PNMC Licensing Exam Preparation Book PDF 2026 (Free Download)

What is in the PNMC Licensing Exam book

Each model paper carries the same number of MCQs per subject as the real PNMC Licensing Exam paper, so sitting it is a rehearsal of the real thing, not a random worksheet.

Sample MCQs from the PNMC Licensing Exam book

The first 10 questions of model paper 1.

1. Medical Surgical Nursing

   1. A patient with a fractured femur is receiving bed rest. Which intervention best helps prevent deep vein thrombosis?

   • A. Keeping the affected leg completely still
   • B. Encouraging ankle-pumping exercises as prescribed
   • C. Placing a pillow directly behind the knee
   • D. Massaging the calf every four hours
   Show answer

   Answer: B, Encouraging ankle-pumping exercises as prescribed. See the explanation

2. Fundamentals of Nursing

   2. Which finding in a patient with constipation requires prompt nursing assessment before giving a laxative?

   • A. Mild straining during a bowel movement
   • B. Passing flatus once during the morning
   • C. Increasing abdominal distension with vomiting
   • D. Preferring to use the toilet after breakfast
   Show answer

   Answer: C, Increasing abdominal distension with vomiting. See the explanation

3. Midwifery and Obstetric Nursing

   3. A breastfeeding woman reports mild, cramping lower abdominal pain during feeds on the second postnatal day. Which explanation is most accurate?

   • A. The uterus contracts as oxytocin is released during feeding
   • B. The cervix opens again because milk enters the uterus
   • C. The bladder becomes overactive because prolactin rises
   • D. The pelvic infection causes pain whenever feeding begins
   Show answer

   Answer: A, The uterus contracts as oxytocin is released during feeding. See the explanation

4. Paediatric Nursing

   4. Two children are rescued from a room containing a faulty gas heater. One is confused and has a headache, but has no obvious burns. Which treatment should the nurse arrange immediately?

   • A. Remove the child from the source and give high-concentration oxygen
   • B. Give oral rehydration solution and reassess the headache
   • C. Place the child in a warm room and encourage deep breathing
   • D. Administer intravenous antibiotics for possible chest infection
   Show answer

   Answer: A, Remove the child from the source and give high-concentration oxygen. See the explanation

5. Community Health Nursing

   5. A patient with newly diagnosed type 2 diabetes is prescribed metformin. Which statement shows correct understanding of the medicine?

   • A. I should take it with meals to reduce stomach upset
   • B. I should stop it whenever my glucose reading is normal
   • C. I should take extra tablets after eating sugary food
   • D. I should expect it to cause severe low blood glucose alone
   Show answer

   Answer: A, I should take it with meals to reduce stomach upset. See the explanation

6. Nursing Pharmacology

   6. A patient refuses a prescribed medication after the nurse explains its purpose. Which action is appropriate?

   • A. Hide the medication in the patient's food
   • B. Respect the refusal and assess the reason
   • C. Ask another nurse to give the medication
   • D. Leave the medication at the bedside
   Show answer

   Answer: B, Respect the refusal and assess the reason. See the explanation

7. Mental Health Nursing

   7. During an assessment, an older adult says, “I have given away my belongings because my family will not need them soon.” What should the nurse do first?

   • A. Change the subject to a pleasant childhood memory.
   • B. Ask directly about thoughts, plans, and means of self-harm.
   • C. Tell the patient that older people often feel lonely.
   • D. Arrange a routine follow-up visit next month.
   Show answer

   Answer: B, Ask directly about thoughts, plans, and means of self-harm.. See the explanation

8. Anatomy and Physiology for Nursing

   8. Which statement correctly compares the cardiac cycle with blood flow through the circulation?

   • A. The cardiac cycle includes atrial and ventricular contraction and relaxation
   • B. The cardiac cycle describes only blood movement through capillaries
   • C. Systemic circulation occurs only when the ventricles are relaxed
   • D. Pulmonary circulation begins when the left atrium contracts
   Show answer

   Answer: A, The cardiac cycle includes atrial and ventricular contraction and relaxation. See the explanation

9. Nursing Management and Ethics

   9. Which statement is an essential characteristic of a well-written learning objective?

   • A. It describes what the teacher will explain
   • B. It states observable learner behaviour
   • C. It lists all topics in the lesson
   • D. It identifies the textbook chapter used
   Show answer

   Answer: B, It states observable learner behaviour. See the explanation

10. Medical Surgical Nursing

    10. A patient with a suspected peritonsillar abscess has increasing difficulty opening the mouth and drooling. Which nursing action has priority?

    • A. Offer solid food to assess swallowing
    • B. Place the patient flat and encourage sleep
    • C. Assess the airway and notify the provider urgently
    • D. Ask the patient to gargle with concentrated antiseptic
    Show answer

    Answer: C, Assess the airway and notify the provider urgently. See the explanation

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