Question 1 of 60
HU NP101 Foundations of Nursing Exam 2 2026 Summer C When preparing to assist in a scoliosis screening clinic, the practical nurse (PN) should identify which age group will be included in the examinations?
- A Preschoolers of both genders.
- B Early adolescent girls.
- C Late adolescent boys.
- D Boys aged seven to ten years old.
Question 2 of 60
The practical nurse (PN) is reinforcing medication instructions to an older client with a new diagnosis of hypothyroidism. Which response by the client demonstrates understanding of how to take levothyroxine?
- A “I will take the medication at bedtime.”
- B “I will take the medication with a large meal.”
- C “I will take the medication on an empty stomach.”
- D “I will take the medication with a glass of milk.”
Question 3 of 60
The client taking long-term oral corticosteroids for systematic lupus erythematosus (SLE) is prescribed hydroxychloroquine. The practical nurse (PN) should reinforce which teaching point related to the use of this medication?
- A Take at least 1 hour before meals.
- B Schedule eye exams every 6 months.
- C Remain upright for 1 hour after dose.
- D Perform oral care 2 hours after each dose.
Question 4 of 60
The practical nurse (PN) is reinforcing teaching with a group of adolescents on how to deal with bullying. Which is the best strategy for teaching interpersonal skills?
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- B Role-playing.
- C Discussions.
- D Worksheets.
Question 6 of 60
When administering NPH insulin, the practical nurse should insert the tip of the needle into which tissue?
- A Connective.
- B Dermal.
- C Visceral.
- D Adipose.
Question 7 of 60
An older adult client is admitted with syncope and laboratory findings reveal a hemoglobin level of 8 g/dL (4.96 mmol/L). The client has a recent history of headaches and frequent falls. Admission prescriptions include continuation of all home medications. Which medication should the practical nurse (PN) withhold until consulting with the charge nurse?
- A Levothyroxine.
- B Aspirin.
- C Calcium citrate.
- D Docusate sodium.
Question 8 of 60
A child who weighs 36 kg receives a prescription for diphenhydramine 25 mg IM every 6 hours. The medication is available as “Diphenhydramine 50 mg/mL vial.” How many mL should the practical nurse (PN) administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Answer: 0.5 HU NP101 Foundations of Nursing Exam 2 2026 Summer C
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Unlock Free Mock Tests →Question 9 of 60
The practical nurse (PN) plans to administer an IM injection into the mid anterior thigh. Which muscle group should be identified as the site of administration?
- A Gluteus maximus.
- B Rectus abdominis.
- C Gluteus medius.
- D Rectus femoris.
Question 10 of 60
A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and at bedtime per sliding scale. The sliding scale parameters are:
- 0 units for finger stick glucose less than 170 mg/dL;
- 5 units for finger stick glucose 171 to 219 mg/dL;
- 10 units for finger stick glucose 220 to 269 mg/dL;
- 15 units for finger stick glucose 270 to 300 mg/dL.
- Call healthcare provider (HCP) for finger stick glucose greater than 300 mg/dL.
The client’s 0730 finger stick glucose is 271 mg/dL. Which is the total amount of insulin this client should receive? (Enter numeric value only.)
Answer: 40
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Unlock Free Mock Tests →Question 11 of 60
The practical nurse (PN) is caring for a client with atrial fibrillation who is receiving a prescription for apixaban. Which finding should the PN report to the healthcare provider immediately?
- A Prolonged oozing from phlebotomy site.
- B Abdominal cramping and bloating.
- C White patches on the buccal mucosa.
- D Extremity twitching tendencies. HU NP101 Foundations of Nursing Exam 2 2026 Summer C
Question 12 of 60
A male client comes to the clinic explaining that he has been feeling weak and fatigued. His daughter reports that he has been taking a high dose systemic corticosteroid, but abruptly stopped taking the medication. Which finding is most important for the practical nurse (PN) to evaluate?
- A Body temperature.
- B Blood pressure.
- C Body weight.
- D Breath sounds.
Question 13 of 60
The practical nurse (PN) is preparing to administer a client’s prescribed 0900 dose of one tablet of bisacodyl when the client reports that he has recently expelled three large, semi-formed bowel movements. Which action should the PN take?
- A Consult with the charge nurse about the need to increase the client’s prescribed dose of bisacodyl.
- B Explain to the client how the bisacodyl will help prevent any further episodes of diarrhea.
- C Administer the bisacodyl with a full glass of water to begin replacement of lost body fluids.
- D Alert the healthcare provider about the diarrhea and hold the scheduled dose of bisacodyl.
Question 14 of 60
The practical nurse (PN) is preparing a morning subcutaneous dose of NPH insulin 30 units and regular insulin 10 units. How should these two doses of insulin be prepared?
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Unlock Free Mock Tests →- A Draw up the NPH and the regular into separate syringes, then mix together in another syringe.
- B Prepare two injections to prevent contaminating the different types of insulin vials.
- C Draw up the NPH insulin first, then draw the regular insulin into the same syringe.
- D Draw up the regular insulin first, then draw the NPH insulin into the same syringe.
Question 16 of 60
Which instructions should the practical nurse (PN) reinforce with a client who is prescribed oral diphenhydramine for seasonal allergies? Select all that apply.
- A Recognize this drug may cause false negative results in skin allergy tests.
- B Use caution to restrict alcohol intake while taking this drug.
- C Contact the healthcare provider if confusion or hypotension occurs.
- D Do not abruptly stop the medication unless advised by healthcare provider.
- E Avoid driving or operating machinery after taking this drug.
Question 17 of 60
The practical nurse (PN) administers exenatide subcutaneous one hour before breakfast to a client with diabetes mellitus. Which action should the PN take to determine if the medication was effective?
- A Document the percentage of diet eaten.
- B Observe for bruising at the injection site.
- C Determine if the client feels nauseated.
- D Monitor the client’s blood glucose levels.
Question 18 of 60
After administering pantoprazole to a client with gastroesophageal reflux disorder (GERD), which statement by the client indicates to the practical nurse (PN) that the medication is producing the desired effect?
- A “I have a great appetite and am feeling really hungry.”
- B “I should increase the amount of vitamin C in my diet.”
- C “After eating my meal, I did not experience any heartburn.”
- D “While eating, I had no difficulty swallowing any of the foods.”
Question 19 of 60
A client who is receiving sodium polystyrene sulfonate reports having two watery stools since starting the medication the previous day. Which action should the practical nurse (PN) take?
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Unlock Free Mock Tests →- A Recommend that the client increase fiber in the diet.
- B Withhold the medication until the diarrhea stops.
- C Explain that this is a desired effect of the medication.
- D Report the liquid stool to the healthcare provider.
Question 20 of 60
The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?
- A Genital itching and burning with discharge.
- B Hard, dry stools that are difficult to pass.
- C Diminished ability to taste and smell food.
- D Appearance of bruising in arms and legs.
Question 21 of 60
An older adult client is receiving digoxin 0.25 mg PO every day, furosemide 40 mg PO twice a day, and potassium chloride 20 mEq PO twice a day. The client remarks, “What a lovely yellow uniform you are wearing today.” The practical nurse (PN) is wearing white. Which action should the PN implement?
- A Withhold the furosemide and force fluids.
- B Evaluate the client for digitalis glycoside side effects.
- C Give the client additional potassium rich foods.
- D Assume the client is joking and give the medications.
Question 22 of 60
An older adult is admitted to the hospital because of an adverse drug reaction related to polypharmacy. Which information is most important for the practical nurse (PN) to collect during the admission process?
- A Obtain a set of baseline vital signs.
- B Pharmaceutical and herbal supplement use.
- C Specific allergic reactions to medications.
- D Head-to-toe physical assessment findings.
Question 23 of 60
The healthcare provider prescribes bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with an H. pylori infection. Prior to administering the H. pylori treatment regimen, the practical nurse (PN) should review the electronic medical record for which medication?
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- B Aspirin.
- C Loperamide.
- D Famotidine.
Question 24 of 60
The charge nurse asks the practical nurse (PN) to administer diphenhydramine 25 mg IM to a client prior to infusing a blood transfusion. Which explanation should the PN offer the client about the purpose of this drug?
- A Facilitate rapid infusion of the transfusion.
- B Inhibit the antigen-antibody reaction.
- C Minimize symptoms related to any allergic reaction.
- D Promote relaxation of the client during the blood transfusion.
Question 25 of 60
A client is learning to self-administer albuterol using a metered dose inhaler. Which information should the practical nurse (PN) include when reinforcing self-care teaching for the client? (Select all that apply.)
- A Inhale deeply and slowly over 10 seconds.
- B Use a spacer to keep canister outlet 2 inches from the lips.
- C If two puffs are prescribed, perform one puff per inhalation.
- D Hold breath after inhaling medication and exhale slowly.
- E If two puffs are prescribed, do successive puffs in the same inhalation.
Question 27 of 60
An hour after receiving the first dose of captopril, a client reports feeling weak and dizzy. Which action is most important for the practical nurse (PN) to perform?
- A Measure the blood pressure.
- B Inquire about development of a cough.
- C Evaluate the pupillary response to light.
- D Review the serum potassium level.
Question 28 of 60
The practical nurse (PN) is providing care to a client who is prescribed enoxaparin. Which health outcome would indicate this medication is effective?
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Unlock Free Mock Tests →- A The client’s hemoglobin remains stable throughout the rehabilitation.
- B The client maintains a hemoglobin A1C within expected parameters.
- C The client does not develop a deep vein thrombosis (DVT) after abdominal surgery.
- D The pulmonary embolus has lysed and the client’s respiratory status improves.
Question 29 of 60
The practical nurse (PN) notes that the heart rate of a client newly started on levothyroxine sodium has increased from 98 to 120 beats/minute since the initial dose was administered the previous day. Which action should the PN implement?
- A Inform the client that the healthcare provider will need to increase the prescribed dose of levothyroxine sodium.
- B Hold the next dose of levothyroxine sodium and notify the charge nurse of the change in the client’s heart rate.
- C Explain to the client that this is an expected side effect and administer the next dose of levothyroxine sodium as prescribed.
- D Administer the scheduled dose of levothyroxine sodium unless the client’s blood pressure is greater than 140/90 mm Hg.
Question 30 of 60
The practical nurse (PN) is checking the insulin dose drawn up by another PN and notes that the amount of insulin is 2 units more than the amount indicated for the glucose level written on the client’s medication record. Which action should the PN take?
- A Remind the other PN to record the discrepancy between the dose on hand and the desired dose.
- B Suggest that the other PN provide a small snack after administering the dose of insulin drawn up.
- C Advise the other PN that the dose of insulin drawn up needs to be reduced by two units.
- D Instruct the other PN to obtain a repeat glucose level before administering the insulin.
Question 31 of 60
An infant is to receive 3 mL/kg of an antibiotic every 6 hours. The infant weighs 6 pounds 8 ounces. The practical nurse (PN) will prepare how much of the antibiotic to be administered at each dosing interval?
- A 42.9 mL.
- B 14.4 mL.
- C 8.9 mL.
- D 10.3 mL.
Question 32 of 60
A client is prescribed beclomethasone to treat allergic rhinitis. The practical nurse (PN) should reinforce to the client which common effects may develop with this medication? Select all that apply.
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Unlock Free Mock Tests →- A Angioedema.
- B Oral thrush.
- C Throat irritation.
- D Dry mouth.
- E Hoarseness.
Question 33 of 60
The practical nurse (PN) is explaining to a client with inflammatory bowel disease about prednisone. Which information is important for the PN to emphasize?
- A Prednisone must be decreased gradually when discontinuing the medication.
- B Monthly check ups will be necessary to monitor the serum prednisone level.
- C Intake of green leafy vegetables should be decreased because vitamin K is the antidote for prednisone.
- D Prednisone is a medication that can be taken for the rest of the client’s life.
Question 35 of 60
In administering a nitroglycerin transdermal patch to a client with chronic angina pectoris, in which order should the practical nurse (PN) carry out the actions? (Arrange from first action on top to last on the bottom.)
Correct order:
- Inform the client of the purpose of the medication.
- Put on a clean pair of gloves.
- Place patch on a new area of cleansed skin.
- Document the application in the electronic medication record.
Question 36 of 60
Prior to administering medications to the client, the practical nurse (PN) observes excessive bruising to the extremities. Which medication should the PN withhold until consulting with the charge nurse?
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Unlock Free Mock Tests →- A Anticoagulant.
- B Opioid analgesic.
- C Antihypertensive.
- D Antianginal.
Question 37 of 60
A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse implement to evaluate the effectiveness of the insulin dosage?
- A Check fingerstick blood glucose for a decrease in the level.
- B Measure the client’s urinary output for an increased volume.
- C Smell the client’s breath for resolution of a fruity odor.
- D Determine client’s orientation to time and space.
Question 38 of 60
When a male client tells the nurse that he is feeling nauseated, which PRN medication should the practical nurse (PN) administer?
- A Adsorbent.
- B Emollient.
- C Antiemetic.
- D Laxative.
Question 39 of 60
A female adult client newly diagnosed with hypothyroidism has been prescribed levothyroxine. The client reports that she takes multivitamins which includes iron, calcium, magnesium, and aluminum every morning with her breakfast. The practical nurse (PN) should reinforce which medication instructions to the client?
- A Drink a 4 ounce (120 mL) glass of milk or soy milk, when taking the levothyroxine and multivitamins together.
- B Supplements that contain calcium, iron and antacids cannot be taken when a client is also taking levothyroxine.
- C Wait at least four hours between taking levothyroxine and products with calcium, aluminum, magnesium and iron in them.
- D It is okay to continue with the same routine and take the levothyroxine and multivitamins together.
Question 40 of 60
The practical nurse (PN) is reviewing information with a group of high school adolescents about safety associated with traumatic injuries. Which factor causing spinal cord injuries should the PN emphasize to the adolescents?
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Unlock Free Mock Tests →- A Sports injuries.
- B Falls.
- C Violent assault.
- D Motor vehicle collisions.
Question 41 of 60
During a health fair at the community center, an attendee asked the practical nurse (PN) for more information about levels of prevention that can protect the client. Which behaviors should the PN give as examples? Select all that apply.
- A Vaccinating against measles.
- B Wearing seatbelts.
- C Having a mammogram.
- D Skin testing for tuberculosis.
- E Using bicycle helmets.
Question 42 of 60
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the practical nurse (PN) implement?
- A Obtain a fingerstick blood glucose.
- B Perform a neurological exam.
- C Administer glucagon intramuscularly.
- D Measure the client’s vital signs.
Question 43 of 60
A client receives a prescription for intravenous (IV) famotidine. Which finding indicates to the practical nurse (PN) the medication is effective?
- A Decrease in nighttime awakenings.
- B Positive stool antigen test.
- C Reduced epigastric pain.
- D Loss of 3 pounds (1.36 kg) in a month.
Question 44 of 60
The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of a client who is receiving IV heparin. Which action should the PN implement first?
- A Obtain a urine specimen for urinalysis.
- B Check the client’s gums for bleeding.
- C Document the finding in the client’s medical record.
- D Irrigate the urinary catheter with sterile normal saline.
Question 45 of 60
The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client who has poison ivy covering multiple skin surfaces. Which instruction should the PN emphasize about the dosing schedule?
- A Monitor oral temperature daily.
- B Take the prednisone with meals.
- C Decrease dosage daily as prescribed.
- D Return for blood glucose monitoring in one week.
Question 46 of 60
The practical nurse (PN) is administering heparin to a client. Which medication or blood product should the PN have available in case there is a heparin overdose?
- A Protamine sulfate.
- B Platelets.
- C Vitamin K.
- D Whole blood.
Question 47 of 60
A female client with cancer often experiences nausea and vomiting as the result of radiation therapy. The client has a PRN prescription for ondansetron and tells the practical nurse (PN) that she takes the medication as soon as she returns home from her treatment. Which action should the PN take?
- A Offer support and encouragement that this is a temporary effect.
- B Advise the client to try taking the medication before driving home.
- C Encourage the client to drink plenty of fluids during the treatment.
- D Instruct the client to take the medication prior to the treatment.
Question 48 of 60
The healthcare provider prescribes docusate sodium for a client who had a myocardial infarction 3 days ago. The client asks the practical nurse (PN) why the medication is being prescribed. Which information should the PN provide to the client?
- A Blocks the loss of electrolytes during defecation.
- B Prevents changes in the heart rate due to straining.
- C Decreases the development of flatulence.
- D Increases the frequency of bowel movements.
Question 48 of 60
The healthcare provider prescribes docusate sodium for a client who had a myocardial infarction 3 days ago. The client asks the practical nurse (PN) why the medication is being prescribed. Which information should the PN provide to the client?
- A Blocks the loss of electrolytes during defecation.
- B Prevents changes in the heart rate due to straining.
- C Decreases the development of flatulence.
- D Increases the frequency of bowel movements.
Question 49 of 60
The practical nurse (PN) is caring for an adolescent with a body mass index (BMI) above the 95th percentile who has been experiencing increased urination. Which diagnostic test should the PN anticipate?
- A Blood sodium level.
- B Urine human chorionic gonadotropin (hCG).
- C Kidney, ureters, and bladder (KUB) x-ray.
- D Serum hemoglobin A1C.
Question 50 of 60
A client confides to the practical nurse (PN) that the client has been substituting herbal supplements for high blood pressure instead of the prescribed medication. How should the PN respond first?
- A Ask the client’s reason for choosing to take herbs instead of prescribed drugs.
- B Point out the risks of taking the herbal medications rather than prescribed.
- C Reinforce that the healthcare provider prescribed the medication for a reason.
- D Have the client use their own words to describe complications of high blood pressure.
Question 51 of 60
The practical nurse (PN) is providing care to a client diagnosed with gastroesophageal reflux disease (GERD) who has been prescribed cimetidine. Which is the mechanism of action for this medication?
- A Slows down the prostaglandin synthesis.
- B Neutralizes the gastric secretions.
- C Blocks the secretions of gastric acids.
- D Decreases the rate of gastric emptying.
Question 52 of 60
The healthcare provider prescribes ipratropium, albuterol, and beclomethasone metered-dose inhalers for a client with chronic obstructive pulmonary disease (COPD). Which intervention should the practical nurse (PN) implement when administering these three inhalers?
- A Schedule the inhalers to be given one at a time one hour apart throughout the day.
- B Administer each inhaler one after the other, with the bronchodilators last.
- C Clarify the prescription because three inhalers should not be administered.
- D Offer the bronchodilator inhalers first and the steroid last at 3 to 5 minute intervals.
Question 53 of 60
The practical nurse (PN) is caring for an older adult client with multiple comorbidities. Which medication should the PN recognize as increasing the client’s risk for fractures?
- A Lansoprazole.
- B Metformin.
- C Simvastatin.
- D Amlodipine.
Question 54 of 60
A client receives a prescription for scopolamine transdermal patch 1 mg every 72 hours. The box is labeled, “Scopolamine Transdermal System, USP 1 mg/3 days.” How many mg should the practical nurse (PN) document for the client who uses the patches for 6 days? (Enter numerical value only.)
2
Question 55 of 60
The practical nurse (PN) is providing discharge instructions to a client who had a partial thyroidectomy. When explaining the actions of the prescribed thyroid supplement, levothyroxine sodium, which parameter should the PN tell the client is most important to monitor for potential side effects?
- A Daily weights.
- B Appetite.
- C Sleep log.
- D Heart rate.
Question 56 of 60
Arrange the actions in the correct chronological order for administering a metered-dose inhaler (MDI) with a spacer device:
- Shake inhaler strongly 5 or 6 times, uncap the MDI, and place the spacer onto it.
- Exhale slowly through pursed lips as if blowing out a candle.
- Close mouth over the opening of the MDI spacer aiming at the back of the throat.
- Inhale deeply and slowly while pressing one puff into the spacer.
Question 57 of 60
A client who has been newly diagnosed with hypertension is being discharged with medication to lower the blood pressure. Which information should the practical nurse reinforce with the client to help prevent orthostatic hypotension?
- A Avoid overeating or drinking at mealtime.
- B Take medication on an empty stomach.
- C Take the medication with plenty of fluids.
- D Arise slowly from lying, sitting, or standing.
Question 58 of 60
The practical nurse (PN) should reinforce which instruction to help prevent orthostatic hypotension in a client prescribed an antihypertensive medication?
- A Consume a minimum of two to three liters of fluids each day.
- B Increase the amount of fluids and fiber in the diet.
- C Check blood pressure prior to taking any cardiac medication.
- D Slowly change position when rising from sitting or lying down.
Question 59 of 60
An adolescent with a history of recurring atopic dermatitis tells the practical nurse (PN) of a desire to play high school football. Which action should the PN take?
- A Emphasize showering with non-perfumed soaps immediately after practice.
- B Discuss with the coach the client’s skin condition and manifestations.
- C Describe the problems associated with perspiration for those with atopic dermatitis.
- D Encourage the client to join the swim team instead of the football team.
Question 60 of 60
Which pediatric client is most likely to experience a disturbed body-image?
- A A 14-year-old with acne vulgaris.
- B A 10-year-old with plantar warts.
- C A 12-year-old with bacterial cellulitis.
- D A 16-year-old with a perineal tinea infection.
