LPN Semester 1 Final Exam (Modules 1-2) 2026/2027 UPDATE
1. Which action is the most effective way to prevent the spread of infection in a
healthcare setting?
A. Wearing gloves at all times
B. Using masks for every patient interaction
C. Consistent and thorough hand hygiene
D. Administering prophylactic antibiotics
Answer: C
Rationale: Hand hygiene is universally recognized as the single most important practice to
reduce the transmission of infectious agents.
2. A nurse is witnessing a patient sign an informed consent form. What is the
nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure
B. Assessing the patient’s medical history
C. Defining alternative treatments for the patient
D. Ensuring the patient is signing the form voluntarily
Answer: D
Rationale: The nurse’s role is to witness the signature and ensure the patient is competent
and signing voluntarily. Explaining the procedure is the physician’s responsibility.
,3. A patient’s blood pressure drops significantly when moving from a lying to a
standing position. What is this condition called?
A. Hypertension
B. Vasovagal syncope
C. Bradycardia
D. Orthostatic hypotension
Answer: D
Rationale: Orthostatic hypotension is a drop in systolic blood pressure of at least 20
mmHg or diastolic of at least 10 mmHg within three minutes of standing.
4. What is the first step of the nursing process?
A. Assessment
B. Implementation
C. Planning
D. Diagnosis
Answer: A
Rationale: Assessment is the first step, involving the systematic collection of data about
the patient’s health status.
5. Which pulse site is used primarily to assess the heart rate in infants during
CPR?
A. Radial
B. Brachial
C. Carotid
D. Popliteal
Answer: B
Rationale: In infants, the brachial pulse is the preferred site for checking a pulse during
emergency situations like CPR.
, 6. The nurse is documenting patient care. Which entry is an example of
objective data?
A. Patient states ‘I feel nauseous’
B. Patient’s skin is warm and dry to the touch
C. Patient reports a pain level of 8/10
D. Patient complains of dizziness
Answer: B
Rationale: Objective data is observable and measurable information obtained through
physical examination, such as skin temperature or color.
7. What does the ethical principle of ‘Autonomy’ refer to in nursing?
A. Doing good for the patient
B. The patient’s right to make their own decisions
C. Telling the truth
D. Fair distribution of resources
Answer: B
Rationale: Autonomy is the right of patients to make decisions about their own medical
care without influence from healthcare providers.
8. When moving a heavy object, which body mechanics principle should the
nurse apply?
A. Keep the object close to the body and use leg muscles
B. Keep the feet close together for stability
C. Bend at the waist and lift with the back
D. Twist the torso while lifting to change direction
Answer: A
Rationale: Using the large muscles of the legs and keeping the center of gravity over the
base of support prevents back injuries.
1. Which action is the most effective way to prevent the spread of infection in a
healthcare setting?
A. Wearing gloves at all times
B. Using masks for every patient interaction
C. Consistent and thorough hand hygiene
D. Administering prophylactic antibiotics
Answer: C
Rationale: Hand hygiene is universally recognized as the single most important practice to
reduce the transmission of infectious agents.
2. A nurse is witnessing a patient sign an informed consent form. What is the
nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure
B. Assessing the patient’s medical history
C. Defining alternative treatments for the patient
D. Ensuring the patient is signing the form voluntarily
Answer: D
Rationale: The nurse’s role is to witness the signature and ensure the patient is competent
and signing voluntarily. Explaining the procedure is the physician’s responsibility.
,3. A patient’s blood pressure drops significantly when moving from a lying to a
standing position. What is this condition called?
A. Hypertension
B. Vasovagal syncope
C. Bradycardia
D. Orthostatic hypotension
Answer: D
Rationale: Orthostatic hypotension is a drop in systolic blood pressure of at least 20
mmHg or diastolic of at least 10 mmHg within three minutes of standing.
4. What is the first step of the nursing process?
A. Assessment
B. Implementation
C. Planning
D. Diagnosis
Answer: A
Rationale: Assessment is the first step, involving the systematic collection of data about
the patient’s health status.
5. Which pulse site is used primarily to assess the heart rate in infants during
CPR?
A. Radial
B. Brachial
C. Carotid
D. Popliteal
Answer: B
Rationale: In infants, the brachial pulse is the preferred site for checking a pulse during
emergency situations like CPR.
, 6. The nurse is documenting patient care. Which entry is an example of
objective data?
A. Patient states ‘I feel nauseous’
B. Patient’s skin is warm and dry to the touch
C. Patient reports a pain level of 8/10
D. Patient complains of dizziness
Answer: B
Rationale: Objective data is observable and measurable information obtained through
physical examination, such as skin temperature or color.
7. What does the ethical principle of ‘Autonomy’ refer to in nursing?
A. Doing good for the patient
B. The patient’s right to make their own decisions
C. Telling the truth
D. Fair distribution of resources
Answer: B
Rationale: Autonomy is the right of patients to make decisions about their own medical
care without influence from healthcare providers.
8. When moving a heavy object, which body mechanics principle should the
nurse apply?
A. Keep the object close to the body and use leg muscles
B. Keep the feet close together for stability
C. Bend at the waist and lift with the back
D. Twist the torso while lifting to change direction
Answer: A
Rationale: Using the large muscles of the legs and keeping the center of gravity over the
base of support prevents back injuries.
