NUR2349 Professional Nursing I: Actual Exam 1
Review – Comprehensive Practice & NCLEX-RN®
Fundamentals | 2026/2027 Edition
SECTION 1: Nursing Foundations, Roles, & Ethics (10 Questions)
Q1 (Multiple Choice) - Recall:
The practical/vocational nurse is caring for a patient who requires a complex
intravenous medication titration based on hemodynamic parameters. According to the
LPN/LVN scope of practice, what is the appropriate nursing action?
A. Accept the assignment and monitor the patient closely
B. Notify the RN that this task requires RN-level judgment and intervention
C. Perform the task under the direction of the unit secretary
D. Complete the task and document findings in the electronic health record
Correct Answer: B
Rationale: Intravenous medication titration requiring continuous assessment of
hemodynamic parameters and independent clinical judgment falls outside the LPN/LVN
scope of practice. The LPN/LVN functions under the supervision of an RN or licensed
practitioner and must recognize when patient needs exceed their educational
preparation and legal authority, appropriately communicating this to the supervising RN.
Q2 (Multiple Choice) - Application:
,An LPN is assigned to care for four patients on a medical-surgical unit. Which task is
most appropriate for the LPN to delegate to unlicensed assistive personnel (UAP)?
A. Assessing a patient's post-operative incision for signs of infection
B. Measuring and recording intake and output for a stable patient
C. Teaching a patient about diabetic foot care
D. Evaluating the effectiveness of pain medication administered one hour ago
Correct Answer: B
Rationale: Measurement and recording of intake and output is a routine, non-invasive
task that does not require nursing assessment, clinical judgment, or patient education
skills. The LPN may delegate this task to UAP while retaining responsibility for
supervision and follow-up verification of the data collected.
Q3 (Select-All-That-Apply) - Application:
An LPN is preparing to perform wound care for a patient with a contagious drainage.
Which actions demonstrate adherence to standard precautions? (Select all that apply.)
1. Performing hand hygiene before and after patient contact
2. Wearing a gown only when entering the patient's room
3. Using gloves when touching potentially infectious materials
4. Wearing a mask if splashing of body fluids is anticipated
5. Donning sterile gloves for all patient care activities
Correct Answers: 1, 3, 4
Rationale: Standard precautions apply to all patients regardless of suspected infection
status. Hand hygiene is the foundation of infection prevention and must occur before
and after every patient contact. Gloves are required when contact with blood, body
, fluids, secretions, excretions, or contaminated items is anticipated. Masks, eye
protection, and face shields are indicated when there is risk of splashing or spraying of
body fluids. Gowns are worn when soiling of clothing is anticipated, not merely upon
room entry, and sterile gloves are reserved for sterile procedures, not routine standard
precautions.
Q4 (Multiple Choice) - Recall:
Which statement best describes the LPN/LVN role in the nursing process?
A. The LPN independently develops comprehensive care plans for all assigned patients
B. The LPN collaborates with the RN to implement care plans and reports patient
responses
C. The LPN is responsible for evaluating all patient outcomes and modifying care plans
D. The LPN functions independently without supervision in all clinical settings
Correct Answer: B
Rationale: The LPN/LVN contributes to the nursing process through data collection,
implementation of established care plans, and reporting patient responses to the
supervising RN. The LPN participates in planning under RN direction and contributes to
evaluation by reporting observations, while the RN retains responsibility for
comprehensive assessment, care plan development, and outcome evaluation.
Q5 (Multiple Choice) - Application:
A patient scheduled for surgery states, "I don't think I want to have this operation
anymore. I'm scared." What is the LPN's most appropriate response?
Review – Comprehensive Practice & NCLEX-RN®
Fundamentals | 2026/2027 Edition
SECTION 1: Nursing Foundations, Roles, & Ethics (10 Questions)
Q1 (Multiple Choice) - Recall:
The practical/vocational nurse is caring for a patient who requires a complex
intravenous medication titration based on hemodynamic parameters. According to the
LPN/LVN scope of practice, what is the appropriate nursing action?
A. Accept the assignment and monitor the patient closely
B. Notify the RN that this task requires RN-level judgment and intervention
C. Perform the task under the direction of the unit secretary
D. Complete the task and document findings in the electronic health record
Correct Answer: B
Rationale: Intravenous medication titration requiring continuous assessment of
hemodynamic parameters and independent clinical judgment falls outside the LPN/LVN
scope of practice. The LPN/LVN functions under the supervision of an RN or licensed
practitioner and must recognize when patient needs exceed their educational
preparation and legal authority, appropriately communicating this to the supervising RN.
Q2 (Multiple Choice) - Application:
,An LPN is assigned to care for four patients on a medical-surgical unit. Which task is
most appropriate for the LPN to delegate to unlicensed assistive personnel (UAP)?
A. Assessing a patient's post-operative incision for signs of infection
B. Measuring and recording intake and output for a stable patient
C. Teaching a patient about diabetic foot care
D. Evaluating the effectiveness of pain medication administered one hour ago
Correct Answer: B
Rationale: Measurement and recording of intake and output is a routine, non-invasive
task that does not require nursing assessment, clinical judgment, or patient education
skills. The LPN may delegate this task to UAP while retaining responsibility for
supervision and follow-up verification of the data collected.
Q3 (Select-All-That-Apply) - Application:
An LPN is preparing to perform wound care for a patient with a contagious drainage.
Which actions demonstrate adherence to standard precautions? (Select all that apply.)
1. Performing hand hygiene before and after patient contact
2. Wearing a gown only when entering the patient's room
3. Using gloves when touching potentially infectious materials
4. Wearing a mask if splashing of body fluids is anticipated
5. Donning sterile gloves for all patient care activities
Correct Answers: 1, 3, 4
Rationale: Standard precautions apply to all patients regardless of suspected infection
status. Hand hygiene is the foundation of infection prevention and must occur before
and after every patient contact. Gloves are required when contact with blood, body
, fluids, secretions, excretions, or contaminated items is anticipated. Masks, eye
protection, and face shields are indicated when there is risk of splashing or spraying of
body fluids. Gowns are worn when soiling of clothing is anticipated, not merely upon
room entry, and sterile gloves are reserved for sterile procedures, not routine standard
precautions.
Q4 (Multiple Choice) - Recall:
Which statement best describes the LPN/LVN role in the nursing process?
A. The LPN independently develops comprehensive care plans for all assigned patients
B. The LPN collaborates with the RN to implement care plans and reports patient
responses
C. The LPN is responsible for evaluating all patient outcomes and modifying care plans
D. The LPN functions independently without supervision in all clinical settings
Correct Answer: B
Rationale: The LPN/LVN contributes to the nursing process through data collection,
implementation of established care plans, and reporting patient responses to the
supervising RN. The LPN participates in planning under RN direction and contributes to
evaluation by reporting observations, while the RN retains responsibility for
comprehensive assessment, care plan development, and outcome evaluation.
Q5 (Multiple Choice) - Application:
A patient scheduled for surgery states, "I don't think I want to have this operation
anymore. I'm scared." What is the LPN's most appropriate response?
