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74 NAXLEX 1-37The practical nurse
(PN) is caring Real Exam Test 2026
Brand New
The practical nurse (PN) is caring for a client who has a prescription for
loratadine by mouth daily as needed. Which sign indicates to the PN that
there is a need to administer the medication?
A. Ulceration on the corner of the upper lip.
B. Ecchymosis and petechiae on the legs
C. Red welts widespread over the chest.
D. Red papules and pustules on the face. --Verified--Solution----C. Red
welts widespread over the chest.
A client has a prescription for NPH insulin 25 units before breakfast and
insulin aspart before meals and hour of sleep per sliding scale. The
sliding scale parameters are:. 0 units for finger stick glucose less than
170 mg/dL;. 5 units for finger stick glucose 171 to 219 mg/dL;. 10 units
for finger stick glucose 220 to 269 mg/dL;. 15 units for finger stick
glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL.
The client's 0730 finger stick glucose is 271 mg/dL. What is the total
amount of insulin this client should receive? (Enter numeric value
only.). --Verified--Solution----40
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At a prenatal visit, a primigravida client confides to the practical nurse
(PN) that her partner is abusive. Which information should the PN
provide?
A. Safety plan to keep in a purse at all times.
B. Paperwork needed to file a restraining order.
C. Visit summary documenting the report of abuse.
D. Contact information for a women's shelter. --Verified--Solution----D.
Contact information for a women's shelter.
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. Blood pressure while standing.
C. Ability to swallow.
D. Frequency of bowel movements. --Verified--Solution----C. Ability to
swallow.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds
that he has become increasingly irritable and has developed tachypnea
and resting stridor. Which intervention is best for the PN to implement?
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A. Instruct the mother to play with the child for stimulation and
distraction.
B. Administer a dose of acetaminophen as needed.
C. Monitor the child's oxygen saturation level via pulse oximetry.
D. Encourage the child to drink adequate amounts of fluids. --Verified--
Solution----C. Monitor the child's oxygen saturation level via pulse
oximetry.
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. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present
D. Pupils reactive to accommodation --Verified--Solution----D. Pupils
reactive to accommodation
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-
old infant's heart rate is 120 beats/minute. Based on this finding, which
action should the PN take?
A. Hold the medication and recheck the heart rate in l hour.
B. Administer the medication and document the heart rate.
C. Administer the medication and alert the charge nurse.
74 NAXLEX 1-37The practical nurse
(PN) is caring Real Exam Test 2026
Brand New
The practical nurse (PN) is caring for a client who has a prescription for
loratadine by mouth daily as needed. Which sign indicates to the PN that
there is a need to administer the medication?
A. Ulceration on the corner of the upper lip.
B. Ecchymosis and petechiae on the legs
C. Red welts widespread over the chest.
D. Red papules and pustules on the face. --Verified--Solution----C. Red
welts widespread over the chest.
A client has a prescription for NPH insulin 25 units before breakfast and
insulin aspart before meals and hour of sleep per sliding scale. The
sliding scale parameters are:. 0 units for finger stick glucose less than
170 mg/dL;. 5 units for finger stick glucose 171 to 219 mg/dL;. 10 units
for finger stick glucose 220 to 269 mg/dL;. 15 units for finger stick
glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL.
The client's 0730 finger stick glucose is 271 mg/dL. What is the total
amount of insulin this client should receive? (Enter numeric value
only.). --Verified--Solution----40
,2|Page
At a prenatal visit, a primigravida client confides to the practical nurse
(PN) that her partner is abusive. Which information should the PN
provide?
A. Safety plan to keep in a purse at all times.
B. Paperwork needed to file a restraining order.
C. Visit summary documenting the report of abuse.
D. Contact information for a women's shelter. --Verified--Solution----D.
Contact information for a women's shelter.
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. Blood pressure while standing.
C. Ability to swallow.
D. Frequency of bowel movements. --Verified--Solution----C. Ability to
swallow.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds
that he has become increasingly irritable and has developed tachypnea
and resting stridor. Which intervention is best for the PN to implement?
, 3|Page
A. Instruct the mother to play with the child for stimulation and
distraction.
B. Administer a dose of acetaminophen as needed.
C. Monitor the child's oxygen saturation level via pulse oximetry.
D. Encourage the child to drink adequate amounts of fluids. --Verified--
Solution----C. Monitor the child's oxygen saturation level via pulse
oximetry.
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. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present
D. Pupils reactive to accommodation --Verified--Solution----D. Pupils
reactive to accommodation
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-
old infant's heart rate is 120 beats/minute. Based on this finding, which
action should the PN take?
A. Hold the medication and recheck the heart rate in l hour.
B. Administer the medication and document the heart rate.
C. Administer the medication and alert the charge nurse.
