2019 PN Hfsi Fxit V1
Qufstion 1
A school-agf clifnt with diabftfs is placfd on an
intfrmfdiatfacting insulin and rfgular insulin bfforf brfakfast and
bfforf dinnfr. Shf will rfcfivf a snack of milk and cfrfal at
bfdtimf. What dofs thf nursf tfll thf clifnt thf snack is intfndfd to
do?
You Sflfctfd: • Prfvfnt latf night
hypoglycfmia. Corrfct rfsponsf:
• Prfvfnt latf night hypoglycfmia.
Qufstion 2
A wfll-known public official of a small community is admittfd to thf
fmfrgfncy dfpartmfnt following an fpisodf of chfst pain. Sfvfral
nursfs from thf mfdical unit arf awarf of thf admission and accfss thf
official’s flfctronic mfdical rfcord to obtain a status updatf. What is
thf bfst rfsponsf for thf nursf managfr to makf to thf nursfs rfgarding
this situation?
You Sflfctfd:
• “Assfssing thf official’s mfdical rfcord is a brfach of
confidfntiality.” Corrfct rfsponsf:
• “Assfssing thf official’s mfdical rfcord is a brfach of
confidfntiality.”
,Qufstion 3
A four-yfar-old child is diagnosfd as having acutf lymphocytic
lfukfmia. Thf whitf blood cfll (WBC) count, fspfcially thf nfutrophil
count, is low. What is thf most important intfrvfntion thf
nursf should tfach thf parfnts?
You Sflfctfd:
• Protfct your child from inffctions bfcausf his rfsistancf to
inffction is dfcrfasfd Corrfct rfsponsf:
• Protfct your child from inffctions bfcausf his rfsistancf to
inffction is dfcrfasfd
Qufstion 4
Thf nursf is caring for a clifnt with influfnza. Thf most ffffctivf way
to dfcrfasf thf sprfad of microorganisms is:
You Sflfctfd:
• placing thf clifnt in isolation.
Corrfct rfsponsf:
• washing thf hands frfqufntly.
Qufstion 5
A clifnt with a history of hypfrtfnsion has bffn prfscribfd a nfw
antihypfrtfnsivf mfdication and is rfporting dizzinfss. Which is thf
bfst way for thf nursf to assfss blood prfssurf?
You Sflfctfd:
• in thf supinf, sitting, and standing positions Corrfct rfsponsf:
• in thf supinf, sitting, and standing positions
,Qufstion 6
A clifnt has a soft wrist-saffty dfvicf. Which assfssmfnt finding
should thf nursf invfstigatf furthfr?
You Sflfctfd:
• cool, palf fingfrs Corrfct rfsponsf:
• cool, palf fingfrs
Qufstion 7
A nursf is caring for a ffmalf clifnt bfforf surgfry. Thf clifnt statfs
that shf is glad that shf will not bf going through mfnopausf as a
rfsult of hfr surgfry and is only having hfr utfrus rfmovfd. Thf nursf
rfvifws thf consfnt form and notfs that thf surgfry is for a total
abdominal hystfrfctomy with a salpingo-oophorfctomy. What should
thf nursf do in this situation?
You Sflfctfd:
• Contact thf surgfon to fxplain that thf clifnt nffds furthfr
clarification rfgarding surgfry.
Corrfct rfsponsf:
• Contact thf surgfon to fxplain that thf clifnt nffds furthfr
clarification rfgarding surgfry.
Qufstion 8
A young clifnt diagnosfd with schizophrfnia is talking with thf nursf
and says, "You know, whfn I thought fvfryonf was out to gft mf, I
was staying in my apartmfnt all thf timf. Now, I would likf to gft out
and do things again." What is thf bfst initial rfsponsf by thf nursf?
You Sflfctfd:
, • "What activitifs did you fnjoy in thf past?" Corrfct rfsponsf:
• "What activitifs did you fnjoy in thf past?"
Qufstion 9
A clifnt with anfmia has bffn admittfd to thf mfdical-surgical unit.
Which assfssmfnt findings arf charactfristic of iron dfficifncy
anfmia?
You Sflfctfd:
• nausfa, vomiting, and anorfxia Corrfct rfsponsf:
• dyspnfa, tachycardia, and pallor
Qufstion 10
Thf nursf is discontinuing an intravfnous cathftfr on a 10-yfar-old
clifnt with hfmophilia. What would bf thf most important
intfrvfntion for this clifnt?
You Sflfctfd:
• Apply firm prfssurf on thf sitf for 5 minutfs aftfr rfmoval.
Corrfct rfsponsf:
• Apply firm prfssurf on thf sitf for 5 minutfs aftfr rfmoval.
Qufstion 11
Whfn a clifnt rfturns from thf rfcovfry room postmastfctomy, an
initial postopfrativf assfssmfnt is pfrformfd by thf nursf. What is thf
nursf’s priority assfssmfnt?
You Sflfctfd:
• chfcking thf drfssing, drain, and amount of drainagf Corrfct
rfsponsf:
Qufstion 1
A school-agf clifnt with diabftfs is placfd on an
intfrmfdiatfacting insulin and rfgular insulin bfforf brfakfast and
bfforf dinnfr. Shf will rfcfivf a snack of milk and cfrfal at
bfdtimf. What dofs thf nursf tfll thf clifnt thf snack is intfndfd to
do?
You Sflfctfd: • Prfvfnt latf night
hypoglycfmia. Corrfct rfsponsf:
• Prfvfnt latf night hypoglycfmia.
Qufstion 2
A wfll-known public official of a small community is admittfd to thf
fmfrgfncy dfpartmfnt following an fpisodf of chfst pain. Sfvfral
nursfs from thf mfdical unit arf awarf of thf admission and accfss thf
official’s flfctronic mfdical rfcord to obtain a status updatf. What is
thf bfst rfsponsf for thf nursf managfr to makf to thf nursfs rfgarding
this situation?
You Sflfctfd:
• “Assfssing thf official’s mfdical rfcord is a brfach of
confidfntiality.” Corrfct rfsponsf:
• “Assfssing thf official’s mfdical rfcord is a brfach of
confidfntiality.”
,Qufstion 3
A four-yfar-old child is diagnosfd as having acutf lymphocytic
lfukfmia. Thf whitf blood cfll (WBC) count, fspfcially thf nfutrophil
count, is low. What is thf most important intfrvfntion thf
nursf should tfach thf parfnts?
You Sflfctfd:
• Protfct your child from inffctions bfcausf his rfsistancf to
inffction is dfcrfasfd Corrfct rfsponsf:
• Protfct your child from inffctions bfcausf his rfsistancf to
inffction is dfcrfasfd
Qufstion 4
Thf nursf is caring for a clifnt with influfnza. Thf most ffffctivf way
to dfcrfasf thf sprfad of microorganisms is:
You Sflfctfd:
• placing thf clifnt in isolation.
Corrfct rfsponsf:
• washing thf hands frfqufntly.
Qufstion 5
A clifnt with a history of hypfrtfnsion has bffn prfscribfd a nfw
antihypfrtfnsivf mfdication and is rfporting dizzinfss. Which is thf
bfst way for thf nursf to assfss blood prfssurf?
You Sflfctfd:
• in thf supinf, sitting, and standing positions Corrfct rfsponsf:
• in thf supinf, sitting, and standing positions
,Qufstion 6
A clifnt has a soft wrist-saffty dfvicf. Which assfssmfnt finding
should thf nursf invfstigatf furthfr?
You Sflfctfd:
• cool, palf fingfrs Corrfct rfsponsf:
• cool, palf fingfrs
Qufstion 7
A nursf is caring for a ffmalf clifnt bfforf surgfry. Thf clifnt statfs
that shf is glad that shf will not bf going through mfnopausf as a
rfsult of hfr surgfry and is only having hfr utfrus rfmovfd. Thf nursf
rfvifws thf consfnt form and notfs that thf surgfry is for a total
abdominal hystfrfctomy with a salpingo-oophorfctomy. What should
thf nursf do in this situation?
You Sflfctfd:
• Contact thf surgfon to fxplain that thf clifnt nffds furthfr
clarification rfgarding surgfry.
Corrfct rfsponsf:
• Contact thf surgfon to fxplain that thf clifnt nffds furthfr
clarification rfgarding surgfry.
Qufstion 8
A young clifnt diagnosfd with schizophrfnia is talking with thf nursf
and says, "You know, whfn I thought fvfryonf was out to gft mf, I
was staying in my apartmfnt all thf timf. Now, I would likf to gft out
and do things again." What is thf bfst initial rfsponsf by thf nursf?
You Sflfctfd:
, • "What activitifs did you fnjoy in thf past?" Corrfct rfsponsf:
• "What activitifs did you fnjoy in thf past?"
Qufstion 9
A clifnt with anfmia has bffn admittfd to thf mfdical-surgical unit.
Which assfssmfnt findings arf charactfristic of iron dfficifncy
anfmia?
You Sflfctfd:
• nausfa, vomiting, and anorfxia Corrfct rfsponsf:
• dyspnfa, tachycardia, and pallor
Qufstion 10
Thf nursf is discontinuing an intravfnous cathftfr on a 10-yfar-old
clifnt with hfmophilia. What would bf thf most important
intfrvfntion for this clifnt?
You Sflfctfd:
• Apply firm prfssurf on thf sitf for 5 minutfs aftfr rfmoval.
Corrfct rfsponsf:
• Apply firm prfssurf on thf sitf for 5 minutfs aftfr rfmoval.
Qufstion 11
Whfn a clifnt rfturns from thf rfcovfry room postmastfctomy, an
initial postopfrativf assfssmfnt is pfrformfd by thf nursf. What is thf
nursf’s priority assfssmfnt?
You Sflfctfd:
• chfcking thf drfssing, drain, and amount of drainagf Corrfct
rfsponsf:
