LPN Comprehensive Exit Exam Review 2026 | Latest Update |
Graded A+
1. What is the recommended re-dosing interval for *Cefazolin*?
8 hours
4 hours
6 hours
2 hours
2. In a scenario where a client with an eviscerated incision is in need of
immediate care, which action should the UAP be instructed to perform while
waiting for the nurse?
Assist in obtaining additional sterile supplies.
Administer pain medication as prescribed.
Reassure the client and provide emotional support.
Document the incident in the client's chart.
3. A female client with immune thrombocytopenic purpura (ITP) is transferred to
a long-term care facility for physical rehabilitation. To prevent injury, which
action is the most important for the practical nurse (PN) to implement?
Ensure the client has minimal clutter in the room.
Monitor the client's blood cell laboratory values.
Evaluate client's neurological status after exercising.
Assess the client for nerve pain or paralysis.
4. An older adult client who resides in an assisted living facility experiences
dizziness and lightheadedness when getting out of bed in the morning and
, when standing up quickly from a chair. Which intervention by the nurse is
appropriate?
Review the medication regimen.
Change the timing of morning care.
Teach the client to use a cane.
Assess the client's dietary habits.
5. Why is it important for a practical nurse to provide orientation cues to a
confused patient?
It allows the nurse to avoid further assessments.
It distracts the patient from their confusion.
It helps the patient regain a sense of reality and reduces anxiety.
It ensures the patient remains quiet.
6. What food will a nurse recommend to a vegetarian pregnant women with
anemia to increase iron?
Chocolate
Pineapple
Black beans
Liver
7. If a client continues to void frequent small amounts after catheter removal
and the post-voided residual volume assessment indicates significant
retention, what should the practical nurse's next step be?
Advise the client to perform pelvic floor exercises.
Increase the client's fluid intake to encourage larger voids.
, Consider re-catheterization to relieve urinary retention.
Schedule a follow-up appointment in one week.
8. While providing nursing care for a client in Buck skin traction, which finding
indicates a need for immediate action?
The rope is in the groove of the traction pulley
The traction weights are hanging above the floor
The leg is in line with the pull of the traction
The client's foot is touching the end of the bed
9. A client who has just undergone abdominal surgery is struggling to cough
effectively. What nursing intervention should be prioritized to assist this
client?
Provide the client with a pillow to hold against the abdomen.
Assist the client into a sitting upright position to facilitate coughing.
Encourage the client to cough while lying flat.
Instruct the client to take deep breaths while lying on their side.
10. A 55-year-old male client who is a long-term smoker presents with
hoarseness and difficulty swallowing. What should the PN do next?
Schedule a follow-up appointment in one month.
Advise the client to stop smoking immediately.
Refer the client to a healthcare provider for further evaluation.
Provide the client with throat lozenges.
11. What are the key focuses of hospice care for clients with terminal illnesses?
, Surgical interventions
Comfort, dignity, and emotional support
Aggressive treatment and recovery
Routine medical check-ups
12. Why might a client who underwent orthopedic surgery experience difficulty
sleeping?
The client may be taking medications that induce sleep.
The client is likely experiencing anxiety about recovery.
Pain and discomfort from the surgical site can disrupt sleep.
Increased physical activity promotes better sleep.
13. A client has undergone an endoscopy. The nurse should place the highest
priority on which item as part of the client's care plan?
Monitoring complaints of pain
Assessing for return of gag reflex
Monitoring the temperature
Giving warm compresses to the rectum
14. Why is it important for a practical nurse to verify medication in an unlabeled
syringe before administration?
To save time during medication administration.
To comply with patient requests.
To ensure patient safety and prevent medication errors.
To follow hospital policy without question.
Graded A+
1. What is the recommended re-dosing interval for *Cefazolin*?
8 hours
4 hours
6 hours
2 hours
2. In a scenario where a client with an eviscerated incision is in need of
immediate care, which action should the UAP be instructed to perform while
waiting for the nurse?
Assist in obtaining additional sterile supplies.
Administer pain medication as prescribed.
Reassure the client and provide emotional support.
Document the incident in the client's chart.
3. A female client with immune thrombocytopenic purpura (ITP) is transferred to
a long-term care facility for physical rehabilitation. To prevent injury, which
action is the most important for the practical nurse (PN) to implement?
Ensure the client has minimal clutter in the room.
Monitor the client's blood cell laboratory values.
Evaluate client's neurological status after exercising.
Assess the client for nerve pain or paralysis.
4. An older adult client who resides in an assisted living facility experiences
dizziness and lightheadedness when getting out of bed in the morning and
, when standing up quickly from a chair. Which intervention by the nurse is
appropriate?
Review the medication regimen.
Change the timing of morning care.
Teach the client to use a cane.
Assess the client's dietary habits.
5. Why is it important for a practical nurse to provide orientation cues to a
confused patient?
It allows the nurse to avoid further assessments.
It distracts the patient from their confusion.
It helps the patient regain a sense of reality and reduces anxiety.
It ensures the patient remains quiet.
6. What food will a nurse recommend to a vegetarian pregnant women with
anemia to increase iron?
Chocolate
Pineapple
Black beans
Liver
7. If a client continues to void frequent small amounts after catheter removal
and the post-voided residual volume assessment indicates significant
retention, what should the practical nurse's next step be?
Advise the client to perform pelvic floor exercises.
Increase the client's fluid intake to encourage larger voids.
, Consider re-catheterization to relieve urinary retention.
Schedule a follow-up appointment in one week.
8. While providing nursing care for a client in Buck skin traction, which finding
indicates a need for immediate action?
The rope is in the groove of the traction pulley
The traction weights are hanging above the floor
The leg is in line with the pull of the traction
The client's foot is touching the end of the bed
9. A client who has just undergone abdominal surgery is struggling to cough
effectively. What nursing intervention should be prioritized to assist this
client?
Provide the client with a pillow to hold against the abdomen.
Assist the client into a sitting upright position to facilitate coughing.
Encourage the client to cough while lying flat.
Instruct the client to take deep breaths while lying on their side.
10. A 55-year-old male client who is a long-term smoker presents with
hoarseness and difficulty swallowing. What should the PN do next?
Schedule a follow-up appointment in one month.
Advise the client to stop smoking immediately.
Refer the client to a healthcare provider for further evaluation.
Provide the client with throat lozenges.
11. What are the key focuses of hospice care for clients with terminal illnesses?
, Surgical interventions
Comfort, dignity, and emotional support
Aggressive treatment and recovery
Routine medical check-ups
12. Why might a client who underwent orthopedic surgery experience difficulty
sleeping?
The client may be taking medications that induce sleep.
The client is likely experiencing anxiety about recovery.
Pain and discomfort from the surgical site can disrupt sleep.
Increased physical activity promotes better sleep.
13. A client has undergone an endoscopy. The nurse should place the highest
priority on which item as part of the client's care plan?
Monitoring complaints of pain
Assessing for return of gag reflex
Monitoring the temperature
Giving warm compresses to the rectum
14. Why is it important for a practical nurse to verify medication in an unlabeled
syringe before administration?
To save time during medication administration.
To comply with patient requests.
To ensure patient safety and prevent medication errors.
To follow hospital policy without question.
