Licensed Practical Nurse (LPN) Exit Practice Exam

These questions are part of the practice quiz. Start practicing

• To prevent dehydration in a hospitalized elderly client, what should the practical nurse (PN) prioritize?
• When observing a male client's urinary catheter drainage setup, what is the most appropriate action for the nurse?
• What is the appropriate nursing intervention when a client expresses grief after a spontaneous abortion?
• Which of the following is a sign of inadequate circulation?
• Which of the following best describes effective communication in nursing practice?
• What activity best meets the physical and social needs of wheelchair-bound older residents in a long-term care facility?
• When using the Glasgow Coma Scale for a client with a traumatic brain injury, what should the practical nurse primarily assess?
• If a client with a history of heart failure is exhibiting signs of respiratory distress, what is the priority nursing action?
• What dose of insulin should the practical nurse (PN) administer for a client whose glucose level is 163?
• How can an LPN help in managing a sexual health concern?
• If a patient has a fever and shows productive cough with yellow sputum, what is the PN's priority intervention?
• What should an LPN do upon finding a patient unresponsive?
• What complication should be suspected if an older client who had a colon resection experiences sudden serosanguinous drainage followed by bowel appearance on the skin?
• Which assessment finding would indicate a need for the practical nurse (PN) to intervene during a subcutaneous injection?
• What does HIPAA stand for in health care?
• Which of the following foods is a good source of vitamin K recommended by the practical nurse (PN)?
• In wound care, what does the acronym RYB refer to?
• How often should vital signs be assessed for a stable patient?
• While auscultating a client's lung sounds, how should the PN document hearing fine crackles?
• In elderly clients, where does the center of gravity typically shift?
• What is the primary focus when implementing client-centered care?
• What should the practical nurse (PN) do first for a client who is one day postpartum and has a moderate amount of lochia rubra?
• What action should the practical nurse (PN) take if a client collects a sputum specimen improperly?
• What would you consider when planning care for a diabetic patient?
• What should the practical nurse (PN) do for a confused older adult client in a long-term care facility who is unsure of the day of the week?
• A client experiencing neglect syndrome after a right hemisphere stroke requires assistance. What should the PN instruct the UAP to do?
• What does the term "asepsis" refer to?
• What should the practical nurse (PN) explain to a client who has developed a callus after a fracture?
• What is a common emotional reaction of clients accepting a terminal diagnosis?
• Based on an infant's low heel stick glucose level after delivery, what should the practical nurse (PN) implement first?
• For a client who has difficulty swallowing tablets, what is the best nursing action when administering a sublingual tablet?
• What is the primary benefit of patient education in a nursing context?
• In caring for a client with a urinary infection who is receiving antitubercular medications, what side effect must the PN be vigilant for?
• Which vital sign is most critical for assessing cardiac function?
• In which position should the nurse place a client's arm when taking a blood pressure at the brachial artery?
• What behavior should the practical nurse (PN) document as evidence of cocaine withdrawal?
• What is the priority action for a practical nurse when a preoperative client expresses fear about surgery?
• Which food provides the best source of vitamin B12?
• When caring for a dying patient with hospice care, what action is essential for enhancing comfort?
• What is the immediate intervention for a 24-hour-old infant who regurgitates and turns cyanotic?
• What priority action should the practical nurse (PN) take when a chemotherapy client develops a cough with yellow-tinged sputum and has a fever?
• What desired outcome best guides a practical nurse's actions for an older postoperative client with impaired mobility?
• What should the PN emphasize to an adolescent with atopic dermatitis interested in playing high school football?
• What is the role of the LPN in discharge planning?
• What is the most effective way for a nurse to assess a patient’s understanding of their health education?
• What is the priority action for an LPN when caring for a patient with a new tracheostomy?
• What is the recommended approach to infection control in healthcare settings?
• After a practical nurse (PN) identifies an omission in the fall prevention protocol by unlicensed assistive personnel (UAP), what is the next appropriate action?
• What is a common indication that a patient is experiencing pain?
• Which glove type should be utilized during care for a client with Clostridium difficile?
• What is the first action the PN should take upon entering the room of a client requiring droplet precautions?
• What sign is most likely exhibited by a child with acute glomerulonephritis that motivated parents to seek medical care?
• Following the administration of an anticonvulsant that causes photosensitivity, what is the PN's best course of action?
• What is the typical range for adult blood pressure?
• In the case of a client with influenza, which standard precaution should the PN always follow?
• Which type of medication category is primarily used to manage anxiety disorders?
• What is the most appropriate action for a PN when an older male resident is found wandering the halls at 3:30 AM?
• When providing care for a post-operative client, what must the practical nurse (PN) routinely check for during the initial 24 hours?
• Which body system is responsible for hormone production?
• What is a key indicator of effective patient communication?
• To assess for enlarged submandibular lymph nodes, where should the practical nurse palpate on the client?
• What is the main purpose of using sterile techniques?
• What action should the PN take for a primigravida client experiencing contractions every 5 minutes but with mild intensity?
• What should the PN expect to hear when auscultating the left upper lobe of a client with pleural effusion?
• What could be a potential risk of immobility?
• What is the purpose of the nursing process?
• When administering nystatin suspension to an infant's gums for a candida infection, what approach should the practical nurse (PN) take?
• What is the primary purpose of preoperative assessment?
• Which of the following is NOT one of the five steps of the nursing process?
• What vital sign is most affected during anaphylaxis?
• For a client with a low serum sodium level of 125 mEq/L, what key information should the practical nurse (PN) gather to understand the cause?
• When assessing a client with dark skin tones, where should the practical nurse (PN) primarily observe for evaluation?
• For a vegetarian client with a hemoglobin level of 8.2 grams/dL, which instruction should the PN provide to increase iron intake?
• Which assessment is crucial for a patient on anticoagulants?
• What is the immediate action a PN should take when a bedfast client becomes dyspneic during repositioning?
• What intervention should the practical nurse (PN) perform for a client who is shaking uncontrollably after a normal vaginal delivery?
• Why is it important to assess a patient's pain level?
• Which aspect of hospice care should the PN reinforce to a client and family?
• What is a common nursing intervention for a patient with an intravenous (IV) line?
• After finding a reddened area on a bedfast client's hip, what should the PN do next?
• What are common side effects of opioids?
• What is the first step in the nursing process?
• Which assessment is most important for an older client who experiences dizziness when getting out of bed?
• In what situation should an LPN consult with the supervisory nurse?
• After an endoscopic procedure with a local anesthetic, what priority action should the practical nurse (PN) include in the client’s plan of care?
• During a well-woman exam, if a client exhibits yellow and purple bruising, what is the best question for the practical nurse (PN) to ask?
• Which statement by a client with advanced prostate cancer reflects acceptance of his diagnosis?
• What important aspect should the nurse inquire about when assessing a client's urinary problems related to BPH?
• How should the practical nurse (PN) respond to a nurse who asks them to administer a medication from an unlabeled syringe?
• When administering intravenous diazepam for status epilepticus, what is the most important intervention for the PN?
• If a client's incision eviscerates, which task should the PN assign to the UAP?
• What is the primary focus of mental health nursing?
• What is an important nursing action when caring for a client with pneumonia and pleural effusion?
• What is the most effective action to prevent the spread of Clostridium difficile?
• When evaluating the lung sounds of a patient, which term best describes the sound of wheezing?
• During a medication administration round, what should the practical nurse (PN) confirm before giving medication to the client?
• What is the role of patient education in nursing?
• For a child with cystic fibrosis exhibiting wheezing, what priority should the nurse assess first?
• Why is patient education vital in nursing care?
• How does a Transcutaneous Electrical Nerve Stimulator (TENS) unit help manage pain?
• When approaching a client with obsessive-compulsive disorder who is repetitively washing a table, what should the PN implement?
• What type of diet would be recommended for a patient with hypertension?
• Which of the following indicates a successful outcome of the TENS treatment?
• What should the practical nurse (PN) emphasize about the dosing schedule for a client prescribed prednisone for poison ivy?
• What reassurance should the PN provide to parents of a child with pre-diabetes who wants to join a soccer team?
• Which intervention is considered within the scope of practice for a practical nurse?
• After administering a pain medication, which intervention should a practical nurse include in the client's care plan?
• Why is a post-voided residual volume assessment necessary for a client who has just had an indwelling catheter removed?
• What emotional state should the PN assess in a male client who has missed multiple doses of his bipolar medication?
• A male client with bipolar disorder has not taken his medication for 6 months. What is the most important parameter for the PN to assess?
• How many milligrams are in each milliliter of a reconstituted Cefazolin (Kefzol) solution if 1 gram is reconstituted in 2.5 mL?
• Which symptom should the nurse associate with Cushingoid effects of dexamethasone?
• What intervention is required for a postpartum client who experiences uncontrolled shaking?
• What is the importance of documenting patient care?
• Why is it important for LPNs to understand cultural competency?
• What is the primary role of a Licensed Practical Nurse (LPN)?
• What should you assess before administering a new medication?
• Which symptom might indicate withdrawal from cocaine?
• If an infant weighs 10.1 pounds and exhibits a glucose level of 40 mg/dL shortly after birth, what is the PN's priority intervention?
• What should the nurse emphasize regarding the dosing schedule of prednisone for a client with poison ivy?
• What is the best initial response for a PN when a patient's medication appears different than expected?
• When providing instructions to unlicensed assistive personnel (UAP) about a postoperative client, which client information is most important for the practical nurse (PN) to consider?
• What should an LPN do if they encounter a confused patient wandering the halls?
• What is an appropriate intervention for a patient experiencing anxiety?
• What is the common treatment for allergic reactions?
• Which statement by an older female client who lost her spouse 2 years ago indicates the need for bereavement counseling?
• What is the normal range for respiratory rate in adults?
• What is the appropriate action if a patient shows signs of an allergic reaction?
• What instruction should the practical nurse (PN) provide to a client using polyethylene glycol for a colonoscopy preparation?
• What is the significance of performing a head-to-toe assessment?
• What initial action should a PN take for a client monitoring after antibiotic administration?
• What should the nurse monitor for when caring for a client receiving dexamethasone?
• What is the primary focus of palliative care?
• What are the signs of a stroke according to BE FAST?
• During medication administration, what is the "six rights" principle?
• What initial step should the practical nurse (PN) take after noticing incorrect technique while the UAP measures a radial pulse?
• What step of the injection technique should the practical nurse (PN) reteach for a client self-administering subcutaneous insulin?
• For a client with immune thrombocytopenic purpura, what action is most important to prevent injury?
• What is a key responsibility of a practical nurse during medication administration?
• What should the nurse do if resistance is met while removing a Foley catheter?
• What is a common symptom of dehydration?
• What should the practical nurse (PN) reinforce for a client suffering from pruritus?
• Which laboratory test is primarily used to assess kidney function?
• During a blood pressure measurement, why should the client's arm be at heart level?
• How often should a patient with a catheter be assessed for urinary output?
• What should the practical nurse (PN) do first upon observing that the prescribed weights for Buck's traction are hanging freely?
• What is an important consideration when administering medication to elderly patients?
• When a client is prescribed tramadol for costochondritis, what intervention should the practical nurse include in the care plan?
• What initial intervention should the PN take for a client who has difficulty sleeping after orthopedic surgery?
• What should the practical nurse (PN) include in the care plan for a client taking ibuprofen for arthritic pain?
• Why is it important for nurses to practice cultural competence?
• What does the term "transferring" refer to in nursing care?
• Which of the following should be included in the nursing education for a client taking prednisone?
• If a practical nurse (PN) observes hematuria in a client's urinary catheter drainage tubing while they are receiving intravenous heparin, what is the first action the PN should take?
• A decrease in hemoglobin levels may indicate what condition?
• When instructing UAP about a postoperative client, why is the client's orientation status critical information?
• How should the practical nurse (PN) address a client with difficulty hearing during medication administration?
• Which of the following are common side effects of beta-blockers?
• After administering ondansetron before chemotherapy, how should the practical nurse (PN) measure the medication's effectiveness?
• Which action is most essential when providing oral care to an unconscious mouthbreather client?
• What intervention should the PN implement to reduce stress during the admission of a toddler?
• In what scenario should patient confidentiality be breached?
• What is the first action to take in the event of a fire in a healthcare facility?
• What should an LPN do if they notice a significant change in a patient’s condition?
• What is the first instruction a practical nurse (PN) should give to a UAP when they find a client unresponsive?
• What is a major risk factor for developing pressure ulcers?
• What is the role of the nurse when a client expresses a need for companionship during grief?
• Which nursing action is most appropriate for documenting a newly developed pressure injury?
• Which task should the practical nurse (PN) assign to unlicensed assistive personnel (UAP) for a client on the urology medical unit?
• How should the practical nurse (PN) respond when a client reports the pill he has been taking at home is a different color and size than the one being dispensed?
• What should the practical nurse (PN) do first when a client receiving paroxetine exhibits restlessness, tachycardia, fever, and elevated blood pressure?
• What vital sign is typically assessed first when entering a patient's room?
• What is the most important action for the practical nurse (PN) to take if an older resident is having difficulty hearing during medication administration?
• If a client who is NPO after a small bowel resection reports dizziness and tingling in digits, what assessment finding should be reported to the healthcare provider?
• When monitoring a client on anticonvulsants, what should the PN educate the client about regarding sun exposure?
• What action should the nurse take if a client with benign prostatic hypertrophy has a postvoid residual volume exceeding 100 mL?
• What is the purpose of using restraints on a patient?
• A male client with tuberculosis reports ringing in his ears after 10 weeks of treatment. Which medication should the PN report?
• If a UAP ignores a practical nurse's request for feedback on a client, what is the best action for the PN?
• How should an LPN manage a patient who is newly diagnosed with diabetes?
• In assessing a 2-year-old with croup, which intervention is best for the practical nurse (PN) to implement?
• Which laboratory values should the PN monitor to evaluate the effectiveness of an antibiotic in a client with a respiratory tract infection?
• How much total oral and IV intake should the practical nurse (PN) document for a client who consumed various fluids and received IV fluids?
• What is a critical sign the PN should monitor for in a client using an anticoagulant?
• What is the main goal of infection control practices?
• Which parameters are final determinants of blood pressure as per the practical nurse (PN)?
• Which client should the practical nurse (PN) check first during evening shift rounds after surgery?
• A client with hypertension reports a persistent dry cough. What medication should the PN identify as a common cause of this side effect?
• What is the first action the practical nurse (PN) should take when obtaining a capillary blood sample for glucose measurement?
• What type of assessment is used to determine a patient’s mental status?
• What is the most critical assessment for a practical nurse (PN) to perform after a client receives sedation for a procedure?
• What dietary modification is recommended for increasing iron levels in a vegetarian?
• Which fetal heart rate should the practical nurse (PN) report immediately to the registered nurse (RN)?
• What should the practical nurse consider when assessing a client with bruising that appears to be fingerprints?
• When a small fire breaks out in the kitchen of a long-term care facility, what is the most important task for the practical nurse (PN) to perform?
• What should a PN note about maternal monitoring after administering an epidural during labor?
• What is the most crucial intervention for the practical nurse (PN) to perform when assessing a client with left-sided heart failure?
• How much mL should be administered to a client after reconstituting cefazolin according to the prescription?
• During a painful procedure, which distraction technique should the practical nurse implement?
• Using the SBAR technique, which information should the practical nurse (PN) provide first when notifying a healthcare provider?
• In what situation should a practical nurse prioritize patient education?
• To assist a client in effective coughing and deep breathing post-surgery, what position should the practical nurse (PN) encourage?
• When assessing a client with stomatitis who is undergoing chemotherapy, what key information should the practical nurse (PN) gather?
• What should a peer nurse do if a practical nurse discusses inappropriate personal topics loudly in the nurses' station?
• What nursing action is essential for patients who have a language barrier?
• What vital sign might indicate a fever?
• What action should be taken if the evisceration of a client's incision occurs?
• What action should the practical nurse (PN) take when observing unlicensed assistive personnel (UAP) incorrectly counting a client's radial pulse?
• What should be monitored in a patient receiving IV fluids?
• What foot care instruction is most important for a newly diagnosed type 2 diabetes mellitus client?
• What should the practical nurse (PN) do to assess the client with auditory hallucinations?
• What should the nurse explain to a client regarding the meaning of T1N0M0 in a tumor classification?
• Which of the following is NOT part of the patient care responsibilities of an LPN?
• After administering epidural anesthesia during labor, which adverse effect must the PN monitor for?
• How should the nurse assess a client's urine in the drainage tubing of a Foley catheter?
• What is the first step in administering a medication through a nasogastric tube?
• What is the significance of a patient's allergy history?
• Which of the following is a normal adult pulse rate?
• What does effective wound care involve?
• In a cancer detection clinic, which client poses the highest risk for developing cancer of the larynx?
• Why is proper patient positioning crucial in nursing care?
• After administering filgrastim to a client with neutropenia, the client complains of bone pain. What should the practical nurse (PN) do first?
• What is the primary objective of patient education in nursing?
• What does an elevation in troponin I and CK-MB levels indicate for a client with coronary artery disease on the second day of admission?
• Which child should the practical nurse (PN) assess first?
• How should an LPN respond to a patient with a flail chest?
• What type of infection is classified as nosocomial?
• What vital sign should be closely monitored in a client receiving paroxetine who exhibits restlessness and tachycardia?