PN COMPREHENSIVE ONLINE PRACTICE A
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ A nurse is collecting data from a client who has an iron deficiency
anemia. Which of the following findings should the nurse expect?
Answer: Difficulty concentrating
*In clients who have iron deficiency anemia, body cells do not
receive the required oxygen because there is less hemoglobin for
binding. The nurse should recognize that impaired oxygenation of
brain tissue can lead to dizziness and difficulty concentrating.
◉ A nurse manager is preparing to complete a performance analysis
for a group of assistive personnel (AP). The manager asks a staff
nurse for feedback on each AP's abilities. Which of the following
actions should the staff nurse take? Answer: Discuss how each AP's
actions measure against the job description.
*To provide objective information, the staff nurse should compare
the behavior of each AP to the facility job description. The nurse can
provide specific information about how each AP either meets the
standard or demonstrates a need for improvement.
,◉ A nurse is reviewing a client's electronic medical record and kids
that an assistive personnel (AP) recorded the client's temperature as
35.5°C (95.5°F) 2 hr earlier. Which of the following actions should
the nurse take first? Answer: Check the client's temperature
*According to the nursing process, the first action the nurse should
take is to collect data from the client. Therefore, the nurse should
retake the client's temperature.
◉ A nurse on an acute care unit is collecting data from a school-age
child who has cystic fibrosis (CF). Which of the following findings is
the priority for the nurse to report to the provider? Answer: Reports
lack of appetite
*The nurse should identify that the greatest risk to a child who has a
decreased appetite is pulmonary infection. Anorexia, along with
other manifestations, such as loss of weight and lethargy, are
commonly seen in children who have CF which an infection
exacerbation. Typical manifestations of pulmonary infection, such as
fever and tachypnea, might now be seen in a child who has CF.
Additionally, a child who is anorexic is at increased risk for
diminished lung function.
◉ A nurse in a long-term care facility is observing a newly licensed
nurse who is providing tracheostomy care for a client. The nurse
, identifies proper performance of the procedure when the newly
licensed nurse selects which of the following solutions to clean the
inner cannula? Answer: Hydrogen peroxide
*The nurse should identify that sterile hydrogen peroxide solution is
used to loosen secretions from the inner cannula during cleaning. If
the client skin becomes irritated, the nurse should choose 9%
sodium chloride solution.
◉ A nurse is reinforcing discharge teaching with a client who is
postoperative following an open radical prostatectomy. Which of the
following instruction should the nurse include in the teaching?
Answer: "Perform Kegel exercises daily."
*The nurse should instruct the client to perform Keagle exercises to
promote the control of urine flow and reduce incontinence.
◉ A nurse is reinforcing teaching with a group of clients about the
Heimlich maneuver during a first aid class. The nurse should include
the teaching that which of the following manifestations indicates the
need for the Heimlich maneuver to be performed? Answer: Difficulty
breathing
Coughing
Presence of stridor
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ A nurse is collecting data from a client who has an iron deficiency
anemia. Which of the following findings should the nurse expect?
Answer: Difficulty concentrating
*In clients who have iron deficiency anemia, body cells do not
receive the required oxygen because there is less hemoglobin for
binding. The nurse should recognize that impaired oxygenation of
brain tissue can lead to dizziness and difficulty concentrating.
◉ A nurse manager is preparing to complete a performance analysis
for a group of assistive personnel (AP). The manager asks a staff
nurse for feedback on each AP's abilities. Which of the following
actions should the staff nurse take? Answer: Discuss how each AP's
actions measure against the job description.
*To provide objective information, the staff nurse should compare
the behavior of each AP to the facility job description. The nurse can
provide specific information about how each AP either meets the
standard or demonstrates a need for improvement.
,◉ A nurse is reviewing a client's electronic medical record and kids
that an assistive personnel (AP) recorded the client's temperature as
35.5°C (95.5°F) 2 hr earlier. Which of the following actions should
the nurse take first? Answer: Check the client's temperature
*According to the nursing process, the first action the nurse should
take is to collect data from the client. Therefore, the nurse should
retake the client's temperature.
◉ A nurse on an acute care unit is collecting data from a school-age
child who has cystic fibrosis (CF). Which of the following findings is
the priority for the nurse to report to the provider? Answer: Reports
lack of appetite
*The nurse should identify that the greatest risk to a child who has a
decreased appetite is pulmonary infection. Anorexia, along with
other manifestations, such as loss of weight and lethargy, are
commonly seen in children who have CF which an infection
exacerbation. Typical manifestations of pulmonary infection, such as
fever and tachypnea, might now be seen in a child who has CF.
Additionally, a child who is anorexic is at increased risk for
diminished lung function.
◉ A nurse in a long-term care facility is observing a newly licensed
nurse who is providing tracheostomy care for a client. The nurse
, identifies proper performance of the procedure when the newly
licensed nurse selects which of the following solutions to clean the
inner cannula? Answer: Hydrogen peroxide
*The nurse should identify that sterile hydrogen peroxide solution is
used to loosen secretions from the inner cannula during cleaning. If
the client skin becomes irritated, the nurse should choose 9%
sodium chloride solution.
◉ A nurse is reinforcing discharge teaching with a client who is
postoperative following an open radical prostatectomy. Which of the
following instruction should the nurse include in the teaching?
Answer: "Perform Kegel exercises daily."
*The nurse should instruct the client to perform Keagle exercises to
promote the control of urine flow and reduce incontinence.
◉ A nurse is reinforcing teaching with a group of clients about the
Heimlich maneuver during a first aid class. The nurse should include
the teaching that which of the following manifestations indicates the
need for the Heimlich maneuver to be performed? Answer: Difficulty
breathing
Coughing
Presence of stridor
