PN COMPREHENSIVE ONLINE PRACTICE D
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A PLUS COMPLETE
REVIEW SET 150 ITEMS
◉ A nurse is collecting data from a client who is scheduled for
surgery.
Exhibit 1
Vital Signs
0630:
Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate
20/minBlood pressure 122/76 mmHgOxygen saturation 96% on
room air
0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate
20/minBlood pressure 128/78 mmHgOxygen saturation 95% on
room air
Exhibit 2
Nurses' Notes
0630:
Client reports restlessness and inability to sleep more than 3 to 4 hr
per night for the last week. Cli.
,Answer: Click to highlight the data collection findings that the nurse
should report to the provider prior to the procedure. To deselect a
finding, click on the finding again.
Hemoglobin level
Allergy
Family history
When collecting data from the client and analyzing cues, the nurse
should determine the client's hemoglobin level, latex allergy, and
family history of malignant hyperthermia should be reported to the
provider. When the client's hemoglobin level is below the expected
range, the client might require blood products during the
intraoperative phase. The client's allergy to avocados and bananas
can indicate an allergy to latex products and should be reported to
the provider. The surgical team will need to remove all latex
products from the operating room. During the intraoperative phase,
the nurses must be diligent in monitoring the client's vital signs and
laboratory values, especially in a client who has a family history of
malignant hyperthermia.
◉ A nurse is caring for a client who is recovering from a stroke and
is experiencing difficulty using eating utensils. The nurse should
identify the need for a referral to which of the following
interprofessional team members?.
,Answer: Occupational therapist
The nurse should identify the need for a referral to an occupational
therapist to teach the client how to use special eating utensils.
◉ A nurse is reviewing the electronic health records of four clients.
Which of the following client conditions should the nurse recognize
as reportable to a regulatory agency?.
Answer: A client who is newly diagnosed with tuberculosis
The nurse should identify that certain communicable diseases, such
as tuberculosis, require notification of the local and state health
departments.
◉ A nurse is caring for a client who is being discharged home
following a cerebrovascular accident. Which of the following
documents should the nurse plan to include with the discharge
report?.
Answer: List of potential complications to report
Discharge instructions are defined as any form of documentation
provided to the client, upon discharge to home, which facilitates safe
and appropriate continuity of care. The nurse should plan to include
, a list of potential complications that should be reported to the
provider in the client's discharge instructions.
◉ A nurse is reinforcing teaching with the parent of a preschooler
who has lactose intolerance. Which of the following statements by
the parent indicates an understanding of the teaching?.
Answer: "I should offer my child yogurt that has a probiotic as a
snack."
Children who have lactose intolerance should be offered dairy
products that have a probiotic, such as lactobacillus. The probiotic
promotes tolerance of lactose in the colon.
◉ A nurse is reinforcing teaching for a client who has type 1
diabetes mellitus. Which of the following client statements indicates
an understanding of the teaching?.
Answer: "I should check my blood sugar if my appetite is decreased."
The nurse should instruct the client to monitor blood glucose levels
closely. Change in appetite can be an early sign of hyperglycemia and
inadequate intake may cause blood glucose to drop.
◉ A nurse is collecting data from a client who has iron deficiency
anemia. Which of the following findings should the nurse expect?.
Answer: Difficulty concentrating
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A PLUS COMPLETE
REVIEW SET 150 ITEMS
◉ A nurse is collecting data from a client who is scheduled for
surgery.
Exhibit 1
Vital Signs
0630:
Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate
20/minBlood pressure 122/76 mmHgOxygen saturation 96% on
room air
0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate
20/minBlood pressure 128/78 mmHgOxygen saturation 95% on
room air
Exhibit 2
Nurses' Notes
0630:
Client reports restlessness and inability to sleep more than 3 to 4 hr
per night for the last week. Cli.
,Answer: Click to highlight the data collection findings that the nurse
should report to the provider prior to the procedure. To deselect a
finding, click on the finding again.
Hemoglobin level
Allergy
Family history
When collecting data from the client and analyzing cues, the nurse
should determine the client's hemoglobin level, latex allergy, and
family history of malignant hyperthermia should be reported to the
provider. When the client's hemoglobin level is below the expected
range, the client might require blood products during the
intraoperative phase. The client's allergy to avocados and bananas
can indicate an allergy to latex products and should be reported to
the provider. The surgical team will need to remove all latex
products from the operating room. During the intraoperative phase,
the nurses must be diligent in monitoring the client's vital signs and
laboratory values, especially in a client who has a family history of
malignant hyperthermia.
◉ A nurse is caring for a client who is recovering from a stroke and
is experiencing difficulty using eating utensils. The nurse should
identify the need for a referral to which of the following
interprofessional team members?.
,Answer: Occupational therapist
The nurse should identify the need for a referral to an occupational
therapist to teach the client how to use special eating utensils.
◉ A nurse is reviewing the electronic health records of four clients.
Which of the following client conditions should the nurse recognize
as reportable to a regulatory agency?.
Answer: A client who is newly diagnosed with tuberculosis
The nurse should identify that certain communicable diseases, such
as tuberculosis, require notification of the local and state health
departments.
◉ A nurse is caring for a client who is being discharged home
following a cerebrovascular accident. Which of the following
documents should the nurse plan to include with the discharge
report?.
Answer: List of potential complications to report
Discharge instructions are defined as any form of documentation
provided to the client, upon discharge to home, which facilitates safe
and appropriate continuity of care. The nurse should plan to include
, a list of potential complications that should be reported to the
provider in the client's discharge instructions.
◉ A nurse is reinforcing teaching with the parent of a preschooler
who has lactose intolerance. Which of the following statements by
the parent indicates an understanding of the teaching?.
Answer: "I should offer my child yogurt that has a probiotic as a
snack."
Children who have lactose intolerance should be offered dairy
products that have a probiotic, such as lactobacillus. The probiotic
promotes tolerance of lactose in the colon.
◉ A nurse is reinforcing teaching for a client who has type 1
diabetes mellitus. Which of the following client statements indicates
an understanding of the teaching?.
Answer: "I should check my blood sugar if my appetite is decreased."
The nurse should instruct the client to monitor blood glucose levels
closely. Change in appetite can be an early sign of hyperglycemia and
inadequate intake may cause blood glucose to drop.
◉ A nurse is collecting data from a client who has iron deficiency
anemia. Which of the following findings should the nurse expect?.
Answer: Difficulty concentrating
