PN COMPREHENSIVE ONLINE
PRACTICE 2026 A EXAM QUESTIONS
AND ANSWERS 100% PASS 2026
EDITION
1. A nurse is caring for a client who has a new prescription for enalapril. Which of the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
following adverse effects should the nurse monitor?
mn mn mn mn mn mn mn
1. A) Hyperkalemia mn
B) Hypokalemia
mn
C) Tachycardia mn
D) Hypoglycemia mn
Correct Answer: A) Hyperkalemia (ACE inhibitors like enalapril can cause potassium ret
mn mn mn mn mn mn mn mn mn mn mn
ention, leading to hyperkalemia.)
mn mn mn
2. A nurse is assessing a client who has heart failure and is taking furosemide. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of the following findings indicates the medication is effective?
mn mn mn mn mn mn mn mn
A) Decrease in peripheral edema
mn mn mn mn
B) Increase in blood pressure
mn mn mn mn
C) Increase in heart rate
mn mn mn mn
D) Decrease in urine output
mn mn mn mn
101. Correct Answer: A) Decrease in peripheral edema (Furosemide is a loop diu
mn mn mn mn mn mn mn mn mn mn mn
retic used to reduce fluid volume overload, which manifests as decreased edema.)
mn mn mn mn mn mn mn mn mn mn mn
3. A nurse is preparing to administer an enteral feeding via a nasogastric (NG) tube.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which of the following actions should the nurse take first?
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A) Flush the tube with 30 mL of water.
mn mn mn mn mn mn mn mn
B) Verify tube placement by measuring the pH of the gastric aspirate.
mn mn mn mn mn mn mn mn mn mn mn
C) Check the residual volume.
mn mn mn mn
D) Elevate the head of the bed to 30 degrees.
mn mn mn mn mn mn mn mn mn
102. Correct Answer: B) Verify tube placement by measuring the pH of the ga
mn mn mn mn mn mn mn mn mn mn mn mn
stric aspirate. (Patient safety is the priority; verifying placement prevents aspiration. H
mn mn mn mn mn mn mn mn mn mn mn
, owever, the first action in the sequence is often to confirm placement before checkin
mn mn mn mn mn mn mn mn mn mn mn mn mn
g residuals or flushing.)
mn mn mn
4. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabete
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
s mellitus. Which of the following statements by the client indicates an understanding
mn mn mn mn mn mn mn mn mn mn mn mn mn
of the teaching?
mn mn
103. A) "I will check my blood glucose level before each meal."
mn mn mn mn mn mn mn mn mn mn
B) "I will take my metformin if my blood sugar is high."
mn mn mn mn mn mn mn mn mn mn mn
C) "I can stop my medication once my glucose is normal."
mn mn mn mn mn mn mn mn mn mn
D) "I only need to exercise if my glucose is over 200 mg/dL."
mn mn mn mn mn mn mn mn mn mn mn mn
104. Correct Answer: A) "I will check my blood glucose level before each meal
mn mn mn mn mn mn mn mn mn mn mn mn
." (Regular monitoring is key to managing diabetes. Metformin should be taken daily,
mn mn mn mn mn mn mn mn mn mn mn mn m
not PRN.)
n mn
5. A nurse is caring for a client who is 2 hours postoperative following a cholecystecto
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
my. Which of the following findings should the nurse report to the provider?
mn mn mn mn mn mn mn mn mn mn mn mn
105. A) Heart rate 88/min mn mn mn
B) Blood pressure 118/72 mm Hg
mn mn mn mn mn
C) Respiratory rate 24/min
mn mn mn
D) Oxygen saturation 92% on room air
mn mn mn mn mn mn
106. Correct Answer: D) Oxygen saturation 92% on room air (This is below the
mn mn mn mn mn mn mn mn mn mn mn mn mn
normal range of 95- mn mn mn
100% and indicates hypoxia, which requires immediate intervention.)
mn mn mn mn mn mn mn
6. A nurse is reinforcing teaching with a client who has a prescription for warfarin. W
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
hich of the following over-the-
mn mn mn mn
counter medications should the nurse instruct the client to avoid?
mn mn mn mn mn mn mn mn mn
107. A) Acetaminophen mn
B) Aspirin mn
C) Ibuprofen mn
D) Diphenhydraminemn
108. Correct Answer: C) Ibuprofen (NSAIDs like ibuprofen increase the risk of ble
mn mn mn mn mn mn mn mn mn mn mn
eding when taken with warfarin. Aspirin is also a risk, but ibuprofen is a classic NSAID
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
to avoid.)
mn mn
,7. A nurse is caring for a client who is in active labor and is receiving oxytocin. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of the following findings indicates a complication of the oxytocin infusion?
mn mn mn mn mn mn mn mn mn mn mn
109. A) Contractions every 3 minutes lasting 45 seconds
mn mn mn mn mn mn mn
B) Fetal heart rate baseline of 140/min with moderate variability
mn mn mn mn mn mn mn mn mn
C) Uterine contractions lasting 100 seconds
mn mn mn mn mn
D) Maternal blood pressure of 110/70 mm Hg
mn mn mn mn mn mn mn
110. Correct Answer: C) Uterine contractions lasting 100 seconds (This indicates
mn mn mn mn mn mn mn mn mn m
uterine hyperstimulation (tachysystole), which compromises fetal oxygenation. Contrac
n mn mn mn mn mn mn mn
tions should last <90 seconds.)
mn mn mn mn
8. A nurse is performing a developmental screening on a 12-month-
mn mn mn mn mn mn mn mn mn mn
old infant. Which of the following fine motor skills should the nurse expect the infant
mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
to perform?
n mn
111. A) Build a tower of 6 blocks mn mn mn mn mn mn
B) Hold a crayon with a pincer grasp
mn mn mn mn mn mn mn
C) Turn pages of a book one at a time
mn mn mn mn mn mn mn mn mn
D) Use a spoon without spilling
mn mn mn mn mn
112. Correct Answer: B) Hold a crayon with a pincer grasp (At 12 months, infan
mn mn mn mn mn mn mn mn mn mn mn mn mn
ts develop a pincer grasp. A is 2 years, C is 18-24 months, D is 3 years.)
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
9. A nurse is reviewing the laboratory results for a client who has chronic kidney disea
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
se. Which of the following findings should the nurse expect?
mn mn mn mn mn mn mn mn mn
113. A) Decreased serum creatinine mn mn mn
B) Increased BUNmn mn
C) Increased serum calcium
mn mn mn
D) Decreased serum potassium
mn mn mn
114. Correct Answer: B) Increased BUN (BUN and creatinine increase due to decr
mn mn mn mn mn mn mn mn mn mn mn
eased renal excretion of waste products.)
mn mn mn mn mn
10. A nurse is caring for a client who has a prescription for a clear liquid diet. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of the following fluids should the nurse allow the client to have?
mn mn mn mn mn mn mn mn mn mn mn
115. A) Milk mn
B) Orange juice with pulp
mn mn mn mn
, C) Chicken broth
mn mn
D) Pudding
mn
116. Correct Answer: C) Chicken broth (Clear liquids include broth, gelatin, clear j
mn mn mn mn mn mn mn mn mn mn mn
uices, and water. Milk, orange juice with pulp, and pudding are part of a full liquid or
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
soft diet.)
n mn
11. A nurse is assessing a client who has asthma and is experiencing an acute exacerb
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ation. Which of the following findings should the nurse anticipate?
mn mn mn mn mn mn mn mn mn
117. A) Prolonged expiratory phase mn mn mn
B) Barrel-shaped chest
mn mn
C) Increased PaCO2 initially
mn mn mn
D) Stridor on inspiration
mn mn mn
118. Correct Answer: A) Prolonged expiratory phase (Due to airway narrowing, e
mn mn mn mn mn mn mn mn mn mn
xpiration is prolonged and labored. Barrel chest is a chronic finding, not acute.)
mn mn mn mn mn mn mn mn mn mn mn mn
12. A nurse is preparing to administer a blood transfusion to a client. Which of the fol
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
lowing actions should the nurse take to verify the blood product?
mn mn mn mn mn mn mn mn mn mn
119. A) Check the expiration date of the blood.
mn mn mn mn mn mn mn
B) Ask the client to state their full name.
mn mn mn mn mn mn mn mn
C) Verify the client's room number.
mn mn mn mn mn
D) Ensure the blood is at room temperature.
mn mn mn mn mn mn mn
120. Correct Answer: B) Ask the client to state their full name. (Verify the client
mn mn mn mn mn mn mn mn mn mn mn mn mn
's identity using two identifiers (name and date of birth). Room number is not a valid
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
identifier.)
n
13. A nurse is caring for a client who has a colostomy. Which of the following foods s
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
hould the nurse recommend to reduce odor?
mn mn mn mn mn mn
121. A) Eggs mn
B) Fish mn
C) Yogurt mn
D) Broccoli mn
122. Correct Answer: C) Yogurt (Yogurt contains probiotics that help reduce odor.
mn mn mn mn mn mn mn mn mn mn
mn Eggs, fish, and broccoli can increase odor.)
mn mn mn mn mn mn
PRACTICE 2026 A EXAM QUESTIONS
AND ANSWERS 100% PASS 2026
EDITION
1. A nurse is caring for a client who has a new prescription for enalapril. Which of the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
following adverse effects should the nurse monitor?
mn mn mn mn mn mn mn
1. A) Hyperkalemia mn
B) Hypokalemia
mn
C) Tachycardia mn
D) Hypoglycemia mn
Correct Answer: A) Hyperkalemia (ACE inhibitors like enalapril can cause potassium ret
mn mn mn mn mn mn mn mn mn mn mn
ention, leading to hyperkalemia.)
mn mn mn
2. A nurse is assessing a client who has heart failure and is taking furosemide. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of the following findings indicates the medication is effective?
mn mn mn mn mn mn mn mn
A) Decrease in peripheral edema
mn mn mn mn
B) Increase in blood pressure
mn mn mn mn
C) Increase in heart rate
mn mn mn mn
D) Decrease in urine output
mn mn mn mn
101. Correct Answer: A) Decrease in peripheral edema (Furosemide is a loop diu
mn mn mn mn mn mn mn mn mn mn mn
retic used to reduce fluid volume overload, which manifests as decreased edema.)
mn mn mn mn mn mn mn mn mn mn mn
3. A nurse is preparing to administer an enteral feeding via a nasogastric (NG) tube.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which of the following actions should the nurse take first?
mn mn mn mn mn mn mn mn mn
A) Flush the tube with 30 mL of water.
mn mn mn mn mn mn mn mn
B) Verify tube placement by measuring the pH of the gastric aspirate.
mn mn mn mn mn mn mn mn mn mn mn
C) Check the residual volume.
mn mn mn mn
D) Elevate the head of the bed to 30 degrees.
mn mn mn mn mn mn mn mn mn
102. Correct Answer: B) Verify tube placement by measuring the pH of the ga
mn mn mn mn mn mn mn mn mn mn mn mn
stric aspirate. (Patient safety is the priority; verifying placement prevents aspiration. H
mn mn mn mn mn mn mn mn mn mn mn
, owever, the first action in the sequence is often to confirm placement before checkin
mn mn mn mn mn mn mn mn mn mn mn mn mn
g residuals or flushing.)
mn mn mn
4. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabete
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
s mellitus. Which of the following statements by the client indicates an understanding
mn mn mn mn mn mn mn mn mn mn mn mn mn
of the teaching?
mn mn
103. A) "I will check my blood glucose level before each meal."
mn mn mn mn mn mn mn mn mn mn
B) "I will take my metformin if my blood sugar is high."
mn mn mn mn mn mn mn mn mn mn mn
C) "I can stop my medication once my glucose is normal."
mn mn mn mn mn mn mn mn mn mn
D) "I only need to exercise if my glucose is over 200 mg/dL."
mn mn mn mn mn mn mn mn mn mn mn mn
104. Correct Answer: A) "I will check my blood glucose level before each meal
mn mn mn mn mn mn mn mn mn mn mn mn
." (Regular monitoring is key to managing diabetes. Metformin should be taken daily,
mn mn mn mn mn mn mn mn mn mn mn mn m
not PRN.)
n mn
5. A nurse is caring for a client who is 2 hours postoperative following a cholecystecto
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
my. Which of the following findings should the nurse report to the provider?
mn mn mn mn mn mn mn mn mn mn mn mn
105. A) Heart rate 88/min mn mn mn
B) Blood pressure 118/72 mm Hg
mn mn mn mn mn
C) Respiratory rate 24/min
mn mn mn
D) Oxygen saturation 92% on room air
mn mn mn mn mn mn
106. Correct Answer: D) Oxygen saturation 92% on room air (This is below the
mn mn mn mn mn mn mn mn mn mn mn mn mn
normal range of 95- mn mn mn
100% and indicates hypoxia, which requires immediate intervention.)
mn mn mn mn mn mn mn
6. A nurse is reinforcing teaching with a client who has a prescription for warfarin. W
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
hich of the following over-the-
mn mn mn mn
counter medications should the nurse instruct the client to avoid?
mn mn mn mn mn mn mn mn mn
107. A) Acetaminophen mn
B) Aspirin mn
C) Ibuprofen mn
D) Diphenhydraminemn
108. Correct Answer: C) Ibuprofen (NSAIDs like ibuprofen increase the risk of ble
mn mn mn mn mn mn mn mn mn mn mn
eding when taken with warfarin. Aspirin is also a risk, but ibuprofen is a classic NSAID
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
to avoid.)
mn mn
,7. A nurse is caring for a client who is in active labor and is receiving oxytocin. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of the following findings indicates a complication of the oxytocin infusion?
mn mn mn mn mn mn mn mn mn mn mn
109. A) Contractions every 3 minutes lasting 45 seconds
mn mn mn mn mn mn mn
B) Fetal heart rate baseline of 140/min with moderate variability
mn mn mn mn mn mn mn mn mn
C) Uterine contractions lasting 100 seconds
mn mn mn mn mn
D) Maternal blood pressure of 110/70 mm Hg
mn mn mn mn mn mn mn
110. Correct Answer: C) Uterine contractions lasting 100 seconds (This indicates
mn mn mn mn mn mn mn mn mn m
uterine hyperstimulation (tachysystole), which compromises fetal oxygenation. Contrac
n mn mn mn mn mn mn mn
tions should last <90 seconds.)
mn mn mn mn
8. A nurse is performing a developmental screening on a 12-month-
mn mn mn mn mn mn mn mn mn mn
old infant. Which of the following fine motor skills should the nurse expect the infant
mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
to perform?
n mn
111. A) Build a tower of 6 blocks mn mn mn mn mn mn
B) Hold a crayon with a pincer grasp
mn mn mn mn mn mn mn
C) Turn pages of a book one at a time
mn mn mn mn mn mn mn mn mn
D) Use a spoon without spilling
mn mn mn mn mn
112. Correct Answer: B) Hold a crayon with a pincer grasp (At 12 months, infan
mn mn mn mn mn mn mn mn mn mn mn mn mn
ts develop a pincer grasp. A is 2 years, C is 18-24 months, D is 3 years.)
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
9. A nurse is reviewing the laboratory results for a client who has chronic kidney disea
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
se. Which of the following findings should the nurse expect?
mn mn mn mn mn mn mn mn mn
113. A) Decreased serum creatinine mn mn mn
B) Increased BUNmn mn
C) Increased serum calcium
mn mn mn
D) Decreased serum potassium
mn mn mn
114. Correct Answer: B) Increased BUN (BUN and creatinine increase due to decr
mn mn mn mn mn mn mn mn mn mn mn
eased renal excretion of waste products.)
mn mn mn mn mn
10. A nurse is caring for a client who has a prescription for a clear liquid diet. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of the following fluids should the nurse allow the client to have?
mn mn mn mn mn mn mn mn mn mn mn
115. A) Milk mn
B) Orange juice with pulp
mn mn mn mn
, C) Chicken broth
mn mn
D) Pudding
mn
116. Correct Answer: C) Chicken broth (Clear liquids include broth, gelatin, clear j
mn mn mn mn mn mn mn mn mn mn mn
uices, and water. Milk, orange juice with pulp, and pudding are part of a full liquid or
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
soft diet.)
n mn
11. A nurse is assessing a client who has asthma and is experiencing an acute exacerb
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ation. Which of the following findings should the nurse anticipate?
mn mn mn mn mn mn mn mn mn
117. A) Prolonged expiratory phase mn mn mn
B) Barrel-shaped chest
mn mn
C) Increased PaCO2 initially
mn mn mn
D) Stridor on inspiration
mn mn mn
118. Correct Answer: A) Prolonged expiratory phase (Due to airway narrowing, e
mn mn mn mn mn mn mn mn mn mn
xpiration is prolonged and labored. Barrel chest is a chronic finding, not acute.)
mn mn mn mn mn mn mn mn mn mn mn mn
12. A nurse is preparing to administer a blood transfusion to a client. Which of the fol
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
lowing actions should the nurse take to verify the blood product?
mn mn mn mn mn mn mn mn mn mn
119. A) Check the expiration date of the blood.
mn mn mn mn mn mn mn
B) Ask the client to state their full name.
mn mn mn mn mn mn mn mn
C) Verify the client's room number.
mn mn mn mn mn
D) Ensure the blood is at room temperature.
mn mn mn mn mn mn mn
120. Correct Answer: B) Ask the client to state their full name. (Verify the client
mn mn mn mn mn mn mn mn mn mn mn mn mn
's identity using two identifiers (name and date of birth). Room number is not a valid
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn m
identifier.)
n
13. A nurse is caring for a client who has a colostomy. Which of the following foods s
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
hould the nurse recommend to reduce odor?
mn mn mn mn mn mn
121. A) Eggs mn
B) Fish mn
C) Yogurt mn
D) Broccoli mn
122. Correct Answer: C) Yogurt (Yogurt contains probiotics that help reduce odor.
mn mn mn mn mn mn mn mn mn mn
mn Eggs, fish, and broccoli can increase odor.)
mn mn mn mn mn mn
