PRNU 210 Module 5 Actual Exam Prep Document |
2026/2027 Edition | 250 Verified Questions
PRNU 210 Module 5 Actual Exam 2026-2027 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document for PRNU 210 Module 5 covers essential practical
nursing concepts for the 2026/2027 academic year. It includes 250 verified questions and answers that
align with the higher education practical nursing curriculum. The content is meticulously organized to
support university and college-level nursing students in mastering key topics. Each question is
accompanied by a detailed rationale to enhance understanding and retention.
Key Features:
Pharmacological calculations and medication administration
Nursing process and critical thinking application
Patient safety and infection control protocols
Health assessment and vital signs interpretation
Ethical and legal considerations in nursing practice
Communication and documentation in healthcare settings
Updates for 2026:
- Revised to reflect the latest NCLEX-PN test plan updates for 2026-2027
- Incorporated evidence-based practice guidelines from current nursing literature
- Enhanced rationales with step-by-step explanations for correct and incorrect options
- Added new questions on emerging healthcare trends and technologies
- Aligned with the updated practical nursing curriculum standards
Abstract:
This exam preparation resource for PRNU 210 Module 5 is designed to equip practical nursing students with the
knowledge and skills necessary to excel in their academic assessments. The document provides a comprehensive
review of core nursing concepts, including pharmacological principles, patient-centered care, and professional
responsibilities. Each of the 250 questions is carefully crafted to reflect the format and difficulty of actual exams,
with detailed rationales that explain the reasoning behind each answer. The content is organized into distinct
modules, allowing for targeted study and self-assessment. By utilizing this resource, students can identify areas of
strength and weakness, thereby optimizing their study time and improving their overall performance. The inclusion
of updated guidelines and evidence-based practices ensures that students are prepared for both academic success
and future clinical practice.
Keywords:
PRNU 210, practical nursing, exam prep, NCLEX-PN, nursing fundamentals, pharmacology, patient safety,
nursing process
Answer Format:
Each question is presented in a multiple-choice format with four options. The correct answer is clearly indicated,
followed by a comprehensive rationale explaining why it is correct and why the other options are incorrect.
Rationales include references to standard nursing textbooks and guidelines, ensuring a thorough understanding of
the underlying concepts.
Compliance Checklist:
Aligned with the 2026/2027 practical nursing curriculum standards
Verified by nursing educators and subject matter experts
Page 1
, Includes rationales for both correct and incorrect answers
Updated to reflect the latest evidence-based practice guidelines
Suitable for university and college-level nursing students
Content Area Overview:
Content Area Questions Key Topics Weight
Pharmacology and Medication 1-50 Drug calculations, routes of administration, 20%
Administration adverse effects, medication safety
Nursing Process and Critical 51-100 Assessment, diagnosis, planning, 20%
Thinking implementation, evaluation
Patient Safety and Infection 101-150 Standard precautions, fall prevention, 20%
Control emergency preparedness, aseptic technique
Health Assessment and Vital 151-200 Physical examination, vital sign 20%
Signs interpretation, normal vs. abnormal findings
Ethical, Legal, and Professional 201-250 Patient rights, confidentiality, informed 20%
Issues consent, scope of practice
Page 2
,Q1. A patient with type 2 diabetes and chronic kidney disease (CKD) is prescribed
metformin. The nurse reviews recent labs. Which finding warrants withholding the
dose and notifying the provider?
A. HbA1c 7.2%
B. eGFR 42 mL/min/1.73m²
C. Fasting blood glucose 140 mg/dL
D. Serum creatinine 1.1 mg/dL
Correct Answer: B. eGFR 42 mL/min/1.73m²
Rationale: Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m², and
the dose should be reassessed when eGFR is 30-45. An eGFR of 42 indicates significant
renal impairment, increasing the risk of lactic acidosis. The other values are within
acceptable ranges or not directly contraindicated.
Why Wrong:
A - HbA1c 7.2% indicates suboptimal control but is not a contraindication to
metformin.
C - Fasting glucose 140 mg/dL is above target but does not preclude metformin use.
D - Serum creatinine alone is less precise; eGFR is the recommended measure for
metformin dosing.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 48
Q2. A nurse is caring for a patient with heart failure who is receiving digoxin. Which
assessment finding is most indicative of digoxin toxicity?
A. Heart rate 58 bpm and complaints of fatigue
B. Serum potassium 3.2 mEq/L and visual disturbances
C. Blood pressure 110/70 mmHg and dry cough
D. Urine output 40 mL/hr and peripheral edema
Correct Answer: B. Serum potassium 3.2 mEq/L and visual disturbances
Rationale: Hypokalemia increases the risk of digoxin toxicity, and visual disturbances
(yellow-green halos) are classic signs. The combination of low potassium and visual
symptoms is highly suggestive. Bradycardia alone can be therapeutic, but with
hypokalemia and visual changes, toxicity is most likely.
Why Wrong:
A - Bradycardia can be a sign of toxicity, but fatigue alone is nonspecific and not the
most indicative finding.
C - Dry cough is not associated with digoxin toxicity; it is more common with ACE
inhibitors.
D - Reduced urine output and edema indicate heart failure exacerbation, not digoxin
toxicity.
Page 3
, Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 33
Q3. The nurse is preparing to administer a blood transfusion. Which action is most
critical to prevent a transfusion-associated circulatory overload (TACO)?
A. Verify the patient's identity and blood product using two identifiers
B. Prime the blood tubing with normal saline
C. Assess the patient's baseline respiratory status
D. Administer a diuretic prior to transfusion if prescribed
Correct Answer: D. Administer a diuretic prior to transfusion if prescribed
Rationale: TACO is a hypervolemic reaction; administering a diuretic (if prescribed)
reduces intravascular volume, especially in at-risk patients. While baseline assessment
and correct administration are important, they do not directly prevent volume overload.
Priming with saline is standard but not preventive of TACO.
Why Wrong:
A - Identity verification prevents hemolytic reactions, not TACO.
B - Priming with saline is standard but does not prevent TACO.
C - Baseline respiratory assessment is important for monitoring but does not prevent
TACO.
Reference: American Red Cross. (2025). Blood Transfusion Therapy: A Guide for Nurses.
Q4. Which of the following actions by a nurse demonstrates the principle of veracity
in a culturally sensitive manner?
A. Withholding a terminal diagnosis at the family's request to protect the patient
B. Providing complete and accurate information while respecting the patient's cultural
values
C. Documenting the patient's refusal of treatment as 'noncompliant'
D. Deferring all disclosure decisions to the patient's family
Correct Answer: B. Providing complete and accurate information while respecting
the patient's cultural values
Rationale: Veracity requires truthfulness, but it must be balanced with cultural
competence. Providing accurate information while respecting cultural values is the best
approach, as it honors both ethical and cultural principles. Withholding information or
deferring entirely to family may violate veracity and patient autonomy.
Why Wrong:
A - Withholding information violates veracity and may be paternalistic.
C - Labeling a patient as 'noncompliant' is judgmental and lacks cultural sensitivity.
D - Deferring all decisions to family may infringe on the patient's autonomy and
veracity.
Page 4
2026/2027 Edition | 250 Verified Questions
PRNU 210 Module 5 Actual Exam 2026-2027 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document for PRNU 210 Module 5 covers essential practical
nursing concepts for the 2026/2027 academic year. It includes 250 verified questions and answers that
align with the higher education practical nursing curriculum. The content is meticulously organized to
support university and college-level nursing students in mastering key topics. Each question is
accompanied by a detailed rationale to enhance understanding and retention.
Key Features:
Pharmacological calculations and medication administration
Nursing process and critical thinking application
Patient safety and infection control protocols
Health assessment and vital signs interpretation
Ethical and legal considerations in nursing practice
Communication and documentation in healthcare settings
Updates for 2026:
- Revised to reflect the latest NCLEX-PN test plan updates for 2026-2027
- Incorporated evidence-based practice guidelines from current nursing literature
- Enhanced rationales with step-by-step explanations for correct and incorrect options
- Added new questions on emerging healthcare trends and technologies
- Aligned with the updated practical nursing curriculum standards
Abstract:
This exam preparation resource for PRNU 210 Module 5 is designed to equip practical nursing students with the
knowledge and skills necessary to excel in their academic assessments. The document provides a comprehensive
review of core nursing concepts, including pharmacological principles, patient-centered care, and professional
responsibilities. Each of the 250 questions is carefully crafted to reflect the format and difficulty of actual exams,
with detailed rationales that explain the reasoning behind each answer. The content is organized into distinct
modules, allowing for targeted study and self-assessment. By utilizing this resource, students can identify areas of
strength and weakness, thereby optimizing their study time and improving their overall performance. The inclusion
of updated guidelines and evidence-based practices ensures that students are prepared for both academic success
and future clinical practice.
Keywords:
PRNU 210, practical nursing, exam prep, NCLEX-PN, nursing fundamentals, pharmacology, patient safety,
nursing process
Answer Format:
Each question is presented in a multiple-choice format with four options. The correct answer is clearly indicated,
followed by a comprehensive rationale explaining why it is correct and why the other options are incorrect.
Rationales include references to standard nursing textbooks and guidelines, ensuring a thorough understanding of
the underlying concepts.
Compliance Checklist:
Aligned with the 2026/2027 practical nursing curriculum standards
Verified by nursing educators and subject matter experts
Page 1
, Includes rationales for both correct and incorrect answers
Updated to reflect the latest evidence-based practice guidelines
Suitable for university and college-level nursing students
Content Area Overview:
Content Area Questions Key Topics Weight
Pharmacology and Medication 1-50 Drug calculations, routes of administration, 20%
Administration adverse effects, medication safety
Nursing Process and Critical 51-100 Assessment, diagnosis, planning, 20%
Thinking implementation, evaluation
Patient Safety and Infection 101-150 Standard precautions, fall prevention, 20%
Control emergency preparedness, aseptic technique
Health Assessment and Vital 151-200 Physical examination, vital sign 20%
Signs interpretation, normal vs. abnormal findings
Ethical, Legal, and Professional 201-250 Patient rights, confidentiality, informed 20%
Issues consent, scope of practice
Page 2
,Q1. A patient with type 2 diabetes and chronic kidney disease (CKD) is prescribed
metformin. The nurse reviews recent labs. Which finding warrants withholding the
dose and notifying the provider?
A. HbA1c 7.2%
B. eGFR 42 mL/min/1.73m²
C. Fasting blood glucose 140 mg/dL
D. Serum creatinine 1.1 mg/dL
Correct Answer: B. eGFR 42 mL/min/1.73m²
Rationale: Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m², and
the dose should be reassessed when eGFR is 30-45. An eGFR of 42 indicates significant
renal impairment, increasing the risk of lactic acidosis. The other values are within
acceptable ranges or not directly contraindicated.
Why Wrong:
A - HbA1c 7.2% indicates suboptimal control but is not a contraindication to
metformin.
C - Fasting glucose 140 mg/dL is above target but does not preclude metformin use.
D - Serum creatinine alone is less precise; eGFR is the recommended measure for
metformin dosing.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 48
Q2. A nurse is caring for a patient with heart failure who is receiving digoxin. Which
assessment finding is most indicative of digoxin toxicity?
A. Heart rate 58 bpm and complaints of fatigue
B. Serum potassium 3.2 mEq/L and visual disturbances
C. Blood pressure 110/70 mmHg and dry cough
D. Urine output 40 mL/hr and peripheral edema
Correct Answer: B. Serum potassium 3.2 mEq/L and visual disturbances
Rationale: Hypokalemia increases the risk of digoxin toxicity, and visual disturbances
(yellow-green halos) are classic signs. The combination of low potassium and visual
symptoms is highly suggestive. Bradycardia alone can be therapeutic, but with
hypokalemia and visual changes, toxicity is most likely.
Why Wrong:
A - Bradycardia can be a sign of toxicity, but fatigue alone is nonspecific and not the
most indicative finding.
C - Dry cough is not associated with digoxin toxicity; it is more common with ACE
inhibitors.
D - Reduced urine output and edema indicate heart failure exacerbation, not digoxin
toxicity.
Page 3
, Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 33
Q3. The nurse is preparing to administer a blood transfusion. Which action is most
critical to prevent a transfusion-associated circulatory overload (TACO)?
A. Verify the patient's identity and blood product using two identifiers
B. Prime the blood tubing with normal saline
C. Assess the patient's baseline respiratory status
D. Administer a diuretic prior to transfusion if prescribed
Correct Answer: D. Administer a diuretic prior to transfusion if prescribed
Rationale: TACO is a hypervolemic reaction; administering a diuretic (if prescribed)
reduces intravascular volume, especially in at-risk patients. While baseline assessment
and correct administration are important, they do not directly prevent volume overload.
Priming with saline is standard but not preventive of TACO.
Why Wrong:
A - Identity verification prevents hemolytic reactions, not TACO.
B - Priming with saline is standard but does not prevent TACO.
C - Baseline respiratory assessment is important for monitoring but does not prevent
TACO.
Reference: American Red Cross. (2025). Blood Transfusion Therapy: A Guide for Nurses.
Q4. Which of the following actions by a nurse demonstrates the principle of veracity
in a culturally sensitive manner?
A. Withholding a terminal diagnosis at the family's request to protect the patient
B. Providing complete and accurate information while respecting the patient's cultural
values
C. Documenting the patient's refusal of treatment as 'noncompliant'
D. Deferring all disclosure decisions to the patient's family
Correct Answer: B. Providing complete and accurate information while respecting
the patient's cultural values
Rationale: Veracity requires truthfulness, but it must be balanced with cultural
competence. Providing accurate information while respecting cultural values is the best
approach, as it honors both ethical and cultural principles. Withholding information or
deferring entirely to family may violate veracity and patient autonomy.
Why Wrong:
A - Withholding information violates veracity and may be paternalistic.
C - Labeling a patient as 'noncompliant' is judgmental and lacks cultural sensitivity.
D - Deferring all decisions to family may infringe on the patient's autonomy and
veracity.
Page 4
