2026/2027 | ACCURATE REAL EXAM QUESTION AND
ANSWERS WITH RATIONALES | EXPERT VERIFIED FOR
GUARANTEED PASS | GRADED A+
1. An 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: Normal saline
Rationale: Normal saline is isotonic and does not damage granulation tissue.
Hydrogen peroxide and iodine are cytotoxic to healing tissue.
2. A patient has a fire in their room. What is the correct order of actions
(RACE)?
A) Rescue, Alarm, Contain, Extinguish
B) Remove, Alarm, Call, Extinguish
C) Rescue, Activate, Confine, Extinguish/Evacuate
D) Run, Alert, Call, Exit
Answer A: Rescue, Alarm, Contain, Extinguish
,Rationale: RACE stands for Rescue (move patients to safety), Alarm (pull fire
alarm), Contain (close doors/windows), and Extinguish/Evacuate.
3. Which patient should be placed in a private room?
A) A patient with pneumonia
B) A patient with tuberculosis
C) A patient with a urinary tract infection
D) A patient with a wound infection
Answer B: A patient with tuberculosis
Rationale: Tuberculosis requires airborne precautions and a negative pressure
private room.
4. The LVN is disposing of a used needle. Which action is correct?
A) Place the uncapped needle directly into a puncture-proof sharps container
B) Recap the needle before disposal
C) Bend the needle before disposal
D) Place the needle in a regular trash can
Answer A: Place the uncapped needle directly into a puncture-proof sharps
container
Rationale: Used needles should be placed uncapped directly into a sharps
container to prevent needlestick injuries.
,5. 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: Tell the patient they must stay in their room
Rationale: Patients on contact precautions must remain in their room to prevent
transmission to others.
6. A patient is having a seizure. What should the LVN do first?
A) Insert a tongue depressor
B) Restrain the patient
C) Move furniture away from the patient
D) Give the patient water after the seizure
Answer C: Move furniture away from the patient
Rationale: During a seizure, protect the patient from injury by moving furniture
away. Never insert anything into the mouth.
7. A patient is on contact precautions for Clostridium difficile (C. diff). Which
infection control measure is most important?
A) Wearing an N95 respirator
B) Using alcohol-based hand sanitizer
, C) Washing hands with soap and water
D) Placing the patient in a negative pressure room
Answer C: Washing hands with soap and water
Rationale: C. difficile spores are not killed by alcohol-based hand sanitizers. Hand
hygiene with soap and water is required.
8. How should the LVN properly apply soft wrist restraints?
A) Tie restraints to the side rail
B) Tie restraints to the bed frame with a quick-release knot
C) Tie restraints tightly to prevent movement
D) Apply restraints without a provider order
Answer B: Tie restraints to the bed frame with a quick-release knot
Rationale: Restraints must be tied to the bed frame with a quick-release knot and
assessed every 2 hours.
9. An LVN is preparing to administer a medication via a nasogastric tube.
Which action is most important before administration?
A) Flush the tube with 30 mL of water
B) Verify tube placement by aspirating gastric contents and checking pH
C) Crush all medications regardless of formulation
D) Elevate the head of the bed to 15 degrees
Answer B: Verify tube placement by aspirating gastric contents and checking
pH