PN Learning System Comprehensive Final EXAM CURRENT FOR 2026/2027 PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED RATIONALES (RELIABLE
SOLUTIONS) A NEW UPDATED VERSION 2026 EDITION ||JUST RELEASED (Lake
Area Technical College - PN 114)
A nurse is caring for a client who is taking warfarin. Which of the
following laboratory values should the nurse recognize as an
effective response to the medication?
Hct 45%
Hgb 15 g/dL
aPTT 35 seconds
INR 3.0
INR 3.0
*Warfarin is an anticoagulant that prevents thrombus formation in
susceptible clients. The INR measures its effectiveness. For most
clients taking warfarin, an INR of 3.0 indicates effective therapy.
A nurse is preparing to administer 10 units of insulin glargine and four
units of NPH insulin subcutaneously to a client. Which of the following
actions should the nurse take?
Verify with the provider about giving insulin glargine at 1700.
Ensure the insulin glargine is a cloudy suspension.
Request a prescription for giving insulin glargine twice daily.
Use separate syringes for administering insulin glargine and NPH
insulin.
Use separate syringes for administering insulin glargine and NPH
insulin
*The nurse should not mix insulin glargine with any other insulin. The
nurse should administer the NPH insulin and insulin glargine
separately.
,A nurse is reinforcing discharge teaching with a client who has had a
transient ischemic attack. Which of the following instructions should
the nurse include?
Reduce dietary sodium.
Decrease dietary potassium.
Restrict intake of soluble fiber.
Limit alcohol intake to three or fewer servings per day.
Reduce dietary sodium
A temporary disturbance of the blood supply to the brain causes
TIAs, which are brief alterations in neurologic function. The most
common causes are atherosclerotic plaque in the carotid arteries and
hypertension; therefore, the client should limit sodium intake to help
control hypertension and prevent future TIAs.
A nurse is assisting with planning recreational activities for a young
adult client who has an acute exacerbation of schizophrenia. Which of
the following activities should the nurse recommend for the client?
Walking with a staff member
Playing ping-pong in the dayroom with another client
Playing basketball with other clients in the gym
Riding on a stationary bike alone in the fitness room
Walking with a staff member
*The nurse should plan to encourage the client to participate in
nonthreatening, noncompetitive physical activities. Walking with the
staff also provides an opportunity for verbal interaction between the
client and the staff.
,A nurse is caring for a toddler. Which of the following objects should
the nurse select from the playroom for this child during
hospitalization?
A small, plastic doll with clothes and accessories
Alphabet flash cards
A handheld video game
A 10-piece wooden puzzle
A 10 piece wooden puzzle
*Age-appropriate toys for a toddler include puzzles, large crayons,
blocks, picture books, push-pull toys, finger paints, modeling clay,
and musical toys. These toys allow for manipulation and exploration
and meet the child's developmental and diversional activity needs.
Ours in an acute mental health facility is caring for a client who has
schizophrenia. The client asks the nurse can I vote in the upcoming
presidential election? Which of the following responses should the
nurse make?
"Why do you want to vote while you are here in the hospital?"
"I wouldn't worry about voting right now."
"We can work together to find out how you can get a mail-in ballot."
"You'll have a lot more opportunities to vote after you get better."
We can work together to find out how you can get a mail in ballot
*The nurse provides a therapeutic response by suggesting
collaboration and formulating a plan of action that will result in giving
the client information and addressing the client's need.
, A nurse is reinforcing teaching with the client who has come to the
family planning clinic requesting an IUD. Which of the following
information should the nurse reinforced with the client?
"If you lose weight, you will need a refitting for your IUD."
"An IUD provides protection from certain sexually transmitted
infections."
"Your risk for ectopic pregnancy increases with an IUD."
"You shouldn't use an IUD if you want to have children later on."
Your risk for ectopic pregnancy increases with an IUD
*An IUD is a family planning device the provider inserts through the
cervix into the uterus to prevent pregnancy. The IUD works by
changing the lining of the uterus and fallopian tubes, making
fertilization in the uterus more difficult. Consequently, an IUD
increases the risk for ectopic pregnancy.
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH DETAILED RATIONALES (RELIABLE
SOLUTIONS) A NEW UPDATED VERSION 2026 EDITION ||JUST RELEASED (Lake
Area Technical College - PN 114)
A nurse is caring for a client who is taking warfarin. Which of the
following laboratory values should the nurse recognize as an
effective response to the medication?
Hct 45%
Hgb 15 g/dL
aPTT 35 seconds
INR 3.0
INR 3.0
*Warfarin is an anticoagulant that prevents thrombus formation in
susceptible clients. The INR measures its effectiveness. For most
clients taking warfarin, an INR of 3.0 indicates effective therapy.
A nurse is preparing to administer 10 units of insulin glargine and four
units of NPH insulin subcutaneously to a client. Which of the following
actions should the nurse take?
Verify with the provider about giving insulin glargine at 1700.
Ensure the insulin glargine is a cloudy suspension.
Request a prescription for giving insulin glargine twice daily.
Use separate syringes for administering insulin glargine and NPH
insulin.
Use separate syringes for administering insulin glargine and NPH
insulin
*The nurse should not mix insulin glargine with any other insulin. The
nurse should administer the NPH insulin and insulin glargine
separately.
,A nurse is reinforcing discharge teaching with a client who has had a
transient ischemic attack. Which of the following instructions should
the nurse include?
Reduce dietary sodium.
Decrease dietary potassium.
Restrict intake of soluble fiber.
Limit alcohol intake to three or fewer servings per day.
Reduce dietary sodium
A temporary disturbance of the blood supply to the brain causes
TIAs, which are brief alterations in neurologic function. The most
common causes are atherosclerotic plaque in the carotid arteries and
hypertension; therefore, the client should limit sodium intake to help
control hypertension and prevent future TIAs.
A nurse is assisting with planning recreational activities for a young
adult client who has an acute exacerbation of schizophrenia. Which of
the following activities should the nurse recommend for the client?
Walking with a staff member
Playing ping-pong in the dayroom with another client
Playing basketball with other clients in the gym
Riding on a stationary bike alone in the fitness room
Walking with a staff member
*The nurse should plan to encourage the client to participate in
nonthreatening, noncompetitive physical activities. Walking with the
staff also provides an opportunity for verbal interaction between the
client and the staff.
,A nurse is caring for a toddler. Which of the following objects should
the nurse select from the playroom for this child during
hospitalization?
A small, plastic doll with clothes and accessories
Alphabet flash cards
A handheld video game
A 10-piece wooden puzzle
A 10 piece wooden puzzle
*Age-appropriate toys for a toddler include puzzles, large crayons,
blocks, picture books, push-pull toys, finger paints, modeling clay,
and musical toys. These toys allow for manipulation and exploration
and meet the child's developmental and diversional activity needs.
Ours in an acute mental health facility is caring for a client who has
schizophrenia. The client asks the nurse can I vote in the upcoming
presidential election? Which of the following responses should the
nurse make?
"Why do you want to vote while you are here in the hospital?"
"I wouldn't worry about voting right now."
"We can work together to find out how you can get a mail-in ballot."
"You'll have a lot more opportunities to vote after you get better."
We can work together to find out how you can get a mail in ballot
*The nurse provides a therapeutic response by suggesting
collaboration and formulating a plan of action that will result in giving
the client information and addressing the client's need.
, A nurse is reinforcing teaching with the client who has come to the
family planning clinic requesting an IUD. Which of the following
information should the nurse reinforced with the client?
"If you lose weight, you will need a refitting for your IUD."
"An IUD provides protection from certain sexually transmitted
infections."
"Your risk for ectopic pregnancy increases with an IUD."
"You shouldn't use an IUD if you want to have children later on."
Your risk for ectopic pregnancy increases with an IUD
*An IUD is a family planning device the provider inserts through the
cervix into the uterus to prevent pregnancy. The IUD works by
changing the lining of the uterus and fallopian tubes, making
fertilization in the uterus more difficult. Consequently, an IUD
increases the risk for ectopic pregnancy.
