CONNECTICUT LPN LICENSURE NCLEX-
PN EXAM 2026/2027: 150 VERIFIED
QUESTIONS & ANSWERS WITH
RATIONALES – CT BOARD OF
EXAMINERS FOR NURSING PREP |
INSTANT DOWNLOAD
PART 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions
1–30)
1. A nurse is caring for a client who has a new prescription for a restraint.
Which of the following actions is appropriate?
A. Apply the restraint tightly to prevent movement
B. Obtain a provider's order within 1 hour of application
C. Tie the restraint to the side rail of the bed
D. Remove the restraint every 4 hours for 5 minutes
Answer: B. Rationale: Restraints require a provider's order within 1 hour of application.
Restraints should be tied to the bed frame (not side rail) and removed every 2 hours.
2. A nurse is preparing to administer a medication via the IM route. Which
needle length is appropriate for an IM injection in an adult?
A. 1/2 inch
B. 5/8 inch
C. 1 inch
D. 1 1/2 inch
Answer: D. Rationale: IM injections in adults typically require a 1–1.5 inch needle to
reach the muscle tissue.
,3. A client is on contact precautions. Which PPE should the nurse wear when
entering the room?
A. Surgical mask
B. N95 respirator
C. Gloves and gown
D. Eye protection
Answer: C. Rationale: Contact precautions require gloves and gown to prevent
transmission of organisms.
4. A nurse is completing an incident report after a client fall. Which action is
correct?
A. Place the incident report in the client's chart
B. Complete the report within 24 hours
C. Include opinions about why the fall occurred
D. Wait for the provider to complete the report
Answer: B. Rationale: Incident reports should be completed within 24 hours and are
not placed in the client's chart.
5. A client with a latex allergy is being admitted. Which action should the nurse
take?
A. Use a rubber tourniquet for blood draw
B. Schedule the client as the first procedure of the day
C. Use latex gloves but double-glove
D. Place the client in a semi-private room
Answer: B. Rationale: A client with a latex allergy should be scheduled as the first
procedure of the day to minimize exposure to latex particles in the air. Latex-free
equipment must be used throughout the room.
6. A nurse is caring for four clients. Which client should the nurse assess FIRST?
A. Client with pneumonia who has crackles in the lung bases
B. Client who reports sudden onset of chest pain and shortness of breath
,C. Client with diabetes who has a blood glucose of 220 mg/dL
D. Client with a wound infection who has a temperature of 101.2°F
Answer: B. Rationale: The client with sudden onset of chest pain and shortness of
breath is experiencing a potential life-threatening emergency (possibly pulmonary
embolism or myocardial infarction). Airway and breathing are compromised, making
this the priority. Apply the ABC framework: Airway, Breathing, Circulation.
7. A charge nurse is assigning tasks to staff members. Which of the following
tasks should the nurse delegate to an LPN?
A. Administering a prescribed oral medication
B. Performing an initial admission assessment
C. Developing a plan of care
D. Educating a client about a new diagnosis
Answer: A. Rationale: LPNs can administer oral medications and perform stable client
care. Initial assessments, care planning, and client education are within the RN scope of
practice and cannot be delegated to LPNs.
8. A nurse is providing a handoff report to the oncoming shift. Which of the
following should the nurse include?
A. Current assessment findings and pending tasks
B. The client's entire medical history
C. Personal opinions about the client
D. The client's room number and diagnosis only
Answer: A. Rationale: An effective handoff report includes current assessment findings,
pending tasks, and priority concerns. Use the SBAR format: Situation, Background,
Assessment, Recommendation.
9. A nurse is preparing to administer a medication. Which of the following
actions should the nurse take to ensure the right patient?
A. Ask the client, "What is your name?"
B. Verify the client's name and date of birth against the MAR using two identifiers
, C. Check the client's room number
D. Ask the client's family member to identify the client
Answer: B. Rationale: The correct method for verifying patient identification is to use
two identifiers (e.g., name and date of birth) and compare them to the MAR. Asking
only the client's name or using room numbers is insufficient.
10. The charge nurse on a medical-surgical unit is making assignments for a
licensed practical nurse (LPN). Which task is appropriate to delegate to the
LPN?
A. Perform the initial admission assessment on a patient with pneumonia
B. Administer a PRN enema to a constipated patient
C. Develop the nursing care plan for a patient with heart failure
D. Teach a patient how to self-administer insulin
Answer: B. Rationale: LPNs can administer medications (including PRN enemas) and
perform stable, routine treatments. Initial assessment (A) and care plan development
(C) require RN-level assessment and critical thinking. Patient teaching (D) can be
reinforced by LPNs but the initial teaching is typically done by the RN.
11. A nurse is caring for a patient who has a do-not-resuscitate (DNR) order.
The family asks the nurse to explain what DNR means. The nurse should
respond:
A. "It means we will not provide any treatment to keep the patient alive."
B. "It means that if the patient stops breathing or the heart stops, we will not perform
CPR or advanced cardiac life support."
C. "I cannot discuss that; you need to talk to the doctor."
D. "It means the patient will be allowed to die naturally without any medical care."
Answer: B. Rationale: DNR means that if the patient experiences cardiac or respiratory
arrest, CPR and ACLS will not be initiated. It does NOT mean withholding other
treatments (pain relief, antibiotics, hydration).
12. A charge nurse is observing a new graduate nurse insert a urinary catheter.
The new nurse touches the inner surface of the sterile drape without sterile
PN EXAM 2026/2027: 150 VERIFIED
QUESTIONS & ANSWERS WITH
RATIONALES – CT BOARD OF
EXAMINERS FOR NURSING PREP |
INSTANT DOWNLOAD
PART 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions
1–30)
1. A nurse is caring for a client who has a new prescription for a restraint.
Which of the following actions is appropriate?
A. Apply the restraint tightly to prevent movement
B. Obtain a provider's order within 1 hour of application
C. Tie the restraint to the side rail of the bed
D. Remove the restraint every 4 hours for 5 minutes
Answer: B. Rationale: Restraints require a provider's order within 1 hour of application.
Restraints should be tied to the bed frame (not side rail) and removed every 2 hours.
2. A nurse is preparing to administer a medication via the IM route. Which
needle length is appropriate for an IM injection in an adult?
A. 1/2 inch
B. 5/8 inch
C. 1 inch
D. 1 1/2 inch
Answer: D. Rationale: IM injections in adults typically require a 1–1.5 inch needle to
reach the muscle tissue.
,3. A client is on contact precautions. Which PPE should the nurse wear when
entering the room?
A. Surgical mask
B. N95 respirator
C. Gloves and gown
D. Eye protection
Answer: C. Rationale: Contact precautions require gloves and gown to prevent
transmission of organisms.
4. A nurse is completing an incident report after a client fall. Which action is
correct?
A. Place the incident report in the client's chart
B. Complete the report within 24 hours
C. Include opinions about why the fall occurred
D. Wait for the provider to complete the report
Answer: B. Rationale: Incident reports should be completed within 24 hours and are
not placed in the client's chart.
5. A client with a latex allergy is being admitted. Which action should the nurse
take?
A. Use a rubber tourniquet for blood draw
B. Schedule the client as the first procedure of the day
C. Use latex gloves but double-glove
D. Place the client in a semi-private room
Answer: B. Rationale: A client with a latex allergy should be scheduled as the first
procedure of the day to minimize exposure to latex particles in the air. Latex-free
equipment must be used throughout the room.
6. A nurse is caring for four clients. Which client should the nurse assess FIRST?
A. Client with pneumonia who has crackles in the lung bases
B. Client who reports sudden onset of chest pain and shortness of breath
,C. Client with diabetes who has a blood glucose of 220 mg/dL
D. Client with a wound infection who has a temperature of 101.2°F
Answer: B. Rationale: The client with sudden onset of chest pain and shortness of
breath is experiencing a potential life-threatening emergency (possibly pulmonary
embolism or myocardial infarction). Airway and breathing are compromised, making
this the priority. Apply the ABC framework: Airway, Breathing, Circulation.
7. A charge nurse is assigning tasks to staff members. Which of the following
tasks should the nurse delegate to an LPN?
A. Administering a prescribed oral medication
B. Performing an initial admission assessment
C. Developing a plan of care
D. Educating a client about a new diagnosis
Answer: A. Rationale: LPNs can administer oral medications and perform stable client
care. Initial assessments, care planning, and client education are within the RN scope of
practice and cannot be delegated to LPNs.
8. A nurse is providing a handoff report to the oncoming shift. Which of the
following should the nurse include?
A. Current assessment findings and pending tasks
B. The client's entire medical history
C. Personal opinions about the client
D. The client's room number and diagnosis only
Answer: A. Rationale: An effective handoff report includes current assessment findings,
pending tasks, and priority concerns. Use the SBAR format: Situation, Background,
Assessment, Recommendation.
9. A nurse is preparing to administer a medication. Which of the following
actions should the nurse take to ensure the right patient?
A. Ask the client, "What is your name?"
B. Verify the client's name and date of birth against the MAR using two identifiers
, C. Check the client's room number
D. Ask the client's family member to identify the client
Answer: B. Rationale: The correct method for verifying patient identification is to use
two identifiers (e.g., name and date of birth) and compare them to the MAR. Asking
only the client's name or using room numbers is insufficient.
10. The charge nurse on a medical-surgical unit is making assignments for a
licensed practical nurse (LPN). Which task is appropriate to delegate to the
LPN?
A. Perform the initial admission assessment on a patient with pneumonia
B. Administer a PRN enema to a constipated patient
C. Develop the nursing care plan for a patient with heart failure
D. Teach a patient how to self-administer insulin
Answer: B. Rationale: LPNs can administer medications (including PRN enemas) and
perform stable, routine treatments. Initial assessment (A) and care plan development
(C) require RN-level assessment and critical thinking. Patient teaching (D) can be
reinforced by LPNs but the initial teaching is typically done by the RN.
11. A nurse is caring for a patient who has a do-not-resuscitate (DNR) order.
The family asks the nurse to explain what DNR means. The nurse should
respond:
A. "It means we will not provide any treatment to keep the patient alive."
B. "It means that if the patient stops breathing or the heart stops, we will not perform
CPR or advanced cardiac life support."
C. "I cannot discuss that; you need to talk to the doctor."
D. "It means the patient will be allowed to die naturally without any medical care."
Answer: B. Rationale: DNR means that if the patient experiences cardiac or respiratory
arrest, CPR and ACLS will not be initiated. It does NOT mean withholding other
treatments (pain relief, antibiotics, hydration).
12. A charge nurse is observing a new graduate nurse insert a urinary catheter.
The new nurse touches the inner surface of the sterile drape without sterile
