PN Fundamentals Online Practice B Exam Questions With Complete Solutions
A nurse is assisting with the care of a patient who is receiving a unit of packed RBCs The patient has manifestations of ____ as evidenced by the patient's _____- - ANSWER-allergic reaction, itching
A nurse in an emergency department (ED) is assisting with the care of a patient. What findings indicate the patient might be malnourished? - ANSWER-- patient is cachectic with flaccid muscle tone - skin is dry and scaly with bruises on extremities -pulse rate 118/min - abdomen is distended - BMI 17
A nurse is assisting in the care of a patient who has pancreatitis. Select 3 tasks the nurse should delegate to an assistive personnel (AP) - ANSWER-1. measure the patient's intake and output 2. Document the patient's vital signs 3. Transfer the patient from a wheelchair to the bed A nurse is caring for a patient who has chronic kidney disease. The nurse should identify that which of the following findings is the priority to report to the provider? - ANSWER-The patient's output was 60 mL for the past 3 hours *this represents oliguria and can indicate a decrease in kidney perfusion or function
A nurse is preparing to administer an enteral feeding to a patient who has an NG tube in
place. Which of the following methods should the nurse use to verify correct placement of the NG tube? - ANSWER-check the gastric pH of the gastric aspirate
A nurse is repositioning a patient who has quadriplegia and is in the supine position. Which of the following actions should the nurse take to prevent patient musculoskeletal injury? - ANSWER-internally rotate the patient's hips by using a trochanter roll
A nurse is preparing to palpate a patient's pulse. The nurse should recognize that which
of the following pulses is located on the top of the patient's foot? - ANSWER-dorsalis pedis
A patient who is scheduled to undergo surgery tells the nurse that they do not understand the procedure and are reconsidering their decision to have it. Which of the following actions should the nurse take? - ANSWER-notify the charge nurse of the patient's concerns
A nurse is reinforcing preoperative teaching with a patient about how to turn, cough, and
deep breathe. Which of the following statements by the patient indicates an understanding of the teaching? - ANSWER-"this can help prevent pneumonia"
A nurse is preparing to document information about a patient's lower legs, which are swollen with 6 mm edema. Which of the following information should the nurse document? - ANSWER-3+ pitting edema
A nurse is checking for a patient's pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take? - ANSWER-count the patient's radial and apical pulses simultaneously with another nurse
A nurse is assisting with the care of a patient who is receiving a unit of packed RBCs The patient has manifestations of ____ as evidenced by the patient's _____- - ANSWER-allergic reaction, itching
A nurse in an emergency department (ED) is assisting with the care of a patient. What findings indicate the patient might be malnourished? - ANSWER-- patient is cachectic with flaccid muscle tone - skin is dry and scaly with bruises on extremities -pulse rate 118/min - abdomen is distended - BMI 17
A nurse is assisting in the care of a patient who has pancreatitis. Select 3 tasks the nurse should delegate to an assistive personnel (AP) - ANSWER-1. measure the patient's intake and output 2. Document the patient's vital signs 3. Transfer the patient from a wheelchair to the bed A nurse is caring for a patient who has chronic kidney disease. The nurse should identify that which of the following findings is the priority to report to the provider? - ANSWER-The patient's output was 60 mL for the past 3 hours *this represents oliguria and can indicate a decrease in kidney perfusion or function
A nurse is preparing to administer an enteral feeding to a patient who has an NG tube in
place. Which of the following methods should the nurse use to verify correct placement of the NG tube? - ANSWER-check the gastric pH of the gastric aspirate
A nurse is repositioning a patient who has quadriplegia and is in the supine position. Which of the following actions should the nurse take to prevent patient musculoskeletal injury? - ANSWER-internally rotate the patient's hips by using a trochanter roll
A nurse is preparing to palpate a patient's pulse. The nurse should recognize that which
of the following pulses is located on the top of the patient's foot? - ANSWER-dorsalis pedis
A patient who is scheduled to undergo surgery tells the nurse that they do not understand the procedure and are reconsidering their decision to have it. Which of the following actions should the nurse take? - ANSWER-notify the charge nurse of the patient's concerns
A nurse is reinforcing preoperative teaching with a patient about how to turn, cough, and
deep breathe. Which of the following statements by the patient indicates an understanding of the teaching? - ANSWER-"this can help prevent pneumonia"
A nurse is preparing to document information about a patient's lower legs, which are swollen with 6 mm edema. Which of the following information should the nurse document? - ANSWER-3+ pitting edema
A nurse is checking for a patient's pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take? - ANSWER-count the patient's radial and apical pulses simultaneously with another nurse
