PN FUNDAMENTALS ONLINE PRACTICE STUDY
GUIDE WITH FULL SOLUTIONS 2026
◉ A nurse is providing wound care for a group of clients. Which of
the following wounds should the nurse identify as healing by
secondary intention? Answer: A stage 3 pressure injury on the
coccyx
Rationality: The nurse should identify a pressure injury and other
wounds with edges that are not approximated as healing by
secondary intention.
The nurse should identify a wound that is sutured as healing by
primary intention.
The nurse should identify a surgical wound that has intact staples as
healing by primary intention.
The nurse should identify a contaminated wound that is left open for
monitoring and then closed after several days as healing by tertiary
intention.
◉ A nurse is caring for a client who has an indwelling urinary
catheter. Which of the following actions should the nurse take to
prevent urinary tract infections? Answer: Drain urine from the
tubing before ambulation
,Rationality:
Draining urine from the tubing before ambulation will prevent
backflow of urine into the bladder.
The nurse should hang the drainage bag below the level of the
client's bladder to prevent backflow of urine into the bladder.
◉ A nurse is using Maslow's hierarchy of needs in assisting with
discharge planning for a client. Which of the following activities
should the nurse recommend as the priority for this client? Answer:
Attend an exercise program
Rationality: When using Maslow's hierarchy of needs, the nurse
should determine that the priority activity is to fulfill the client's
physiological needs for activity. Therefore, the nurse should
recommend exercise and help the client select a suitable exercise
program.
◉ A nurse is caring for four clients who are required to provide
informed consent for treatment. The nurse should identify that
which of the following clients is able to provide informed consent?
Answer: An 18-year-old client who has acute appendicitis
Raionality: A competent 18-year-old client who has acute
appendicitis is able to provide informed consent for treatment.
,16 years old - This client is considered a minor and is not old enough
to provide informed consent. Therefore, this client is not able to
provide informed consent. A parent or legal guardian should provide
informed consent for this client.
◉ A nurse is assisting with the plan of care for a client who has a
bacterial infection and a persistent oral temperature of 38.9° C (102°
F). Which of the following interventions should the nurse include in
the plan of care to treat the fever? Answer: Administer
acetaminophen
Rationality: The nurse should administer acetaminophen or an
NSAID such as ibuprofen to the client to reduce the body's
temperature. Acetaminophen inhibits the synthesis of
prostaglandins, resulting in a reduced fever.
The nurse should maintain the room temperature between 21.1° to
26.7° C (70° to 80° F). A room temperature that is too low can lead to
shivering, which increases the client's body temperature.
The nurse should not apply ice packs to the client's axillae or groin
because this measure can lead to shivering, which increases the
client's body temperature.
The nurse should limit the client's physical activity to decrease body
heat production.
, ◉ A nurse is caring for a client who is postoperative and is
experiencing nausea and vomiting. The nurse should identify which
of the following findings as indications that the client has fluid
volume deficit? (Select all that apply.) Answer: Cool extremities
Orthostatic hypotension
Flat neck veins
rationality: Full bounding pulse is incorrect. A full bounding pulse
indicates fluid volume excess. The nurse should expect a weak
peripheral pulse in a client who has fluid volume deficit.
Cool extremities is correct. Cool extremities can indicate fluid
volume deficit.
Moist crackles in the lungs is incorrect. Moist crackles in the lungs
indicate fluid volume excess. The nurse should expect clear lungs in
a client who has fluid volume deficit.
Orthostatic hypotension is correct. Orthostatic hypotension
indicates fluid volume deficit.
Flat neck veins is correct. Flat neck veins indicate fluid volume
deficit.
◉ A nurse at a long-term care facility is caring for a client who is
alert. Which of the following actions should the nurse take to protect
GUIDE WITH FULL SOLUTIONS 2026
◉ A nurse is providing wound care for a group of clients. Which of
the following wounds should the nurse identify as healing by
secondary intention? Answer: A stage 3 pressure injury on the
coccyx
Rationality: The nurse should identify a pressure injury and other
wounds with edges that are not approximated as healing by
secondary intention.
The nurse should identify a wound that is sutured as healing by
primary intention.
The nurse should identify a surgical wound that has intact staples as
healing by primary intention.
The nurse should identify a contaminated wound that is left open for
monitoring and then closed after several days as healing by tertiary
intention.
◉ A nurse is caring for a client who has an indwelling urinary
catheter. Which of the following actions should the nurse take to
prevent urinary tract infections? Answer: Drain urine from the
tubing before ambulation
,Rationality:
Draining urine from the tubing before ambulation will prevent
backflow of urine into the bladder.
The nurse should hang the drainage bag below the level of the
client's bladder to prevent backflow of urine into the bladder.
◉ A nurse is using Maslow's hierarchy of needs in assisting with
discharge planning for a client. Which of the following activities
should the nurse recommend as the priority for this client? Answer:
Attend an exercise program
Rationality: When using Maslow's hierarchy of needs, the nurse
should determine that the priority activity is to fulfill the client's
physiological needs for activity. Therefore, the nurse should
recommend exercise and help the client select a suitable exercise
program.
◉ A nurse is caring for four clients who are required to provide
informed consent for treatment. The nurse should identify that
which of the following clients is able to provide informed consent?
Answer: An 18-year-old client who has acute appendicitis
Raionality: A competent 18-year-old client who has acute
appendicitis is able to provide informed consent for treatment.
,16 years old - This client is considered a minor and is not old enough
to provide informed consent. Therefore, this client is not able to
provide informed consent. A parent or legal guardian should provide
informed consent for this client.
◉ A nurse is assisting with the plan of care for a client who has a
bacterial infection and a persistent oral temperature of 38.9° C (102°
F). Which of the following interventions should the nurse include in
the plan of care to treat the fever? Answer: Administer
acetaminophen
Rationality: The nurse should administer acetaminophen or an
NSAID such as ibuprofen to the client to reduce the body's
temperature. Acetaminophen inhibits the synthesis of
prostaglandins, resulting in a reduced fever.
The nurse should maintain the room temperature between 21.1° to
26.7° C (70° to 80° F). A room temperature that is too low can lead to
shivering, which increases the client's body temperature.
The nurse should not apply ice packs to the client's axillae or groin
because this measure can lead to shivering, which increases the
client's body temperature.
The nurse should limit the client's physical activity to decrease body
heat production.
, ◉ A nurse is caring for a client who is postoperative and is
experiencing nausea and vomiting. The nurse should identify which
of the following findings as indications that the client has fluid
volume deficit? (Select all that apply.) Answer: Cool extremities
Orthostatic hypotension
Flat neck veins
rationality: Full bounding pulse is incorrect. A full bounding pulse
indicates fluid volume excess. The nurse should expect a weak
peripheral pulse in a client who has fluid volume deficit.
Cool extremities is correct. Cool extremities can indicate fluid
volume deficit.
Moist crackles in the lungs is incorrect. Moist crackles in the lungs
indicate fluid volume excess. The nurse should expect clear lungs in
a client who has fluid volume deficit.
Orthostatic hypotension is correct. Orthostatic hypotension
indicates fluid volume deficit.
Flat neck veins is correct. Flat neck veins indicate fluid volume
deficit.
◉ A nurse at a long-term care facility is caring for a client who is
alert. Which of the following actions should the nurse take to protect
