PN COMPREHENSIVE ONLINE PRACTICE A
2026 FINAL PRACTICE PAPER QUESTIONS AND
ANSWERS
◉ A nurse is caring for a client who has Alzheimer's disease. Which
of the following actions should the nurse take? Answer: ANS:
Encourage the client to reminisce about the past
RAT: The client who has Alzheimer's disease has progressive loss of
short-term memory and might not be able to recall recent
happenings and events. This can lead to increased frustration.
However, remote memory remains in place for a longer period of
time and can elicit feelings of happiness
◉ A nurse is monitoring a client who is receiving telemetry. Which of
the following ECG findings should the nurse report to the provider?
Answer: ANS: PR interval 0.24 seconds
RAT: An expected PR interval is 0.12 to 0.20 seconds. A prolonged
PR interval can indicate a heart block; therefore, the nurse should
report this finding provider
◉ A nurse on a medical unit is reviewing a client's medical record.
Which of the following procedures should the nurse identify
,requires the client to sign a separate informed consent form?
Answer: ANS: Lumbar puncture
RAT: The nurse should identify that a client needs to provide
consent for general treatment as well as a separate written informed
consent for any treatment that has an element of risk, such as a
lumbar puncture
◉ A nurse is reviewing the techniques for transferring a client from
a bed to a chair with a group of assistive personnel (AP). Which of
the following instructions should the nurse include? Answer: ANS:
Use lower-body strength
RAT: The nurse should instruct the AP to use lower-body strength
when lifting a client to reduce stress on the back
◉ A nurse is participating in a quality improvement study about the
effectiveness of client pain management on the unit. Which of the
following strategies should the nurse use to collect data? Answer:
ANS: Review clients' charts for their rating of pain before pain
medication was administered and 1 hr after administration
RAT: The nurse should collect data from clients' charts about pain
ratings before and after pain management interventions
,◉ A nurse is reinforcing teaching about confidentiality with a client
who has a new diagnosis of HIV. Which of the following information
should the nurse include in the teaching? Answer: ANS: "Your HIV
status will be shared with members of your health care team."
RAT: The diagnosis of HIV or AIDS is shared with every member of
the health care team who provides direct care for the client, just like
any other diagnosis
◉ A nurse is planning care for a client who has a history of seizures.
Which of the following pieces of equipment should the nurse place
in the client's room? Answer: ANS: Suction catheter
RAT: The nurse should place suction equipment in the room of a
client who has a history of seizures. During a seizure, the client
might have excessive oral secretions or might vomit. If the client's
airway becomes occluded, then the nurse will need to suction the
oral cavity to maintain a patent airway
◉ A licensed practical nurse (LPN) is reviewing client assignments
for the upcoming shift. Which of the following clients should the LPN
ask the charge nurse to reassign to a registered nurse (RN)? Answer:
ANS: A client who has a new colostomy and requires the
development of a teaching plan
, RAT: Developing a client teaching plan is not within the scope of
practice for an LPN. The nurse should contact the nursing supervisor
to inform them of the client's need for a teaching plan regarding the
new colostomy and request that this client be reassigned to an RN.
The scope of practice of an LPN does allow the nurse to reinforce
teaching once the plan has been established
◉ A nurse is caring for a client who is recovering from a stroke and
is experiencing difficulty using eating utensils. The nurse should
identify the need for a referral to which of the following
interprofessional team members? Answer: ANS: Occupational
therapist
RAT: The nurse should identify the need for a referral to an
occupational therapist to teach the client how to use special eating
utensils
◉ A nurse is preparing to perform blood glucose monitoring for a
client who has type 1 diabetes mellitus. Which of the following
actions should the nurse take first? Answer: ANS: Hold the finger for
testing in a dependent position
RAT: Evidence-based practice indicates that the nurse should first
position the testing site to enhance blood flow, which improves the
ability to collect an adequate specimen
2026 FINAL PRACTICE PAPER QUESTIONS AND
ANSWERS
◉ A nurse is caring for a client who has Alzheimer's disease. Which
of the following actions should the nurse take? Answer: ANS:
Encourage the client to reminisce about the past
RAT: The client who has Alzheimer's disease has progressive loss of
short-term memory and might not be able to recall recent
happenings and events. This can lead to increased frustration.
However, remote memory remains in place for a longer period of
time and can elicit feelings of happiness
◉ A nurse is monitoring a client who is receiving telemetry. Which of
the following ECG findings should the nurse report to the provider?
Answer: ANS: PR interval 0.24 seconds
RAT: An expected PR interval is 0.12 to 0.20 seconds. A prolonged
PR interval can indicate a heart block; therefore, the nurse should
report this finding provider
◉ A nurse on a medical unit is reviewing a client's medical record.
Which of the following procedures should the nurse identify
,requires the client to sign a separate informed consent form?
Answer: ANS: Lumbar puncture
RAT: The nurse should identify that a client needs to provide
consent for general treatment as well as a separate written informed
consent for any treatment that has an element of risk, such as a
lumbar puncture
◉ A nurse is reviewing the techniques for transferring a client from
a bed to a chair with a group of assistive personnel (AP). Which of
the following instructions should the nurse include? Answer: ANS:
Use lower-body strength
RAT: The nurse should instruct the AP to use lower-body strength
when lifting a client to reduce stress on the back
◉ A nurse is participating in a quality improvement study about the
effectiveness of client pain management on the unit. Which of the
following strategies should the nurse use to collect data? Answer:
ANS: Review clients' charts for their rating of pain before pain
medication was administered and 1 hr after administration
RAT: The nurse should collect data from clients' charts about pain
ratings before and after pain management interventions
,◉ A nurse is reinforcing teaching about confidentiality with a client
who has a new diagnosis of HIV. Which of the following information
should the nurse include in the teaching? Answer: ANS: "Your HIV
status will be shared with members of your health care team."
RAT: The diagnosis of HIV or AIDS is shared with every member of
the health care team who provides direct care for the client, just like
any other diagnosis
◉ A nurse is planning care for a client who has a history of seizures.
Which of the following pieces of equipment should the nurse place
in the client's room? Answer: ANS: Suction catheter
RAT: The nurse should place suction equipment in the room of a
client who has a history of seizures. During a seizure, the client
might have excessive oral secretions or might vomit. If the client's
airway becomes occluded, then the nurse will need to suction the
oral cavity to maintain a patent airway
◉ A licensed practical nurse (LPN) is reviewing client assignments
for the upcoming shift. Which of the following clients should the LPN
ask the charge nurse to reassign to a registered nurse (RN)? Answer:
ANS: A client who has a new colostomy and requires the
development of a teaching plan
, RAT: Developing a client teaching plan is not within the scope of
practice for an LPN. The nurse should contact the nursing supervisor
to inform them of the client's need for a teaching plan regarding the
new colostomy and request that this client be reassigned to an RN.
The scope of practice of an LPN does allow the nurse to reinforce
teaching once the plan has been established
◉ A nurse is caring for a client who is recovering from a stroke and
is experiencing difficulty using eating utensils. The nurse should
identify the need for a referral to which of the following
interprofessional team members? Answer: ANS: Occupational
therapist
RAT: The nurse should identify the need for a referral to an
occupational therapist to teach the client how to use special eating
utensils
◉ A nurse is preparing to perform blood glucose monitoring for a
client who has type 1 diabetes mellitus. Which of the following
actions should the nurse take first? Answer: ANS: Hold the finger for
testing in a dependent position
RAT: Evidence-based practice indicates that the nurse should first
position the testing site to enhance blood flow, which improves the
ability to collect an adequate specimen
