LPN/LVN Fundamentals of Nursing Care & Safety 2026 UPDATE |SBON
1. When verifying a patient’s identity before administering medication, what is
the most reliable method for the LPN?
A. Asking the patient their room number
B. Checking the name tag on the patient’s door
C. Checking the patient’s identification band and asking them to state their name and birthdate
D. Asking a family member to confirm the patient’s identity
Answer: C
Rationale: The standard of care for patient identification is using at least two identifiers,
typically the full name and date of birth, cross-referenced with the ID band.
2. In the event of a fire in a healthcare facility, which action should the nurse
perform first according to the RACE acronym?
A. Extinguish the fire using a portable extinguisher
B. Activate the fire alarm system
C. Confine the fire by closing doors
D. Rescue anyone in immediate danger
Answer: D
Rationale: RACE stands for Rescue, Alarm, Confine, and Extinguish/Evacuate. The first
priority is always the safety of the patients in immediate danger.
,3. What is the minimum duration a nurse should perform hand hygiene with
soap and water after caring for a patient with C. difficile?
A. 5 seconds
B. 20 seconds
C. 10 seconds
D. 60 seconds
Answer: B
Rationale: Handwashing with soap and water for at least 20 seconds is required for C.
difficile because alcohol-based rubs are ineffective against its spores.
4. An LPN discovers a patient has fallen in their room. After assessing the
patient and notifying the provider, where should the nurse document the
details of the incident?
A. In the medical record and an incident report
B. Only in the patient’s nursing notes
C. Only in the incident report
D. In the patient’s medical record, but do not mention that an incident report was filed
Answer: D
Rationale: Incidents should be documented objectively in the medical record, but the
incident report itself is an internal administrative document and should not be mentioned
in the medical record to maintain legal privilege.
5. Which action by a nurse represents a violation of HIPAA regulations?
A. Discussing a patient’s condition with the primary care provider
B. Reporting a case of a communicable disease to the public health department
C. Reviewing the chart of a patient currently under the nurse’s care
D. Discussing a patient’s case with a colleague in a crowded hospital cafeteria
Answer: D
, Rationale: Discussing patient information in public areas like cafeterias is a breach of
confidentiality and a HIPAA violation.
6. A nurse is preparing to insert a nasogastric (NG) tube. What is the most
accurate way to verify the initial placement of the tube?
A. Radiographic (X-ray) confirmation
B. Aspirating gastric contents and checking pH
C. Auscultating air bolus over the epigastrium
D. Observing for respiratory distress
Answer: A
Rationale: While pH testing is used for ongoing verification, a chest X-ray is the gold
standard for confirming the initial placement of an NG tube.
7. When caring for a patient on Droplet Precautions, which personal protective
equipment (PPE) is essential for the nurse to wear when entering the room?
A. N95 respirator
B. Gown and gloves only
C. Goggles and shoe covers
D. A surgical mask
Answer: D
Rationale: Droplet precautions require a surgical mask when within 3 to 6 feet of the
patient to prevent transmission of large-particle droplets.
8. A patient is placed in physical restraints for safety. How often must the nurse
remove the restraints to assess skin integrity and provide range-of-motion?
A. Every 2 hours
B. Every hour
C. Every 4 hours
D. Every 30 minutes
Answer: A
1. When verifying a patient’s identity before administering medication, what is
the most reliable method for the LPN?
A. Asking the patient their room number
B. Checking the name tag on the patient’s door
C. Checking the patient’s identification band and asking them to state their name and birthdate
D. Asking a family member to confirm the patient’s identity
Answer: C
Rationale: The standard of care for patient identification is using at least two identifiers,
typically the full name and date of birth, cross-referenced with the ID band.
2. In the event of a fire in a healthcare facility, which action should the nurse
perform first according to the RACE acronym?
A. Extinguish the fire using a portable extinguisher
B. Activate the fire alarm system
C. Confine the fire by closing doors
D. Rescue anyone in immediate danger
Answer: D
Rationale: RACE stands for Rescue, Alarm, Confine, and Extinguish/Evacuate. The first
priority is always the safety of the patients in immediate danger.
,3. What is the minimum duration a nurse should perform hand hygiene with
soap and water after caring for a patient with C. difficile?
A. 5 seconds
B. 20 seconds
C. 10 seconds
D. 60 seconds
Answer: B
Rationale: Handwashing with soap and water for at least 20 seconds is required for C.
difficile because alcohol-based rubs are ineffective against its spores.
4. An LPN discovers a patient has fallen in their room. After assessing the
patient and notifying the provider, where should the nurse document the
details of the incident?
A. In the medical record and an incident report
B. Only in the patient’s nursing notes
C. Only in the incident report
D. In the patient’s medical record, but do not mention that an incident report was filed
Answer: D
Rationale: Incidents should be documented objectively in the medical record, but the
incident report itself is an internal administrative document and should not be mentioned
in the medical record to maintain legal privilege.
5. Which action by a nurse represents a violation of HIPAA regulations?
A. Discussing a patient’s condition with the primary care provider
B. Reporting a case of a communicable disease to the public health department
C. Reviewing the chart of a patient currently under the nurse’s care
D. Discussing a patient’s case with a colleague in a crowded hospital cafeteria
Answer: D
, Rationale: Discussing patient information in public areas like cafeterias is a breach of
confidentiality and a HIPAA violation.
6. A nurse is preparing to insert a nasogastric (NG) tube. What is the most
accurate way to verify the initial placement of the tube?
A. Radiographic (X-ray) confirmation
B. Aspirating gastric contents and checking pH
C. Auscultating air bolus over the epigastrium
D. Observing for respiratory distress
Answer: A
Rationale: While pH testing is used for ongoing verification, a chest X-ray is the gold
standard for confirming the initial placement of an NG tube.
7. When caring for a patient on Droplet Precautions, which personal protective
equipment (PPE) is essential for the nurse to wear when entering the room?
A. N95 respirator
B. Gown and gloves only
C. Goggles and shoe covers
D. A surgical mask
Answer: D
Rationale: Droplet precautions require a surgical mask when within 3 to 6 feet of the
patient to prevent transmission of large-particle droplets.
8. A patient is placed in physical restraints for safety. How often must the nurse
remove the restraints to assess skin integrity and provide range-of-motion?
A. Every 2 hours
B. Every hour
C. Every 4 hours
D. Every 30 minutes
Answer: A
