NCLEX LPN COORDINATION OF CARE
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
The home care LPN/LVN reports to the supervising nurse about four clients seen today. The
LPN/LVN should FIRST report about which of the following clients?
1. A client diagnosed with lung cancer refused chemotherapy today.
2. A client asks when staples can be removed from the abdominal incision.
3. A client with a colostomy complains that the skin is raw around the stoma.
4. A client diagnosed with a cerebrovascular accident refuses a bath. - ANS Strategy:
Determine the most unstable client.
(1.) CORRECT — assess whether client is experiencing side effects
(2.) should ask client if incision is red or if there is any drainage
(3.) second client; call to be returned; ensure that skin sealant does not contain alcohol and
instruct client to use stoma powder or paste
(4.) stable client
A nursing assistant caring for clients in the long-term care facility collapses minutes after putting
on latex gloves. The assistant is successfully resuscitated. After reviewing the medical histories
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,of the staff in the long-term care facility, the LPN/LVN determines which of the following staff
members can safely use latex products?
1. The staff member with a history of allergies to pollen and grass.
2. The staff member with a history of allergies to banana and kiwi.
3. The staff member with a history of multiple surgeries.
4. The staff member with a history of GI upset. - ANS Strategy: Think about each answer.
(1.) at risk for latex allergies; incidence of latex allergies has increased since the advent of
universal precautions; latex found in gloves, goggles, blood pressure cuffs, stethoscopes, oral
and nasal airways, and IV tubing; OSHA states that employers have responsibility to inform
health care workers about potentially dangerous substances in the workplace
(2.) at greater risk for latex allergies
(3.) at greater risk for latex allergies
(4.) CORRECT— does not cause nurse to be at risk for latex allergies
The nursing team consists of two RNs, one LPN/LVN, and two nursing assistants. The LPN/LVN
should consider the assignment appropriate if the RN assigns which of the following to the
LPN/LVN?
1. Obtain vital signs for a patient immediately after ECT.
2. Assist a patient with bathing and feeding.
3. Administer a tube feeding for a patient with dysphagia.
4. Discharge a patient diagnosed with multiple sclerosis. - ANS Strategy: Think about each
answer.
(1.) requires assessment of the RN; immediately after procedure, orient patient, take blood
pressure and respirations, stay with patient during times of confusion; nursing assistant can
obtain vital signs after patient alert and oriented
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,(2.) appropriate assignment for the nursing assistant; assign standard, unchanging procedures
(3.) CORRECT— assign stable patients with expected outcomes
(4.) appropriate activity for the RN; the RN cannot delegate assessment, teaching, or nursing
judgment
The LPN/LVN cares for clients in the long-term care facility. After receiving report, which of the
following clients should the LPN/LVN see FIRST?
1. A client with right-sided weakness requires assistance with A.M. care.
2. A client requires administration of digoxin (Lanoxin) and furosemide (Lasix).
3. The daughter of a client is upset because her father is diagnosed with terminal cancer.
4. A client is suddenly confused and sees spiders on the wall. - ANS Strategy: "FIRST"
indicates priority.
(1.) stable client
(2.) medications usually given once per day; no indication client is unstable
(3.) physical needs take priority over psychosocial needs
(4.) CORRECT— sudden confusion and hallucinations indicate delirium, which is a medical
emergency
The LPN/LVN cares for a middle-aged adult diagnosed with Buerger's disease. Because of rapid
progression of the disease, the client's wife and three adolescent children begin working to
meet the family's financial needs. After observing the client and his family at home, it is MOST
important for the LPN/LVN to report which of the following information to the supervising
nurse?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 1. The client spends most of the day on the internet.
2. At times the client is verbally abusive to his wife.
3. The client watches television most of the day.
4. The client is withdrawn and sleeps most of the day. - ANS Strategy: "MOST important"
indicates discrimination may be required to answer the question.
(1.) may indicate maladaptive coping, but can be a distractor from the pain associated with the
disease
(2.) CORRECT — without intervention, verbal abuse can progress to physical abuse; can migrate
to the children also
(3.) may indicate maladaptive coping; often takes several months to adjust to extensive role
changes
(4.) illustrates signs/symptoms of clinical depression, which is common following a significant
loss
The LPN/LVN learns during the change-of-shift report that a client with a "do not resuscitate"
advance directive was resuscitated by a nursing assistant. To prevent this from happening again,
it is MOST important for the LPN/LVN to recommend which of the following to the supervising
nurse?
1. Remind staff about the advance directives at the beginning of each shift.
2. Place a sign about the advance directive above each client's bed.
3. Attach a small blue banner to appropriate clients' bedside stands and wheelchairs.
4. Check the client's chart before initiating resuscitation. - ANS Strategy: "MOST important"
indicates that discrimination may be required to answer the question.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
The home care LPN/LVN reports to the supervising nurse about four clients seen today. The
LPN/LVN should FIRST report about which of the following clients?
1. A client diagnosed with lung cancer refused chemotherapy today.
2. A client asks when staples can be removed from the abdominal incision.
3. A client with a colostomy complains that the skin is raw around the stoma.
4. A client diagnosed with a cerebrovascular accident refuses a bath. - ANS Strategy:
Determine the most unstable client.
(1.) CORRECT — assess whether client is experiencing side effects
(2.) should ask client if incision is red or if there is any drainage
(3.) second client; call to be returned; ensure that skin sealant does not contain alcohol and
instruct client to use stoma powder or paste
(4.) stable client
A nursing assistant caring for clients in the long-term care facility collapses minutes after putting
on latex gloves. The assistant is successfully resuscitated. After reviewing the medical histories
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,of the staff in the long-term care facility, the LPN/LVN determines which of the following staff
members can safely use latex products?
1. The staff member with a history of allergies to pollen and grass.
2. The staff member with a history of allergies to banana and kiwi.
3. The staff member with a history of multiple surgeries.
4. The staff member with a history of GI upset. - ANS Strategy: Think about each answer.
(1.) at risk for latex allergies; incidence of latex allergies has increased since the advent of
universal precautions; latex found in gloves, goggles, blood pressure cuffs, stethoscopes, oral
and nasal airways, and IV tubing; OSHA states that employers have responsibility to inform
health care workers about potentially dangerous substances in the workplace
(2.) at greater risk for latex allergies
(3.) at greater risk for latex allergies
(4.) CORRECT— does not cause nurse to be at risk for latex allergies
The nursing team consists of two RNs, one LPN/LVN, and two nursing assistants. The LPN/LVN
should consider the assignment appropriate if the RN assigns which of the following to the
LPN/LVN?
1. Obtain vital signs for a patient immediately after ECT.
2. Assist a patient with bathing and feeding.
3. Administer a tube feeding for a patient with dysphagia.
4. Discharge a patient diagnosed with multiple sclerosis. - ANS Strategy: Think about each
answer.
(1.) requires assessment of the RN; immediately after procedure, orient patient, take blood
pressure and respirations, stay with patient during times of confusion; nursing assistant can
obtain vital signs after patient alert and oriented
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,(2.) appropriate assignment for the nursing assistant; assign standard, unchanging procedures
(3.) CORRECT— assign stable patients with expected outcomes
(4.) appropriate activity for the RN; the RN cannot delegate assessment, teaching, or nursing
judgment
The LPN/LVN cares for clients in the long-term care facility. After receiving report, which of the
following clients should the LPN/LVN see FIRST?
1. A client with right-sided weakness requires assistance with A.M. care.
2. A client requires administration of digoxin (Lanoxin) and furosemide (Lasix).
3. The daughter of a client is upset because her father is diagnosed with terminal cancer.
4. A client is suddenly confused and sees spiders on the wall. - ANS Strategy: "FIRST"
indicates priority.
(1.) stable client
(2.) medications usually given once per day; no indication client is unstable
(3.) physical needs take priority over psychosocial needs
(4.) CORRECT— sudden confusion and hallucinations indicate delirium, which is a medical
emergency
The LPN/LVN cares for a middle-aged adult diagnosed with Buerger's disease. Because of rapid
progression of the disease, the client's wife and three adolescent children begin working to
meet the family's financial needs. After observing the client and his family at home, it is MOST
important for the LPN/LVN to report which of the following information to the supervising
nurse?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 1. The client spends most of the day on the internet.
2. At times the client is verbally abusive to his wife.
3. The client watches television most of the day.
4. The client is withdrawn and sleeps most of the day. - ANS Strategy: "MOST important"
indicates discrimination may be required to answer the question.
(1.) may indicate maladaptive coping, but can be a distractor from the pain associated with the
disease
(2.) CORRECT — without intervention, verbal abuse can progress to physical abuse; can migrate
to the children also
(3.) may indicate maladaptive coping; often takes several months to adjust to extensive role
changes
(4.) illustrates signs/symptoms of clinical depression, which is common following a significant
loss
The LPN/LVN learns during the change-of-shift report that a client with a "do not resuscitate"
advance directive was resuscitated by a nursing assistant. To prevent this from happening again,
it is MOST important for the LPN/LVN to recommend which of the following to the supervising
nurse?
1. Remind staff about the advance directives at the beginning of each shift.
2. Place a sign about the advance directive above each client's bed.
3. Attach a small blue banner to appropriate clients' bedside stands and wheelchairs.
4. Check the client's chart before initiating resuscitation. - ANS Strategy: "MOST important"
indicates that discrimination may be required to answer the question.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
