UNITEK COLLEGE LVN PROGRAM EXIT EXAM 2026 |
ACCURATE REAL EXAM QUESTION AND ANSWERS WITH
RATIONALES | EXPERT VERIFIED FOR GUARANTEED
PASS | GRADED A
Q1. Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A. 5% Dextrose and water
B. Normal saline
C. Lactated Ringers solution
D. 5% Dextrose and lactated ringers
Answer: B
Rationale: Normal saline solution is the only solution that is compatible with
blood. Dextrose solutions and Lactated Ringer's can cause hemolysis or clotting.
Q2. When assisting a client from the bed to a chair, which procedure is best for
the nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed
and assist the client in moving to the chair.
B. Stand with feet together and lift under axillae
C. Place chair parallel to bed, spread feet, pivot
D. Have client put arms around nurse's neck
Answer: C
Rationale: A wide base of support protects both nurse and client. Lifting under
axillae can cause nerve damage. The chair should be placed at a 45-degree angle
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,to the bed, with the back toward the head of the bed, and the nurse should stand,
spread feet, and pivot the client into the chair.
Q3. A patient is on contact precautions for Clostridium difficile. Which PPE is
required when entering the room?
A. Surgical mask and gloves
B. N95 respirator and gown
C. Gloves and gown
D. Gown and eye protection
Answer: C
Rationale: Contact precautions require gloves and a gown. C. diff is transmitted
via fecal-oral route, and spores can survive on surfaces. Hand hygiene with soap
and water is required (alcohol-based sanitizers are ineffective).
Q4. The LVN is preparing to insert a Foley catheter. Which action maintains sterile
technique?
A. Place the sterile field at waist level
B. Open the sterile kit with gloved hands
C. Use the dominant hand for sterile field, non-dominant for cleaning
D. Pour sterile normal saline from a bottle held at waist level
Answer: A
Rationale: Sterile fields must be placed at or above waist level. The outer wrapper
is opened with bare hands, not gloved. A sterile drape should be used. The
dominant hand is usually used for sterile technique.
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,Q5. A patient falls in the hallway. What is the LVN's priority action?
A. Call the physician
B. Assess the patient for injury
C. Complete an incident report
D. Notify the family
Answer: B
Rationale: Assessment of the patient for injury is the first priority. After ensuring
safety, the nurse should notify the provider and complete an incident report, but
patient assessment comes first.
Q6. Which patient poses the highest risk for falls?
A. A 45-year-old with hypertension
B. A 70-year-old who uses a cane
C. An 80-year-old who has dementia and takes sedatives
D. A 60-year-old with diabetes
Answer: C
Rationale: Advanced age, cognitive impairment (dementia), and sedative
medications are all major fall risk factors. This patient has multiple risk factors.
Q7. The nurse is applying restraints to a confused patient. Which action is
appropriate?
A. Tie restraints to the side rail
B. Apply restraints tightly to prevent movement
C. Tie restraints with a quick-release knot to the bed frame
D. Leave restraints on for 8 hours without reassessment
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, Answer: C
Rationale: Restraints must be tied to the bed frame (not side rails) with a quick-
release knot. They should be snug but not tight, and reassessed every 2 hours.
Side rails can move and tighten the restraints.
Q8. A patient on contact precautions for MRSA asks to go to the cafeteria. What
should the LVN do?
A. Allow the patient to go if they wear a mask
B. Tell the patient they must stay in their room
C. Allow the patient to go if they use hand sanitizer
D. Ask the physician for permission
Answer: B
Rationale: Patients on contact precautions must remain in their room to prevent
transmission to others. They should not go to public areas.
Q9. The LVN is preparing to irrigate a wound. Which solution is most commonly
used?
A. Sterile water
B. Hydrogen peroxide
C. Normal saline
D. Povidone-iodine
Answer: C
Rationale: Normal saline is the preferred solution for wound irrigation because it
is isotonic and does not damage granulation tissue. Hydrogen peroxide and iodine
can be cytotoxic to healing tissue.
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ACCURATE REAL EXAM QUESTION AND ANSWERS WITH
RATIONALES | EXPERT VERIFIED FOR GUARANTEED
PASS | GRADED A
Q1. Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A. 5% Dextrose and water
B. Normal saline
C. Lactated Ringers solution
D. 5% Dextrose and lactated ringers
Answer: B
Rationale: Normal saline solution is the only solution that is compatible with
blood. Dextrose solutions and Lactated Ringer's can cause hemolysis or clotting.
Q2. When assisting a client from the bed to a chair, which procedure is best for
the nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed
and assist the client in moving to the chair.
B. Stand with feet together and lift under axillae
C. Place chair parallel to bed, spread feet, pivot
D. Have client put arms around nurse's neck
Answer: C
Rationale: A wide base of support protects both nurse and client. Lifting under
axillae can cause nerve damage. The chair should be placed at a 45-degree angle
1|Page
,to the bed, with the back toward the head of the bed, and the nurse should stand,
spread feet, and pivot the client into the chair.
Q3. A patient is on contact precautions for Clostridium difficile. Which PPE is
required when entering the room?
A. Surgical mask and gloves
B. N95 respirator and gown
C. Gloves and gown
D. Gown and eye protection
Answer: C
Rationale: Contact precautions require gloves and a gown. C. diff is transmitted
via fecal-oral route, and spores can survive on surfaces. Hand hygiene with soap
and water is required (alcohol-based sanitizers are ineffective).
Q4. The LVN is preparing to insert a Foley catheter. Which action maintains sterile
technique?
A. Place the sterile field at waist level
B. Open the sterile kit with gloved hands
C. Use the dominant hand for sterile field, non-dominant for cleaning
D. Pour sterile normal saline from a bottle held at waist level
Answer: A
Rationale: Sterile fields must be placed at or above waist level. The outer wrapper
is opened with bare hands, not gloved. A sterile drape should be used. The
dominant hand is usually used for sterile technique.
2|Page
,Q5. A patient falls in the hallway. What is the LVN's priority action?
A. Call the physician
B. Assess the patient for injury
C. Complete an incident report
D. Notify the family
Answer: B
Rationale: Assessment of the patient for injury is the first priority. After ensuring
safety, the nurse should notify the provider and complete an incident report, but
patient assessment comes first.
Q6. Which patient poses the highest risk for falls?
A. A 45-year-old with hypertension
B. A 70-year-old who uses a cane
C. An 80-year-old who has dementia and takes sedatives
D. A 60-year-old with diabetes
Answer: C
Rationale: Advanced age, cognitive impairment (dementia), and sedative
medications are all major fall risk factors. This patient has multiple risk factors.
Q7. The nurse is applying restraints to a confused patient. Which action is
appropriate?
A. Tie restraints to the side rail
B. Apply restraints tightly to prevent movement
C. Tie restraints with a quick-release knot to the bed frame
D. Leave restraints on for 8 hours without reassessment
3|Page
, Answer: C
Rationale: Restraints must be tied to the bed frame (not side rails) with a quick-
release knot. They should be snug but not tight, and reassessed every 2 hours.
Side rails can move and tighten the restraints.
Q8. A patient on contact precautions for MRSA asks to go to the cafeteria. What
should the LVN do?
A. Allow the patient to go if they wear a mask
B. Tell the patient they must stay in their room
C. Allow the patient to go if they use hand sanitizer
D. Ask the physician for permission
Answer: B
Rationale: Patients on contact precautions must remain in their room to prevent
transmission to others. They should not go to public areas.
Q9. The LVN is preparing to irrigate a wound. Which solution is most commonly
used?
A. Sterile water
B. Hydrogen peroxide
C. Normal saline
D. Povidone-iodine
Answer: C
Rationale: Normal saline is the preferred solution for wound irrigation because it
is isotonic and does not damage granulation tissue. Hydrogen peroxide and iodine
can be cytotoxic to healing tissue.
4|Page
