PN COMPREHENSIVE ONLINE PRACTICE A
COMPREHENSIVE STUDY GUIDE 2026
PRACTICE QUESTIONS AND ACCURATE
ANSWERS GRADED A+
◉ A nurse is caring for a client who requests information about
advance directives. Which of the following responses should the
nurse make. Answer: "Advance directives are written instructions
regarding end-of-life care."
The nurse should inform the client that advance directives allow the
client to make decisions and provide written instructions regarding
end-of-life care. These directives take effect if the client is unable to
make their own health care decisions.
◉ A nurse manager is providing an in-service on hand hygiene to
assistive personnel. Which of the following information should the
nurse manager include in the in-service?. Answer: Remove rings
when washing hands with soap and water.
Removing rings and jewelry while washing hands is recommended
to allow for proper cleaning of the hands.
,◉ A nurse is collecting data from a client who has schizophrenia.
Which of the following statements by the client should the nurse
identify as a delusion?. Answer: "My doctor's glasses have lasers that
will burn holes in my brain if I look at them."
The client's statement demonstrates a belief that is contrary to
reality that someone intends to cause them harm using unrealistic
means. Therefore, the nurse should identify this statement as a
delusion of persecution.
◉ A nurse enters the room of an adolescent client and finds them on
the floor experiencing a tonic-clonic seizure. Which of the following
actions should the nurse take when the seizure subsides?. Answer:
Keep the client in a side-lying position.
The nurse should keep the client in a side-lying position to facilitate
drainage of any secretions and prevent aspiration.
◉ A nurse is caring for a client following a bronchoscopy. Which of
the following actions should the nurse take first?. Answer: Check for
a gag reflex.
The greatest risk to this client is injury from aspiration. Therefore,
the first action the nurse should take is to check for a gag reflex.
,◉ A nurse is positioning a client who is scheduled for a lumbar
puncture. The nurse should assist the client into which of the
following positions?. Answer: Lateral recumbent
The nurse should assist the client into the lateral recumbent
position for a lumbar puncture to ensure the proper placement of
the needle.
◉ A nurse is assisting with the admission of a client who has
rubeola. Which of the following transmission-based precautions
should the nurse plan to initiate for this client?. Answer: Airborne
The nurse should initiate airborne precautions for a client who has
rubeola. This includes a private room with negative-pressure airflow
and an air filtration system. Facility personnel are required to wear
an N95 respirator while in the client's room.
◉ A nurse is preparing to administer digoxin to a client who has
heart failure. Which of the following findings should indicate to the
nurse that the medication has been effective?. Answer: Cardiac
workload decreases
Digoxin reduces the effects of heart failure and improves cardiac
output by improving the conduction of the heart. This action allows
the heart to work less to provide adequate perfusion, reducing the
overall oxygen demand on the heart.
, ◉ A nurse is collecting a urine specimen from a female client who
has diabetes insipidus. Which of the following findings should the
nurse expect?. Answer: Urine specific gravity of 1.002
Clients who have diabetes insipidus typically have colorless urine
with a specific gravity of 1.005 or less.
◉ A nurse is assisting in the plan of care for a client who is to
undergo a 12-lead ECG. Which of the following actions should the
nurse include in the plan of care?. Answer: Instruct the client to
remain still while the test is performed.
The nurse should instruct the client to remain still to prevent
artifacts and a potentially inaccurate interpretation of the ECG.
◉ A nurse is preparing to administer a rectal suppository to a
school-age child. Which of the following actions should the nurse
plan to take?. Answer: Use one finger to insert the suppository past
the anal sphincters.
The nurse should apply clean gloves and use one finger to gently
insert the suppository past both anal sphincters to ensure that the
child does not expel the suppository after insertion.
COMPREHENSIVE STUDY GUIDE 2026
PRACTICE QUESTIONS AND ACCURATE
ANSWERS GRADED A+
◉ A nurse is caring for a client who requests information about
advance directives. Which of the following responses should the
nurse make. Answer: "Advance directives are written instructions
regarding end-of-life care."
The nurse should inform the client that advance directives allow the
client to make decisions and provide written instructions regarding
end-of-life care. These directives take effect if the client is unable to
make their own health care decisions.
◉ A nurse manager is providing an in-service on hand hygiene to
assistive personnel. Which of the following information should the
nurse manager include in the in-service?. Answer: Remove rings
when washing hands with soap and water.
Removing rings and jewelry while washing hands is recommended
to allow for proper cleaning of the hands.
,◉ A nurse is collecting data from a client who has schizophrenia.
Which of the following statements by the client should the nurse
identify as a delusion?. Answer: "My doctor's glasses have lasers that
will burn holes in my brain if I look at them."
The client's statement demonstrates a belief that is contrary to
reality that someone intends to cause them harm using unrealistic
means. Therefore, the nurse should identify this statement as a
delusion of persecution.
◉ A nurse enters the room of an adolescent client and finds them on
the floor experiencing a tonic-clonic seizure. Which of the following
actions should the nurse take when the seizure subsides?. Answer:
Keep the client in a side-lying position.
The nurse should keep the client in a side-lying position to facilitate
drainage of any secretions and prevent aspiration.
◉ A nurse is caring for a client following a bronchoscopy. Which of
the following actions should the nurse take first?. Answer: Check for
a gag reflex.
The greatest risk to this client is injury from aspiration. Therefore,
the first action the nurse should take is to check for a gag reflex.
,◉ A nurse is positioning a client who is scheduled for a lumbar
puncture. The nurse should assist the client into which of the
following positions?. Answer: Lateral recumbent
The nurse should assist the client into the lateral recumbent
position for a lumbar puncture to ensure the proper placement of
the needle.
◉ A nurse is assisting with the admission of a client who has
rubeola. Which of the following transmission-based precautions
should the nurse plan to initiate for this client?. Answer: Airborne
The nurse should initiate airborne precautions for a client who has
rubeola. This includes a private room with negative-pressure airflow
and an air filtration system. Facility personnel are required to wear
an N95 respirator while in the client's room.
◉ A nurse is preparing to administer digoxin to a client who has
heart failure. Which of the following findings should indicate to the
nurse that the medication has been effective?. Answer: Cardiac
workload decreases
Digoxin reduces the effects of heart failure and improves cardiac
output by improving the conduction of the heart. This action allows
the heart to work less to provide adequate perfusion, reducing the
overall oxygen demand on the heart.
, ◉ A nurse is collecting a urine specimen from a female client who
has diabetes insipidus. Which of the following findings should the
nurse expect?. Answer: Urine specific gravity of 1.002
Clients who have diabetes insipidus typically have colorless urine
with a specific gravity of 1.005 or less.
◉ A nurse is assisting in the plan of care for a client who is to
undergo a 12-lead ECG. Which of the following actions should the
nurse include in the plan of care?. Answer: Instruct the client to
remain still while the test is performed.
The nurse should instruct the client to remain still to prevent
artifacts and a potentially inaccurate interpretation of the ECG.
◉ A nurse is preparing to administer a rectal suppository to a
school-age child. Which of the following actions should the nurse
plan to take?. Answer: Use one finger to insert the suppository past
the anal sphincters.
The nurse should apply clean gloves and use one finger to gently
insert the suppository past both anal sphincters to ensure that the
child does not expel the suppository after insertion.
