PN FUNDAMENTALS ONLINE PRACTICE
QUESTIONS WITH DETAILED SOLUTIONS 2026
◉ A nurse is preparing to administer oxygen to a client who has
heart failure and is having severe difficulty breathing. Which of the
following oxygen delivery equipment should the nurse select to
provide the highest concentration of oxygen to the client? Answer:
Nonrebreather mask
Rationality:
A nonrebreather mask provides the highest percentage of oxygen
concentration without intubation and mechanical ventilation.
A Venturi mask can be adjusted to provide a consistent lower oxygen
concentration.
A simple face mask can be adjusted for short-term delivery of low to
medium oxygen concentration.
A nasal cannula provides a low oxygen concentration.
◉ A charge nurse smells smoke, enters the visitor restroom, and
sees flames in the trash can. What is the sequence of actions that the
nurse should take? (Move the steps into the box on the right, placing
,them in the selected order of performance. Use all the steps.)
Answer: Evacuate clients from the area is the first step.
Rationality: The first action the nurse should take when using the
RACE protocol is to "rescue" or evacuate the clients from the area to
prevent harm.
Pull the lever on the fire alarm box is the second step.
Rationality: For the next step, "alarm," the nurse should activate the
facility fire alarm and call to report the fire to the facility emergency
extension.
Close the fire doors on the unit is the third step.
Rationality: Close the fire doors on the unit is the third step. For the
third step, "confine," the nurse should close the unit fire doors to
prevent the fire from spreading.
Use a fire extinguisher to put out the fire is the fourth step.
Rationality: For the final step, "extinguish," the nurse should use a
fire extinguisher to put out the fire by aiming the nozzle at the base
of the fire and using a sweeping motion.
,◉ A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
afterlife with them. Which of the following statements by the nurse
assists in meeting the client's spiritual needs? Answer: "Tell me what
the afterlife means to you."
Rationale: This statement respects the client's spiritual needs by
using open-ended therapeutic communication to assist the client to
talk about their concerns.
◉ A nurse is reinforcing teaching with a client about the prevention
of stress injuries. Which of the following instructions should the
nurse include? Answer: "When lifting a heavy object, keep it close to
your body."
Rationality: The nurse should instruct the client to keep the object as
close to their body as possible to increase stability and decrease
back strain when lifting a heavy object.
◉ A nurse is reinforcing teaching with a client about the use of
crutches. Which of the following actions by the client indicates an
understanding of the teaching? Answer: The client advances the
unaffected leg first while climbing stairs.
, Rationality: When ascending stairs, the client should first advance
the unaffected leg.
The nurse should reinforce with the client that their axilla should
not bear any weight while in the tripod position because this can
cause pressure injury formation. The client should bear their weight
with their arms and hands.
◉ A client who has advanced cancer tells the nurse that they have a
difficult time talking to anyone about the illness. Which of the
following actions should the nurse take to encourage therapeutic
communication? Answer: Let the client know that, as their nurse,
they are available and willing to listen.
- Rationality: Active listening conveys the nurse's respect and
acceptance for the client's feelings and gives the client an
opportunity to express their thoughts and needs.
◉ A nurse is preparing to remove a client's peripheral IV catheter.
After performing hand hygiene and applying clean gloves, which of
the following actions should the nurse take first? Answer: Clamp the
infusion tubing.
Rationality: Evidence-based practice indicates that the nurse should
first clamp the infusion tubing after applying clean gloves. This
QUESTIONS WITH DETAILED SOLUTIONS 2026
◉ A nurse is preparing to administer oxygen to a client who has
heart failure and is having severe difficulty breathing. Which of the
following oxygen delivery equipment should the nurse select to
provide the highest concentration of oxygen to the client? Answer:
Nonrebreather mask
Rationality:
A nonrebreather mask provides the highest percentage of oxygen
concentration without intubation and mechanical ventilation.
A Venturi mask can be adjusted to provide a consistent lower oxygen
concentration.
A simple face mask can be adjusted for short-term delivery of low to
medium oxygen concentration.
A nasal cannula provides a low oxygen concentration.
◉ A charge nurse smells smoke, enters the visitor restroom, and
sees flames in the trash can. What is the sequence of actions that the
nurse should take? (Move the steps into the box on the right, placing
,them in the selected order of performance. Use all the steps.)
Answer: Evacuate clients from the area is the first step.
Rationality: The first action the nurse should take when using the
RACE protocol is to "rescue" or evacuate the clients from the area to
prevent harm.
Pull the lever on the fire alarm box is the second step.
Rationality: For the next step, "alarm," the nurse should activate the
facility fire alarm and call to report the fire to the facility emergency
extension.
Close the fire doors on the unit is the third step.
Rationality: Close the fire doors on the unit is the third step. For the
third step, "confine," the nurse should close the unit fire doors to
prevent the fire from spreading.
Use a fire extinguisher to put out the fire is the fourth step.
Rationality: For the final step, "extinguish," the nurse should use a
fire extinguisher to put out the fire by aiming the nozzle at the base
of the fire and using a sweeping motion.
,◉ A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
afterlife with them. Which of the following statements by the nurse
assists in meeting the client's spiritual needs? Answer: "Tell me what
the afterlife means to you."
Rationale: This statement respects the client's spiritual needs by
using open-ended therapeutic communication to assist the client to
talk about their concerns.
◉ A nurse is reinforcing teaching with a client about the prevention
of stress injuries. Which of the following instructions should the
nurse include? Answer: "When lifting a heavy object, keep it close to
your body."
Rationality: The nurse should instruct the client to keep the object as
close to their body as possible to increase stability and decrease
back strain when lifting a heavy object.
◉ A nurse is reinforcing teaching with a client about the use of
crutches. Which of the following actions by the client indicates an
understanding of the teaching? Answer: The client advances the
unaffected leg first while climbing stairs.
, Rationality: When ascending stairs, the client should first advance
the unaffected leg.
The nurse should reinforce with the client that their axilla should
not bear any weight while in the tripod position because this can
cause pressure injury formation. The client should bear their weight
with their arms and hands.
◉ A client who has advanced cancer tells the nurse that they have a
difficult time talking to anyone about the illness. Which of the
following actions should the nurse take to encourage therapeutic
communication? Answer: Let the client know that, as their nurse,
they are available and willing to listen.
- Rationality: Active listening conveys the nurse's respect and
acceptance for the client's feelings and gives the client an
opportunity to express their thoughts and needs.
◉ A nurse is preparing to remove a client's peripheral IV catheter.
After performing hand hygiene and applying clean gloves, which of
the following actions should the nurse take first? Answer: Clamp the
infusion tubing.
Rationality: Evidence-based practice indicates that the nurse should
first clamp the infusion tubing after applying clean gloves. This
