UNITEK COLLEGE LVN PROGRAM EXIT EXAM
– 300 PRACTICE QUESTIONS WITH
RATIONALES
SECTION A: MANAGEMENT OF CARE (Questions 1-50)
Question 1
A licensed vocational nurse (LVN) is caring for a group of patients. Which task can
the LVN legally delegate to an unlicensed assistive personnel (UAP)?
A) Administering oral medications
B) Measuring vital signs on a stable patient
C) Assessing a patient's lung sounds
D) Teaching a patient about insulin administration
Correct Answer: B
Rationale: UAPs can measure vital signs, assist with activities of daily living
(bathing, feeding, ambulation), and obtain routine measurements on stable
,patients under RN/LVN supervision. Assessment, medication administration, and
patient teaching require clinical judgment and licensed nursing knowledge and
cannot be delegated to UAPs .
---
Question 2
A patient with a terminal illness tells the LVN, "I don't want to be resuscitated if
my heart stops." What is the most appropriate nursing action?
A) Respect the patient's wishes and document them
B) Tell the patient to discuss this with the physician
C) Place a "Do Not Resuscitate" (DNR) order in the chart
D) Notify the healthcare provider to obtain a written DNR order
Correct Answer: D
Rationale: While the LVN should respect and advocate for the patient's wishes, a
DNR order must be written by a physician or authorized provider. The LVN should
notify the provider so that a legal DNR order can be obtained and documented in
the patient's medical record .
---
Question 3
,A nurse is administering two drugs concomitantly to a client. Which interaction
occurs when two drugs with the same qualitative effects produce a response
greater than either drug produces alone?
A) Hyporeactivity
B) Tolerance
C) Synergism
D) Antagonism
Correct Answer: C
Rationale: Synergism occurs when two drugs with the same qualitative effects
produce a response when given together greater than either drug produces when
given alone. Tolerance is a decreased response to a drug. Antagonism occurs when
the combined response is less than either drug alone. Hyporeactivity is a less-
than-usual response to a normal drug dose .
---
Question 4
The nurse manager of a skilled nursing unit is instructing UAPs on ways to prevent
complications of immobility. Which action should be included?
A) Perform range-of-motion exercises to all immobilized patients
B) Keep bed rails up at all times
, C) Restrict fluid intake to prevent incontinence
D) Position patient supine with knees elevated
Correct Answer: A
Rationale: Range-of-motion (ROM) exercises help prevent contractures, maintain
joint mobility, and improve circulation in immobilized patients. Fluid restriction is
contraindicated as it increases the risk of dehydration, UTIs, and constipation.
Supine with knees elevated can contribute to knee flexion contractures .
---
Question 5
A nurse is preparing to transfer a client from the bed to a chair. Which technique
demonstrates proper body mechanics?
A) Stand with feet close together for stability
B) Place the chair at a 45-degree angle to the bed, stand with a wide base of
support, and stabilize the client's knees
C) Lift the client under the axillae
D) Stand beside the client, place the client's arms around the nurse's neck, and
gently move the client to the chair
Correct Answer: B
– 300 PRACTICE QUESTIONS WITH
RATIONALES
SECTION A: MANAGEMENT OF CARE (Questions 1-50)
Question 1
A licensed vocational nurse (LVN) is caring for a group of patients. Which task can
the LVN legally delegate to an unlicensed assistive personnel (UAP)?
A) Administering oral medications
B) Measuring vital signs on a stable patient
C) Assessing a patient's lung sounds
D) Teaching a patient about insulin administration
Correct Answer: B
Rationale: UAPs can measure vital signs, assist with activities of daily living
(bathing, feeding, ambulation), and obtain routine measurements on stable
,patients under RN/LVN supervision. Assessment, medication administration, and
patient teaching require clinical judgment and licensed nursing knowledge and
cannot be delegated to UAPs .
---
Question 2
A patient with a terminal illness tells the LVN, "I don't want to be resuscitated if
my heart stops." What is the most appropriate nursing action?
A) Respect the patient's wishes and document them
B) Tell the patient to discuss this with the physician
C) Place a "Do Not Resuscitate" (DNR) order in the chart
D) Notify the healthcare provider to obtain a written DNR order
Correct Answer: D
Rationale: While the LVN should respect and advocate for the patient's wishes, a
DNR order must be written by a physician or authorized provider. The LVN should
notify the provider so that a legal DNR order can be obtained and documented in
the patient's medical record .
---
Question 3
,A nurse is administering two drugs concomitantly to a client. Which interaction
occurs when two drugs with the same qualitative effects produce a response
greater than either drug produces alone?
A) Hyporeactivity
B) Tolerance
C) Synergism
D) Antagonism
Correct Answer: C
Rationale: Synergism occurs when two drugs with the same qualitative effects
produce a response when given together greater than either drug produces when
given alone. Tolerance is a decreased response to a drug. Antagonism occurs when
the combined response is less than either drug alone. Hyporeactivity is a less-
than-usual response to a normal drug dose .
---
Question 4
The nurse manager of a skilled nursing unit is instructing UAPs on ways to prevent
complications of immobility. Which action should be included?
A) Perform range-of-motion exercises to all immobilized patients
B) Keep bed rails up at all times
, C) Restrict fluid intake to prevent incontinence
D) Position patient supine with knees elevated
Correct Answer: A
Rationale: Range-of-motion (ROM) exercises help prevent contractures, maintain
joint mobility, and improve circulation in immobilized patients. Fluid restriction is
contraindicated as it increases the risk of dehydration, UTIs, and constipation.
Supine with knees elevated can contribute to knee flexion contractures .
---
Question 5
A nurse is preparing to transfer a client from the bed to a chair. Which technique
demonstrates proper body mechanics?
A) Stand with feet close together for stability
B) Place the chair at a 45-degree angle to the bed, stand with a wide base of
support, and stabilize the client's knees
C) Lift the client under the axillae
D) Stand beside the client, place the client's arms around the nurse's neck, and
gently move the client to the chair
Correct Answer: B
