LPN exit class Final Exam Questions With Accurate Answers
2026-2027 100% Guarantee Pass
1. Describe the key components of the nursing management protocol for
transfusion reactions.
The protocol involves continuing the transfusion and administering
fluids.
The protocol includes stopping the transfusion, maintaining venous
access, monitoring vital signs, and notifying the healthcare provider.
The protocol requires the nurse to document the reaction before
taking any action.
The protocol is only necessary for severe reactions.
2. Airborne precautions require:
Negative pressure room
Specialized mask to be worn by visitors entering room
Specialized mask to be worn by patient being transported
All of the above
3. Describe the importance of monitoring vital signs in patients with
hypercalcemia.
Monitoring vital signs helps detect complications such as cardiac
arrhythmias.
Monitoring vital signs is only important before treatment.
Monitoring vital signs only helps in assessing pain levels.
Monitoring vital signs is unnecessary for patients with hypercalcemia.
,4. Which of these signs of Superior Vena Cava Syndrome (SVCS) in a client with
lung cancer would make the nurse MOST concerned?
Jugular Venous Distention
Headache
Periorbital edema
Dyspnea
5. What is the first-line medication used to treat anaphylactic shock?
Albuterol
Diphenhydramine
Prednisone
Epinephrine
6. ____ 51. The appropriate nursing intervention for a client with a high uric acid
level as a result of treatment with anticancer drugs is:
force fluids.
handle the patient gently.
use a bland, high-caloric liquid diet.
prevent contact with infectious agents and people.
7. The major controllable risk factors in cancer are inactivity, obesity,
alcohol, smoking, and infections
heredity, chemicals, and viruses
radiation, asbestos, and environmental toxins
tobacco usage, sun overexposure, and diet
, heredity, preservatives, and radiation
8. What are common risk factors for traumatic injuries in older adults?
Improved balance
Decreased bone density
Increased muscle mass
Enhanced reflexes
9. What is the primary function of Cranial Nerve X?
It is responsible for autonomic control of the heart, lungs, and
digestive tract.
It is involved in vision and eye movement.
It controls facial expressions and taste sensations.
It regulates balance and hearing.
10. If a patient presents with severe abdominal pain and a history of
inflammatory bowel disease, which diagnostic test would be most
appropriate to determine the cause?
Colonoscopy
Blood test
CT scan
Ultrasound
11. Describe the importance of monitoring serum lithium levels in patients
undergoing lithium treatment.
, Monitoring serum lithium levels is crucial to ensure therapeutic
effectiveness and prevent toxicity.
Monitoring serum lithium levels is only necessary if side effects occur.
Monitoring serum lithium levels is done to check kidney function only.
Monitoring serum lithium levels is not important as lithium is safe.
12. Describe the significance of recognizing late manifestations of spinal cord
compression in nursing practice.
They only affect the patient's mobility.
They are irrelevant to patient care and management.
Recognizing late manifestations is crucial for timely intervention
and preventing further complications.
Late manifestations indicate a complete recovery is imminent.
13. A patient presents with difficulty swallowing and a hoarse voice. Which
cranial nerve might be affected, and what immediate assessment should be
performed?
Cranial Nerve II; perform a visual field test.
Cranial Nerve VII; check for facial droop and taste sensation.
Cranial Nerve VIII; evaluate hearing and balance.
Cranial Nerve X; assess the gag reflex and swallowing ability.
14. If a patient with Crohn's disease is not responding to corticosteroids, what
would be the next step in their management plan before considering
surgery?
Switch to antibiotics
Immediately schedule surgery
2026-2027 100% Guarantee Pass
1. Describe the key components of the nursing management protocol for
transfusion reactions.
The protocol involves continuing the transfusion and administering
fluids.
The protocol includes stopping the transfusion, maintaining venous
access, monitoring vital signs, and notifying the healthcare provider.
The protocol requires the nurse to document the reaction before
taking any action.
The protocol is only necessary for severe reactions.
2. Airborne precautions require:
Negative pressure room
Specialized mask to be worn by visitors entering room
Specialized mask to be worn by patient being transported
All of the above
3. Describe the importance of monitoring vital signs in patients with
hypercalcemia.
Monitoring vital signs helps detect complications such as cardiac
arrhythmias.
Monitoring vital signs is only important before treatment.
Monitoring vital signs only helps in assessing pain levels.
Monitoring vital signs is unnecessary for patients with hypercalcemia.
,4. Which of these signs of Superior Vena Cava Syndrome (SVCS) in a client with
lung cancer would make the nurse MOST concerned?
Jugular Venous Distention
Headache
Periorbital edema
Dyspnea
5. What is the first-line medication used to treat anaphylactic shock?
Albuterol
Diphenhydramine
Prednisone
Epinephrine
6. ____ 51. The appropriate nursing intervention for a client with a high uric acid
level as a result of treatment with anticancer drugs is:
force fluids.
handle the patient gently.
use a bland, high-caloric liquid diet.
prevent contact with infectious agents and people.
7. The major controllable risk factors in cancer are inactivity, obesity,
alcohol, smoking, and infections
heredity, chemicals, and viruses
radiation, asbestos, and environmental toxins
tobacco usage, sun overexposure, and diet
, heredity, preservatives, and radiation
8. What are common risk factors for traumatic injuries in older adults?
Improved balance
Decreased bone density
Increased muscle mass
Enhanced reflexes
9. What is the primary function of Cranial Nerve X?
It is responsible for autonomic control of the heart, lungs, and
digestive tract.
It is involved in vision and eye movement.
It controls facial expressions and taste sensations.
It regulates balance and hearing.
10. If a patient presents with severe abdominal pain and a history of
inflammatory bowel disease, which diagnostic test would be most
appropriate to determine the cause?
Colonoscopy
Blood test
CT scan
Ultrasound
11. Describe the importance of monitoring serum lithium levels in patients
undergoing lithium treatment.
, Monitoring serum lithium levels is crucial to ensure therapeutic
effectiveness and prevent toxicity.
Monitoring serum lithium levels is only necessary if side effects occur.
Monitoring serum lithium levels is done to check kidney function only.
Monitoring serum lithium levels is not important as lithium is safe.
12. Describe the significance of recognizing late manifestations of spinal cord
compression in nursing practice.
They only affect the patient's mobility.
They are irrelevant to patient care and management.
Recognizing late manifestations is crucial for timely intervention
and preventing further complications.
Late manifestations indicate a complete recovery is imminent.
13. A patient presents with difficulty swallowing and a hoarse voice. Which
cranial nerve might be affected, and what immediate assessment should be
performed?
Cranial Nerve II; perform a visual field test.
Cranial Nerve VII; check for facial droop and taste sensation.
Cranial Nerve VIII; evaluate hearing and balance.
Cranial Nerve X; assess the gag reflex and swallowing ability.
14. If a patient with Crohn's disease is not responding to corticosteroids, what
would be the next step in their management plan before considering
surgery?
Switch to antibiotics
Immediately schedule surgery
