LPN Comprehensive Predictor Exam - 2026 Update
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the LPN to delegate?
A. Assisting a stable patient with a bed bath and oral care
B. Performing an initial admission assessment on a new patient
C. Developing a nursing care plan for a patient with diabetes
D. Administering the first dose of an intravenous antibiotic
Answer: A
Rationale: UAPs can perform routine tasks such as hygiene and ADLs for stable patients.
Assessments, care planning, and medication administration are outside the UAP’s scope of
practice.
2. A patient is receiving Warfarin for deep vein thrombosis. Which laboratory
value should the nurse monitor to evaluate the effectiveness of the medication?
A. Activated partial thromboplastin time (aPTT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Hemoglobin level
Answer: B
Rationale: INR is used to monitor the effectiveness of Warfarin therapy. aPTT is used for
Heparin therapy.
,3. The nurse is caring for a patient suspected of having pulmonary tuberculosis.
Which type of precautions should be implemented?
A. Droplet precautions
B. Contact precautions
C. Standard precautions only
D. Airborne precautions
Answer: D
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring airborne precautions, including an N95 respirator and a negative-pressure room.
4. Which of the following is an example of the ethical principle of Autonomy?
A. Doing good for the patient and acting in their best interest
B. Providing the patient with all the information needed to make an informed decision
C. Treating all patients fairly regardless of their socioeconomic status
D. Keeping promises made to the patient regarding their care
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
healthcare after being fully informed.
5. A nurse is caring for a patient who is 4 hours postoperative following
abdominal surgery. Which finding should the nurse report to the provider
immediately?
A. Hypoactive bowel sounds in all four quadrants
B. Urine output of 100 mL over the last 4 hours
C. Pain level of 5 on a scale of 0 to 10
D. A heart rate of 118 beats per minute
Answer: D
Rationale: Tachycardia (HR > 100) in a postoperative patient can be an early sign of
hemorrhage or shock and must be reported immediately.
, 6. A nurse is preparing to administer Digoxin to a patient. The nurse should
withhold the medication and notify the provider for which of the following
findings?
A. Blood pressure of 130/80 mmHg
B. Respiratory rate of 18/min
C. Temperature of 37.2 C (99 F)
D. Apical pulse of 52/min
Answer: D
Rationale: Digoxin should be withheld if the apical pulse is less than 60/min in an adult to
avoid further bradycardia.
7. A nurse is teaching a patient about mixing Regular and NPH insulin in one
syringe. Which action should the nurse instruct the patient to take first?
A. Draw up the NPH insulin into the syringe
B. Inject air into the Regular insulin vial
C. Draw up the Regular insulin into the syringe
D. Inject air into the NPH insulin vial
Answer: D
Rationale: The correct sequence is: Inject air into NPH, inject air into Regular, draw up
Regular, then draw up NPH (Clear before Cloudy).
8. A patient who underwent a total hip arthroplasty 24 hours ago is being
moved from the bed to a chair. Which action by the nurse is appropriate?
A. Encourage the patient to cross their legs for comfort
B. Maintain the affected leg in an adducted position
C. Use an abductor pillow between the patient’s legs
D. Flex the patient’s hip to 120 degrees while sitting
Answer: C
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the LPN to delegate?
A. Assisting a stable patient with a bed bath and oral care
B. Performing an initial admission assessment on a new patient
C. Developing a nursing care plan for a patient with diabetes
D. Administering the first dose of an intravenous antibiotic
Answer: A
Rationale: UAPs can perform routine tasks such as hygiene and ADLs for stable patients.
Assessments, care planning, and medication administration are outside the UAP’s scope of
practice.
2. A patient is receiving Warfarin for deep vein thrombosis. Which laboratory
value should the nurse monitor to evaluate the effectiveness of the medication?
A. Activated partial thromboplastin time (aPTT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Hemoglobin level
Answer: B
Rationale: INR is used to monitor the effectiveness of Warfarin therapy. aPTT is used for
Heparin therapy.
,3. The nurse is caring for a patient suspected of having pulmonary tuberculosis.
Which type of precautions should be implemented?
A. Droplet precautions
B. Contact precautions
C. Standard precautions only
D. Airborne precautions
Answer: D
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring airborne precautions, including an N95 respirator and a negative-pressure room.
4. Which of the following is an example of the ethical principle of Autonomy?
A. Doing good for the patient and acting in their best interest
B. Providing the patient with all the information needed to make an informed decision
C. Treating all patients fairly regardless of their socioeconomic status
D. Keeping promises made to the patient regarding their care
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
healthcare after being fully informed.
5. A nurse is caring for a patient who is 4 hours postoperative following
abdominal surgery. Which finding should the nurse report to the provider
immediately?
A. Hypoactive bowel sounds in all four quadrants
B. Urine output of 100 mL over the last 4 hours
C. Pain level of 5 on a scale of 0 to 10
D. A heart rate of 118 beats per minute
Answer: D
Rationale: Tachycardia (HR > 100) in a postoperative patient can be an early sign of
hemorrhage or shock and must be reported immediately.
, 6. A nurse is preparing to administer Digoxin to a patient. The nurse should
withhold the medication and notify the provider for which of the following
findings?
A. Blood pressure of 130/80 mmHg
B. Respiratory rate of 18/min
C. Temperature of 37.2 C (99 F)
D. Apical pulse of 52/min
Answer: D
Rationale: Digoxin should be withheld if the apical pulse is less than 60/min in an adult to
avoid further bradycardia.
7. A nurse is teaching a patient about mixing Regular and NPH insulin in one
syringe. Which action should the nurse instruct the patient to take first?
A. Draw up the NPH insulin into the syringe
B. Inject air into the Regular insulin vial
C. Draw up the Regular insulin into the syringe
D. Inject air into the NPH insulin vial
Answer: D
Rationale: The correct sequence is: Inject air into NPH, inject air into Regular, draw up
Regular, then draw up NPH (Clear before Cloudy).
8. A patient who underwent a total hip arthroplasty 24 hours ago is being
moved from the bed to a chair. Which action by the nurse is appropriate?
A. Encourage the patient to cross their legs for comfort
B. Maintain the affected leg in an adducted position
C. Use an abductor pillow between the patient’s legs
D. Flex the patient’s hip to 120 degrees while sitting
Answer: C
