LPN/LVN Week 3 Nursing Quiz - NCLEX-PN 2026/2027 Update |SBON
1. Which nursing intervention is a priority for a patient returning from surgery
who is still under the effects of general anesthesia?
A. Assessing the surgical site for drainage
B. Monitoring the patient’s pain level
C. Maintaining a patent airway
D. Encouraging early ambulation
Answer: C
Rationale: Airway management is always the priority (ABC priority) for patients
recovering from general anesthesia due to the risk of respiratory depression and
aspiration.
2. A nurse is preparing to administer an intramuscular (IM) injection to an adult.
Which site is preferred to avoid injury to the sciatic nerve?
A. Dorsogluteal
B. Vastus lateralis
C. Ventrogluteal
D. Deltoid
Answer: C
Rationale: The ventrogluteal site is the safest and preferred site for IM injections in adults
because it is away from major nerves and blood vessels.
,3. The nurse notes a patient’s surgical wound has eviscerated. What should be
the nurse’s immediate action?
A. Apply a dry sterile dressing tightly
B. Push the organs back into the abdominal cavity
C. Place the patient in a High-Fowler’s position
D. Cover the wound with sterile towels moistened with normal saline
Answer: D
Rationale: In the case of evisceration, the protruding organs must be kept moist with
sterile saline to prevent tissue necrosis until surgical intervention occurs.
4. When assessing a patient for orthostatic hypotension, which finding indicates
a positive result?
A. A drop in systolic blood pressure of 20 mmHg when standing
B. An increase in heart rate of 5 beats per minute
C. A drop in diastolic blood pressure of 5 mmHg when standing
D. An increase in systolic blood pressure of 10 mmHg
Answer: A
Rationale: Orthostatic hypotension is typically defined as a drop in systolic BP of at least
20 mmHg or a drop in diastolic BP of at least 10 mmHg within three minutes of standing.
5. Which type of isolation precaution should the nurse implement for a patient
diagnosed with Pulmonary Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions
Answer: C
, Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air;
therefore, airborne precautions, including an N95 respirator and negative pressure room,
are required.
6. A patient is prescribed Warfarin (Coumadin). Which lab value should the
LPN/LVN monitor to ensure therapeutic effectiveness?
A. aPTT
B. Hemoglobin
C. Platelet count
D. INR
Answer: D
Rationale: The International Normalized Ratio (INR) is the standard lab value used to
monitor the effectiveness of Warfarin therapy.
7. Which clinical manifestation is an early sign of hypoxia?
A. Cyanosis
B. Bradycardia
C. Bradypnea
D. Restlessness
Answer: D
Rationale: Restlessness and anxiety are early signs of hypoxia as the brain responds to
decreasing oxygen levels; cyanosis is a late sign.
8. The nurse is caring for a patient with a Penrose drain. What is the primary
purpose of this type of drain?
A. To drain fluids via capillary action into the dressing
B. To allow drainage to flow by gravity into a sterile pouch
C. To provide active suction to the wound
D. To keep the wound edges approximated
Answer: A
1. Which nursing intervention is a priority for a patient returning from surgery
who is still under the effects of general anesthesia?
A. Assessing the surgical site for drainage
B. Monitoring the patient’s pain level
C. Maintaining a patent airway
D. Encouraging early ambulation
Answer: C
Rationale: Airway management is always the priority (ABC priority) for patients
recovering from general anesthesia due to the risk of respiratory depression and
aspiration.
2. A nurse is preparing to administer an intramuscular (IM) injection to an adult.
Which site is preferred to avoid injury to the sciatic nerve?
A. Dorsogluteal
B. Vastus lateralis
C. Ventrogluteal
D. Deltoid
Answer: C
Rationale: The ventrogluteal site is the safest and preferred site for IM injections in adults
because it is away from major nerves and blood vessels.
,3. The nurse notes a patient’s surgical wound has eviscerated. What should be
the nurse’s immediate action?
A. Apply a dry sterile dressing tightly
B. Push the organs back into the abdominal cavity
C. Place the patient in a High-Fowler’s position
D. Cover the wound with sterile towels moistened with normal saline
Answer: D
Rationale: In the case of evisceration, the protruding organs must be kept moist with
sterile saline to prevent tissue necrosis until surgical intervention occurs.
4. When assessing a patient for orthostatic hypotension, which finding indicates
a positive result?
A. A drop in systolic blood pressure of 20 mmHg when standing
B. An increase in heart rate of 5 beats per minute
C. A drop in diastolic blood pressure of 5 mmHg when standing
D. An increase in systolic blood pressure of 10 mmHg
Answer: A
Rationale: Orthostatic hypotension is typically defined as a drop in systolic BP of at least
20 mmHg or a drop in diastolic BP of at least 10 mmHg within three minutes of standing.
5. Which type of isolation precaution should the nurse implement for a patient
diagnosed with Pulmonary Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions
Answer: C
, Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air;
therefore, airborne precautions, including an N95 respirator and negative pressure room,
are required.
6. A patient is prescribed Warfarin (Coumadin). Which lab value should the
LPN/LVN monitor to ensure therapeutic effectiveness?
A. aPTT
B. Hemoglobin
C. Platelet count
D. INR
Answer: D
Rationale: The International Normalized Ratio (INR) is the standard lab value used to
monitor the effectiveness of Warfarin therapy.
7. Which clinical manifestation is an early sign of hypoxia?
A. Cyanosis
B. Bradycardia
C. Bradypnea
D. Restlessness
Answer: D
Rationale: Restlessness and anxiety are early signs of hypoxia as the brain responds to
decreasing oxygen levels; cyanosis is a late sign.
8. The nurse is caring for a patient with a Penrose drain. What is the primary
purpose of this type of drain?
A. To drain fluids via capillary action into the dressing
B. To allow drainage to flow by gravity into a sterile pouch
C. To provide active suction to the wound
D. To keep the wound edges approximated
Answer: A
