NEWEST Licensed Practical Nurse (LPN)
Exam (NCLEX-PN) EXAM | ULTIMATE
EXAM WITH CORRECT ANSWERS AND
RATIONALES FOR CERTIFICATION
SUCCESS
1. A client is admitted with a diagnosis of tuberculosis
(TB). Which type of isolation precautions should the
LPN implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Correct answer: C
Rationale: Tuberculosis is transmitted via airborne
droplet nuclei, necessitating airborne precautions
including an N95 respirator and negative pressure
room .
2. A client is receiving a continuous enteral feeding
via a nasogastric tube. Which action is most
important to prevent aspiration?
A) Flush the tube with 30 mL of water every 4 hours
,B) Elevate the head of the bed to at least 30-45
degrees
C) Check gastric residual volumes every shift
D) Change the tubing every 24 hours
Correct answer: B
Rationale: Elevating the head of the bed reduces the
risk of regurgitation and aspiration of formula into the
lungs; it is the most important preventive measure .
3. A LPN observes a registered nurse (RN) preparing
to administer a medication via a wrong route. What is
the LPNs first action?
A) Ignore the situation because the RN is licensed
B) Report the RN to the nursing supervisor
immediately
C) Ask the RN to stop and verify the order
D) Document the observation in the patient's chart
Correct answer: C
Rationale: The LPN has a duty to address the error
immediately by questioning the RN to prevent patient
harm. This is consistent with the chain of command
and patient safety principles .
,4. A client falls while attempting to get out of bed
unassisted. After ensuring the client is stable, what is
the LPNs priority action?
A) Complete an incident report
B) Notify the clients family
C) Assess the client for injuries
D) Document the fall in the medical record
Correct answer: C
Rationale: The priority is reassessing the client for
any new injuries sustained from the fall to initiate
immediate care .
5. A client is receiving morphine sulfate via patient-
controlled analgesia (PCA). The LPN notes the client
has a respiratory rate of 8 breaths per minute. What
is the priority action?
A) Encourage the client to take deep breaths
B) Stop the PCA infusion and notify the RN
C) Administer naloxone as a standing order
D) Increase the clients oxygen flow rate
Correct answer: B
Rationale: Respiratory depression is a life-
threatening side effect of opioids. The PCA should be
, stopped immediately, and the RN notified for further
orders (e.g., naloxone).
6. A postoperative client refuses to use the incentive
spirometer, stating it hurts too much. Which
response by the LPN is most appropriate?
A) You must use it or you will get pneumonia
B) I will call the doctor for more pain medication
C) I can help you splint your incision while you try
D) It is your choice, but I will document your refusal
Correct answer: C
Rationale: Offering a comfort measure (pain
medication or splinting) addresses the barrier (pain).
This client-centered approach promotes adherence
to treatment.
7. Which client would the LPN assign to an unlicensed
assistive personnel (UAP)?
A) A client requiring a sterile dressing change
B) A client who needs assistance with ambulation
post-knee surgery
C) A client receiving a blood transfusion
D) A client with new-onset chest pain
Exam (NCLEX-PN) EXAM | ULTIMATE
EXAM WITH CORRECT ANSWERS AND
RATIONALES FOR CERTIFICATION
SUCCESS
1. A client is admitted with a diagnosis of tuberculosis
(TB). Which type of isolation precautions should the
LPN implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Correct answer: C
Rationale: Tuberculosis is transmitted via airborne
droplet nuclei, necessitating airborne precautions
including an N95 respirator and negative pressure
room .
2. A client is receiving a continuous enteral feeding
via a nasogastric tube. Which action is most
important to prevent aspiration?
A) Flush the tube with 30 mL of water every 4 hours
,B) Elevate the head of the bed to at least 30-45
degrees
C) Check gastric residual volumes every shift
D) Change the tubing every 24 hours
Correct answer: B
Rationale: Elevating the head of the bed reduces the
risk of regurgitation and aspiration of formula into the
lungs; it is the most important preventive measure .
3. A LPN observes a registered nurse (RN) preparing
to administer a medication via a wrong route. What is
the LPNs first action?
A) Ignore the situation because the RN is licensed
B) Report the RN to the nursing supervisor
immediately
C) Ask the RN to stop and verify the order
D) Document the observation in the patient's chart
Correct answer: C
Rationale: The LPN has a duty to address the error
immediately by questioning the RN to prevent patient
harm. This is consistent with the chain of command
and patient safety principles .
,4. A client falls while attempting to get out of bed
unassisted. After ensuring the client is stable, what is
the LPNs priority action?
A) Complete an incident report
B) Notify the clients family
C) Assess the client for injuries
D) Document the fall in the medical record
Correct answer: C
Rationale: The priority is reassessing the client for
any new injuries sustained from the fall to initiate
immediate care .
5. A client is receiving morphine sulfate via patient-
controlled analgesia (PCA). The LPN notes the client
has a respiratory rate of 8 breaths per minute. What
is the priority action?
A) Encourage the client to take deep breaths
B) Stop the PCA infusion and notify the RN
C) Administer naloxone as a standing order
D) Increase the clients oxygen flow rate
Correct answer: B
Rationale: Respiratory depression is a life-
threatening side effect of opioids. The PCA should be
, stopped immediately, and the RN notified for further
orders (e.g., naloxone).
6. A postoperative client refuses to use the incentive
spirometer, stating it hurts too much. Which
response by the LPN is most appropriate?
A) You must use it or you will get pneumonia
B) I will call the doctor for more pain medication
C) I can help you splint your incision while you try
D) It is your choice, but I will document your refusal
Correct answer: C
Rationale: Offering a comfort measure (pain
medication or splinting) addresses the barrier (pain).
This client-centered approach promotes adherence
to treatment.
7. Which client would the LPN assign to an unlicensed
assistive personnel (UAP)?
A) A client requiring a sterile dressing change
B) A client who needs assistance with ambulation
post-knee surgery
C) A client receiving a blood transfusion
D) A client with new-onset chest pain
