LPN to ADN Bridge Final Exam Version 3 2026/2027 UPDATE
1. A nurse is caring for a client who reports sudden chest pain and shortness of
breath. Which action should the nurse take first?
A. Assess the client’s vital signs and oxygen saturation
B. Obtain a 12-lead electrocardiogram
C. Administer morphine sulfate intravenously
D. Notify the rapid response team
Answer: A
Rationale: According to the nursing process, assessment is the first step. The nurse must
gather data on vital signs and oxygenation to determine the severity before interventions
or notification.
2. A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN).
Which task is most appropriate for the LPN?
A. Administering an oral antibiotic to a stable client
B. Developing the initial plan of care for a new admission
C. Educating a client on how to manage a new colostomy
D. Evaluating the effectiveness of a client’s pain medication
Answer: A
Rationale: LPNs can administer medications to stable clients. Assessment, complex
teaching, and evaluation are roles primarily reserved for the RN.
,3. A nurse is reviewing the laboratory results for a client taking digoxin. Which
result should the nurse report to the provider immediately?
A. Digoxin level of 1.2 ng/mL
B. Potassium level of 3.1 mEq/L
C. Sodium level of 138 mEq/L
D. Calcium level of 9.5 mg/dL
Answer: B
Rationale: Hypokalemia (low potassium) significantly increases the risk of digoxin toxicity.
A level of 3.1 mEq/L is below the normal range (3.5-5.0 mEq/L).
4. A client has been diagnosed with Clostridioides difficile (C. diff). Which
infection control measure is mandatory?
A. Wearing an N95 respirator mask
B. Performing hand hygiene with alcohol-based rub
C. Placing the client in a positive-pressure room
D. Washing hands with soap and water after client contact
Answer: D
Rationale: C. diff spores are resistant to alcohol-based sanitizers. Vigorous handwashing
with soap and water is required to physically remove the spores.
5. A nurse is assessing a client with hyperkalemia. Which electrocardiogram
(EKG) change should the nurse expect to see?
A. Presence of a U wave
B. Tall, peaked T waves
C. ST-segment depression
D. Shortened PR interval
Answer: B
Rationale: Hyperkalemia typically causes tall, peaked T waves, widened QRS complexes,
and prolonged PR intervals on an EKG.
, 6. Which member of the healthcare team is responsible for obtaining informed
consent for a surgical procedure?
A. The charge nurse
B. The surgical nurse
C. The hospital administrator
D. The surgeon
Answer: D
Rationale: The provider performing the procedure (the surgeon) is responsible for
explaining the risks, benefits, and alternatives to obtain informed consent.
7. A nurse is caring for a client at 34 weeks gestation who has severe
preeclampsia. Which finding is a priority to report?
A. 1+ pedal edema
B. Blood pressure of 142/92 mmHg
C. Epigastric pain
D. Weight gain of 1 lb in a week
Answer: C
Rationale: Epigastric pain in a client with preeclampsia can indicate liver involvement or
impending HELLP syndrome, which is a medical emergency.
8. A nurse is caring for a client with schizophrenia who is experiencing auditory
hallucinations. Which response is most therapeutic?
A. ‘I don’t hear anything, so there must be no voices.’
B. ‘Stop listening to the voices; they aren’t real.’
C. ‘What are the voices telling you to do?’
D. ‘The voices are just a part of your imagination.’
Answer: C
Rationale: Assessing the content of hallucinations is critical for safety, especially to
determine if the voices are ‘command’ hallucinations.
1. A nurse is caring for a client who reports sudden chest pain and shortness of
breath. Which action should the nurse take first?
A. Assess the client’s vital signs and oxygen saturation
B. Obtain a 12-lead electrocardiogram
C. Administer morphine sulfate intravenously
D. Notify the rapid response team
Answer: A
Rationale: According to the nursing process, assessment is the first step. The nurse must
gather data on vital signs and oxygenation to determine the severity before interventions
or notification.
2. A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN).
Which task is most appropriate for the LPN?
A. Administering an oral antibiotic to a stable client
B. Developing the initial plan of care for a new admission
C. Educating a client on how to manage a new colostomy
D. Evaluating the effectiveness of a client’s pain medication
Answer: A
Rationale: LPNs can administer medications to stable clients. Assessment, complex
teaching, and evaluation are roles primarily reserved for the RN.
,3. A nurse is reviewing the laboratory results for a client taking digoxin. Which
result should the nurse report to the provider immediately?
A. Digoxin level of 1.2 ng/mL
B. Potassium level of 3.1 mEq/L
C. Sodium level of 138 mEq/L
D. Calcium level of 9.5 mg/dL
Answer: B
Rationale: Hypokalemia (low potassium) significantly increases the risk of digoxin toxicity.
A level of 3.1 mEq/L is below the normal range (3.5-5.0 mEq/L).
4. A client has been diagnosed with Clostridioides difficile (C. diff). Which
infection control measure is mandatory?
A. Wearing an N95 respirator mask
B. Performing hand hygiene with alcohol-based rub
C. Placing the client in a positive-pressure room
D. Washing hands with soap and water after client contact
Answer: D
Rationale: C. diff spores are resistant to alcohol-based sanitizers. Vigorous handwashing
with soap and water is required to physically remove the spores.
5. A nurse is assessing a client with hyperkalemia. Which electrocardiogram
(EKG) change should the nurse expect to see?
A. Presence of a U wave
B. Tall, peaked T waves
C. ST-segment depression
D. Shortened PR interval
Answer: B
Rationale: Hyperkalemia typically causes tall, peaked T waves, widened QRS complexes,
and prolonged PR intervals on an EKG.
, 6. Which member of the healthcare team is responsible for obtaining informed
consent for a surgical procedure?
A. The charge nurse
B. The surgical nurse
C. The hospital administrator
D. The surgeon
Answer: D
Rationale: The provider performing the procedure (the surgeon) is responsible for
explaining the risks, benefits, and alternatives to obtain informed consent.
7. A nurse is caring for a client at 34 weeks gestation who has severe
preeclampsia. Which finding is a priority to report?
A. 1+ pedal edema
B. Blood pressure of 142/92 mmHg
C. Epigastric pain
D. Weight gain of 1 lb in a week
Answer: C
Rationale: Epigastric pain in a client with preeclampsia can indicate liver involvement or
impending HELLP syndrome, which is a medical emergency.
8. A nurse is caring for a client with schizophrenia who is experiencing auditory
hallucinations. Which response is most therapeutic?
A. ‘I don’t hear anything, so there must be no voices.’
B. ‘Stop listening to the voices; they aren’t real.’
C. ‘What are the voices telling you to do?’
D. ‘The voices are just a part of your imagination.’
Answer: C
Rationale: Assessing the content of hallucinations is critical for safety, especially to
determine if the voices are ‘command’ hallucinations.
