PN COMPREHENSIVE ONLINE PRACTICE FORM B | ALL 150 QUESTIONS
AND CORRECT DETAILED ANSWERS PLUS RATIONALES | LATEST UPDATE
(2026) | ALREADY GRADED A+
1. A practical nurse is caring for a client who has heart failure and develops
increasing dyspnea, bilateral crackles, and an oxygen saturation of 86% on
room air. Which action should the nurse take first?
A. Encourage the client to drink additional fluids
B. Place the client in a supine position
C. Place the client in an upright position and provide oxygen as prescribed
D. Obtain a detailed dietary history
Answer: C. Place the client in an upright position and provide oxygen as
prescribed
2. A nurse is reinforcing teaching with a client who has type 1 diabetes
mellitus about recognizing hypoglycemia. Which finding should the nurse
instruct the client to recognize as an early manifestation?
A. Fruity-smelling breath
B. Diaphoresis and tremors
C. Deep, rapid respirations
D. Increased urination
Answer: B. Diaphoresis and tremors
3. A client receiving warfarin therapy asks which food should be consumed
consistently rather than avoided completely. Which food contains a
significant amount of vitamin K?
A. Spinach
B. Apples
C. White rice
D. Chicken
Answer: A. Spinach
4. A practical nurse is caring for a postoperative client who suddenly reports
shortness of breath, pleuritic chest pain, and anxiety. The client's heart rate
pg. 1
, is 124/min and oxygen saturation is 88%. Which complication should the
nurse suspect?
A. Atelectasis
B. Pulmonary embolism
C. Hypoglycemia
D. Urinary retention
Answer: B. Pulmonary embolism
5. A nurse is caring for a client receiving furosemide for fluid-volume excess.
Which laboratory value should the nurse monitor most closely because of
the medication's potential adverse effect?
A. Potassium
B. Hemoglobin
C. Platelet count
D. Bilirubin
Answer: A. Potassium
6. A client with chronic obstructive pulmonary disease is receiving oxygen
therapy. Which nursing action is most appropriate?
A. Withhold oxygen whenever the respiratory rate decreases
B. Administer oxygen according to the prescribed target and monitor
respiratory status
C. Encourage the client to breathe as rapidly as possible
D. Place the client flat in bed
Answer: B. Administer oxygen according to the prescribed target and
monitor respiratory status
7. A nurse is caring for a client who has pneumonia and is producing thick
respiratory secretions. Which intervention should the nurse encourage
when not contraindicated?
A. Restrict all fluids
B. Maintain adequate hydration
C. Avoid coughing
pg. 2
, D. Remain supine throughout the day
Answer: B. Maintain adequate hydration
8. A client with asthma develops severe wheezing followed by markedly
diminished breath sounds and increasing fatigue. Which finding is most
concerning?
A. Mild anxiety
B. Productive cough
C. Diminishing breath sounds with worsening fatigue
D. Respiratory rate of 20/min
Answer: C. Diminishing breath sounds with worsening fatigue
9. A nurse is reinforcing teaching about the use of an inhaled corticosteroid.
Which statement by the client indicates correct understanding?
A. “I should rinse my mouth after using this medication.”
B. “I should stop it whenever I feel better.”
C. “I should use it only during a sudden asthma attack.”
D. “I should swallow water before inhaling the medication.”
Answer: A. “I should rinse my mouth after using this medication.”
10. A client with chronic kidney disease has weakness and an irregular cardiac
rhythm. The potassium level is 6.7 mEq/L. Which finding requires
immediate attention?
A. Dry skin
B. Hyperkalemia with cardiac dysrhythmia
C. Mild fatigue
D. Decreased appetite
Answer: B. Hyperkalemia with cardiac dysrhythmia
11. A nurse is caring for a client receiving hemodialysis who develops headache,
nausea, confusion, and restlessness during the treatment. Which
complication should the nurse suspect?
A. Disequilibrium syndrome
B. Hypoglycemia caused by insulin
C. Pulmonary embolism
pg. 3
, D. Urinary retention
Answer: A. Disequilibrium syndrome
12. A client has a newly created arteriovenous fistula for hemodialysis. Which
action should the nurse take?
A. Measure blood pressure on the access arm
B. Apply a tight dressing over the access continuously
C. Assess the access for a bruit and thrill
D. Insert an IV catheter into the access arm
Answer: C. Assess the access for a bruit and thrill
13. A client with diabetes insipidus is experiencing excessive thirst and large
amounts of dilute urine. Which laboratory finding should the nurse
anticipate?
A. Increased urine specific gravity
B. Decreased urine specific gravity
C. Severe hypercalcemia
D. Increased serum albumin
Answer: B. Decreased urine specific gravity
14. A client with syndrome of inappropriate antidiuretic hormone secretion has
a sodium level of 118 mEq/L. Which nursing intervention is the priority?
A. Encourage unrestricted water intake
B. Initiate seizure precautions as indicated
C. Encourage a low-sodium diet
D. Administer hypotonic fluids rapidly
Answer: B. Initiate seizure precautions as indicated
15. A client who had a total thyroidectomy reports tingling around the mouth
and develops hand spasms. Which complication should the nurse suspect?
A. Hyperkalemia
B. Hypocalcemia
C. Hyperglycemia
D. Hypernatremia
Answer: B. Hypocalcemia
pg. 4
AND CORRECT DETAILED ANSWERS PLUS RATIONALES | LATEST UPDATE
(2026) | ALREADY GRADED A+
1. A practical nurse is caring for a client who has heart failure and develops
increasing dyspnea, bilateral crackles, and an oxygen saturation of 86% on
room air. Which action should the nurse take first?
A. Encourage the client to drink additional fluids
B. Place the client in a supine position
C. Place the client in an upright position and provide oxygen as prescribed
D. Obtain a detailed dietary history
Answer: C. Place the client in an upright position and provide oxygen as
prescribed
2. A nurse is reinforcing teaching with a client who has type 1 diabetes
mellitus about recognizing hypoglycemia. Which finding should the nurse
instruct the client to recognize as an early manifestation?
A. Fruity-smelling breath
B. Diaphoresis and tremors
C. Deep, rapid respirations
D. Increased urination
Answer: B. Diaphoresis and tremors
3. A client receiving warfarin therapy asks which food should be consumed
consistently rather than avoided completely. Which food contains a
significant amount of vitamin K?
A. Spinach
B. Apples
C. White rice
D. Chicken
Answer: A. Spinach
4. A practical nurse is caring for a postoperative client who suddenly reports
shortness of breath, pleuritic chest pain, and anxiety. The client's heart rate
pg. 1
, is 124/min and oxygen saturation is 88%. Which complication should the
nurse suspect?
A. Atelectasis
B. Pulmonary embolism
C. Hypoglycemia
D. Urinary retention
Answer: B. Pulmonary embolism
5. A nurse is caring for a client receiving furosemide for fluid-volume excess.
Which laboratory value should the nurse monitor most closely because of
the medication's potential adverse effect?
A. Potassium
B. Hemoglobin
C. Platelet count
D. Bilirubin
Answer: A. Potassium
6. A client with chronic obstructive pulmonary disease is receiving oxygen
therapy. Which nursing action is most appropriate?
A. Withhold oxygen whenever the respiratory rate decreases
B. Administer oxygen according to the prescribed target and monitor
respiratory status
C. Encourage the client to breathe as rapidly as possible
D. Place the client flat in bed
Answer: B. Administer oxygen according to the prescribed target and
monitor respiratory status
7. A nurse is caring for a client who has pneumonia and is producing thick
respiratory secretions. Which intervention should the nurse encourage
when not contraindicated?
A. Restrict all fluids
B. Maintain adequate hydration
C. Avoid coughing
pg. 2
, D. Remain supine throughout the day
Answer: B. Maintain adequate hydration
8. A client with asthma develops severe wheezing followed by markedly
diminished breath sounds and increasing fatigue. Which finding is most
concerning?
A. Mild anxiety
B. Productive cough
C. Diminishing breath sounds with worsening fatigue
D. Respiratory rate of 20/min
Answer: C. Diminishing breath sounds with worsening fatigue
9. A nurse is reinforcing teaching about the use of an inhaled corticosteroid.
Which statement by the client indicates correct understanding?
A. “I should rinse my mouth after using this medication.”
B. “I should stop it whenever I feel better.”
C. “I should use it only during a sudden asthma attack.”
D. “I should swallow water before inhaling the medication.”
Answer: A. “I should rinse my mouth after using this medication.”
10. A client with chronic kidney disease has weakness and an irregular cardiac
rhythm. The potassium level is 6.7 mEq/L. Which finding requires
immediate attention?
A. Dry skin
B. Hyperkalemia with cardiac dysrhythmia
C. Mild fatigue
D. Decreased appetite
Answer: B. Hyperkalemia with cardiac dysrhythmia
11. A nurse is caring for a client receiving hemodialysis who develops headache,
nausea, confusion, and restlessness during the treatment. Which
complication should the nurse suspect?
A. Disequilibrium syndrome
B. Hypoglycemia caused by insulin
C. Pulmonary embolism
pg. 3
, D. Urinary retention
Answer: A. Disequilibrium syndrome
12. A client has a newly created arteriovenous fistula for hemodialysis. Which
action should the nurse take?
A. Measure blood pressure on the access arm
B. Apply a tight dressing over the access continuously
C. Assess the access for a bruit and thrill
D. Insert an IV catheter into the access arm
Answer: C. Assess the access for a bruit and thrill
13. A client with diabetes insipidus is experiencing excessive thirst and large
amounts of dilute urine. Which laboratory finding should the nurse
anticipate?
A. Increased urine specific gravity
B. Decreased urine specific gravity
C. Severe hypercalcemia
D. Increased serum albumin
Answer: B. Decreased urine specific gravity
14. A client with syndrome of inappropriate antidiuretic hormone secretion has
a sodium level of 118 mEq/L. Which nursing intervention is the priority?
A. Encourage unrestricted water intake
B. Initiate seizure precautions as indicated
C. Encourage a low-sodium diet
D. Administer hypotonic fluids rapidly
Answer: B. Initiate seizure precautions as indicated
15. A client who had a total thyroidectomy reports tingling around the mouth
and develops hand spasms. Which complication should the nurse suspect?
A. Hyperkalemia
B. Hypocalcemia
C. Hyperglycemia
D. Hypernatremia
Answer: B. Hypocalcemia
pg. 4
