LPN/LVN Comprehensive Practice Exam 2026/2027 UPDATE |SBON
1. A nurse is caring for a patient who is 1 day postoperative. Which of the
following is the priority assessment?
A. Pain level on a scale of 0 to 10
B. Bowel sounds and abdominal distension
C. Airway patency and oxygen saturation
D. Condition of the surgical dressing
Answer: C
Rationale: According to the ABC (Airway, Breathing, Circulation) framework, airway
patency is the highest priority for a postoperative patient.
2. A patient is prescribed Digoxin 0.125 mg daily. Which of the following
symptoms should the LPN report as a potential sign of toxicity?
A. Increased appetite
B. Bradycardia and visual disturbances
C. Hyperactivity and insomnia
D. Tachycardia and hypertension
Answer: B
Rationale: Common signs of digoxin toxicity include bradycardia, anorexia, nausea,
vomiting, and visual changes such as yellow-green halos.
,3. The nurse is preparing to care for a client with Clostridium difficile (C. diff).
Which infection control measure is most appropriate?
A. Wearing an N95 respirator mask
B. Using alcohol-based hand rub for hand hygiene
C. Washing hands with soap and water after care
D. Maintaining the client in a negative pressure room
Answer: C
Rationale: Soap and water are required for C. diff because alcohol-based rubs are
ineffective against the spores.
4. A client is receiving Warfarin for deep vein thrombosis. Which laboratory
value should the nurse monitor to evaluate effectiveness?
A. Prothrombin time (PT) and INR
B. Platelet count
C. Hemoglobin level
D. Activated partial thromboplastin time (aPTT)
Answer: A
Rationale: PT and INR are used to monitor the effectiveness of Warfarin therapy, while
aPTT is used for Heparin.
5. A nurse is administering Morphine sulfate to a client. Which vital sign is most
critical to assess before administration?
A. Temperature
B. Blood pressure
C. Respiratory rate
D. Oxygen saturation
Answer: C
Rationale: Morphine is an opioid that can cause respiratory depression; therefore, the
respiratory rate must be checked before giving the medication.
, 6. Which of the following actions by a nurse constitutes a HIPAA violation?
A. Discussing a patient’s case with the attending physician
B. Reviewing the chart of a patient assigned to the nurse
C. Discussing a patient’s condition in a crowded public elevator
D. Reporting a communicable disease to the health department
Answer: C
Rationale: Discussing patient information in public areas like elevators is a violation of
patient confidentiality and HIPAA regulations.
7. A diabetic client is found trembling, diaphoretic, and confused. What is the
nurse’s first action?
A. Check the client’s blood glucose level
B. Call the healthcare provider for a sedative
C. Administer the scheduled dose of insulin
D. Provide a high-protein snack immediately
Answer: A
Rationale: The client is showing signs of hypoglycemia; the nurse must confirm blood
glucose levels before initiating treatment protocols.
8. A patient with a new leg cast reports increasing pain that is not relieved by
elevation or medication. What is the nurse’s primary concern?
A. The patient is developing a pressure ulcer
B. The patient has a low pain tolerance
C. The patient is experiencing compartment syndrome
D. The cast is slightly too loose
Answer: C
Rationale: Unrelieved pain despite intervention is a classic sign of compartment
syndrome, which is a medical emergency.
1. A nurse is caring for a patient who is 1 day postoperative. Which of the
following is the priority assessment?
A. Pain level on a scale of 0 to 10
B. Bowel sounds and abdominal distension
C. Airway patency and oxygen saturation
D. Condition of the surgical dressing
Answer: C
Rationale: According to the ABC (Airway, Breathing, Circulation) framework, airway
patency is the highest priority for a postoperative patient.
2. A patient is prescribed Digoxin 0.125 mg daily. Which of the following
symptoms should the LPN report as a potential sign of toxicity?
A. Increased appetite
B. Bradycardia and visual disturbances
C. Hyperactivity and insomnia
D. Tachycardia and hypertension
Answer: B
Rationale: Common signs of digoxin toxicity include bradycardia, anorexia, nausea,
vomiting, and visual changes such as yellow-green halos.
,3. The nurse is preparing to care for a client with Clostridium difficile (C. diff).
Which infection control measure is most appropriate?
A. Wearing an N95 respirator mask
B. Using alcohol-based hand rub for hand hygiene
C. Washing hands with soap and water after care
D. Maintaining the client in a negative pressure room
Answer: C
Rationale: Soap and water are required for C. diff because alcohol-based rubs are
ineffective against the spores.
4. A client is receiving Warfarin for deep vein thrombosis. Which laboratory
value should the nurse monitor to evaluate effectiveness?
A. Prothrombin time (PT) and INR
B. Platelet count
C. Hemoglobin level
D. Activated partial thromboplastin time (aPTT)
Answer: A
Rationale: PT and INR are used to monitor the effectiveness of Warfarin therapy, while
aPTT is used for Heparin.
5. A nurse is administering Morphine sulfate to a client. Which vital sign is most
critical to assess before administration?
A. Temperature
B. Blood pressure
C. Respiratory rate
D. Oxygen saturation
Answer: C
Rationale: Morphine is an opioid that can cause respiratory depression; therefore, the
respiratory rate must be checked before giving the medication.
, 6. Which of the following actions by a nurse constitutes a HIPAA violation?
A. Discussing a patient’s case with the attending physician
B. Reviewing the chart of a patient assigned to the nurse
C. Discussing a patient’s condition in a crowded public elevator
D. Reporting a communicable disease to the health department
Answer: C
Rationale: Discussing patient information in public areas like elevators is a violation of
patient confidentiality and HIPAA regulations.
7. A diabetic client is found trembling, diaphoretic, and confused. What is the
nurse’s first action?
A. Check the client’s blood glucose level
B. Call the healthcare provider for a sedative
C. Administer the scheduled dose of insulin
D. Provide a high-protein snack immediately
Answer: A
Rationale: The client is showing signs of hypoglycemia; the nurse must confirm blood
glucose levels before initiating treatment protocols.
8. A patient with a new leg cast reports increasing pain that is not relieved by
elevation or medication. What is the nurse’s primary concern?
A. The patient is developing a pressure ulcer
B. The patient has a low pain tolerance
C. The patient is experiencing compartment syndrome
D. The cast is slightly too loose
Answer: C
Rationale: Unrelieved pain despite intervention is a classic sign of compartment
syndrome, which is a medical emergency.
