Answers 2026/2027
SECTION 1: MANAGEMENT OF CARE & COORDINATED CARE (18 Questions)
**1.** A practical nurse is preparing to transfer a client with left-sided
weakness from the bed to a wheelchair. Which action should the PN take?
A) Position the wheelchair on the client's left side
B) Position the wheelchair on the client's right side
C) Place the wheelchair perpendicular to the bed
D) Keep the bed in the lowest position
**Correct Answer:** B) Position the wheelchair on the client's right side
**Rationale:** The wheelchair should be positioned on the client's strong side
(right side) to allow the client to pivot and transfer using their stronger leg.
The bed should be at a comfortable working height, and the wheelchair
should be locked.
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**2.** A practical nurse is preparing to administer medications to a client.
Which of the following actions demonstrates the "right dose" component of
medication administration?
A) Checking the client's wristband against the MAR
B) Calculating the medication dose based on the client's weight
C) Explaining the medication's purpose to the client
D) Verifying the expiration date on the medication label
,**Correct Answer:** B) Calculating the medication dose based on the client's
weight
**Rationale:** Right dose requires verifying that the dose ordered matches
the dose available and is appropriate for the client. Weight-based
calculations ensure the correct dose for pediatric or specific adult
populations. Checking the wristband demonstrates right patient; explaining
purpose demonstrates right education; verifying expiration dates
demonstrates right medication.
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**3.** A charge nurse is assigning clients on a medical-surgical unit. Which
client should be assigned to the most experienced nurse?
A) A client with diabetes requiring routine insulin administration
B) A client with pneumonia requiring q4h vital signs
C) A client with chest tubes and new-onset respiratory distress
D) A client with a UTI requiring IV antibiotics
**Correct Answer:** C) A client with chest tubes and new-onset respiratory
distress
**Rationale:** The client with chest tubes and respiratory distress is unstable
and requires complex assessment and intervention. Stable clients (A, B, D)
can be assigned to LPNs or less experienced RNs under supervision.
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, **4.** A practical nurse is reinforcing teaching with a client about a new
medication. Which of the following actions should the PN take?
A) Provide the initial teaching about the medication
B) Reinforce teaching previously provided by the RN
C) Evaluate the client's understanding of the teaching
D) Modify the teaching plan based on the client's response
**Correct Answer:** B) Reinforce teaching previously provided by the RN
**Rationale:** PNs can reinforce teaching provided by the RN but cannot
provide initial teaching or evaluate the effectiveness of teaching. Evaluation
and modification of teaching plans are RN responsibilities.
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**5.** A practical nurse discovers that a colleague has been documenting
medications as given when they were not administered. What is the PN's
priority action?
A) Confront the colleague directly
B) Report the incident to the nursing supervisor
C) Document the finding in the client's chart
D) Monitor the colleague's behavior
**Correct Answer:** B) Report the incident to the nursing supervisor