN notes a client with Congestive Heart Failure has gained 4 lbs
(1.8 kg) in 24 hours. What is the priority action?
A. Instruct the client to eat less salt today.
B. Notify the healthcare provider.
C. Document the weight and check again in a week.
D. Encourage the client to exercise.
Correct Answer: B. Notify the healthcare provider.
9. A client is 2 hours post-operative from a Thyroidectomy. The LPN notes the client is speaking
with an increasingly hoarse voice and has a "crowing" sound upon inspiration. What does
this indicate?
A. Normal post-operative recovery
B. Laryngeal nerve damage or airway obstruction
C. The client is thirsty
D. Excessive sedation
Correct Answer: B. Laryngeal nerve damage or airway obstruction
10. Which pulse site should the LPN use to assess the circulatory status of a client’s foot after
a Femoral Artery Bypass?
A. Radial pulse
B. Carotid pulse
C. Dorsalis pedis pulse
D. Popliteal pulse
Correct Answer: C. Dorsalis pedis pulse
11. An LPN is caring for a client with Myasthenia Gravis. What is the priority nursing goal?
A. Promoting weight gain
B. Maintaining a patent airway and preventing aspiration
C. Encouraging vigorous exercise
D. Reducing fluid intake
Correct Answer: B. Maintaining a patent airway and preventing aspiration
12. A client is diagnosed with Retinal Detachment. Which symptom does the client most likely
describe?
A. Severe, throbbing eye pain
B. Seeing "flashes of light" and "floaters"
C. Yellow crusting on the eyelids
D. Double vision
Correct Answer: B. Seeing "flashes of light" and "floaters"
2 With Questions And A+ Graded Answers.
1. A client with a history of Angina is experiencing chest pain. The LPN should instruct the client
to take a sublingual Nitroglycerin tablet and wait how many minutes before taking a second
dose if pain persists?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
Correct Answer: B. 5 minutes
2. The LPN is monitoring a client with an Aortic Aneurysm. Which vital sign change is the most
sensitive indicator of a potential rupture?
A. Increased temperature
B. Decreased blood pressure and increased heart rate
C. Decreased respiratory rate
D. Increased oxygen saturation
Correct Answer: B. Decreased blood pressure and increased heart rate
3. A client is diagnosed with Active Tuberculosis (TB). Which type of room assignment is
required?
A. Semi-private room with another TB client
B. Standard room with a curtain pulled
C. Private, negative-pressure airflow room
D. Private room with positive-pressure airflow
Correct Answer: C. Private, negative-pressure airflow room
4. Which assessment finding should the LPN report immediately for a client with a Pelvic
Fracture?
A. Bruising on the hip
B. Pain level of 6/10
C. Hematuria (blood in the urine)
D. Decreased appetite
Correct Answer: C. Hematuria (blood in the urine)
5. A client with Cirrhosis has developed Hepatic Encephalopathy. Which laboratory value does
the LPN expect to be elevated?
A. Serum Albumin
B. Ammonia
C. Hemoglobin
D. Platelets
Correct Answer: B. Ammonia
6. The LPN is caring for a client with Hypokalemia. Which food should be encouraged to
increase potassium levels?
A. White rice
B. Baked potato with skin
C. Processed American cheese
, D. Angel food cake
Correct Answer: B. Baked potato with skin
7. A client is prescribed Phenytoin (Dilantin) for seizures. What is a priority teaching point for
this medication?
A. Take the medication only when you feel a seizure coming on.
B. Stop the medication immediately if you get a headache.
C. Maintain meticulous oral hygiene and visit the dentist regularly.
D. Drink at least 4 liters of water a day.
Correct Answer: C. Maintain meticulous oral hygiene and visit the dentist regularly.
8. During a home visit, the LPN notes a client with Congestive Heart Failure has gained 4 lbs
(1.8 kg) in 24 hours. What is the priority action?
A. Instruct the client to eat less salt today.
B. Notify the healthcare provider.
C. Document the weight and check again in a week.
D. Encourage the client to exercise.
Correct Answer: B. Notify the healthcare provider.
9. A client is 2 hours post-operative from a Thyroidectomy. The LPN notes the client is speaking
with an increasingly hoarse voice and has a "crowing" sound upon inspiration. What does
this indicate?
A. Normal post-operative recovery
B. Laryngeal nerve damage or airway obstruction
C. The client is thirsty
D. Excessive sedation
Correct Answer: B. Laryngeal nerve damage or airway obstruction
10. Which pulse site should the LPN use to assess the circulatory status of a client’s foot after
a Femoral Artery Bypass?
A. Radial pulse
B. Carotid pulse
C. Dorsalis pedis pulse
D. Popliteal pulse
Correct Answer: C. Dorsalis pedis pulse
11. An LPN is caring for a client with Myasthenia Gravis. What is the priority nursing goal?
A. Promoting weight gain
B. Maintaining a patent airway and preventing aspiration
C. Encouraging vigorous exercise
D. Reducing fluid intake
Correct Answer: B. Maintaining a patent airway and preventing aspiration
12. A client is diagnosed with Retinal Detachment. Which symptom does the client most likely
describe?
A. Severe, throbbing eye pain
B. Seeing "flashes of light" and "floaters"
C. Yellow crusting on the eyelids
D. Double vision
Correct Answer: B. Seeing "flashes of light" and "floaters"
