Page 1 of 67
“NAXLEX THE PRACTICAL NURSE (PN) APPLIES
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
day 7
don't miss any practice revision materials contact me +254111429458
NAXLEX Review
150 NAXLEX 1-50The practical nurse (PN) applies
The practical nurse (PN) learns that a client who is receiving chemotherapy
has developed stomatitis. Which information should the PN obtain from the
client during a focused assessment?
A. Urinary output.
B. Ability to swallow.
C. Frequency of bowel movements.
D. Blood pressure while standing.
B. Ability to swallow.
A male client tells the practical nurse (PN) that the pill he has been taking at
home is a different color and size than the one the PN is trying to give him
now. How should the PN respond?
, Page 2 of 67
A. Explain that the healthcare provider probably prescribed a different
medication while he is hospitalized.
B. Tell the client that he is probably confused since being hospitalized tends to
disorient clients.
C. Tell the client that the PN will verify that the dispensed medication is the
valid prescription.
D. Explain that the pharmacy often substitutes generic equivalents for more
expensive brands.
C. Tell the client that the PN will verify that the dispensed medication is the valid
prescription.
A client reports experiencing numbness and tingling in the extremities. Which
of the client's serum laboratory values should the practical nurse (PN)
prioritize reporting to the healthcare provider?
A. Hematocrit
B. Albumin and protein levels
C. Electrolytes
D. White blood cell count (WBC)
C. Electrolytes
The mother of a school-aged boy tells the practical nurse (PN) that he fell out
of a tree and hurt his arm and shoulder. Which assessment should the
practical nurse (PN) note as the most significant indicator of possible child
abuse?
A. The child looks at the floor when answering the nurse's questions.
B. The mother describes in detail what she did for her injured child.
C. The abrasions on the child's arms, legs, and chest have healed.
D. The injury description by the mother varies from the child's version.
D. The injury description by the mother varies from the child's version.
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. Which immediate intervention should the practical nurse (PN)
implement?
, Page 3 of 67
A. Turn the infant onto the right side.
B. Suction the oral and nasal passages.
C. Give oxygen by positive pressure.
D. Stimulate the infant to cry
B. Suction the oral and nasal passages.
The practical nurse (PN) determines that a client's pupils constrict as they
change focus from a far object to a near object. How should the PN document
this finding?
A. Consensual pupillary constriction present.
B. Nystagmus present with pupillary focus.
C. Pupils reactive to accommodation.
D. Peripheral vision intact.
C. Pupils reactive to accommodation.
A 16-year-old client is asking the practical nurse (PN) what can be done about
acne. Which recommendation should the PN provide?
A. Wash the hair and skin daily with mild soap and warm water.
B. Omit chocolate, carbonated drinks, and fried foods from the diet.
C. Express blackheads and follow with an exfoliating scrub.
D. Refer to the dermatologist for prescribed long-term therapy.
D. Refer to the dermatologist for prescribed long-term therapy.
A client with a compound fracture of the left ankle is being discharged with a
below-the-knee cast. Which instruction should the practical nurse (PN) provide
to the client prior to discharge?
A. Apply a cold pack to any "hot spots" on the cast.
B. Keep the left leg in a dependent position.
C. Expect some increase in pain.
D. Never scratch under the cast.
D. Never scratch under the cast.
A male preoperative client who has already signed the informed consent for a
surgical procedure confides in the practical nurse (PN) that he is really
frightened and unsure about undergoing the surgery. Which priority action
, Page 4 of 67
should the PN take?
A. Encourage the client to continue with the scheduled surgery.
B. Document that the client has expressed concerns about the surgery.
C. Notify the charge nurse of the client's concerns about surgery.
D. Remind the client that the consent has already been obtained.
C. Notify the charge nurse of the client's concerns about surgery.
The parents of a one-year-old child with the diagnosis of hypospadias
informed the practical nurse (PN) that they plan to delay corrective surgery to
see if the child will outgrow the problem. Which information should the PN
provide to these parents?
A. Whatever the parents decide, the staff will be available to support the
decision.
B. The child's prognosis will not develop complications if surgery is delayed.
C. Some children do outgrow this type of problem and waiting may be
beneficial.
D. Ask the parents to explain what they understand about the child's
diagnosis.
D. Ask the parents to explain what they understand about the child's diagnosis.
Before administering an antibiotic that can cause nephrotoxicity, which
laboratory value is most important for the practical nurse (PN) to review?
A. Serum calcium
B. Hemoglobin and hematocrit
C. White blood cell count (WBC)
D. Blood urea nitrogen (BUN) and creatinine
D. Blood urea nitrogen (BUN) and creatinine
The practical nurse (PN) is assessing an older client with left-sided heart
failure (HF). What intervention is most important for the PN to implement?
A. Inspect for sacral edema.
B. Measure urinary output.
C. Auscultate all lung fields.
“NAXLEX THE PRACTICAL NURSE (PN) APPLIES
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
day 7
don't miss any practice revision materials contact me +254111429458
NAXLEX Review
150 NAXLEX 1-50The practical nurse (PN) applies
The practical nurse (PN) learns that a client who is receiving chemotherapy
has developed stomatitis. Which information should the PN obtain from the
client during a focused assessment?
A. Urinary output.
B. Ability to swallow.
C. Frequency of bowel movements.
D. Blood pressure while standing.
B. Ability to swallow.
A male client tells the practical nurse (PN) that the pill he has been taking at
home is a different color and size than the one the PN is trying to give him
now. How should the PN respond?
, Page 2 of 67
A. Explain that the healthcare provider probably prescribed a different
medication while he is hospitalized.
B. Tell the client that he is probably confused since being hospitalized tends to
disorient clients.
C. Tell the client that the PN will verify that the dispensed medication is the
valid prescription.
D. Explain that the pharmacy often substitutes generic equivalents for more
expensive brands.
C. Tell the client that the PN will verify that the dispensed medication is the valid
prescription.
A client reports experiencing numbness and tingling in the extremities. Which
of the client's serum laboratory values should the practical nurse (PN)
prioritize reporting to the healthcare provider?
A. Hematocrit
B. Albumin and protein levels
C. Electrolytes
D. White blood cell count (WBC)
C. Electrolytes
The mother of a school-aged boy tells the practical nurse (PN) that he fell out
of a tree and hurt his arm and shoulder. Which assessment should the
practical nurse (PN) note as the most significant indicator of possible child
abuse?
A. The child looks at the floor when answering the nurse's questions.
B. The mother describes in detail what she did for her injured child.
C. The abrasions on the child's arms, legs, and chest have healed.
D. The injury description by the mother varies from the child's version.
D. The injury description by the mother varies from the child's version.
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. Which immediate intervention should the practical nurse (PN)
implement?
, Page 3 of 67
A. Turn the infant onto the right side.
B. Suction the oral and nasal passages.
C. Give oxygen by positive pressure.
D. Stimulate the infant to cry
B. Suction the oral and nasal passages.
The practical nurse (PN) determines that a client's pupils constrict as they
change focus from a far object to a near object. How should the PN document
this finding?
A. Consensual pupillary constriction present.
B. Nystagmus present with pupillary focus.
C. Pupils reactive to accommodation.
D. Peripheral vision intact.
C. Pupils reactive to accommodation.
A 16-year-old client is asking the practical nurse (PN) what can be done about
acne. Which recommendation should the PN provide?
A. Wash the hair and skin daily with mild soap and warm water.
B. Omit chocolate, carbonated drinks, and fried foods from the diet.
C. Express blackheads and follow with an exfoliating scrub.
D. Refer to the dermatologist for prescribed long-term therapy.
D. Refer to the dermatologist for prescribed long-term therapy.
A client with a compound fracture of the left ankle is being discharged with a
below-the-knee cast. Which instruction should the practical nurse (PN) provide
to the client prior to discharge?
A. Apply a cold pack to any "hot spots" on the cast.
B. Keep the left leg in a dependent position.
C. Expect some increase in pain.
D. Never scratch under the cast.
D. Never scratch under the cast.
A male preoperative client who has already signed the informed consent for a
surgical procedure confides in the practical nurse (PN) that he is really
frightened and unsure about undergoing the surgery. Which priority action
, Page 4 of 67
should the PN take?
A. Encourage the client to continue with the scheduled surgery.
B. Document that the client has expressed concerns about the surgery.
C. Notify the charge nurse of the client's concerns about surgery.
D. Remind the client that the consent has already been obtained.
C. Notify the charge nurse of the client's concerns about surgery.
The parents of a one-year-old child with the diagnosis of hypospadias
informed the practical nurse (PN) that they plan to delay corrective surgery to
see if the child will outgrow the problem. Which information should the PN
provide to these parents?
A. Whatever the parents decide, the staff will be available to support the
decision.
B. The child's prognosis will not develop complications if surgery is delayed.
C. Some children do outgrow this type of problem and waiting may be
beneficial.
D. Ask the parents to explain what they understand about the child's
diagnosis.
D. Ask the parents to explain what they understand about the child's diagnosis.
Before administering an antibiotic that can cause nephrotoxicity, which
laboratory value is most important for the practical nurse (PN) to review?
A. Serum calcium
B. Hemoglobin and hematocrit
C. White blood cell count (WBC)
D. Blood urea nitrogen (BUN) and creatinine
D. Blood urea nitrogen (BUN) and creatinine
The practical nurse (PN) is assessing an older client with left-sided heart
failure (HF). What intervention is most important for the PN to implement?
A. Inspect for sacral edema.
B. Measure urinary output.
C. Auscultate all lung fields.
