PN2006 Practical Nursing Final Exam 2026 – 350 Questions and Answers on Medication Administration, Infection Control, Wound Care & Palliative Nursing

This document contains approximately 350 exam-style questions and correct answers designed to help students prepare for the PN2006 Practical Nursing Final Exam, a core nursing course that focuses on medication administration, infection control, sterile technique, wound care, patient safety, and end-of-life care. The material is presented in a comprehensive question-and-answer format and serves as a structured study resource for practical nursing students preparing for final examinations and clinical competency assessments. The study guide begins with essential concepts related to infection prevention and sterile technique, which are critical skills in clinical nursing practice. Early sections review standard precautions and isolation protocols, including the correct sequence for applying personal protective equipment (PPE): hand hygiene, mask and eye protection, gown, and gloves. The material also explains the importance of sterile asepsis when performing invasive procedures such as intravenous catheter insertion or sterile dressing changes. Nursing interventions that maintain sterility include verifying the integrity of sterile packages, discarding contaminated supplies, avoiding reaching over sterile fields, and recognizing that items below waist level are considered contaminated. These principles are essential for preventing hospital-acquired infections and maintaining patient safety. Another major section focuses on wound care and surgical dressing management. The document explains sterile dressing techniques, wound irrigation procedures, and wound assessment documentation. For example, nurses must measure wound dimensions, depth, and undermining using standardized descriptions such as clock positioning. The study guide also reviews signs of normal healing versus complications, such as redness, warmth, swelling, or increased pain, which may indicate infection. Equipment used for wound irrigation is discussed, including the use of a 35-mL syringe with a 19-gauge catheter to generate appropriate pressure for effective wound cleansing. The material also includes extensive coverage of medication administration principles, which are essential competencies for practical nurses. The document reviews patient identification procedures, emphasizing the use of identification bracelets and medication administration records (MAR) to confirm the correct patient before administering medications. Drug administration safety concepts such as verifying medication allergies, clarifying questionable physician orders, and documenting medications immediately after administration are emphasized throughout the guide. For instance, if a medication order appears unusually high, the nurse must contact the prescriber for clarification rather than administering the medication. A large portion of the content examines injection techniques and routes of medication administration. The guide explains intradermal, subcutaneous, and intramuscular injections, including correct needle angles and anatomical landmarks for safe administration. Intradermal injections, often used for allergy testing or tuberculosis screening, are administered at a 15-degree angle. Intramuscular injections are typically administered at a 90-degree angle, while subcutaneous injections may be given at a 45- to 90-degree angle depending on patient body composition. Recommended injection sites discussed include the ventrogluteal muscle for adults, the vastus lateralis for infants, and abdominal tissue for medications such as heparin or insulin. These techniques are essential for ensuring medication absorption and minimizing complications. The document also reviews insulin administration and diabetes management, including proper mixing of regular and NPH insulin. The correct procedure involves injecting air into both vials and withdrawing the short-acting (regular) insulin first to prevent contamination of the clear insulin solution. The guide also explains that regular insulin peaks several hours after administration, which requires nurses to monitor patients closely for signs of hypoglycemia such as confusion, sweating, and dizziness. Another important topic included in the study material is respiratory care and medication delivery methods. Students review nebulizer therapy for conditions such as asthma and chronic respiratory disease. For example, patients who have difficulty holding a mouthpiece may benefit from a nebulizer mask to ensure effective medication delivery. The guide also reviews inhaler dosing calculations and techniques for teaching patients to use metered-dose inhalers correctly. The study guide also addresses palliative care, hospice care, and postmortem nursing care, which are important aspects of compassionate nursing practice. Palliative care focuses on improving quality of life for patients with serious illness by managing symptoms and providing emotional support. Hospice care is introduced as a specialized form of palliative care provided when patients are nearing the end of life. The document reviews nursing responsibilities such as maintaining patient comfort, supporting family members, respecting cultural practices surrounding death, and preparing the body according to institutional protocols and patient wishes. Additional sections cover pressure injury staging, neurological assessment, and patient safety concepts. The guide explains pressure ulcer classification from Stage 1 (non-blanchable redness) to Stage 4 (full-thickness tissue loss exposing muscle or bone). Neurological assessments include monitoring level of consciousness using the Glasgow Coma Scale, evaluating pupil response (PERRLA), and assessing motor strength. Patient safety principles such as fall prevention are also emphasized, highlighting that a history of falls is the greatest predictor of future fall risk among hospitalized patients. The document aligns with widely used nursing textbooks such as “Fundamentals of Nursing” by Potter and Perry and “Brunner & Suddarth’s Textbook of Medical-Surgical Nursing”, which are commonly used in practical nursing and medical-surgical nursing education programs. This document may be useful for courses such as: PN2006 Practical Nursing Fundamentals of Nursing Practice Medical-Surgical Nursing Clinical Nursing Skills and Procedures Patient Safety and Infection Control It may also benefit students including: Practical Nursing (PN) students Licensed Practical Nurse (LPN) program students Vocational nursing students Medical-surgical nursing students preparing for final exams NCLEX-PN preparation students reviewing clinical nursing skills Overall, this document functions as a comprehensive nursing exam preparation resource that compiles essential clinical nursing skills—including infection control, sterile technique, wound care, medication administration, injection techniques, patient safety practices, and end-of-life care—into structured exam-style questions and answers. It supports nursing students in strengthening their understanding of core clinical competencies required for practical nursing examinations and safe patient care. 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