UNITEK COLLEGE LVN PROGRAM EXIT EXAM 2026/
300 ACTUAL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE LATEST UPDATE
ALRAEDYGRADED A+ ASSURED PASS
This comprehensive practice question bank is specifically designed for Unitek
College LVN students preparing for the 2026 Exit Exam. It contains 300 unique,
multiple-choice questions that are meticulously organized into six key content
sections: Management of Care, Safety and Infection Control, Health Promotion
and Maintenance, Psychosocial Integrity, Pharmacological Therapies, and
Physiological Adaptation. Each question is accompanied by a single correct answer
and a detailed rationale that explains the clinical reasoning behind the choice,
reinforcing essential nursing concepts. This resource serves as an intensive review
tool to help students assess their knowledge, identify areas for improvement, and
build confidence for success on the NCLEX-PN.
Section A: Management of Care
Question 1
A nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes
after initiation, the client reports itching and hives are noted on the chest. What is
the nurse's priority action?
A. Slow the transfusion rate and administer diphenhydramine
B. Stop the transfusion and maintain IV access with normal saline
C. Increase the IV rate and notify the provider
D. Continue the transfusion and document the findings
Answer: B
Rationale: Itching and hives indicate an allergic transfusion reaction. The priority
is to stop the transfusion immediately to prevent progression to anaphylaxis. IV
,access is maintained with saline for potential emergency medications. Slowing the
transfusion is insufficient and continuing it could be dangerous.
Question 2
A client with a history of chronic heart failure is admitted with dyspnea and
bilateral crackles. Which hemodynamic value best indicates that preload reduction
is the priority intervention?
A. Cardiac output 4.0 L/min
B. Systemic vascular resistance 800 dynes/sec/cm
C. Pulmonary artery wedge pressure 28 mm Hg
D. Central venous pressure 6 mm Hg
Answer: C
Rationale: Elevated pulmonary artery wedge pressure indicates increased left
ventricular preload, which in heart failure leads to pulmonary congestion.
Reducing preload with diuretics or vasodilators is the priority. Normal PAWP is 6-
12 mm Hg; 28 mm Hg is severely elevated. The other values are within normal
limits.
Question 3
A nurse is assessing a client receiving a blood transfusion. Which finding requires
immediate discontinuation of the transfusion?
A. Temperature increase from 37.0°C to 37.5°C
B. Heart rate 88 beats per minute
C. Blood pressure 110/70 mm Hg
D. Respiratory rate 16 breaths per minute
Answer: A
Rationale: A temperature increase of even 0.5°C during a transfusion can indicate a
febrile non-hemolytic reaction or early hemolytic reaction. The transfusion must be
stopped immediately. The other vital signs are within normal limits and do not
suggest an acute reaction.
Question 4
A client with pneumonia has a fever of 102.4°F, productive cough, and oxygen
saturation of 89% on room air. Which intervention should the nurse implement
first?
A. Administer antipyretic as ordered
,B. Obtain sputum culture
C. Apply oxygen via nasal cannula
D. Encourage deep breathing and coughing
Answer: C
Rationale: An oxygen saturation of 89% indicates hypoxemia, which is life-
threatening. The priority is to improve oxygenation. Oxygen should be applied
immediately. Other interventions, while important, are secondary to addressing the
hypoxemia.
Question 5
Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A. 5% Dextrose and water
B. Normal saline
C. Lactated Ringers solution
D. 5% Dextrose and lactated ringers
Answer: B
Rationale: Normal saline solution is the only solution that is compatible with
blood. Dextrose solutions and Lactated Ringer's can cause hemolysis or clotting.
Question 6
When assisting a client from the bed to a chair, which procedure is best for the
nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and
assist the client in moving to the chair
B. With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair
C. Assist the client to a standing position by gently lifting upward, underneath the
axillae
D. Stand beside the client, place the client's arms around the nurse's neck, and
gently move the client to the chair
Answer: B
Rationale: This describes the correct positioning of the nurse and affords a wide
base of support while stabilizing the client's knees when assisting to a standing
, position. The chair should be placed at a 45-degree angle to the bed. Clients should
never be lifted under the axillae; this could damage nerves and strain the nurse's
back.
Question 7
The nurse manager of a skilled nursing unit is instructing UAPs on ways to prevent
complications of immobility. Which action should be included in this instruction?
A. Perform range-of-motion exercises to prevent contractures
B. Decrease the client's fluid intake to prevent diarrhea
C. Massage the client's legs to reduce embolism occurrence
D. Turn the client from side to back every shift
Answer: A
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Decreasing fluid intake and massaging legs are
potentially harmful practices that place the immobile client at risk of
complications.
Question 8
The nurse administered 10 mg of diazepam to the preoperative client. What steps
will the nurse take next? Select all that apply.
A. Place the client in the bed next to the nurse's station
B. Instruct the client not to get out of bed
C. Place the call bell within the client's reach
D. Place the side rails up according to institutional policy
E. Assist the client to the bathroom
Answer: B, C, D
Rationale: Diazepam is a common preoperative medication with sedative effects.
Close observation by placing the client close to the nurse's station is not necessary.
The medication has a sedative effect and the client should not get out of bed, even
with assistance. The remaining selections are correct safety measures.
Question 9
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
help me to die." Which is the best response for the nurse to provide?
A. Administer the prescribed maximum dose of pain medication
B. Talk with the client about thoughts and feelings about death
300 ACTUAL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE LATEST UPDATE
ALRAEDYGRADED A+ ASSURED PASS
This comprehensive practice question bank is specifically designed for Unitek
College LVN students preparing for the 2026 Exit Exam. It contains 300 unique,
multiple-choice questions that are meticulously organized into six key content
sections: Management of Care, Safety and Infection Control, Health Promotion
and Maintenance, Psychosocial Integrity, Pharmacological Therapies, and
Physiological Adaptation. Each question is accompanied by a single correct answer
and a detailed rationale that explains the clinical reasoning behind the choice,
reinforcing essential nursing concepts. This resource serves as an intensive review
tool to help students assess their knowledge, identify areas for improvement, and
build confidence for success on the NCLEX-PN.
Section A: Management of Care
Question 1
A nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes
after initiation, the client reports itching and hives are noted on the chest. What is
the nurse's priority action?
A. Slow the transfusion rate and administer diphenhydramine
B. Stop the transfusion and maintain IV access with normal saline
C. Increase the IV rate and notify the provider
D. Continue the transfusion and document the findings
Answer: B
Rationale: Itching and hives indicate an allergic transfusion reaction. The priority
is to stop the transfusion immediately to prevent progression to anaphylaxis. IV
,access is maintained with saline for potential emergency medications. Slowing the
transfusion is insufficient and continuing it could be dangerous.
Question 2
A client with a history of chronic heart failure is admitted with dyspnea and
bilateral crackles. Which hemodynamic value best indicates that preload reduction
is the priority intervention?
A. Cardiac output 4.0 L/min
B. Systemic vascular resistance 800 dynes/sec/cm
C. Pulmonary artery wedge pressure 28 mm Hg
D. Central venous pressure 6 mm Hg
Answer: C
Rationale: Elevated pulmonary artery wedge pressure indicates increased left
ventricular preload, which in heart failure leads to pulmonary congestion.
Reducing preload with diuretics or vasodilators is the priority. Normal PAWP is 6-
12 mm Hg; 28 mm Hg is severely elevated. The other values are within normal
limits.
Question 3
A nurse is assessing a client receiving a blood transfusion. Which finding requires
immediate discontinuation of the transfusion?
A. Temperature increase from 37.0°C to 37.5°C
B. Heart rate 88 beats per minute
C. Blood pressure 110/70 mm Hg
D. Respiratory rate 16 breaths per minute
Answer: A
Rationale: A temperature increase of even 0.5°C during a transfusion can indicate a
febrile non-hemolytic reaction or early hemolytic reaction. The transfusion must be
stopped immediately. The other vital signs are within normal limits and do not
suggest an acute reaction.
Question 4
A client with pneumonia has a fever of 102.4°F, productive cough, and oxygen
saturation of 89% on room air. Which intervention should the nurse implement
first?
A. Administer antipyretic as ordered
,B. Obtain sputum culture
C. Apply oxygen via nasal cannula
D. Encourage deep breathing and coughing
Answer: C
Rationale: An oxygen saturation of 89% indicates hypoxemia, which is life-
threatening. The priority is to improve oxygenation. Oxygen should be applied
immediately. Other interventions, while important, are secondary to addressing the
hypoxemia.
Question 5
Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A. 5% Dextrose and water
B. Normal saline
C. Lactated Ringers solution
D. 5% Dextrose and lactated ringers
Answer: B
Rationale: Normal saline solution is the only solution that is compatible with
blood. Dextrose solutions and Lactated Ringer's can cause hemolysis or clotting.
Question 6
When assisting a client from the bed to a chair, which procedure is best for the
nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and
assist the client in moving to the chair
B. With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair
C. Assist the client to a standing position by gently lifting upward, underneath the
axillae
D. Stand beside the client, place the client's arms around the nurse's neck, and
gently move the client to the chair
Answer: B
Rationale: This describes the correct positioning of the nurse and affords a wide
base of support while stabilizing the client's knees when assisting to a standing
, position. The chair should be placed at a 45-degree angle to the bed. Clients should
never be lifted under the axillae; this could damage nerves and strain the nurse's
back.
Question 7
The nurse manager of a skilled nursing unit is instructing UAPs on ways to prevent
complications of immobility. Which action should be included in this instruction?
A. Perform range-of-motion exercises to prevent contractures
B. Decrease the client's fluid intake to prevent diarrhea
C. Massage the client's legs to reduce embolism occurrence
D. Turn the client from side to back every shift
Answer: A
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Decreasing fluid intake and massaging legs are
potentially harmful practices that place the immobile client at risk of
complications.
Question 8
The nurse administered 10 mg of diazepam to the preoperative client. What steps
will the nurse take next? Select all that apply.
A. Place the client in the bed next to the nurse's station
B. Instruct the client not to get out of bed
C. Place the call bell within the client's reach
D. Place the side rails up according to institutional policy
E. Assist the client to the bathroom
Answer: B, C, D
Rationale: Diazepam is a common preoperative medication with sedative effects.
Close observation by placing the client close to the nurse's station is not necessary.
The medication has a sedative effect and the client should not get out of bed, even
with assistance. The remaining selections are correct safety measures.
Question 9
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
help me to die." Which is the best response for the nurse to provide?
A. Administer the prescribed maximum dose of pain medication
B. Talk with the client about thoughts and feelings about death
