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PN4004 Final Exam Actual Questions and Verified
Answers 2025/2026 with Complete Solutions
Grade A Study Guide
Question 1
A nurse is providing community education on injury prevention. The nurse
explains that installing smoke detectors and providing swimming lessons are
examples of which level of preventive care?
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Restorative care
CORRECT ANSWER: C
Primary prevention aims to prevent disease or injury before it ever occurs.
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Interventions like smoke detectors (to prevent fire injuries) and swimming
lessons (to prevent drowning) are classic examples of this level.
Question 2
A nurse is reviewing mortality data for a pediatric population. What does the
nurse identify as the leading cause of death among children?
A. Congenital disorders
B. Infectious diseases
C. Childhood cancers
D. Unintentional injuries (accidents)
CORRECT ANSWER: D
Unintentional injuries, such as those from motor vehicle accidents, drowning,
and poisoning, are the leading cause of mortality in children in most
developed countries, exceeding all other causes.
Question 3
A nurse is assessing a child with a history of exposure to environmental
contaminants, such as mold and air pollution. For which category of diseases
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should the nurse prioritize screening?
A. Gastrointestinal diseases
B. Neurological diseases
C. Respiratory diseases
D. Dermatological diseases
CORRECT ANSWER: C
Exposure to indoor and outdoor air pollutants and allergens is a major risk
factor for the development and exacerbation of respiratory diseases in
children, such as asthma, bronchitis, and reactive airway disease.
Question 4
A nurse is preparing a client for discharge. Which action by the nurse is most
critical to ensure patient safety and adherence after leaving the healthcare
facility?
A. Providing a written list of community resources.
B. Confirming the patient understands how to take their prescribed
medications.
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C. Scheduling the next follow-up appointment.
D. Reviewing the diagnosis in detail.
CORRECT ANSWER: B
A core nursing responsibility during discharge teaching is to evaluate the
patient's understanding of their medication regimen, including dose, route,
time, and purpose. This is fundamental to preventing errors and promoting
therapeutic outcomes.
Question 5
A male client expresses anxiety and reluctance about undergoing a scheduled
digital rectal exam for prostate screening. Which is the nurse's most
therapeutic initial response?
A. "You can refuse any procedure you don't want."
B. "Let me reschedule this for another time."
C. "I will ask the provider to explain the procedure again."
D. "It's normal to feel uneasy about this exam. I can explain the steps to you."
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PN4004 Final Exam Actual Questions and Verified
Answers 2025/2026 with Complete Solutions
Grade A Study Guide
Question 1
A nurse is providing community education on injury prevention. The nurse
explains that installing smoke detectors and providing swimming lessons are
examples of which level of preventive care?
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Restorative care
CORRECT ANSWER: C
Primary prevention aims to prevent disease or injury before it ever occurs.
1|Page
,2|Page
Interventions like smoke detectors (to prevent fire injuries) and swimming
lessons (to prevent drowning) are classic examples of this level.
Question 2
A nurse is reviewing mortality data for a pediatric population. What does the
nurse identify as the leading cause of death among children?
A. Congenital disorders
B. Infectious diseases
C. Childhood cancers
D. Unintentional injuries (accidents)
CORRECT ANSWER: D
Unintentional injuries, such as those from motor vehicle accidents, drowning,
and poisoning, are the leading cause of mortality in children in most
developed countries, exceeding all other causes.
Question 3
A nurse is assessing a child with a history of exposure to environmental
contaminants, such as mold and air pollution. For which category of diseases
2|Page
,3|Page
should the nurse prioritize screening?
A. Gastrointestinal diseases
B. Neurological diseases
C. Respiratory diseases
D. Dermatological diseases
CORRECT ANSWER: C
Exposure to indoor and outdoor air pollutants and allergens is a major risk
factor for the development and exacerbation of respiratory diseases in
children, such as asthma, bronchitis, and reactive airway disease.
Question 4
A nurse is preparing a client for discharge. Which action by the nurse is most
critical to ensure patient safety and adherence after leaving the healthcare
facility?
A. Providing a written list of community resources.
B. Confirming the patient understands how to take their prescribed
medications.
3|Page
, 4|Page
C. Scheduling the next follow-up appointment.
D. Reviewing the diagnosis in detail.
CORRECT ANSWER: B
A core nursing responsibility during discharge teaching is to evaluate the
patient's understanding of their medication regimen, including dose, route,
time, and purpose. This is fundamental to preventing errors and promoting
therapeutic outcomes.
Question 5
A male client expresses anxiety and reluctance about undergoing a scheduled
digital rectal exam for prostate screening. Which is the nurse's most
therapeutic initial response?
A. "You can refuse any procedure you don't want."
B. "Let me reschedule this for another time."
C. "I will ask the provider to explain the procedure again."
D. "It's normal to feel uneasy about this exam. I can explain the steps to you."
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