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Free Practice Questions for Lesotho Nursing Council Licensure Examination

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Key Facts: Lesotho Nursing Council Licensure Examination Exam

10 Sep 2026

Latest announced Entry into Practice (Licensure) Examination sitting, at ECOL, Khubetsoana

Lesotho Nursing Council notice

R490 / R515

General Nursing Content paper fee for local / expatriate candidates at the September 2026 sitting

Lesotho Nursing Council notice

Act No. 12 of 1998

Nurses and Midwives Act under which the Lesotho Nursing Council exists

Lesotho Nursing Council

12 CPD points

Minimum CPD points needed each year to renew an LNC licence by 31 March

Lesotho Nursing Council

25% each

Weighting of antenatal, labour, postpartum and neonatal care in LNC's midwifery licensure exam-bank guide

Lesotho Nursing Council

The Lesotho Nursing Council (LNC) sets a written Entry into Practice (Licensure) Examination that local graduates and foreign-trained applicants must pass before registration and a licence to practise. LNC's latest notice set a sitting for 10 September 2026 at ECOL, Khubetsoana, with General Nursing Content fees of R490 (local) and R515 (expatriate). LNC does not publish the item count, time limit or pass mark. This bank is an independent English-language MCQ study aid, not an official translation or simulation of the LNC papers.

Sample Lesotho Nursing Council Licensure Examination Practice Questions

Try these sample questions to review concepts for the Lesotho Nursing Council Licensure Examination exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 102+ question experience with AI tutoring.

1Under which statute does the Lesotho Nursing Council (LNC) state that it continues to exist as the regulator of nurses and midwives?
A.Medical, Dental and Pharmacy Order No. 13 of 1970
B.Public Health Order No. 12 of 1970
C.Nurses and Midwives Act No. 12 of 1998
D.Lesotho Nurses Association (LNA) Constitution, 2009
Explanation: The LNC describes itself as a statutory regulatory body established by an Act of Parliament that continues to exist in terms of the Nurses and Midwives Act, 1998 (Act No. 12 of 1998, Gazette No. 49 of 17 June 1998). The Act covers nursing and midwifery education and training, registration, practice and professional conduct, which is why the Council registers, licenses and disciplines nurses, midwives and nursing assistants.
2A competent, alert 42-year-old patient scheduled for an elective cholecystectomy signs the surgical consent form in front of the staff nurse, who then signs as witness. What does the nurse's witness signature primarily confirm?
A.That the surgeon has fully explained the procedure, its risks and the alternatives
B.That the patient seemed competent, signed voluntarily, and the signature is genuine
C.That the nurse accepts shared legal responsibility for the surgical outcome
D.That the surgeon no longer needs to discuss the procedure with the patient
Explanation: A witness signature attests to the act of signing: the patient appeared to have capacity, signed voluntarily and the signature is genuine. Explaining the nature of the operation, its risks, benefits and alternatives remains the responsibility of the practitioner who will perform the procedure. If the patient reveals that they do not understand the operation, the nurse should not witness the form and should inform the surgeon.
3A client newly diagnosed with pulmonary tuberculosis (TB) asks the clinic nurse not to tell anyone, including household contacts. What is the nurse's correct legal and ethical course of action?
A.Explain that TB is a notifiable disease requiring confidential reporting and contact tracing
B.Keep the diagnosis completely confidential, because confidentiality overrides public health law
C.Inform the client's employer and village chief so that they can protect the community
D.Delay starting treatment until the client agrees to tell the household about the diagnosis
Explanation: Confidentiality is a core duty but it is not absolute. Lesotho's Public Health Order, 1970 lists tuberculosis (all forms) among notifiable communicable diseases, and tracing household contacts is standard TB control. The nurse explains this to the client, reports through the authorized public health route and supports contact tracing, while protecting the client from any wider, unnecessary disclosure.
4A Registered General Nurse on a surgical ward is working with a Nursing Assistant. Which task can the nurse most appropriately delegate to the Nursing Assistant?
A.Conducting the initial admission nursing assessment of an acutely ill patient
B.Giving an intravenous antibiotic through a peripheral cannula
C.Measuring and recording routine vital signs for a stable postoperative patient
D.Revising the nursing care plan for a patient with diabetic ketoacidosis
Explanation: The LNC scope of practice describes the registered generalist nurse as having the capability and legal responsibility to supervise and direct nursing assistants and auxiliaries. Routine, predictable tasks for stable patients, such as recording vital signs, can be delegated under supervision. Assessment, care planning, evaluation and intravenous medication require registered-nurse judgment and stay with the registered nurse.
5A sedated patient falls and fractures a hip after the nurse failed to carry out the documented fall-prevention plan (bed at its lowest height, call bell within reach). To establish negligence against the nurse, which four elements must be proven?
A.Intentional wrongdoing, professional misconduct, physical harm and lack of consent
B.Failure to document, an adverse event, patient dissatisfaction and a hospital error
C.Faulty equipment, patient non-compliance, breach of contract and assault
D.Duty of care, breach of that duty, harm, and causation between breach and harm
Explanation: Negligence requires proof that the nurse owed the patient a duty of care, breached it by falling below the expected standard, that the patient suffered actual harm, and that the breach caused that harm. Here the duty (caring for a sedated patient), the breach (not following the fall-prevention plan), the harm (fracture) and causation (the fall resulted from the omission) can all be argued.
6A fully conscious adult with severe anaemia, who has decision-making capacity, refuses a prescribed blood transfusion because of religious beliefs. What is the nurse's most appropriate action?
A.Proceed with the transfusion because the physician's order overrides the client's religious preference
B.Respect the refusal, confirm that it is informed, document it and inform the physician
C.Ask the client's family to sign consent for the transfusion on the client's behalf
D.Give the transfusion under the emergency implied-consent doctrine because the anaemia is severe
Explanation: Respect for autonomy gives a competent adult the right to refuse any treatment, even life-saving treatment. The nurse makes sure the refusal is informed (risks explained, alternatives such as iron therapy or volume expanders explored with the medical team), informs the physician, documents the refusal clearly and continues all other care.
7A nurse realizes that an adult patient has just been given 10 mg of morphine instead of the prescribed 5 mg. What should the nurse do first?
A.Complete an incident report before doing anything else, while the details are fresh
B.Notify the prescriber and wait for instructions before returning to the patient
C.Assess the patient's respiratory rate, level of consciousness and oxygen saturation immediately
D.Record the dose given and continue routine observations at the next scheduled round
Explanation: Patient safety comes first after any medication error. An opioid overdose can cause respiratory depression, sedation and hypotension, so the nurse assesses the patient at once and prepares rescue measures such as oxygen and naloxone. The prescriber is then informed promptly and the error is reported through the facility's incident system.
8On discharge, a grateful family tries to give a registered nurse M1,000 in cash. What is the most professionally appropriate response?
A.Accept it and share it equally with the ward team so that no one benefits personally
B.Accept it privately, since the gift is voluntary and care has already ended
C.Accept it, because refusing a gift would be disrespectful to the family's culture
D.Decline the cash politely while thanking the family for the kind gesture
Explanation: Cash from patients or families blurs professional boundaries, can create expectations of preferential treatment, and exposes the nurse to allegations of exploitation. The professional response is a courteous refusal that still acknowledges the family's gratitude, consistent with the accountability and ethical-practice principles of the LNC Code of Professional Conduct and any employer policy on gifts.
9While writing a progress note in a paper chart, a nurse realizes that the entry belongs to a different patient. What is the legally acceptable way to correct it?
A.Apply correction fluid over the entry, then write the correct information and initial it once dry
B.Strike through once so it stays legible, mark it as an error with date, time and initials, then rewrite
C.Scribble over the entry until it cannot be read, then write the correct note directly below it
D.Remove the page and rewrite that shift's notes on a fresh, dated sheet signed by the nurse
Explanation: A health record is a legal document. An error is corrected with a single line through the wrong entry so that it can still be read, labelled as an error or mistaken entry, dated, timed and initialled, and then the correct information is written. Obliterating or removing entries suggests tampering and undermines the record in any later inquiry.
10An unconscious trauma patient in haemorrhagic shock arrives at a district hospital with no relatives or identification, and the team prepares for an emergency laparotomy. Which legal doctrine allows life-saving treatment to proceed without a signed consent form?
A.The doctrine of implied consent
B.The doctrine of informed refusal
C.The doctrine of respondeat superior
D.The doctrine of therapeutic privilege
Explanation: When a patient faces an immediate threat to life and cannot give consent, and no one is available to decide for them, the law presumes that a reasonable person would agree to life-saving treatment. Under this implied-consent or emergency exception, treatment limited to what is immediately necessary may proceed without delay.

About the Lesotho Nursing Council Licensure Examination Exam

The Lesotho Nursing Council Licensure Examination is the written entry-to-practice examination that LNC sets before registering and licensing nurses and midwives under the Nurses and Midwives Act, 1998 (Act No. 12 of 1998).

Exam sponsor: Lesotho Nursing Council (LNC). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Written Entry into Practice (Licensure) Examination set by LNC. General Nursing candidates are examined on 'Content' and 'CBC' papers, which LNC lists with separate fees; nursing assistant and midwifery candidates sit separate LNC licensure examinations. LNC's midwifery notice lists introducing OSCEs as a planned objective, but no current OSCE requirement is published.

Time Limit

Not published by LNC (the 10 September 2026 sitting began at 09:00)

Passing Score

Not published by the Lesotho Nursing Council

Exam / Certification Fees

Content R490 (local) / R515 (expatriate); CBC R785 (local), per LNC's 10 September 2026 notice

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

15 practice items in this bank

Professional, Ethical & Legal Practice

Nurses and Midwives Act 1998, LNC scope of practice and delegation, consent, confidentiality, documentation and professional accountability.

30 practice items in this bank

Adult Medical-Surgical Nursing

HIV and TB care under Lesotho's 2022 national guidelines, chronic disease, diabetic emergencies and surgical nursing.

27 practice items in this bank

Maternal, Newborn & Child Health

Antenatal and intrapartum care, the partograph, postpartum haemorrhage, PMTCT, postnatal care, newborn care, IMCI and immunization.

15 practice items in this bank

Community Health & Health Promotion

Epidemiology, cold chain, disease surveillance, family planning, cervical screening, village health workers and mental health.

15 practice items in this bank

Clinical Skills, Emergency Care & Pharmacology

SATS triage, trauma care, resuscitation, dose and drip-rate calculations, transfusion safety and high-alert medicines.

Preparing for the Lesotho Nursing Council Licensure Examination Exam

What You Need to Know

  • Passing score: Not published by the Lesotho Nursing Council
  • Assessment: Written Entry into Practice (Licensure) Examination set by LNC. General Nursing candidates are examined on 'Content' and 'CBC' papers, which LNC lists with separate fees; nursing assistant and midwifery candidates sit separate LNC licensure examinations. LNC's midwifery notice lists introducing OSCEs as a planned objective, but no current OSCE requirement is published.
  • Time limit: Not published by LNC (the 10 September 2026 sitting began at 09:00)
  • Exam / certification fees: Content R490 (local) / R515 (expatriate); CBC R785 (local), per LNC's 10 September 2026 notice Official sources

Using Our Practice Resources

  • Work through all 102 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Lesotho Nursing Council Licensure Examination: Suggested Study Strategy

1Review Lesotho's 2022 national HIV guidelines: TLD as the preferred adult first-line regimen, enhanced adherence counselling for unsuppressed viral loads, and infant nevirapine prophylaxis.
2Practise partograph interpretation (alert and action lines) and learn the WHO antenatal, intrapartum and postnatal contact schedules.
3Master dosage calculations, especially IV drip rates in drops per minute and weight-based paediatric doses.

Frequently Asked Questions

Does the Lesotho Nursing Council publish a pass mark for the licensure examination?

No. LNC's licensure examination, registration and fee pages do not publish a pass mark, item count or time limit. Confirm scoring rules directly with the Council.

When is the LNC licensure examination held?

LNC announces sittings by public notice rather than a fixed published calendar. Its latest notice set the Entry into Practice Examination for 10 September 2026 at ECOL, Khubetsoana, starting at 09:00; an earlier sitting was held on 25 April 2024.

How much does the LNC licensure examination cost?

LNC's notice for the 10 September 2026 sitting lists the General Nursing Content paper at R490 for local candidates and R515 for expatriates, and the CBC paper at R785 for local candidates. LNC's website fee pages still show older amounts, so confirm the current fee with the Council before paying.

Who must write the LNC licensure examination?

Applicants for registration as nurses and midwives, including foreign-trained applicants. LNC's registration requirements state that, on approval of credentials, applicants write the Nursing Council's licensing examinations (Content and CBC), then pay the registration fee and receive a registration certificate and licence to practise.

Are these official LNC exam questions?

No. They are independent English-language multiple-choice practice questions by OpenExamPrep, written from LNC scope-of-practice material and Lesotho and WHO clinical guidance. LNC does not publish its paper format, so the bank is a study aid rather than a simulation of the official papers.

What law governs the Lesotho Nursing Council?

The LNC exists under the Nurses and Midwives Act, 1998 (Act No. 12 of 1998, Gazette No. 49 of 17 June 1998), which covers nursing and midwifery education, registration, practice and professional conduct.