LPN/LVN Module Exam 2 (NCLEX-PN) - Week 6 2026 UPDATE |SBON
1. Which action should the LPN/LVN prioritize when a patient reports sudden
shortness of breath and chest pain?
A. Assess vital signs and pulse oximetry
B. Administer prescribed pain medication
C. Notify the dietary department
D. Perform a complete head-to-toe assessment
Answer: A
Rationale: Assessing vital signs and oxygen saturation is the priority to determine the
patient’s immediate physiological status during a respiratory or cardiac event.
2. When administering Digoxin to a patient, which vital sign must be checked
first?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Apical pulse for one full minute
Answer: D
Rationale: Digoxin can cause bradycardia; therefore, the apical pulse must be taken for a
full minute, and the dose held if the heart rate is below 60 bpm.
,3. A patient with Type 1 Diabetes is found sweaty, shaky, and confused. What is
the first action the nurse should take?
A. Administer 10 units of regular insulin
B. Check the capillary blood glucose level
C. Call the healthcare provider immediately
D. Offer the patient a high-protein snack
Answer: B
Rationale: The symptoms suggest hypoglycemia; checking the blood glucose level
confirms the diagnosis before implementing the ‘Rule of 15’ treatment.
4. Which type of isolation precaution is required for a patient diagnosed with
Tuberculosis (TB)?
A. Standard precautions
B. Airborne precautions
C. Droplet precautions
D. Contact precautions
Answer: B
Rationale: Tuberculosis is spread through small particles that remain suspended in the air,
requiring an N95 respirator and a negative pressure room.
5. The nurse is caring for a patient on Warfarin therapy. Which laboratory value
is used to monitor the effectiveness of this medication?
A. International Normalized Ratio (INR)
B. Hemoglobin and Hematocrit
C. White blood cell count
D. Serum potassium
Answer: A
Rationale: INR is the standard laboratory test used to monitor the therapeutic range of
Warfarin to prevent clotting or excessive bleeding.
, 6. What is the primary purpose of an incentive spirometer after surgery?
A. To measure the patient’s lung capacity
B. To increase the patient’s heart rate
C. To reduce post-operative pain
D. To prevent atelectasis and pneumonia
Answer: D
Rationale: Incentive spirometry encourages deep breathing, which helps keep the alveoli
open and prevents lung complications like atelectasis.
7. A patient is prescribed Furosemide. Which electrolyte should the nurse
monitor closely?
A. Sodium
B. Calcium
C. Potassium
D. Magnesium
Answer: C
Rationale: Furosemide is a loop diuretic that causes the excretion of potassium, which can
lead to life-threatening hypokalemia.
8. Which of the following is a symptom of right-sided heart failure?
A. Crackles in the lungs
B. Peripheral edema
C. Shortness of breath
D. Coughing up pink frothy sputum
Answer: B
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention, and liver enlargement.
1. Which action should the LPN/LVN prioritize when a patient reports sudden
shortness of breath and chest pain?
A. Assess vital signs and pulse oximetry
B. Administer prescribed pain medication
C. Notify the dietary department
D. Perform a complete head-to-toe assessment
Answer: A
Rationale: Assessing vital signs and oxygen saturation is the priority to determine the
patient’s immediate physiological status during a respiratory or cardiac event.
2. When administering Digoxin to a patient, which vital sign must be checked
first?
A. Blood pressure
B. Respiratory rate
C. Temperature
D. Apical pulse for one full minute
Answer: D
Rationale: Digoxin can cause bradycardia; therefore, the apical pulse must be taken for a
full minute, and the dose held if the heart rate is below 60 bpm.
,3. A patient with Type 1 Diabetes is found sweaty, shaky, and confused. What is
the first action the nurse should take?
A. Administer 10 units of regular insulin
B. Check the capillary blood glucose level
C. Call the healthcare provider immediately
D. Offer the patient a high-protein snack
Answer: B
Rationale: The symptoms suggest hypoglycemia; checking the blood glucose level
confirms the diagnosis before implementing the ‘Rule of 15’ treatment.
4. Which type of isolation precaution is required for a patient diagnosed with
Tuberculosis (TB)?
A. Standard precautions
B. Airborne precautions
C. Droplet precautions
D. Contact precautions
Answer: B
Rationale: Tuberculosis is spread through small particles that remain suspended in the air,
requiring an N95 respirator and a negative pressure room.
5. The nurse is caring for a patient on Warfarin therapy. Which laboratory value
is used to monitor the effectiveness of this medication?
A. International Normalized Ratio (INR)
B. Hemoglobin and Hematocrit
C. White blood cell count
D. Serum potassium
Answer: A
Rationale: INR is the standard laboratory test used to monitor the therapeutic range of
Warfarin to prevent clotting or excessive bleeding.
, 6. What is the primary purpose of an incentive spirometer after surgery?
A. To measure the patient’s lung capacity
B. To increase the patient’s heart rate
C. To reduce post-operative pain
D. To prevent atelectasis and pneumonia
Answer: D
Rationale: Incentive spirometry encourages deep breathing, which helps keep the alveoli
open and prevents lung complications like atelectasis.
7. A patient is prescribed Furosemide. Which electrolyte should the nurse
monitor closely?
A. Sodium
B. Calcium
C. Potassium
D. Magnesium
Answer: C
Rationale: Furosemide is a loop diuretic that causes the excretion of potassium, which can
lead to life-threatening hypokalemia.
8. Which of the following is a symptom of right-sided heart failure?
A. Crackles in the lungs
B. Peripheral edema
C. Shortness of breath
D. Coughing up pink frothy sputum
Answer: B
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention, and liver enlargement.
