PN COMPREHENSIVE ONLINE
PRACTICE A EXAM QUESTIONS AND
ANSWERS
2026 EDITION – PRACTICE TEST (ORIGINAL
QUESTIONS)
Question 1
A practical nurse is caring for a client who has hypoglycemia. Which finding should the nurse
expect?
A. Fruity breath odor
B. Excessive thirst
C. Sweating and tremors
D. Warm, dry skin
Correct Answer: C. Sweating and tremors
Rationale:
Hypoglycemia activates the sympathetic nervous system, causing sweating, tremors, anxiety, and
increased heart rate. Fruity breath and thirst are associated with hyperglycemia.
Question 2
A nurse is teaching a client about advance directives. Which statement by the client indicates
understanding?
A. “My family can make decisions even if I am able.”
B. “Advance directives explain my healthcare wishes if I cannot decide.”
C. “Advance directives are only needed for older adults.”
D. “My provider creates my advance directive.”
Correct Answer: B. “Advance directives explain my healthcare wishes if I cannot decide.”
Rationale:
Advance directives communicate a client's healthcare preferences when they are unable to make
decisions.
, Question 3
A nurse delegates a task to an assistive personnel (AP). Which task is appropriate?
A. Assessing pain after medication administration
B. Teaching insulin injection technique
C. Obtaining vital signs for a stable client
D. Evaluating wound healing
Correct Answer: C. Obtaining vital signs for a stable client
Rationale:
APs can perform routine tasks for stable clients but cannot assess, teach, or evaluate.
Question 4
A postpartum client has heavy vaginal bleeding and a boggy uterus. What action should the
nurse take first?
A. Notify the provider
B. Massage the uterine fundus
C. Administer pain medication
D. Place the client in a sitting position
Correct Answer: B. Massage the uterine fundus
Rationale:
A boggy uterus indicates uterine atony, the most common cause of postpartum hemorrhage.
Fundal massage stimulates uterine contraction.
Question 5
A client taking warfarin should report which finding immediately?
A. Increased appetite
B. Bruising and bleeding gums
C. Mild headache
D. Increased urination
Correct Answer: B. Bruising and bleeding gums
PRACTICE A EXAM QUESTIONS AND
ANSWERS
2026 EDITION – PRACTICE TEST (ORIGINAL
QUESTIONS)
Question 1
A practical nurse is caring for a client who has hypoglycemia. Which finding should the nurse
expect?
A. Fruity breath odor
B. Excessive thirst
C. Sweating and tremors
D. Warm, dry skin
Correct Answer: C. Sweating and tremors
Rationale:
Hypoglycemia activates the sympathetic nervous system, causing sweating, tremors, anxiety, and
increased heart rate. Fruity breath and thirst are associated with hyperglycemia.
Question 2
A nurse is teaching a client about advance directives. Which statement by the client indicates
understanding?
A. “My family can make decisions even if I am able.”
B. “Advance directives explain my healthcare wishes if I cannot decide.”
C. “Advance directives are only needed for older adults.”
D. “My provider creates my advance directive.”
Correct Answer: B. “Advance directives explain my healthcare wishes if I cannot decide.”
Rationale:
Advance directives communicate a client's healthcare preferences when they are unable to make
decisions.
, Question 3
A nurse delegates a task to an assistive personnel (AP). Which task is appropriate?
A. Assessing pain after medication administration
B. Teaching insulin injection technique
C. Obtaining vital signs for a stable client
D. Evaluating wound healing
Correct Answer: C. Obtaining vital signs for a stable client
Rationale:
APs can perform routine tasks for stable clients but cannot assess, teach, or evaluate.
Question 4
A postpartum client has heavy vaginal bleeding and a boggy uterus. What action should the
nurse take first?
A. Notify the provider
B. Massage the uterine fundus
C. Administer pain medication
D. Place the client in a sitting position
Correct Answer: B. Massage the uterine fundus
Rationale:
A boggy uterus indicates uterine atony, the most common cause of postpartum hemorrhage.
Fundal massage stimulates uterine contraction.
Question 5
A client taking warfarin should report which finding immediately?
A. Increased appetite
B. Bruising and bleeding gums
C. Mild headache
D. Increased urination
Correct Answer: B. Bruising and bleeding gums
