LPN/LVN Week 8 NCLEX-PN Practice Quiz 2026 UPDATE |SBON
1. Which task is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication
B. Ambulating a stable client in the hallway
C. Performing an initial admission assessment
D. Teaching a client how to use an incentive spirometer
Answer: B
Rationale: LPNs can delegate standard tasks such as ambulation of stable clients to UAPs.
Assessment, evaluation, and teaching are roles of the licensed nurse.
2. An infant is diagnosed with Pyloric Stenosis. Which clinical manifestation
should the nurse expect to observe?
A. Projectile vomiting
B. Steatorrhea
C. Currant jelly stools
D. Abdominal distention
Answer: A
Rationale: Projectile vomiting is a hallmark sign of pyloric stenosis due to the narrowing of
the pyloric sphincter.
,3. A client is receiving Magnesium Sulfate for preeclampsia. Which assessment
finding indicates magnesium toxicity?
A. Hyperactive deep tendon reflexes
B. Increased urinary output
C. Blood pressure of 150/90 mmHg
D. Respiratory rate of 10 breaths per minute
Answer: D
Rationale: Magnesium sulfate is a CNS depressant; toxicity causes decreased respiratory
rate, absent deep tendon reflexes, and decreased urinary output.
4. A nurse is caring for a client with a Potassium level of 6.2 mEq/L. Which
medication should the nurse anticipate administering?
A. Sodium Polystyrene Sulfonate
B. Spironolactone
C. Potassium Chloride
D. Furosemide
Answer: A
Rationale: Sodium Polystyrene Sulfonate (Kayexalate) is used to treat hyperkalemia by
exchanging sodium ions for potassium ions in the intestine.
5. According to Erikson’s stages of development, what is the primary task for a
school-age child (6 to 12 years)?
A. Industry vs. Inferiority
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Identity vs. Role Confusion
Answer: A
Rationale: School-age children focus on ‘Industry vs. Inferiority’ as they strive to master
new skills and knowledge.
, 6. Which instruction should the nurse provide to a client taking Warfarin?
A. Increase intake of green leafy vegetables
B. Maintain a consistent intake of Vitamin K
C. Use a firm-bristled toothbrush
D. Take Aspirin for minor headaches
Answer: B
Rationale: Warfarin effectiveness is affected by Vitamin K. Clients must keep their Vitamin
K intake consistent to avoid fluctuating INR levels.
7. A nurse is assessing a client with Right-sided Heart Failure. Which finding is
expected?
A. Crackles in the lungs
B. Dyspnea on exertion
C. Peripheral edema
D. Orthopnea
Answer: C
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention, and liver enlargement.
8. A client is scheduled for a Colonoscopy. Which position is most appropriate
for this procedure?
A. High-Fowler’s
B. Prone
C. Lithotomy
D. Left-lateral Sims’
Answer: D
Rationale: The Left-lateral Sims’ position allows for easier access to the colon and follows
the natural anatomy of the sigmoid colon.
1. Which task is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication
B. Ambulating a stable client in the hallway
C. Performing an initial admission assessment
D. Teaching a client how to use an incentive spirometer
Answer: B
Rationale: LPNs can delegate standard tasks such as ambulation of stable clients to UAPs.
Assessment, evaluation, and teaching are roles of the licensed nurse.
2. An infant is diagnosed with Pyloric Stenosis. Which clinical manifestation
should the nurse expect to observe?
A. Projectile vomiting
B. Steatorrhea
C. Currant jelly stools
D. Abdominal distention
Answer: A
Rationale: Projectile vomiting is a hallmark sign of pyloric stenosis due to the narrowing of
the pyloric sphincter.
,3. A client is receiving Magnesium Sulfate for preeclampsia. Which assessment
finding indicates magnesium toxicity?
A. Hyperactive deep tendon reflexes
B. Increased urinary output
C. Blood pressure of 150/90 mmHg
D. Respiratory rate of 10 breaths per minute
Answer: D
Rationale: Magnesium sulfate is a CNS depressant; toxicity causes decreased respiratory
rate, absent deep tendon reflexes, and decreased urinary output.
4. A nurse is caring for a client with a Potassium level of 6.2 mEq/L. Which
medication should the nurse anticipate administering?
A. Sodium Polystyrene Sulfonate
B. Spironolactone
C. Potassium Chloride
D. Furosemide
Answer: A
Rationale: Sodium Polystyrene Sulfonate (Kayexalate) is used to treat hyperkalemia by
exchanging sodium ions for potassium ions in the intestine.
5. According to Erikson’s stages of development, what is the primary task for a
school-age child (6 to 12 years)?
A. Industry vs. Inferiority
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Identity vs. Role Confusion
Answer: A
Rationale: School-age children focus on ‘Industry vs. Inferiority’ as they strive to master
new skills and knowledge.
, 6. Which instruction should the nurse provide to a client taking Warfarin?
A. Increase intake of green leafy vegetables
B. Maintain a consistent intake of Vitamin K
C. Use a firm-bristled toothbrush
D. Take Aspirin for minor headaches
Answer: B
Rationale: Warfarin effectiveness is affected by Vitamin K. Clients must keep their Vitamin
K intake consistent to avoid fluctuating INR levels.
7. A nurse is assessing a client with Right-sided Heart Failure. Which finding is
expected?
A. Crackles in the lungs
B. Dyspnea on exertion
C. Peripheral edema
D. Orthopnea
Answer: C
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral
edema, jugular venous distention, and liver enlargement.
8. A client is scheduled for a Colonoscopy. Which position is most appropriate
for this procedure?
A. High-Fowler’s
B. Prone
C. Lithotomy
D. Left-lateral Sims’
Answer: D
Rationale: The Left-lateral Sims’ position allows for easier access to the colon and follows
the natural anatomy of the sigmoid colon.
