PN PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ The practical nurse PN notices that the client's urine is pale yellow, with a
cloudy appearance, and has a foul odor. Which assessment should the PN
complete next?
A. Asked the client about urinary frequency
B. palpate the bladder area for distention
C. access skin appearance and elasticity
D. observe the feet and legs for swelling.
Answer: A Asked the client about urinary frequency
◍ The practical nurse (PN) prepares to remove a client's saline lock. Which
supplies should the PN gather? A Exam gloves. B Three mL syringe.
C. Sterile gloves. D Paper tape. E Small gauze pad..
Answer: A Exam gloves. B Three mL syringe.D Paper tape.
◍ Cimetidine (Tagamet) was one of the medications the client was taking at
home. He was also taking metformin (Glucophage). The nurse recognizes
that cimetidine (Tagamet) is an H2 agonist. Which action should the PN
take?.
Answer: A
◍ The practical nurse (PN) is caring for a child who was admitted after
experiencing a generalized tonic-clonic seizure. When witnessing the child
begin to seize again, which actions should the PN implement immediately?
(Select all that apply)
A. hold the extremities close to the body
B. Observe the progression of the seizure.
C. Insert a tongue blade between the teeth
D. Loosen clothing around the neck.
, E. Pad the side rails with pillow.
Answer: B. Observe the progression of the seizure. D. Loosen clothing
around the neck. E. Pad the side rails with pillow
◍ The practical nurse (PN) observes an unlicensed assistive personnel (UAP)
prepare to exit a client's room. The UAP's hands appear visibly soiled as the
UAP uses a hand rub for 10 seconds to cleanse the hands. Which action
should the PN take?
A. Ask the UAP why the hands were so obviously soiled
B. Instruct the UAP to wash the hands for one minute
C. advise the UAP to use the hand rub for 30 seconds
D. confirm that the UAP completed hand hygiene correctly.
Answer: B. Instruct the UAP to wash the hands for one minute
◍ The mother of a school-aged boy tells the practical nurse (PN) that he fell
out of a tree and hurt his arm and shoulder. Which assessment should the
practical nurse (P) note as the most significant indicator of possible child
abuse? A The abrasions on the child's arms, legs, and chest have healed. B
The mother describes in detail what she did for her injured child. C The
child looks at the floor when answering the nurse's questions. D The injury
description by the mother varies from the child's version..
Answer: D The injury description by the mother varies from the child's
version.
◍ The practical nurse (PN) prepares to administer an intramuscular injection.
The PN uses a filter needle to obtain the prescribed medication from an
ampule as seen in the video. What should the PN do next?A Clean the
ampule with an alcohol swab. B Change the needle on the syringe.C Discard
the medication because it is contaminated. D Administer the intramuscular
injection to the client..
Answer: B Change the needle on the syringe.
◍ Daily monitoring for PN.
Answer: Vital signs, intake/outputElectrolytes, glucose, BUN/SCr
◍ A school-age child presents with vomiting, fever, and right lower quadrant
, abdominal pain. Which action should the nurse take first? A Administer
prescribed anti-nausea medication. B Instruct the child to consume nothing
by mouth. C Calculate the correct dose of ibuprofen. D Obtain the child's
past medical record..
Answer: B Instruct the child to consume nothing by mouth.
◍ The practical nurse (PN) is preparing the prescribed dose of diazepam 5 5
mg IM STAT for a client in delirium tremens. The available concentration is
10 mg/2m
L. How many milliliters should the PN administer to the client? (Enter
numeric value only. If rounding is required, round to the nearest tenth.).
Answer: 1mL
◍ The practical nurses (P) notes that an unlicensed assistive personnel (UAP)
is ambulating a male client who had a stroke and has right-sided weakness.
The UAP is walking on the client's left side. Which action should the PN
take? A Tell the UAP to take the client back to his room. B Provide client an
assistive device, such as a cane or walker. C Take over the ambulation and
counsel the UAP later. D Instruct the UAP to walk on the client's affected
side..
Answer: D Instruct the UAP to walk on the client's affected side.
◍ Why is EN preferred over PN?.
Answer: Lower cost, lower infection risk, maintains gut integrity, and is
more physiologic.
◍ The practical nurse (P) is assigned to care for a client who had a left
nephrectomy yesterday. Which finding should the PN report to the charge
nurse immediately? A Pain in left flank surgical site described as 6 on a 10
point scale. B Complaints of nausea within 5 minutes after taking sips of
water. C Total urinary output of 20 mL for the past 2 consecutive hours. D
Oral temperature 100° F (37.7° C) 30 minutes after taking an analgesic..
Answer: C Total urinary output of 20 mL for the past 2 consecutive hours.
◍ When a small fire breaks out in the kitchen of a long-term care facility,
which task should be performed by the practical nurse rather than the
, unlicensed assistive personnel? A Provide blankets to each of the residents
for use during evacuation. B Offer comfort and reassurance to each resident.
C Close the doors to all of the residents' rooms. D Identify the method for
transporting and evacuating each resident.
Answer: D Identify the method for transporting and evacuating each resident
◍ A client receiving care on a palliative care unit is unable to shallow and is
becoming dehydrated, which is exhited by inelastic skin turgor and dry
mouth membranes . Which action shouls the Pn implement to provide
comfort? A Apply warm cloths to the skin. B Administer an as needed
(PRN) analgesic. C Provide oral care frequently. D Elevate the extremities..
Answer: C Provide oral care frequently.
◍ A client who is in active labor is admitted with her cervix dilated to 3 cm
with 50% effacement and the presenting part at 0 station. An hour later, she
tells the practical nurse (P) that she wants to go to the bathroom to empty
her bladder. The nurse examines the client again and determines her vaginal
exam is unchanged. Which action should the PN implement? A Obtain a
straight catheter kit to empty her bladder. B Review the fetal heart rate
pattern. C Assist the client up to the bathroom. D Check perineum for
changes in "show" or discharge..
Answer: C Assist the client up to the bathroom.
◍ The practical nurse (PN) is reviewing instructions for the use of pilocarpine
eye drops with a client who has glaucoma. The client replies that the drops
should be used to anesthetize the eye if eye pain is experienced. What action
should the PN implement? 1.
A. We teach the client about the action of the eye drops to decrease pressure
in the eyes
B. Document in the chart the client understands the action and use of the eye
drops
C. Reassure the client that the drops will not be needed often since I pain in
glaucoma is not common
D. Explain to the client that they eye drops do provide pain relief, but do not
QUESTIONS WITH ANSWERS GRADED A+
◍ The practical nurse PN notices that the client's urine is pale yellow, with a
cloudy appearance, and has a foul odor. Which assessment should the PN
complete next?
A. Asked the client about urinary frequency
B. palpate the bladder area for distention
C. access skin appearance and elasticity
D. observe the feet and legs for swelling.
Answer: A Asked the client about urinary frequency
◍ The practical nurse (PN) prepares to remove a client's saline lock. Which
supplies should the PN gather? A Exam gloves. B Three mL syringe.
C. Sterile gloves. D Paper tape. E Small gauze pad..
Answer: A Exam gloves. B Three mL syringe.D Paper tape.
◍ Cimetidine (Tagamet) was one of the medications the client was taking at
home. He was also taking metformin (Glucophage). The nurse recognizes
that cimetidine (Tagamet) is an H2 agonist. Which action should the PN
take?.
Answer: A
◍ The practical nurse (PN) is caring for a child who was admitted after
experiencing a generalized tonic-clonic seizure. When witnessing the child
begin to seize again, which actions should the PN implement immediately?
(Select all that apply)
A. hold the extremities close to the body
B. Observe the progression of the seizure.
C. Insert a tongue blade between the teeth
D. Loosen clothing around the neck.
, E. Pad the side rails with pillow.
Answer: B. Observe the progression of the seizure. D. Loosen clothing
around the neck. E. Pad the side rails with pillow
◍ The practical nurse (PN) observes an unlicensed assistive personnel (UAP)
prepare to exit a client's room. The UAP's hands appear visibly soiled as the
UAP uses a hand rub for 10 seconds to cleanse the hands. Which action
should the PN take?
A. Ask the UAP why the hands were so obviously soiled
B. Instruct the UAP to wash the hands for one minute
C. advise the UAP to use the hand rub for 30 seconds
D. confirm that the UAP completed hand hygiene correctly.
Answer: B. Instruct the UAP to wash the hands for one minute
◍ The mother of a school-aged boy tells the practical nurse (PN) that he fell
out of a tree and hurt his arm and shoulder. Which assessment should the
practical nurse (P) note as the most significant indicator of possible child
abuse? A The abrasions on the child's arms, legs, and chest have healed. B
The mother describes in detail what she did for her injured child. C The
child looks at the floor when answering the nurse's questions. D The injury
description by the mother varies from the child's version..
Answer: D The injury description by the mother varies from the child's
version.
◍ The practical nurse (PN) prepares to administer an intramuscular injection.
The PN uses a filter needle to obtain the prescribed medication from an
ampule as seen in the video. What should the PN do next?A Clean the
ampule with an alcohol swab. B Change the needle on the syringe.C Discard
the medication because it is contaminated. D Administer the intramuscular
injection to the client..
Answer: B Change the needle on the syringe.
◍ Daily monitoring for PN.
Answer: Vital signs, intake/outputElectrolytes, glucose, BUN/SCr
◍ A school-age child presents with vomiting, fever, and right lower quadrant
, abdominal pain. Which action should the nurse take first? A Administer
prescribed anti-nausea medication. B Instruct the child to consume nothing
by mouth. C Calculate the correct dose of ibuprofen. D Obtain the child's
past medical record..
Answer: B Instruct the child to consume nothing by mouth.
◍ The practical nurse (PN) is preparing the prescribed dose of diazepam 5 5
mg IM STAT for a client in delirium tremens. The available concentration is
10 mg/2m
L. How many milliliters should the PN administer to the client? (Enter
numeric value only. If rounding is required, round to the nearest tenth.).
Answer: 1mL
◍ The practical nurses (P) notes that an unlicensed assistive personnel (UAP)
is ambulating a male client who had a stroke and has right-sided weakness.
The UAP is walking on the client's left side. Which action should the PN
take? A Tell the UAP to take the client back to his room. B Provide client an
assistive device, such as a cane or walker. C Take over the ambulation and
counsel the UAP later. D Instruct the UAP to walk on the client's affected
side..
Answer: D Instruct the UAP to walk on the client's affected side.
◍ Why is EN preferred over PN?.
Answer: Lower cost, lower infection risk, maintains gut integrity, and is
more physiologic.
◍ The practical nurse (P) is assigned to care for a client who had a left
nephrectomy yesterday. Which finding should the PN report to the charge
nurse immediately? A Pain in left flank surgical site described as 6 on a 10
point scale. B Complaints of nausea within 5 minutes after taking sips of
water. C Total urinary output of 20 mL for the past 2 consecutive hours. D
Oral temperature 100° F (37.7° C) 30 minutes after taking an analgesic..
Answer: C Total urinary output of 20 mL for the past 2 consecutive hours.
◍ When a small fire breaks out in the kitchen of a long-term care facility,
which task should be performed by the practical nurse rather than the
, unlicensed assistive personnel? A Provide blankets to each of the residents
for use during evacuation. B Offer comfort and reassurance to each resident.
C Close the doors to all of the residents' rooms. D Identify the method for
transporting and evacuating each resident.
Answer: D Identify the method for transporting and evacuating each resident
◍ A client receiving care on a palliative care unit is unable to shallow and is
becoming dehydrated, which is exhited by inelastic skin turgor and dry
mouth membranes . Which action shouls the Pn implement to provide
comfort? A Apply warm cloths to the skin. B Administer an as needed
(PRN) analgesic. C Provide oral care frequently. D Elevate the extremities..
Answer: C Provide oral care frequently.
◍ A client who is in active labor is admitted with her cervix dilated to 3 cm
with 50% effacement and the presenting part at 0 station. An hour later, she
tells the practical nurse (P) that she wants to go to the bathroom to empty
her bladder. The nurse examines the client again and determines her vaginal
exam is unchanged. Which action should the PN implement? A Obtain a
straight catheter kit to empty her bladder. B Review the fetal heart rate
pattern. C Assist the client up to the bathroom. D Check perineum for
changes in "show" or discharge..
Answer: C Assist the client up to the bathroom.
◍ The practical nurse (PN) is reviewing instructions for the use of pilocarpine
eye drops with a client who has glaucoma. The client replies that the drops
should be used to anesthetize the eye if eye pain is experienced. What action
should the PN implement? 1.
A. We teach the client about the action of the eye drops to decrease pressure
in the eyes
B. Document in the chart the client understands the action and use of the eye
drops
C. Reassure the client that the drops will not be needed often since I pain in
glaucoma is not common
D. Explain to the client that they eye drops do provide pain relief, but do not
