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Quizzes > Health & Medicine > Human Anatomy & Medicine

Free LPN Exam Practice Test - Ace Your Entrance Exam

Ready to tackle our practical nursing practice test? Dive into LPN practice exam questions and see where you stand!

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for LPN exam practice test quiz on a dark blue background

Use this LPN exam practice test to see where you stand and spot weak areas before the exam. Answer realistic patient care scenarios to build confidence, sharpen clinical judgment and skills, and practice pacing, then keep going with more hands-on quizzes .

What is the normal adult blood pressure range?
100/60 to 130/85 mm Hg
90/60 to 120/80 mm Hg
80/50 to 110/70 mm Hg
120/80 to 140/90 mm Hg
The normal adult blood pressure is generally considered to be a systolic of 90 - 120 mm Hg and a diastolic of 60 - 80 mm Hg. Values above or below this range may indicate hypertension or hypotension, both of which require evaluation. Maintaining blood pressure within this range supports adequate organ perfusion.
What is the most important action to prevent the spread of infection in a healthcare setting?
Performing hand hygiene before and after patient contact
Disposing of sharps immediately after use
Wearing gloves during all patient procedures
Using sterile technique for every task
Hand hygiene is the single most effective measure to prevent healthcare-associated infections by removing transient microorganisms. Gloves and sterile technique are important but do not replace proper hand washing. Sharps disposal is a safety measure but not the primary method to reduce pathogen transmission.
Tachypnea is defined as a respiratory rate greater than which of the following in adults?
20 breaths per minute
18 breaths per minute
15 breaths per minute
25 breaths per minute
Tachypnea in adults is typically defined as a respiratory rate exceeding 20 breaths per minute. Rates above this threshold can signal respiratory distress or underlying pathology. Monitoring trends in rate is essential for early detection of deterioration.
Which site is considered the safest for intramuscular injection in adults?
Vastus lateralis
Ventrogluteal
Dorsogluteal
Deltoid
The ventrogluteal site is considered the safest for adult IM injections because it is free of major blood vessels and nerves. It can accommodate larger volumes and has better tissue depth. The dorsogluteal site carries a higher risk of sciatic nerve injury.
What is the normal adult respiratory rate range?
16 - 24 breaths per minute
20 - 28 breaths per minute
8 - 12 breaths per minute
12 - 20 breaths per minute
A normal adult respiratory rate typically falls between 12 and 20 breaths per minute. Rates below or above this range may indicate respiratory depression or distress. Continuous monitoring is important to detect changes early.
A physician orders ampicillin 250 mg IM. The vial is labeled 500 mg/mL. How many milliliters should the nurse administer?
0.25 mL
0.5 mL
0.75 mL
1 mL
Dosage calculation: 250 mg ÷ (500 mg/mL) = 0.5 mL. Accurate measurement prevents under- or overdosing. Always double-check calculations and prepare using aseptic technique.
Which finding is most indicative of fluid volume overload?
Weight loss
Poor skin turgor
Dry mucous membranes
Pitting edema in the ankles
Pitting edema indicates excess fluid in the interstitial spaces, a hallmark of volume overload. Poor skin turgor and dry mucous membranes suggest dehydration. Monitoring intake, output, and daily weight aids assessment.
A confused patient repeatedly tries to get out of bed unattended. The best nursing intervention is:
Keep the bed in the highest position
Administer a sedative to promote calmness
Apply physical restraints to prevent falls
Use a bed alarm to alert staff if they attempt to mobilize
Bed alarms are a least-restrictive intervention that alert staff when a patient at risk for falls attempts to get up. Restraints and sedatives increase risk and require physician orders and careful monitoring. The bed should be kept in the lowest position to reduce injury risk.
Which therapeutic communication technique encourages a patient to elaborate on feelings?
Confrontation
Closed-ended questions
Silent reflection
Open-ended questions
Open-ended questions, such as 'Tell me more about that,' allow patients to express thoughts and feelings without limitation. Closed-ended questions yield yes/no answers and limit exploration. Confrontation and silence have specific roles but do not encourage elaboration.
What is the correct first step in performing oropharyngeal suctioning?
Insert the catheter into the mouth
Pre-oxygenate the patient with 100% oxygen
Apply suction while inserting the catheter
Lubricate the catheter tip
Pre-oxygenating the patient prevents hypoxia during suctioning by increasing oxygen reserves. Lubrication and catheter insertion follow, and suction is only applied during withdrawal. Proper technique reduces complications.
Interpret the following ABG: pH 7.30, PaCO2 50 mm Hg, HCO3 24 mEq/L.
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
A pH below 7.35 indicates acidosis, and an elevated PaCO2 is the primary disturbance, confirming respiratory acidosis. The bicarbonate is within normal limits, showing there is no metabolic compensation.
A patient uses an inhaled corticosteroid for asthma. What teaching point is most important?
Increase dose if wheezing worsens
Rinse the mouth after each use
Skip daily doses on symptom-free days
Use it only during an acute attack
Rinsing the mouth after inhaled corticosteroids prevents local fungal infections (thrush). These medications are for long-term control, not acute relief, and doses should be consistent. Increasing the dose without prescription risks adverse effects.
Which electrolyte imbalance is most commonly seen in bulimia nervosa?
Hypernatremia
Hypercalcemia
Hypermagnesemia
Hypokalemia
Frequent vomiting in bulimia leads to loss of gastric acid and potassium, resulting in hypokalemia. This imbalance can cause muscle weakness and cardiac arrhythmias. Monitoring electrolytes is crucial for patient safety.
A stage 3 pressure ulcer is characterized by which of the following?
Exposed bone, tendon, or muscle
Full-thickness tissue loss with visible subcutaneous fat
Serum-filled blister formation
Non-blanchable erythema of intact skin
Stage 3 pressure injuries involve full-thickness tissue loss where subcutaneous fat may be visible, but bone, tendon, or muscle are not exposed. Stage 1 involves non-blanchable erythema, and stage 4 includes exposed structures. Accurate staging guides treatment.
A dopamine infusion is prescribed at 5 mcg/kg/min for a 70-kg patient. The pharmacy delivers 400 mg in 250 mL. What infusion rate in mL/hr should the nurse set?
13 mL/hr
25 mL/hr
9 mL/hr
21 mL/hr
First calculate mcg/min: 5 mcg × 70 kg = 350 mcg/min = 0.35 mg/min. The solution concentration is 400 mg/250 mL = 1.6 mg/mL. Therefore, 0.35 mg/min ÷ 1.6 mg/mL = 0.21875 mL/min × 60 = ~13 mL/hr.
A patient has low serum albumin levels. How will this affect the dosing of a highly protein-bound medication?
Increased drug metabolism
Decreased free drug concentration
Increased free drug concentration leading to potential toxicity
No change in drug availability
Low albumin reduces protein binding sites, increasing the free, active portion of highly bound drugs. This elevates the risk of toxicity, so dosage adjustments may be necessary. Monitoring drug levels is recommended.
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Study Outcomes

  1. Understand core LPN exam topics -

    Review essential nursing concepts - from pharmacology to patient care - to solidify your foundation before tackling the licensed practical nurse practice test.

  2. Apply clinical reasoning skills -

    Use realistic lpn practice exam questions to sharpen your decision-making and prioritize patient needs under exam conditions.

  3. Identify knowledge gaps -

    Analyze your responses on this practical nursing practice test to pinpoint strengths and areas for improvement.

  4. Develop test-taking strategies -

    Learn time-management and question-approach techniques tailored for the lpn entrance exam practice test to reduce errors and boost efficiency.

  5. Build exam confidence -

    Gain familiarity with the lpn exam practice test format and question style to enter the real exam room with greater assurance.

Cheat Sheet

  1. Master the ADPIE Nursing Process -

    The ADPIE framework (Assessment, Diagnosis, Planning, Implementation, Evaluation) is the backbone of clinical decision-making on your lpn exam practice test. Use the mnemonic "All Dogs Play In Euphoria" to recall each step, and practice mapping patient scenarios to ADPIE through reputable sources like the American Nurses Association. This systematic approach helps you tackle both practical nursing practice test questions and real-world care planning.

  2. Perfect Dosage Calculations -

    Dosage problems often appear on your licensed practical nurse practice test, so remember the formula D/H × Q (Desired over Have times Quantity). For example, if the order is 250 mg and you have a 500 mg tablet, calculate 250/500 × 1 tablet = 0.5 tablet. Regular drills using sample questions from university nursing sites ensure accuracy under timed conditions.

  3. Understand Pharmacology Basics -

    Focus on the "Five Rights" (right patient, drug, dose, route, time) plus "Right documentation" from the Institute for Safe Medication Practices. Review major drug classes - antibiotics, antihypertensives, analgesics - with flashcards or apps endorsed by the Centers for Disease Control and Prevention. This method boosts confidence when tackling lpn practice exam questions on drug actions and side effects.

  4. Chain of Infection & Precautions -

    Memorize the six links in the chain of infection (Agent, Reservoir, Portal of Exit, Transmission, Portal of Entry, Susceptible Host) using "A Really Perfect Taco Please, Sir." Combine that with CDC guidelines on standard and transmission-based precautions. Knowing when to apply airborne, droplet, or contact precautions will serve you well on your practical nursing practice test.

  5. Accurate Vital Signs & Documentation -

    Master normal adult vital sign ranges - BP 90/60 - 120/80 mmHg, HR 60 - 100 bpm, RR 12 - 20 bpm, Temp 36.5 - 37.5 °C - by practicing charting in SOAP (Subjective, Objective, Assessment, Plan) format. Official nursing school handouts and state board resources emphasize correct technique (e.g., cuff placement, timing). Strong documentation skills are frequently assessed on LPN entrance exam practice tests.

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