PN COMPREHENSIVE 2026 CERTIFICATION
EVALUATION TEST PAPER QUESTIONS
SOLUTIONS GRADED A PLUS
◉ A nurse is assisting in the care of a client who experienced a
spinal cord injury (SCI).
Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
Answer: Actions to take
- prepare to administer nifedipine
- check for bladder distention
Condition most likely experiencing
- autonomic dysreflexia
parameters to monitor
- blood pressure
- deep tendon reflexes
,◉ A school nurse is collecting data from an adolescent client who
was referred by one of their teachers. The teacher states, "I'm
concerned because they seem to be isolating themselves from their
friends lately." Which of the following findings should alert the nurse
to a potential risk for suicide?
Expresses confusion about sexual orientation
Acknowledges a sense of responsibility to family
Identifies positive characteristics of self
Affirms affiliation with a religious organization.
Answer: Expresses confusion about sexual orientation
◉ A nurse is caring for a client who recently had a right hemispheric
stroke with damage to the frontal lobe. The client's family expresses
concern because the client is often impulsive and tearful. Which of
the following actions should the nurse take first?
Suggest a referral for speech therapy.
Explain that the client's emotional state will improve over time.
,Tell the family that respite care is available.
Request a prescription for an antidepressant for the client..
Answer: Explain that the client's emotional state will improve over
time.
◉ A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent consumption of
which of the following foods increases the risk for developing
cancer?
Lamb
Turkey
Tuna
Chicken.
Answer: Lamb
◉ A nurse is collecting a urine specimen from a female client who
has diabetes insipidus. Which of the following findings should the
nurse expect?
, Proteinuria
Hematuria
Creatinine clearance of 84 mL/min (87 to 107 mL/min)
Urine specific gravity of 1.002 (1.005 to 1.03).
Answer: Urine specific gravity of 1.002 (1.005 to 1.03)
◉ A nurse is assisting with planning palliative care for a client who
has stage IV cancer and is in the active stage of dying. Which of the
following interventions should the nurse include in the plan of care?
Provide intramuscular pain medication to ease the client's pain.
Position the client on the left side if nausea occurs.
Administer atropine to reduce the client's respiratory secretions.
Encourage the family members to speak in a loud tone of voice to the
client..
EVALUATION TEST PAPER QUESTIONS
SOLUTIONS GRADED A PLUS
◉ A nurse is assisting in the care of a client who experienced a
spinal cord injury (SCI).
Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
Answer: Actions to take
- prepare to administer nifedipine
- check for bladder distention
Condition most likely experiencing
- autonomic dysreflexia
parameters to monitor
- blood pressure
- deep tendon reflexes
,◉ A school nurse is collecting data from an adolescent client who
was referred by one of their teachers. The teacher states, "I'm
concerned because they seem to be isolating themselves from their
friends lately." Which of the following findings should alert the nurse
to a potential risk for suicide?
Expresses confusion about sexual orientation
Acknowledges a sense of responsibility to family
Identifies positive characteristics of self
Affirms affiliation with a religious organization.
Answer: Expresses confusion about sexual orientation
◉ A nurse is caring for a client who recently had a right hemispheric
stroke with damage to the frontal lobe. The client's family expresses
concern because the client is often impulsive and tearful. Which of
the following actions should the nurse take first?
Suggest a referral for speech therapy.
Explain that the client's emotional state will improve over time.
,Tell the family that respite care is available.
Request a prescription for an antidepressant for the client..
Answer: Explain that the client's emotional state will improve over
time.
◉ A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent consumption of
which of the following foods increases the risk for developing
cancer?
Lamb
Turkey
Tuna
Chicken.
Answer: Lamb
◉ A nurse is collecting a urine specimen from a female client who
has diabetes insipidus. Which of the following findings should the
nurse expect?
, Proteinuria
Hematuria
Creatinine clearance of 84 mL/min (87 to 107 mL/min)
Urine specific gravity of 1.002 (1.005 to 1.03).
Answer: Urine specific gravity of 1.002 (1.005 to 1.03)
◉ A nurse is assisting with planning palliative care for a client who
has stage IV cancer and is in the active stage of dying. Which of the
following interventions should the nurse include in the plan of care?
Provide intramuscular pain medication to ease the client's pain.
Position the client on the left side if nausea occurs.
Administer atropine to reduce the client's respiratory secretions.
Encourage the family members to speak in a loud tone of voice to the
client..
