LPN/NCLEX-PN Comprehensive Review 2026/2027 UPDATE
1. A nurse is assigned to a client who has just returned from surgery. What is the
nurse’s priority assessment?
A. Wound drainage
B. Pain level
C. Airway patency
D. Urine output
Answer: C
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework,
ensuring a patent airway is the most critical immediate assessment post-surgery.
2. Which laboratory value should the nurse monitor for a client receiving
Furosemide?
A. Serum Potassium
B. Serum Sodium
C. Serum Calcium
D. Serum Magnesium
Answer: A
Rationale: Furosemide is a loop diuretic that can cause significant potassium loss, leading
to hypokalemia.
,3. A client is prescribed Digoxin. Which clinical manifestation should the nurse
identify as a sign of toxicity?
A. Increased appetite
B. Hypertension
C. Blurred or yellow-tinged vision
D. Rapid weight gain
Answer: C
Rationale: Visual disturbances, such as yellow or green halos, are classic signs of digoxin
toxicity, along with nausea and bradycardia.
4. An LPN is caring for a client with a C. diff infection. Which infection control
measure is mandatory?
A. Wearing a N95 respirator
B. Using hand sanitizer after care
C. Keeping the room door closed at all times
D. Washing hands with soap and water
Answer: D
Rationale: C. diff spores are resistant to alcohol-based sanitizers; handwashing with soap
and water is required to mechanically remove spores.
5. The nurse is reinforcing teaching for a client with Type 1 Diabetes. Which is a
symptom of hypoglycemia?
A. Polydipsia
B. Sweating and shakiness
C. Fruity breath odor
D. Abdominal pain
Answer: B
Rationale: Hypoglycemia triggers the sympathetic nervous system, causing diaphoresis
(sweating), tremors, and tachycardia.
, 6. Which task can the LPN safely delegate to an Unlicensed Assistive Personnel
(UAP)?
A. Ambulating a stable client in the hallway
B. Feeding a client with a high risk of aspiration
C. Performing a sterile dressing change
D. Assessing a client’s pain level
Answer: A
Rationale: Ambulating a stable client is within the scope of a UAP, whereas assessment,
complex feeding, and sterile procedures belong to the nurse.
7. A client is receiving Warfarin. Which lab test is used to monitor the
effectiveness of this medication?
A. PTT
B. Platelet count
C. Hemoglobin
D. PT/INR
Answer: D
Rationale: Prothrombin Time (PT) and International Normalized Ratio (INR) are used to
monitor the therapeutic levels of Warfarin.
8. What is the first action a nurse should take when a client reports chest pain?
A. Administer Morphine
B. Obtain a 12-lead ECG
C. Call the family
D. Assess vital signs
Answer: D
Rationale: Initial assessment of vital signs provides immediate data on the client’s stability
before proceeding with diagnostic tests or interventions.
1. A nurse is assigned to a client who has just returned from surgery. What is the
nurse’s priority assessment?
A. Wound drainage
B. Pain level
C. Airway patency
D. Urine output
Answer: C
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework,
ensuring a patent airway is the most critical immediate assessment post-surgery.
2. Which laboratory value should the nurse monitor for a client receiving
Furosemide?
A. Serum Potassium
B. Serum Sodium
C. Serum Calcium
D. Serum Magnesium
Answer: A
Rationale: Furosemide is a loop diuretic that can cause significant potassium loss, leading
to hypokalemia.
,3. A client is prescribed Digoxin. Which clinical manifestation should the nurse
identify as a sign of toxicity?
A. Increased appetite
B. Hypertension
C. Blurred or yellow-tinged vision
D. Rapid weight gain
Answer: C
Rationale: Visual disturbances, such as yellow or green halos, are classic signs of digoxin
toxicity, along with nausea and bradycardia.
4. An LPN is caring for a client with a C. diff infection. Which infection control
measure is mandatory?
A. Wearing a N95 respirator
B. Using hand sanitizer after care
C. Keeping the room door closed at all times
D. Washing hands with soap and water
Answer: D
Rationale: C. diff spores are resistant to alcohol-based sanitizers; handwashing with soap
and water is required to mechanically remove spores.
5. The nurse is reinforcing teaching for a client with Type 1 Diabetes. Which is a
symptom of hypoglycemia?
A. Polydipsia
B. Sweating and shakiness
C. Fruity breath odor
D. Abdominal pain
Answer: B
Rationale: Hypoglycemia triggers the sympathetic nervous system, causing diaphoresis
(sweating), tremors, and tachycardia.
, 6. Which task can the LPN safely delegate to an Unlicensed Assistive Personnel
(UAP)?
A. Ambulating a stable client in the hallway
B. Feeding a client with a high risk of aspiration
C. Performing a sterile dressing change
D. Assessing a client’s pain level
Answer: A
Rationale: Ambulating a stable client is within the scope of a UAP, whereas assessment,
complex feeding, and sterile procedures belong to the nurse.
7. A client is receiving Warfarin. Which lab test is used to monitor the
effectiveness of this medication?
A. PTT
B. Platelet count
C. Hemoglobin
D. PT/INR
Answer: D
Rationale: Prothrombin Time (PT) and International Normalized Ratio (INR) are used to
monitor the therapeutic levels of Warfarin.
8. What is the first action a nurse should take when a client reports chest pain?
A. Administer Morphine
B. Obtain a 12-lead ECG
C. Call the family
D. Assess vital signs
Answer: D
Rationale: Initial assessment of vital signs provides immediate data on the client’s stability
before proceeding with diagnostic tests or interventions.
