LPN ENTRANCE EXAM ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Short acting insulin. Answer: Regular (Humulin R, Novolin R)
IV
Onset: 30-60
Peak: 2-4 hr
Duration: 5-7 hr
◉ Intermediate insulin. Answer: NPH (Humulin N, Novolin N)
NEVER GIVE IV
onset: 1-2 hrs
Peak: 4-12 hrs
Duration: 18-24 hrs
◉ Long acting insulin. Answer: glargine, detemir
DO NOT MIX
Onset: 1-2 hrs
No peak
Lasts for 24+ hrs
,Given at night
◉ Mixing regular and NPH insulin. Answer: 1) inject air into NPH
2) inject air into regular insulin
3) draw from the regular
4) tip upside down and draw from the NPH
NR RN
◉ Hypertonic (enter). Answer: 5% dextrose NS, LR
-cerebral edema
-hyponatremia
-alkalosis
◉ Isotonic. Answer: NS, LR D5W
Use with blood products
For burns, hemorrhage, surgery
◉ Hypotonic (out). Answer: 1/2 NS, 1/2 D5, 0.33 NS
DKA
Do NOT GIVE TO BURNS OR LIVER DISEASE
◉ Corticosteroids. Answer: "Sone" "asone" "ide"
,Increase calcium in diet
Never stop suddenly
Bronchodilator before corticosteroid
◉ Furosemide. Answer: loop diuretic, give in the morning.
Monitor fluids and electrolytes
Change positions slowly
Monitor BP (hypo), monitor hypokalemia
Administer slow to avoid ototoxicity
Stay out of sun
◉ Penicillin. Answer: Broad spectrum antibiotic
Side effects: GI upset, glossitis
*do not give it allergic to cephalosporins (-cef)*
◉ Tetracycline. Answer: Do not give with milk products, do not give
to pregnant women (toxic) or children before age 8 or damage to
tooth enamel occurs, sit up for 30 mins ,
Avoid DAIRY
Causes photosensitivity (SUNBLOCK)
◉ Ciprofloxacin. Answer: Must be piggybacked slow
, ◉ Carbidopa/Levodopa. Answer: For Parkinson's, carbidopa carries
levodopa
Can cause dizziness, drowsiness, headache, hallucinations,
orthostatic hypotension, watch PROTEIN, take C food
Can darken bodily fluids
NO MAOIs
◉ Medication Rights of Administration. Answer: Right client
Right time
Right dose
Right med
Right route
Right documentation
◉ Ban for asthma patients. Answer: Do not give
Beta blocker
Aspirin
NSAIDs
◉ NSAIDs. Answer: Silent bleeders
Do not give if allergic to aspirin
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Short acting insulin. Answer: Regular (Humulin R, Novolin R)
IV
Onset: 30-60
Peak: 2-4 hr
Duration: 5-7 hr
◉ Intermediate insulin. Answer: NPH (Humulin N, Novolin N)
NEVER GIVE IV
onset: 1-2 hrs
Peak: 4-12 hrs
Duration: 18-24 hrs
◉ Long acting insulin. Answer: glargine, detemir
DO NOT MIX
Onset: 1-2 hrs
No peak
Lasts for 24+ hrs
,Given at night
◉ Mixing regular and NPH insulin. Answer: 1) inject air into NPH
2) inject air into regular insulin
3) draw from the regular
4) tip upside down and draw from the NPH
NR RN
◉ Hypertonic (enter). Answer: 5% dextrose NS, LR
-cerebral edema
-hyponatremia
-alkalosis
◉ Isotonic. Answer: NS, LR D5W
Use with blood products
For burns, hemorrhage, surgery
◉ Hypotonic (out). Answer: 1/2 NS, 1/2 D5, 0.33 NS
DKA
Do NOT GIVE TO BURNS OR LIVER DISEASE
◉ Corticosteroids. Answer: "Sone" "asone" "ide"
,Increase calcium in diet
Never stop suddenly
Bronchodilator before corticosteroid
◉ Furosemide. Answer: loop diuretic, give in the morning.
Monitor fluids and electrolytes
Change positions slowly
Monitor BP (hypo), monitor hypokalemia
Administer slow to avoid ototoxicity
Stay out of sun
◉ Penicillin. Answer: Broad spectrum antibiotic
Side effects: GI upset, glossitis
*do not give it allergic to cephalosporins (-cef)*
◉ Tetracycline. Answer: Do not give with milk products, do not give
to pregnant women (toxic) or children before age 8 or damage to
tooth enamel occurs, sit up for 30 mins ,
Avoid DAIRY
Causes photosensitivity (SUNBLOCK)
◉ Ciprofloxacin. Answer: Must be piggybacked slow
, ◉ Carbidopa/Levodopa. Answer: For Parkinson's, carbidopa carries
levodopa
Can cause dizziness, drowsiness, headache, hallucinations,
orthostatic hypotension, watch PROTEIN, take C food
Can darken bodily fluids
NO MAOIs
◉ Medication Rights of Administration. Answer: Right client
Right time
Right dose
Right med
Right route
Right documentation
◉ Ban for asthma patients. Answer: Do not give
Beta blocker
Aspirin
NSAIDs
◉ NSAIDs. Answer: Silent bleeders
Do not give if allergic to aspirin
