LPN Study Guide 2026

Everything you need to pass the LPN exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 LPN Exam Format at a Glance

85
Questions
300 min
Time Limit
50.00%
Passing Score

📚 LPN Topics to Study (21)

✍️ Sample LPN Questions & Answers

1. Which of the following best describes how doctors listen for bowel sounds?
Auscultation

Auscultation is the medical term for listening to the internal sounds of the body, typically using a stethoscope. This technique is specifically employed by healthcare professionals to assess bowel sounds, as well as heart sounds, lung sounds, and blood flow. Percussion involves tapping, palpation involves touching, and a rectal examination is a different type of physical assessment.

2. A nurse is assisting with the management of a client who is in active labor. Which of the following findings should the nurse report following epidural placement?
Blood pressure 89/54 mmHg

Hypotension is a common and serious complication following epidural anesthesia, as it can cause vasodilation and a significant decrease in blood pressure. A blood pressure of 89/54 mmHg is dangerously low and can compromise uteroplacental perfusion, potentially harming the fetus. This finding requires immediate nursing intervention to restore adequate blood pressure.

3. A patient cannot swallow oral medications due to dysphagia. Which alternative route is most appropriate for analgesic delivery?
Rectal suppository or IV route per order

When a patient cannot take oral medications due to dysphagia, alternative routes such as rectal suppository, IV, or transdermal delivery may be ordered depending on the medication.

4. Which action is a fundamental component of Standard Precautions that should be applied to all patients?
Performing hand hygiene before and after patient contact

Standard Precautions are based on the principle that all blood, body fluids, secretions, excretions (except sweat), nonintact skin, and mucous membranes may contain transmissible infectious agents. Hand hygiene is the single most important practice to reduce the transmission of infections in healthcare settings.

5. Which medication is classified as a non-opioid analgesic commonly used for mild to moderate pain?
Acetaminophen (Tylenol)

Acetaminophen is a non-opioid analgesic and antipyretic that works centrally and is first-line for mild to moderate pain without opioid side effects.

6. A client with dysphagia is being advanced to a diet as tolerated. Which diet would be most appropriate to start with to minimize the risk of aspiration?
Pureed diet

A pureed diet consists of foods that are blended to a smooth, pudding-like consistency. This texture is easier to swallow for clients with dysphagia and reduces the risk of food particles entering the airway (aspiration). Mechanical soft, regular, and full liquid diets contain textures that can be more difficult to manage.

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LPN Study Guide 2026 — Exam Format, Topics & Practice Questions