1
PNH301 Test 2 Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
Q1: A nurse is preparing to administer a medication via the intravenous (IV) route. Which of the
following actions is the priority to prevent complications?
A. Selecting a large vein for insertion
B. Checking the patient's identity using two identifiers
C. Ensuring the IV solution matches the medication order [CORRECT]
D. Applying a tourniquet above the insertion site
Correct Answer: C
Rationale: Correct because verifying the IV solution against the medication order is a critical
safety check to prevent the administration of the wrong fluid, which can lead to serious
complications.
Q2: When providing therapeutic communication to a patient who is grieving, which response by
the nurse is most appropriate?
A. "You should focus on the happy memories you have."
B. "I know exactly how you feel; I lost my grandmother last year."
C. "Tell me more about how you are feeling right now." [CORRECT]
D. "It will get better with time, try not to worry."
Correct Answer: C
Rationale: Correct because this open-ended question encourages the patient to express their
feelings and facilitates therapeutic communication without offering advice or minimizing their
grief.
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Q3: The nurse is assessing a patient's pain level. Which documentation best reflects the patient's
subjective report?
A. Patient appears uncomfortable and guarding the abdomen.
B. Patient reports pain as a 7 on a scale of 0 to 10. [CORRECT]
C. Patient is moaning and restless in bed.
D. Patient's vital signs are elevated, indicating distress.
Correct Answer: B
Rationale: Correct because pain is a subjective experience, and the patient's self-report using a
standardized scale is the most accurate and reliable indicator of pain intensity.
Q4: A patient with heart failure is prescribed furosemide (Lasix). Which laboratory value should
the nurse monitor closely due to the risk of electrolyte imbalance?
A. Serum sodium
B. Serum glucose
C. Serum potassium [CORRECT]
D. Serum calcium
Correct Answer: C
Rationale: Correct because furosemide is a loop diuretic that causes the excretion of sodium,
water, and potassium, placing the patient at high risk for hypokalemia.
Q5: A nurse observes a colleague preparing to administer a medication to the wrong patient.
What is the immediate action required by the nurse?
A. Report the colleague to the nursing supervisor immediately.
B. Document the error in the patient's chart.
C. Wait and see if the colleague notices the mistake.
D. Intervene physically to stop the administration. [CORRECT]
Correct Answer: D
Rationale: Correct because the priority is patient safety; the nurse must immediately stop the
administration of the medication to prevent a potential error from reaching the patient.
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Q6: Which of the following is the primary purpose of the "Culture of Safety" in healthcare?
A. Ensure all staff members are disciplined for errors.
B. Reduce the cost of healthcare by limiting supplies.
C. Create an environment where staff can report errors without fear of punishment. [CORRECT]
D. Shift the blame for errors from administration to nursing staff.
Correct Answer: C
Rationale: Correct because a Culture of Safety encourages open reporting of errors and near
misses to identify system flaws and prevent future harm, rather than focusing on individual
punishment.
Q7: When assessing a patient's abdomen, what is the correct sequence of the physical
examination techniques?
A. Palpation, percussion, auscultation, inspection
B. Inspection, auscultation, percussion, palpation [CORRECT]
C. Inspection, percussion, auscultation, palpation
D. Auscultation, inspection, palpation, percussion
Correct Answer: B
Rationale: Correct because altering the order to inspect, auscultate, percuss, and then palpate
prevents changes in bowel sounds that might be caused by earlier manipulation or palpation.
Q8: A patient is prescribed a new anticoagulant. Which instruction is essential for the nurse to
include in the discharge teaching?
A. "Take the medication with an antacid to prevent stomach upset."
B. "You can double the dose if you miss one."
C. "Use a soft-bristled toothbrush and avoid flossing."
D. "Report any signs of unusual bruising or bleeding immediately." [CORRECT]
Correct Answer: D
PNH301 Test 2 Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
Q1: A nurse is preparing to administer a medication via the intravenous (IV) route. Which of the
following actions is the priority to prevent complications?
A. Selecting a large vein for insertion
B. Checking the patient's identity using two identifiers
C. Ensuring the IV solution matches the medication order [CORRECT]
D. Applying a tourniquet above the insertion site
Correct Answer: C
Rationale: Correct because verifying the IV solution against the medication order is a critical
safety check to prevent the administration of the wrong fluid, which can lead to serious
complications.
Q2: When providing therapeutic communication to a patient who is grieving, which response by
the nurse is most appropriate?
A. "You should focus on the happy memories you have."
B. "I know exactly how you feel; I lost my grandmother last year."
C. "Tell me more about how you are feeling right now." [CORRECT]
D. "It will get better with time, try not to worry."
Correct Answer: C
Rationale: Correct because this open-ended question encourages the patient to express their
feelings and facilitates therapeutic communication without offering advice or minimizing their
grief.
,2
Q3: The nurse is assessing a patient's pain level. Which documentation best reflects the patient's
subjective report?
A. Patient appears uncomfortable and guarding the abdomen.
B. Patient reports pain as a 7 on a scale of 0 to 10. [CORRECT]
C. Patient is moaning and restless in bed.
D. Patient's vital signs are elevated, indicating distress.
Correct Answer: B
Rationale: Correct because pain is a subjective experience, and the patient's self-report using a
standardized scale is the most accurate and reliable indicator of pain intensity.
Q4: A patient with heart failure is prescribed furosemide (Lasix). Which laboratory value should
the nurse monitor closely due to the risk of electrolyte imbalance?
A. Serum sodium
B. Serum glucose
C. Serum potassium [CORRECT]
D. Serum calcium
Correct Answer: C
Rationale: Correct because furosemide is a loop diuretic that causes the excretion of sodium,
water, and potassium, placing the patient at high risk for hypokalemia.
Q5: A nurse observes a colleague preparing to administer a medication to the wrong patient.
What is the immediate action required by the nurse?
A. Report the colleague to the nursing supervisor immediately.
B. Document the error in the patient's chart.
C. Wait and see if the colleague notices the mistake.
D. Intervene physically to stop the administration. [CORRECT]
Correct Answer: D
Rationale: Correct because the priority is patient safety; the nurse must immediately stop the
administration of the medication to prevent a potential error from reaching the patient.
, 3
Q6: Which of the following is the primary purpose of the "Culture of Safety" in healthcare?
A. Ensure all staff members are disciplined for errors.
B. Reduce the cost of healthcare by limiting supplies.
C. Create an environment where staff can report errors without fear of punishment. [CORRECT]
D. Shift the blame for errors from administration to nursing staff.
Correct Answer: C
Rationale: Correct because a Culture of Safety encourages open reporting of errors and near
misses to identify system flaws and prevent future harm, rather than focusing on individual
punishment.
Q7: When assessing a patient's abdomen, what is the correct sequence of the physical
examination techniques?
A. Palpation, percussion, auscultation, inspection
B. Inspection, auscultation, percussion, palpation [CORRECT]
C. Inspection, percussion, auscultation, palpation
D. Auscultation, inspection, palpation, percussion
Correct Answer: B
Rationale: Correct because altering the order to inspect, auscultate, percuss, and then palpate
prevents changes in bowel sounds that might be caused by earlier manipulation or palpation.
Q8: A patient is prescribed a new anticoagulant. Which instruction is essential for the nurse to
include in the discharge teaching?
A. "Take the medication with an antacid to prevent stomach upset."
B. "You can double the dose if you miss one."
C. "Use a soft-bristled toothbrush and avoid flossing."
D. "Report any signs of unusual bruising or bleeding immediately." [CORRECT]
Correct Answer: D
