Page 1 of 197
“LPN NCLEX MULTIPLE CHOICE “ LATEST 2025
EXAM UPDATED 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED
A+ (LATEST VERSION)
LPN NCLEX MULTIPLE CHOICE
The nurse is preparing a client for a scheduled colonoscopy. Which
prescription should the nurse anticipate from the primary healthcare
provider (PHCP) while the client is preparing for this procedure?
A. docusate
B. loperamide
C. polyethylene glycol 3350
D. famotidine
polyethylene glycol 3350
Polyethylene glycol 3350 is an osmotic laxative commonly used before a
colonoscopy. This powder is typically dissolved in a sports drink and can be
consumed by the client. Efficacy is usually within one hour. Fluid and electrolyte
disturbance is unlikely as the powdered solution contains electrolytes.When
administering this medication, it should be dissolved in water or Gatorade and may
chill in the refrigerator to increase palatability.
A patient with a crush injury to her left arm calls the nurse's station and
requests pain medication. An hour after administration, the patient is still
complaining of intense pain. What is the next nursing action?
A. Ask the patient to describe the pain in quality and intensity.
B. Offer the patient a distraction, such as a book or television.
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C. Tell the patient she can have more medication in three hours.
D. Tell the patient crush injury victims should expect intense pain.
Ask the patient to describe the pain in quality and intensity.
A crush wound is a wound caused by a force that leads to compression or disruption
of tissues. It is often associated with fractures. Usually, there is minimal to no break
in the skin. While other external symptoms, such as bruising or edema, may be
visible, nurses should also rely on subjective symptoms reported by the patient.
Choice A is correct. Unrelieved pain is an indication of a complication. Patients who
experience a crush injury are at risk for developing compartment syndrome.
Therefore, asking the patient to be specific about the quality and intensity of pain is
vital in re-evaluating the patient's status.
Which of the following situations is an example of negligence?
A. The UAP (Unlicensed Assistive Personnel) fills a water basin with
warm water while the patient with depression combs her hair.
B. A nurse transcribes a new medication order: Questran powder 2
oz bid with wet food or one full glass of water.
C. The nurse checks the distal pulses of a patient's legs two hours
after they have returned from a cardiac catheterization.
D. The nurse observes a UAP enter the room of a patient on contact [4%]
precautions wearing gloves and a gown.
C. The nurse checks the distal pulses of a patient's legs two hours after they have
returned from a cardiac catheterization.
The nurse should have checked the patient's distal pulse
immediately after the cardiac catheterization.
The nurse is caring for the following assigned clients. Which client should the
nurse follow up with first?
A. The patient going for an echocardiogram and is allergic to
, Page 3 of 197
contrast dye.
B. The patient refusing to eat their meal following an injection of
glargine insulin.
C. The patient scheduled for discharge in three hours and needs
transportation.
D. The patient requesting diphenhydramine after starting an
intravenous antibiotic.
D. The patient requesting diphenhydramine after starting an
intravenous antibiotic.
A client requesting diphenhydramine following the initiation of
an antibiotic requires immediate follow-up because the client could be experiencing
an allergic reaction ranging from mild to severe. Thus, the nurse should quickly
assess the client.
Which of the following statements should the nurse use to best describe a
very low-calorie diet?
A. "This is a long-term treatment measure that assists obese people [30%]
who can't lose weight."
B. "A VLCD contains very little protein."
C. "This diet can be used only when there is close medical
supervision."
D. "This diet consists of solid food that is pureed to facilitate
digestion and absorption."
C. "This diet can be used only when there is close medical
supervision."
Very Low-Calorie Diets (VLCD) are used in the clinical treatment of obesity under
close medical supervision. The diet is low in calories, high in quality proteins, and
has a minimum of carbohydrates to spare protein and prevent ketosis. Very low-
calorie diets, generally providing fewer than 800 kcal per day, became widely
available for outpatient use in treating adult obesity in the 1980s. These diets,
sometimes called protein-sparing modified fasts, were associated with significant
, Page 4 of 197
medical risks (electrolyte abnormalities, arrhythmias, and sudden death). They
became widely marketed as part of many commercial weight loss programs. Despite
their overall success in supporting rapid weight loss, most patients experienced
subsequent weight regain once the very low-calorie diet was discontinued. These
extremely hypocaloric diets have been used on a limited basis in the pediatric
population, generally in an inpatient setting, with close medical supervision. Given
the deficient daily caloric intake associated with the VLCD, this diet requires almost a
full liquid approach. Patients are often on 3-5 shakes daily, with multivitamin and
mineral supplementation. Side effects include fatigue, hair loss, dizziness,
constipation, and risk for cholelithiasis secondary to rapid weight loss. The
VLCD usually results in >20% weight loss within the first 3-4 months. Although rapid
weight loss is seen, it is not regularly well maintained, with many patients gaining up
to 50% of that weight back within the subsequent 12 months; and gaining all of it
back in less than five years. LCDs are not as extreme, and with almost twice as
many calories allowed (1200-1500 kcal/day), the weight loss is modest.
How should the nurse assess for the presence of thrombophlebitis in a
patient who reports having pain in the left lower leg?
A. By palpating the skin over the tibia and fibula.
B. By documenting daily calf circumference measurements.
C. By recording vital signs obtained four times a day.
D. By noting difficulty with ambulation.
B. By documenting daily calf circumference measurements.
Inflammation from thrombophlebitis increases the size of the
affected extremity and can be assessed regularly by measuring calf circumference.
Thrombophlebitis is an inflammation of a vein associated with thrombus formation.
Thrombophlebitis from venous stasis is most commonly seen in the legs of
postoperative patients. Manifestations of thrombophlebitis are pain and cramping in
the calf or thigh of the involved extremity, redness and swelling in the affected area,
elevated temperature, and an increase in the involved extremity's diameter. Each
shift, nurses should assess the legs for swelling and tenderness, measure bilateral
calf or thigh circumference, and determine if they experience any chest pain or
dyspnea. The patient should be instructed not to massage the legs.
The nurse is removing a nasogastric tube (NGT). The nurse should take which
action?
A. Deflate the balloon
“LPN NCLEX MULTIPLE CHOICE “ LATEST 2025
EXAM UPDATED 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED
A+ (LATEST VERSION)
LPN NCLEX MULTIPLE CHOICE
The nurse is preparing a client for a scheduled colonoscopy. Which
prescription should the nurse anticipate from the primary healthcare
provider (PHCP) while the client is preparing for this procedure?
A. docusate
B. loperamide
C. polyethylene glycol 3350
D. famotidine
polyethylene glycol 3350
Polyethylene glycol 3350 is an osmotic laxative commonly used before a
colonoscopy. This powder is typically dissolved in a sports drink and can be
consumed by the client. Efficacy is usually within one hour. Fluid and electrolyte
disturbance is unlikely as the powdered solution contains electrolytes.When
administering this medication, it should be dissolved in water or Gatorade and may
chill in the refrigerator to increase palatability.
A patient with a crush injury to her left arm calls the nurse's station and
requests pain medication. An hour after administration, the patient is still
complaining of intense pain. What is the next nursing action?
A. Ask the patient to describe the pain in quality and intensity.
B. Offer the patient a distraction, such as a book or television.
, Page 2 of 197
C. Tell the patient she can have more medication in three hours.
D. Tell the patient crush injury victims should expect intense pain.
Ask the patient to describe the pain in quality and intensity.
A crush wound is a wound caused by a force that leads to compression or disruption
of tissues. It is often associated with fractures. Usually, there is minimal to no break
in the skin. While other external symptoms, such as bruising or edema, may be
visible, nurses should also rely on subjective symptoms reported by the patient.
Choice A is correct. Unrelieved pain is an indication of a complication. Patients who
experience a crush injury are at risk for developing compartment syndrome.
Therefore, asking the patient to be specific about the quality and intensity of pain is
vital in re-evaluating the patient's status.
Which of the following situations is an example of negligence?
A. The UAP (Unlicensed Assistive Personnel) fills a water basin with
warm water while the patient with depression combs her hair.
B. A nurse transcribes a new medication order: Questran powder 2
oz bid with wet food or one full glass of water.
C. The nurse checks the distal pulses of a patient's legs two hours
after they have returned from a cardiac catheterization.
D. The nurse observes a UAP enter the room of a patient on contact [4%]
precautions wearing gloves and a gown.
C. The nurse checks the distal pulses of a patient's legs two hours after they have
returned from a cardiac catheterization.
The nurse should have checked the patient's distal pulse
immediately after the cardiac catheterization.
The nurse is caring for the following assigned clients. Which client should the
nurse follow up with first?
A. The patient going for an echocardiogram and is allergic to
, Page 3 of 197
contrast dye.
B. The patient refusing to eat their meal following an injection of
glargine insulin.
C. The patient scheduled for discharge in three hours and needs
transportation.
D. The patient requesting diphenhydramine after starting an
intravenous antibiotic.
D. The patient requesting diphenhydramine after starting an
intravenous antibiotic.
A client requesting diphenhydramine following the initiation of
an antibiotic requires immediate follow-up because the client could be experiencing
an allergic reaction ranging from mild to severe. Thus, the nurse should quickly
assess the client.
Which of the following statements should the nurse use to best describe a
very low-calorie diet?
A. "This is a long-term treatment measure that assists obese people [30%]
who can't lose weight."
B. "A VLCD contains very little protein."
C. "This diet can be used only when there is close medical
supervision."
D. "This diet consists of solid food that is pureed to facilitate
digestion and absorption."
C. "This diet can be used only when there is close medical
supervision."
Very Low-Calorie Diets (VLCD) are used in the clinical treatment of obesity under
close medical supervision. The diet is low in calories, high in quality proteins, and
has a minimum of carbohydrates to spare protein and prevent ketosis. Very low-
calorie diets, generally providing fewer than 800 kcal per day, became widely
available for outpatient use in treating adult obesity in the 1980s. These diets,
sometimes called protein-sparing modified fasts, were associated with significant
, Page 4 of 197
medical risks (electrolyte abnormalities, arrhythmias, and sudden death). They
became widely marketed as part of many commercial weight loss programs. Despite
their overall success in supporting rapid weight loss, most patients experienced
subsequent weight regain once the very low-calorie diet was discontinued. These
extremely hypocaloric diets have been used on a limited basis in the pediatric
population, generally in an inpatient setting, with close medical supervision. Given
the deficient daily caloric intake associated with the VLCD, this diet requires almost a
full liquid approach. Patients are often on 3-5 shakes daily, with multivitamin and
mineral supplementation. Side effects include fatigue, hair loss, dizziness,
constipation, and risk for cholelithiasis secondary to rapid weight loss. The
VLCD usually results in >20% weight loss within the first 3-4 months. Although rapid
weight loss is seen, it is not regularly well maintained, with many patients gaining up
to 50% of that weight back within the subsequent 12 months; and gaining all of it
back in less than five years. LCDs are not as extreme, and with almost twice as
many calories allowed (1200-1500 kcal/day), the weight loss is modest.
How should the nurse assess for the presence of thrombophlebitis in a
patient who reports having pain in the left lower leg?
A. By palpating the skin over the tibia and fibula.
B. By documenting daily calf circumference measurements.
C. By recording vital signs obtained four times a day.
D. By noting difficulty with ambulation.
B. By documenting daily calf circumference measurements.
Inflammation from thrombophlebitis increases the size of the
affected extremity and can be assessed regularly by measuring calf circumference.
Thrombophlebitis is an inflammation of a vein associated with thrombus formation.
Thrombophlebitis from venous stasis is most commonly seen in the legs of
postoperative patients. Manifestations of thrombophlebitis are pain and cramping in
the calf or thigh of the involved extremity, redness and swelling in the affected area,
elevated temperature, and an increase in the involved extremity's diameter. Each
shift, nurses should assess the legs for swelling and tenderness, measure bilateral
calf or thigh circumference, and determine if they experience any chest pain or
dyspnea. The patient should be instructed not to massage the legs.
The nurse is removing a nasogastric tube (NGT). The nurse should take which
action?
A. Deflate the balloon
