PN COMPREHENSIVE ONLINE PRACTICE A
2026 PRACTICE TEST QUESTIONS WITH
EXEMPLAR ANSWERS
◉ A nurse is reviewing a client's medication record and notices that
a double dose of oral digoxin was administered 1 hr ago. Which of
the following actions should the nurse take first? Answer: ANS:
Obtain a set of the client's vital signs
RAT: The first action the nurse should take when using the nursing
process is to collect data from the client. Digoxin can cause
bradycardia. By obtaining the client's vital signs, the nurse can
identify the need for intervention
◉ A nurse is instructing an assistive personnel (AP) about caring for
a client who has hepatitis A and is incontinent of stool. Which of the
following infection control precautions should the nurse instruct the
AP to use? Answer: ANS: Contact
RAT: Hepatitis A is spread by the fecal-oral route. Standard
precautions are usually sufficient to prevent the spread of infection.
However, if the client who has hepatitis A is also incontinent of stool,
then contact precautions are indicated
,◉ A nurse is assisting with the transfer of a client to a long-term care
facility. The nurse should review which of the following sections of
the electronic health record to locate information about the client's
personal health insurance? Answer: ANS: Admission sheet
RAT: The nurse will find client data, such as date of birth,
occupation, and the client's source of health insurance, on the
client's admission sheet
◉ A nurse is inspecting the skin of a newborn. Which of the
following findings should the nurse report to the provider? Answer:
ANS: Generalized petechiae
RAT: Petechiae are an expected finding over the presenting part of
the newborn, such as on the forehead in a brow presentation, and
also anywhere on the head of the newborns who has a nuchal cord,
which is an umbilical cord around the neck. However, petechiae all
over the newborn's body can indicate infection or a decreased
platelet count and should be reported to the provider
◉ A nurse in a provider's office is obtaining the health history from a
client who is scheduled to undergo a cardiac catheterization in 2
days. Which of the following questions is the priority for the nurse to
ask? Answer: ANS: "Do you know if you're allergic to iodine?"
,RAT: The greatest risk to the client is an allergic reaction to the
contrast agent, which contains iodine. Therefore, the priority
question is to identify the client's allergies
◉ A nurse is reviewing the medical record of a client who is
receiving warfarin and has atrial fibrillation. Which of the following
laboratory values should the nurse report to the provider? Answer:
ANS: INR 5.0
RAT: The international normalized ratio (INR) is a measurement of
the body's blood clotting ability. A client receiving warfarin to
prevent clot formation related to atrial fibrillation should have an
INR of 2.0 to 3.0. An INR of 5.0 or greater indicates that the client is
at risk for bleeding. Therefore, the nurse should notify the provider
about this laboratory value
◉ A nurse is evaluating the safe use of electrical equipment by a
newly hired assistive personnel (AP). Which of the following actions
by the AP demonstrates an understanding of the proper use of
electrical equipment? Answer: ANS: Grasps the plug of a device in
the client's room to pull it straight out from the wall
RAT: The nurse should recognize that by grasping the plug, rather
than the cord, the AP is demonstrating an understanding of proper
equipment use and preventing risk of injury from electronic
equipment.
, ◉ A nurse is reinforcing discharge teaching with the parents of a
school-age child who has severe hemophilia A. Which of the
following statements by the parents indicates an understanding of
the teaching? Answer: ANS: "I will soak my child's toothbrush in
warm water to soften it before my child uses it."
RAT: The nurse should instruct the parents to soften their child's
toothbrush in warm water before they use it or allow them to use a
sponge-tipped disposable toothbrush. These actions will minimize
trauma to the gums and prevent bleeding of the oral cavity
◉ A nurse is assisting with the development of an in-service for
newly licensed nurses about seclusion. In which of the following
situations should the nurse identify the need to request a
prescription for seclusion? Answer: ANS: A client hits another client
because they thought the other client was talking about them
RAT: The nurse should request a prescription for seclusion for a
client who hits another client to protect the client and others from
physical injury
◉ A nurse is collecting data from a client who has chronic hepatitis.
In which of the following locations should the nurse expect the client
to point to indicate hepatic tenderness? Answer: RAT: The client
who has chronic hepatitis tenderness in the upper right quadrant,
2026 PRACTICE TEST QUESTIONS WITH
EXEMPLAR ANSWERS
◉ A nurse is reviewing a client's medication record and notices that
a double dose of oral digoxin was administered 1 hr ago. Which of
the following actions should the nurse take first? Answer: ANS:
Obtain a set of the client's vital signs
RAT: The first action the nurse should take when using the nursing
process is to collect data from the client. Digoxin can cause
bradycardia. By obtaining the client's vital signs, the nurse can
identify the need for intervention
◉ A nurse is instructing an assistive personnel (AP) about caring for
a client who has hepatitis A and is incontinent of stool. Which of the
following infection control precautions should the nurse instruct the
AP to use? Answer: ANS: Contact
RAT: Hepatitis A is spread by the fecal-oral route. Standard
precautions are usually sufficient to prevent the spread of infection.
However, if the client who has hepatitis A is also incontinent of stool,
then contact precautions are indicated
,◉ A nurse is assisting with the transfer of a client to a long-term care
facility. The nurse should review which of the following sections of
the electronic health record to locate information about the client's
personal health insurance? Answer: ANS: Admission sheet
RAT: The nurse will find client data, such as date of birth,
occupation, and the client's source of health insurance, on the
client's admission sheet
◉ A nurse is inspecting the skin of a newborn. Which of the
following findings should the nurse report to the provider? Answer:
ANS: Generalized petechiae
RAT: Petechiae are an expected finding over the presenting part of
the newborn, such as on the forehead in a brow presentation, and
also anywhere on the head of the newborns who has a nuchal cord,
which is an umbilical cord around the neck. However, petechiae all
over the newborn's body can indicate infection or a decreased
platelet count and should be reported to the provider
◉ A nurse in a provider's office is obtaining the health history from a
client who is scheduled to undergo a cardiac catheterization in 2
days. Which of the following questions is the priority for the nurse to
ask? Answer: ANS: "Do you know if you're allergic to iodine?"
,RAT: The greatest risk to the client is an allergic reaction to the
contrast agent, which contains iodine. Therefore, the priority
question is to identify the client's allergies
◉ A nurse is reviewing the medical record of a client who is
receiving warfarin and has atrial fibrillation. Which of the following
laboratory values should the nurse report to the provider? Answer:
ANS: INR 5.0
RAT: The international normalized ratio (INR) is a measurement of
the body's blood clotting ability. A client receiving warfarin to
prevent clot formation related to atrial fibrillation should have an
INR of 2.0 to 3.0. An INR of 5.0 or greater indicates that the client is
at risk for bleeding. Therefore, the nurse should notify the provider
about this laboratory value
◉ A nurse is evaluating the safe use of electrical equipment by a
newly hired assistive personnel (AP). Which of the following actions
by the AP demonstrates an understanding of the proper use of
electrical equipment? Answer: ANS: Grasps the plug of a device in
the client's room to pull it straight out from the wall
RAT: The nurse should recognize that by grasping the plug, rather
than the cord, the AP is demonstrating an understanding of proper
equipment use and preventing risk of injury from electronic
equipment.
, ◉ A nurse is reinforcing discharge teaching with the parents of a
school-age child who has severe hemophilia A. Which of the
following statements by the parents indicates an understanding of
the teaching? Answer: ANS: "I will soak my child's toothbrush in
warm water to soften it before my child uses it."
RAT: The nurse should instruct the parents to soften their child's
toothbrush in warm water before they use it or allow them to use a
sponge-tipped disposable toothbrush. These actions will minimize
trauma to the gums and prevent bleeding of the oral cavity
◉ A nurse is assisting with the development of an in-service for
newly licensed nurses about seclusion. In which of the following
situations should the nurse identify the need to request a
prescription for seclusion? Answer: ANS: A client hits another client
because they thought the other client was talking about them
RAT: The nurse should request a prescription for seclusion for a
client who hits another client to protect the client and others from
physical injury
◉ A nurse is collecting data from a client who has chronic hepatitis.
In which of the following locations should the nurse expect the client
to point to indicate hepatic tenderness? Answer: RAT: The client
who has chronic hepatitis tenderness in the upper right quadrant,
