2026 PN 2002 FINAL REVIEW EXAM - COMPLETE Questions
with Verified Answers & Rationales (2026) | Comprehensive
Practical Nursing Board Prep
Pass your practical nursing capstone on the first attempt with this complete PN 2002
Final Review Exam test bank covering the 2026 academic cycle. This comprehensive
preparation guide features high-yield exam questions paired with 100% verified answers
and detailed clinical rationales exploring safe medication administration, adult medical-
surgical care, pediatric nursing milestones, and maternal-newborn interventions. It is an
indispensable study tool for LPN/LVN students looking to compress study routines,
clear their final nursing benchmarks, and confidently transition to the NCLEX-PN
boards.
1. A nurse is caring for a patient who repeatedly states, "I don't think I can do this
anymore." The nurse responds, "You're feeling overwhelmed and hopeless about
your situation." This is an example of which therapeutic communication
technique?
A) Restatement
B) Paraphrasing
C) Reflection of feeling
D) Clarification
Correct Answer: C) Reflection of feeling
Rationale: The nurse is identifying and verbalizing the patient's emotional state
(overwhelmed and hopeless). Reflection of feeling validates the patient's experience and
encourages further discussion. This is distinct from restatement, which repeats content
rather than feeling .
2. A nurse is preparing to give a patient a bed bath. The patient says, "I'm so
embarrassed that you have to do this for me." Which response by the nurse is
MOST therapeutic?
A) "Don't be embarrassed. I do this all the time."
B) "I understand this feels embarrassing. Many patients feel this way. What can I do to
,make you more comfortable?"
C) "You shouldn't feel embarrassed. It's my job."
D) "Would you rather do it yourself?"
Correct Answer: B) "I understand this feels embarrassing. Many patients feel this
way. What can I do to make you more comfortable?"
Rationale: This response validates the patient's feelings, normalizes the experience, and
offers the patient control. It demonstrates empathy and respects the patient's dignity while
maintaining therapeutic communication .
3. A nurse is caring for a patient who is hearing-impaired. Which of the following
strategies should the nurse use to facilitate communication?
A) Speak louder and slower with exaggerated lip movements
B) Face the patient, speak clearly at a normal volume, and ensure adequate lighting
C) Write everything down without attempting verbal communication
D) Use a family member to interpret for the patient
Correct Answer: B) Face the patient, speak clearly at a normal volume, and ensure
adequate lighting
Rationale: For patients with hearing impairment, the nurse should face the patient directly,
speak clearly at a normal volume (shouting distorts sound), ensure good lighting for lip
reading, and minimize background noise. Family members should not be used as
interpreters in healthcare settings unless they are certified .
4. A patient states, "My family doesn't visit me anymore. I think they've forgotten
about me." The nurse responds, "You feel abandoned by your family." This is an
example of:
A) Restatement
B) Reflection of feeling
C) Clarification
D) Paraphrasing
Correct Answer: B) Reflection of feeling
Rationale: The nurse is identifying and verbalizing the emotional content of the patient's
message (feeling abandoned). Reflection of feeling helps patients become more aware of
and express their emotions .
,5. During a team meeting, a nurse disagrees with a physician's treatment plan. The
nurse should:
A) Remain silent to avoid conflict
B) Express concerns respectfully using evidence-based rationale
C) Voice disagreement loudly to ensure being heard
D) Discuss concerns only with other nurses after the meeting
Correct Answer: B) Express concerns respectfully using evidence-based rationale
Rationale: Effective collaboration requires respectful communication. The nurse should
voice concerns using "I" statements, evidence-based rationale, and a collaborative tone.
Silence or aggressive confrontation are not appropriate professional behaviors .
6. A patient who is in the exploitation phase of the nurse-patient relationship is
MOST likely to:
A) Test the nurse's boundaries
B) Actively work on identified problems and goals
C) Express anger at the end of the relationship
D) Establish trust with the nurse
Correct Answer: B) Actively work on identified problems and goals
Rationale: During the exploitation phase, the patient actively engages in the therapeutic
work of the relationship. Trust has been established, and the patient is ready to address
identified problems and work toward goals .
7. Which of the following is an example of a closed-ended question?
A) "How are you feeling today?"
B) "Tell me more about your pain."
C) "Are you experiencing any pain right now?"
D) "What concerns do you have about your treatment?"
Correct Answer: C) "Are you experiencing any pain right now?"
Rationale: Closed-ended questions limit responses to yes/no or short answers. They are
useful for obtaining specific information but do not encourage in-depth discussion. The
other options are open-ended questions .
8. A nurse is caring for a patient who has a different cultural background. The
nurse should:
, A) Assume the patient follows all cultural practices of their group
B) Ask the patient about their cultural beliefs and preferences
C) Avoid discussing culture to prevent stereotyping
D) Follow hospital policies without considering cultural factors
Correct Answer: B) Ask the patient about their cultural beliefs and preferences
Rationale: Cultural competence involves asking the patient about their individual beliefs,
values, and preferences rather than making assumptions. Each patient is unique even
within cultural groups .
9. A nurse is caring for a patient who is visibly angry and yelling. The nurse's
priority action is:
A) Leave the room until the patient calms down
B) Speak calmly and acknowledge the patient's anger
C) Raise voice to gain control of the situation
D) Call security immediately
Correct Answer: B) Speak calmly and acknowledge the patient's anger
Rationale: Acknowledging the patient's feelings and speaking calmly can de-escalate
anger. The nurse should maintain a safe distance, use calm voice, and avoid defensiveness.
Leaving the patient alone may escalate the situation .
10. The "E" in the SOLER acronym stands for:
A) Empathize
B) Eye contact
C) Evaluate
D) Encourage
Correct Answer: B) Eye contact
Rationale: SOLER stands for: S (sit facing the patient), O (open posture), L (lean toward the
patient), E (eye contact), and R (relax). Eye contact conveys interest and willingness to
listen .
11. A nurse is concerned about a colleague's frequent medication errors. The nurse
should:
A) Report the colleague to management immediately without speaking to them
B) Speak privately with the colleague about the concern and offer support
with Verified Answers & Rationales (2026) | Comprehensive
Practical Nursing Board Prep
Pass your practical nursing capstone on the first attempt with this complete PN 2002
Final Review Exam test bank covering the 2026 academic cycle. This comprehensive
preparation guide features high-yield exam questions paired with 100% verified answers
and detailed clinical rationales exploring safe medication administration, adult medical-
surgical care, pediatric nursing milestones, and maternal-newborn interventions. It is an
indispensable study tool for LPN/LVN students looking to compress study routines,
clear their final nursing benchmarks, and confidently transition to the NCLEX-PN
boards.
1. A nurse is caring for a patient who repeatedly states, "I don't think I can do this
anymore." The nurse responds, "You're feeling overwhelmed and hopeless about
your situation." This is an example of which therapeutic communication
technique?
A) Restatement
B) Paraphrasing
C) Reflection of feeling
D) Clarification
Correct Answer: C) Reflection of feeling
Rationale: The nurse is identifying and verbalizing the patient's emotional state
(overwhelmed and hopeless). Reflection of feeling validates the patient's experience and
encourages further discussion. This is distinct from restatement, which repeats content
rather than feeling .
2. A nurse is preparing to give a patient a bed bath. The patient says, "I'm so
embarrassed that you have to do this for me." Which response by the nurse is
MOST therapeutic?
A) "Don't be embarrassed. I do this all the time."
B) "I understand this feels embarrassing. Many patients feel this way. What can I do to
,make you more comfortable?"
C) "You shouldn't feel embarrassed. It's my job."
D) "Would you rather do it yourself?"
Correct Answer: B) "I understand this feels embarrassing. Many patients feel this
way. What can I do to make you more comfortable?"
Rationale: This response validates the patient's feelings, normalizes the experience, and
offers the patient control. It demonstrates empathy and respects the patient's dignity while
maintaining therapeutic communication .
3. A nurse is caring for a patient who is hearing-impaired. Which of the following
strategies should the nurse use to facilitate communication?
A) Speak louder and slower with exaggerated lip movements
B) Face the patient, speak clearly at a normal volume, and ensure adequate lighting
C) Write everything down without attempting verbal communication
D) Use a family member to interpret for the patient
Correct Answer: B) Face the patient, speak clearly at a normal volume, and ensure
adequate lighting
Rationale: For patients with hearing impairment, the nurse should face the patient directly,
speak clearly at a normal volume (shouting distorts sound), ensure good lighting for lip
reading, and minimize background noise. Family members should not be used as
interpreters in healthcare settings unless they are certified .
4. A patient states, "My family doesn't visit me anymore. I think they've forgotten
about me." The nurse responds, "You feel abandoned by your family." This is an
example of:
A) Restatement
B) Reflection of feeling
C) Clarification
D) Paraphrasing
Correct Answer: B) Reflection of feeling
Rationale: The nurse is identifying and verbalizing the emotional content of the patient's
message (feeling abandoned). Reflection of feeling helps patients become more aware of
and express their emotions .
,5. During a team meeting, a nurse disagrees with a physician's treatment plan. The
nurse should:
A) Remain silent to avoid conflict
B) Express concerns respectfully using evidence-based rationale
C) Voice disagreement loudly to ensure being heard
D) Discuss concerns only with other nurses after the meeting
Correct Answer: B) Express concerns respectfully using evidence-based rationale
Rationale: Effective collaboration requires respectful communication. The nurse should
voice concerns using "I" statements, evidence-based rationale, and a collaborative tone.
Silence or aggressive confrontation are not appropriate professional behaviors .
6. A patient who is in the exploitation phase of the nurse-patient relationship is
MOST likely to:
A) Test the nurse's boundaries
B) Actively work on identified problems and goals
C) Express anger at the end of the relationship
D) Establish trust with the nurse
Correct Answer: B) Actively work on identified problems and goals
Rationale: During the exploitation phase, the patient actively engages in the therapeutic
work of the relationship. Trust has been established, and the patient is ready to address
identified problems and work toward goals .
7. Which of the following is an example of a closed-ended question?
A) "How are you feeling today?"
B) "Tell me more about your pain."
C) "Are you experiencing any pain right now?"
D) "What concerns do you have about your treatment?"
Correct Answer: C) "Are you experiencing any pain right now?"
Rationale: Closed-ended questions limit responses to yes/no or short answers. They are
useful for obtaining specific information but do not encourage in-depth discussion. The
other options are open-ended questions .
8. A nurse is caring for a patient who has a different cultural background. The
nurse should:
, A) Assume the patient follows all cultural practices of their group
B) Ask the patient about their cultural beliefs and preferences
C) Avoid discussing culture to prevent stereotyping
D) Follow hospital policies without considering cultural factors
Correct Answer: B) Ask the patient about their cultural beliefs and preferences
Rationale: Cultural competence involves asking the patient about their individual beliefs,
values, and preferences rather than making assumptions. Each patient is unique even
within cultural groups .
9. A nurse is caring for a patient who is visibly angry and yelling. The nurse's
priority action is:
A) Leave the room until the patient calms down
B) Speak calmly and acknowledge the patient's anger
C) Raise voice to gain control of the situation
D) Call security immediately
Correct Answer: B) Speak calmly and acknowledge the patient's anger
Rationale: Acknowledging the patient's feelings and speaking calmly can de-escalate
anger. The nurse should maintain a safe distance, use calm voice, and avoid defensiveness.
Leaving the patient alone may escalate the situation .
10. The "E" in the SOLER acronym stands for:
A) Empathize
B) Eye contact
C) Evaluate
D) Encourage
Correct Answer: B) Eye contact
Rationale: SOLER stands for: S (sit facing the patient), O (open posture), L (lean toward the
patient), E (eye contact), and R (relax). Eye contact conveys interest and willingness to
listen .
11. A nurse is concerned about a colleague's frequent medication errors. The nurse
should:
A) Report the colleague to management immediately without speaking to them
B) Speak privately with the colleague about the concern and offer support
