2025–2026 Latest Edition
Real Exam Questions and Verified Answers | 100% Correct | Nursing Exams
Introduction
Topics Covered:
• Pharmacology
• Coordinated Care
• Safety & Infection Control
• Health Promotion and Maintenance
• Basic Care and Comfort
• Psychosocial Integrity
• Physiological Adaptation
• Reduction of Risk Potential
• Fundamentals of Practical Nursing
All correct answers are clearly marked in bold and green to support fast and effective review.
Exam Questions and Answers
Question 1
Question: A client reports chest pain and shortness of breath. What is the practical nurse’s
priority action?
A) Encourage deep breathing
B) Notify the registered nurse
C) Administer pain medication
D) Monitor blood pressure
Rationale: Notifying the RN ensures prompt assessment and intervention for potential
cardiac issues.
Question 2
Question: A client with diabetes mellitus reports shakiness and sweating. What should the
practical nurse do first?
A) Administer insulin
B) Check blood glucose level
C) Offer a high-protein snack
D) Encourage rest
Rationale: Checking blood glucose confirms hypoglycemia or hyperglycemia, guiding
appropriate action.
,Question 3
Question: A postpartum client reports heavy vaginal bleeding. What should the practical
nurse do?
A) Encourage ambulation
B) Report to the registered nurse
C) Apply a heating pad
D) Monitor temperature
Rationale: Heavy bleeding may indicate a complication, requiring RN notification.
Question 4
Question: A practical nurse is assisting with a child receiving acetaminophen. What is the
appropriate dose for a 32-lb child?
A) 80 mg
B) 200 mg
C) 300 mg
D) 400 mg
Rationale: The dose is 10–15 mg/kg; for a 32-lb (14.5 kg) child, 200 mg is appropriate (13.8
mg/kg).
Question 5
Case Study: A 70-year-old client with pneumonia presents with fever and SpO2 of 89%.
Labs: WBC 15,000/mm³.
Question: Which interventions should the practical nurse prioritize? Select all that apply.
A) Restrict fluids
B) Report fever to the registered nurse
C) Encourage deep breathing and coughing
D) Encourage ambulation
E) Monitor oxygen saturation
Rationale: Reporting fever, encouraging breathing exercises, and monitoring SpO2 address
pneumonia symptoms. Fluid restriction and ambulation are inappropriate.
Question 6
Question: A client reports hearing voices and appears anxious. What should the practical
nurse do?
A) Ignore the client’s concerns
B) Stay with the client and notify the registered nurse
C) Encourage group activities
D) Administer an antianxiety medication
Rationale: Staying with the client ensures safety, and notifying the RN prompts further
assessment.
Question 7
Question: A client is receiving digoxin. Which symptom should the practical nurse report
immediately?
A) Increased appetite
B) Nausea and vomiting
,C) Stable heart rate
D) Clear vision
Rationale: Nausea and vomiting may indicate digoxin toxicity, requiring immediate
reporting.
Question 8
Question: A client with a new tracheostomy reports difficulty breathing. What should the
practical nurse do first?
A) Suction the tracheostomy
B) Notify the registered nurse
C) Administer oxygen
D) Encourage coughing
Rationale: Notifying the RN ensures prompt assessment of the airway issue.
Question 9
Question: A client is prescribed warfarin. Which food should the practical nurse advise the
client to limit?
A) Fresh fruits
B) Green leafy vegetables
C) Lean proteins
D) Whole grains
Rationale: Green leafy vegetables are high in vitamin K, affecting warfarin efficacy.
Question 10
Question: A 2-month-old infant with a congenital heart defect is fussy. What should the
practical nurse monitor?
A) Blood pressure
B) Signs of respiratory distress
C) Temperature
D) Weight
Rationale: Fussiness may indicate respiratory distress in congenital heart defects.
Question 11
Question: A client with depression reports feeling hopeless. What should the practical nurse
do?
A) Encourage isolation
B) Notify the registered nurse
C) Ignore the statement
D) Administer a sedative
Rationale: Hopelessness may indicate worsening depression, requiring RN notification.
Question 12
Question: Which task can the practical nurse delegate to a nursing assistant?
A) Administer oral medications
B) Assist with bathing
, C) Assess pain levels
D) Change a sterile dressing
Rationale: Bathing is within the nursing assistant’s scope; other tasks require LPN or RN
skills.
Question 13
Question: A client with a pressure ulcer is being cared for. What should the practical nurse
do?
A) Massage the ulcer area
B) Keep the ulcer clean and covered
C) Apply a dry dressing
D) Use a heating pad
Rationale: Keeping the ulcer clean and covered promotes healing and prevents infection.
Question 14
Question: A client is recovering from surgery. What should the practical nurse teach to
prevent infection?
A) Use dirty dressings
B) Wash hands before touching the incision
C) Avoid cleaning the incision
D) Share personal items
Rationale: Hand washing prevents infection at the surgical site.
Question 15
Question: A client with gestational diabetes asks about diet. Which food should the practical
nurse advise limiting?
A) Fresh vegetables
B) Sugary desserts
C) Lean proteins
D) Whole grains
Rationale: Sugary desserts increase blood glucose levels.
Question 16
Question: A client with a central venous catheter is being cared for. What should the
practical nurse do to prevent infection?
A) Change dressing weekly
B) Report redness at the site to the registered nurse
C) Flush with water
D) Avoid site inspection
Rationale: Redness may indicate infection, requiring RN notification.
Question 17
Question: A client reports an aura before a seizure. What should the practical nurse do?
A) Administer pain medication
B) Ensure client safety