PN Comprehensive Online Practice 2023 B 2025 COMPREHENSIVE
EXAM QUESTIONS AND VERIFIED ANSWERS PLUS
RATIONALES | 300+ RECENTLY TESTING REAL EXAM
QUESTIONS | 100% SOLVED!!!
MULTIPLE CHOICES
1. A client on warfarin has an INR of 4.5. What action should the LPN take first?
A. Administer vitamin K as ordered
B. Hold the next dose of warfarin
C. Check for signs of bleeding
D. Notify the RN
Answer: C
Rationale: High INR increases bleeding risk; assess for bleeding (gums, bruising, hematuria)
before other interventions.
2. A client with chest pain reports shortness of breath and has O2 sat 88%. What is the priority?
A. Apply oxygen at 2 L/min nasal cannula
B. Give sublingual nitroglycerin
C. Position client in semi-Fowler’s
D. Obtain a stat ECG
Answer: A
Rationale: Low SpO2 requires immediate oxygen to prevent hypoxia; airway/breathing comes
before circulation.
1|Page SUCCESS!!!
,3. An older adult client is found wandering at night and is confused. Which is the best initial
nursing action?
A. Apply wrist restraints
B. Administer prescribed PRN lorazepam
C. Reorient client and check for unmet needs
D. Request a sitter from the shift supervisor
Answer: C
Rationale: Wandering often due to pain, toileting, or hunger; reorient and address underlying
cause first.
4. A client with diabetes has a blood glucose of 52 mg/dL and is conscious. What should the
LPN give?
A. 4 oz orange juice
B. 1 tsp honey
C. Glucagon IM
D. ½ cup diet soda
Answer: A
Rationale: Conscious hypoglycemia treated with 15g fast-acting carb; OJ raises glucose quickly.
5. A client on fall precautions tries to get up alone. Which action demonstrates appropriate
delegation?
A. Tell the UAP to stay in the room at all times
B. Ask the UAP to remind client to use call light hourly
2|Page SUCCESS!!!
,C. Assign a different LPN to sit with client
D. Place a bed alarm without telling the UAP
Answer: B
Rationale: UAP can reinforce safety reminders; LPN remains responsible for assessment and
updates.
6. A client receiving a blood transfusion develops fever and chills 30 minutes after start. What is
the priority?
A. Slow the infusion rate
B. Stop the transfusion
C. Give acetaminophen
D. Notify the provider
Answer: B
Rationale: Febrile reaction requires immediate stop of transfusion to prevent progression to
hemolysis.
7. A client with an indwelling urinary catheter has dark, cloudy urine. Which LPN action is most
appropriate?
A. Irrigate the catheter with sterile saline
B. Increase fluid intake if not contraindicated
C. Change the catheter immediately
D. Collect a urine specimen for culture
Answer: B
3|Page SUCCESS!!!
, Rationale: Hydration dilutes urine and flushes bacteria; changing catheter without order may
introduce infection.
8. A postoperative client refuses pain medication despite rating pain 7/10. What should the LPN
do?
A. Document refusal and reassess in 2 hours
B. Explore reasons for refusal and educate
C. Give a placebo to assess true pain
D. Notify the charge nurse for restraint order
Answer: B
Rationale: Respect autonomy; fear of addiction or side effects common; education and
negotiation improve adherence.
9. During a home visit, a client with COPD has difficulty finishing a sentence due to dyspnea.
What should the LPN do first?
A. Measure oxygen saturation
B. Position client leaning forward with arms supported
C. Auscultate lung sounds
D. Check inhaler technique
Answer: B
Rationale: Tripod position optimizes respiratory mechanics and reduces work of breathing.
10. A client is prescribed enoxaparin subcutaneously. Which injection site is preferred?
A. Ventrogluteal
4|Page SUCCESS!!!
EXAM QUESTIONS AND VERIFIED ANSWERS PLUS
RATIONALES | 300+ RECENTLY TESTING REAL EXAM
QUESTIONS | 100% SOLVED!!!
MULTIPLE CHOICES
1. A client on warfarin has an INR of 4.5. What action should the LPN take first?
A. Administer vitamin K as ordered
B. Hold the next dose of warfarin
C. Check for signs of bleeding
D. Notify the RN
Answer: C
Rationale: High INR increases bleeding risk; assess for bleeding (gums, bruising, hematuria)
before other interventions.
2. A client with chest pain reports shortness of breath and has O2 sat 88%. What is the priority?
A. Apply oxygen at 2 L/min nasal cannula
B. Give sublingual nitroglycerin
C. Position client in semi-Fowler’s
D. Obtain a stat ECG
Answer: A
Rationale: Low SpO2 requires immediate oxygen to prevent hypoxia; airway/breathing comes
before circulation.
1|Page SUCCESS!!!
,3. An older adult client is found wandering at night and is confused. Which is the best initial
nursing action?
A. Apply wrist restraints
B. Administer prescribed PRN lorazepam
C. Reorient client and check for unmet needs
D. Request a sitter from the shift supervisor
Answer: C
Rationale: Wandering often due to pain, toileting, or hunger; reorient and address underlying
cause first.
4. A client with diabetes has a blood glucose of 52 mg/dL and is conscious. What should the
LPN give?
A. 4 oz orange juice
B. 1 tsp honey
C. Glucagon IM
D. ½ cup diet soda
Answer: A
Rationale: Conscious hypoglycemia treated with 15g fast-acting carb; OJ raises glucose quickly.
5. A client on fall precautions tries to get up alone. Which action demonstrates appropriate
delegation?
A. Tell the UAP to stay in the room at all times
B. Ask the UAP to remind client to use call light hourly
2|Page SUCCESS!!!
,C. Assign a different LPN to sit with client
D. Place a bed alarm without telling the UAP
Answer: B
Rationale: UAP can reinforce safety reminders; LPN remains responsible for assessment and
updates.
6. A client receiving a blood transfusion develops fever and chills 30 minutes after start. What is
the priority?
A. Slow the infusion rate
B. Stop the transfusion
C. Give acetaminophen
D. Notify the provider
Answer: B
Rationale: Febrile reaction requires immediate stop of transfusion to prevent progression to
hemolysis.
7. A client with an indwelling urinary catheter has dark, cloudy urine. Which LPN action is most
appropriate?
A. Irrigate the catheter with sterile saline
B. Increase fluid intake if not contraindicated
C. Change the catheter immediately
D. Collect a urine specimen for culture
Answer: B
3|Page SUCCESS!!!
, Rationale: Hydration dilutes urine and flushes bacteria; changing catheter without order may
introduce infection.
8. A postoperative client refuses pain medication despite rating pain 7/10. What should the LPN
do?
A. Document refusal and reassess in 2 hours
B. Explore reasons for refusal and educate
C. Give a placebo to assess true pain
D. Notify the charge nurse for restraint order
Answer: B
Rationale: Respect autonomy; fear of addiction or side effects common; education and
negotiation improve adherence.
9. During a home visit, a client with COPD has difficulty finishing a sentence due to dyspnea.
What should the LPN do first?
A. Measure oxygen saturation
B. Position client leaning forward with arms supported
C. Auscultate lung sounds
D. Check inhaler technique
Answer: B
Rationale: Tripod position optimizes respiratory mechanics and reduces work of breathing.
10. A client is prescribed enoxaparin subcutaneously. Which injection site is preferred?
A. Ventrogluteal
4|Page SUCCESS!!!
