Mastering the PN 2003 Midterm: Comprehensive
Study Guide
Ace Your PN 2003 Midterm Exam: Key Strategies and
Practice
UPDATED 2024
GRADED A+
When obtaining data from a client, the nurse ask, "who do you live with?" The client states, "I live with
my parents, brother, and grandparents" What documentation is appropriate to describe the family
structure?
A. Nuclear Dyad
B. Extended Family
C. Binuclear Family
D. Blended Family
Extended family
The nurse is discussing the family tasks that are critical for survival and continuity. Which task identified
by a family member would take priority?
A. Providing financial support for healthcare needs
B. Establishing emotional bonds
C. Developing recognition for achievements
D. Providing food, shelter, and clothing
Providing food, shelter, and clothing
When the client is in the establishment stage of life, what issues might the client discuss with the nurse?
A. Whether or not to enter into parent hood
B. Sleep patterns of their child
C. Concerns about living alone since the last child left the home.
D. Financial decisions regarding retirement
Whether or not enter into parenthood
The nurse caring for a client who states " I am having discomfort in my lower back from lying in bed "
What independent nursing action can the nurse provide?
,Independent think do by yourself no order
A. Administer 60mg Tylenol mg po.
B. Reposition the client in bed for comfort
C. Apply mparseedicated patch to lower back
D. Administer an opioid analgesic
Reposition the client in bed for comfort
A client states " I feel nauseous " after a surgical procedure. What is an appropriate dependent nurse
action to implement for this client ?
Dependent think need order (like your child depends on you so you will need an order to do it)
A. Place an emesis basin where the client can reach it.
B. Elevate the head of the bed to 45 degrees
C. Apply a cool, damp cloth to the forehead.
D. Administer an antimetic as ordered.
Administer an antiemetic as ordered
A client reports shortness of breath and wheezing and is given a nebulizer treatment with a
bronchodilator. What evaluation recorded by the nurse indicates a positive outcome of the treatment?
A. The client has decreased wheezing with no SOB
B. The client requires O at 4 L/m by nasal cannula
C. The client requires transport to a higher level of care unit.
D. The client states the need for another treatment
The client has decreased wheezing with no shortness of breath
The nurse is planning for discharge of a client with diabetes. When should the nurse begin the discharge
planning of this client?
A. When the client is admitted to to the healthcare facility
B. The day the client is to be discharged
C. The day before the client is to be discharged
D. Before the client is escorted out.
When the client is admitted to the healthcare system
The nurse is preparing to perform a dressing change for a client who has an open surgical wound of the
abdomen. What is the most appropriate action by the nurse when finding the seal on the sterile 4X4
dressing package is broken?
A. Discard the 4x4 closest to the broken seal and use the others.
B. Proceed with using the 4x4's
,C. Discard them and obtain a new package.
D. Use them for the outside of the dressing only.
Discard them an obtain a new package
A client has been prescribed an antibiotic for a bacterial infection. What information is important for the
nurse to tell the client ?
Be sure to complete the drug for the entire period prescribed even if the symptoms are better
A hospitalized client has been taking antibiotics for several days and develops Clostridium difficile.(C-
Diff)
What symptoms of this infection should the nurse provide care for?
A. Cough
B. Diarrhea
C. Vomiting
D. Vaginal Discharge
Diarrhea
A client is suspected of having a urinary tract infection. What specimen does the nurse obtain to
determine what bacteria is present as well as what antibiotic to use?
A. White blood cell count
B. Urinalysis
C. Urine for culture and sensitivity
D. Hemoglobin
Urine culture and sensitivity
The nurse is providing care for a client with presbycusis. What nursing action should the nurse perform
to accommodate the clients condition?
presbycusis- changes in hearing
A. Speak in a clear voice while facing the client
B. Provide educational brochures in large print
C. Speak very loudly so that the client can hear.
D. Have the walkways to the clients bed clear from obstruction
Speak in a clear voice while facing the client
A middle aged client is experiencing some age related skin changes. What is priority action by the nurse
related to these changes?
A. Tell the client to be checked every 3 months for skin changes
B. Inform the client that there are no problems related to the changes.
, C. Discuss with the client normal vs. abnormal changes.
D. Inform the client that the age spots on the hands can be cancerous.
Discuss with the client normal vs. abnormal changes
A middle age client informs the nurse of an increasing weight gain. What should the nurse prepare the
client for related to potential complications of the weight gain?
A. Glucose level to screen for diabetes
B. WBC count to screen for infection
C. Hemoglobin and hematocrit to screen for anemia
D. Urine specimen to screen for ketones.
Glucose level to screen for diabetes
A client asks the nurse why so many wrinkles have developed on the clients face. What is the best
response by the nurse?
A. "This is related to problems with your liver."
B. "The wrinkles are caused by stress."
C. "Wrinkles are the result of a loss of elasticity."
D. "The wrinkles are cause by an increase in pigmentation."
The wrinkles are a result of a loss of elasticity
A senior adult nurse wishes to mentor the younger new nurse and asks the supervisor for permission to
be a mentor. What developmental stage according to Erickson is the senior nurse experiencing?
A. Stagnation
B. Generativity
C. Integrity
D. Despair
Generativity ???
The nurse is talking with an eldest adult client and the client states. "I have done so many things in life
and was able to achieve my goals" What developmental stage has this client achieved?
A. Ego integrity
B. Despair
C. Stagnation
D. Generativity
Ego intergrity ???
The nurse overhears an elder adult client saying to another client , :I feel depressed because I have so
many regrets about my life" What activity can the nurse provide to help this client gain a positive
perspective?
Study Guide
Ace Your PN 2003 Midterm Exam: Key Strategies and
Practice
UPDATED 2024
GRADED A+
When obtaining data from a client, the nurse ask, "who do you live with?" The client states, "I live with
my parents, brother, and grandparents" What documentation is appropriate to describe the family
structure?
A. Nuclear Dyad
B. Extended Family
C. Binuclear Family
D. Blended Family
Extended family
The nurse is discussing the family tasks that are critical for survival and continuity. Which task identified
by a family member would take priority?
A. Providing financial support for healthcare needs
B. Establishing emotional bonds
C. Developing recognition for achievements
D. Providing food, shelter, and clothing
Providing food, shelter, and clothing
When the client is in the establishment stage of life, what issues might the client discuss with the nurse?
A. Whether or not to enter into parent hood
B. Sleep patterns of their child
C. Concerns about living alone since the last child left the home.
D. Financial decisions regarding retirement
Whether or not enter into parenthood
The nurse caring for a client who states " I am having discomfort in my lower back from lying in bed "
What independent nursing action can the nurse provide?
,Independent think do by yourself no order
A. Administer 60mg Tylenol mg po.
B. Reposition the client in bed for comfort
C. Apply mparseedicated patch to lower back
D. Administer an opioid analgesic
Reposition the client in bed for comfort
A client states " I feel nauseous " after a surgical procedure. What is an appropriate dependent nurse
action to implement for this client ?
Dependent think need order (like your child depends on you so you will need an order to do it)
A. Place an emesis basin where the client can reach it.
B. Elevate the head of the bed to 45 degrees
C. Apply a cool, damp cloth to the forehead.
D. Administer an antimetic as ordered.
Administer an antiemetic as ordered
A client reports shortness of breath and wheezing and is given a nebulizer treatment with a
bronchodilator. What evaluation recorded by the nurse indicates a positive outcome of the treatment?
A. The client has decreased wheezing with no SOB
B. The client requires O at 4 L/m by nasal cannula
C. The client requires transport to a higher level of care unit.
D. The client states the need for another treatment
The client has decreased wheezing with no shortness of breath
The nurse is planning for discharge of a client with diabetes. When should the nurse begin the discharge
planning of this client?
A. When the client is admitted to to the healthcare facility
B. The day the client is to be discharged
C. The day before the client is to be discharged
D. Before the client is escorted out.
When the client is admitted to the healthcare system
The nurse is preparing to perform a dressing change for a client who has an open surgical wound of the
abdomen. What is the most appropriate action by the nurse when finding the seal on the sterile 4X4
dressing package is broken?
A. Discard the 4x4 closest to the broken seal and use the others.
B. Proceed with using the 4x4's
,C. Discard them and obtain a new package.
D. Use them for the outside of the dressing only.
Discard them an obtain a new package
A client has been prescribed an antibiotic for a bacterial infection. What information is important for the
nurse to tell the client ?
Be sure to complete the drug for the entire period prescribed even if the symptoms are better
A hospitalized client has been taking antibiotics for several days and develops Clostridium difficile.(C-
Diff)
What symptoms of this infection should the nurse provide care for?
A. Cough
B. Diarrhea
C. Vomiting
D. Vaginal Discharge
Diarrhea
A client is suspected of having a urinary tract infection. What specimen does the nurse obtain to
determine what bacteria is present as well as what antibiotic to use?
A. White blood cell count
B. Urinalysis
C. Urine for culture and sensitivity
D. Hemoglobin
Urine culture and sensitivity
The nurse is providing care for a client with presbycusis. What nursing action should the nurse perform
to accommodate the clients condition?
presbycusis- changes in hearing
A. Speak in a clear voice while facing the client
B. Provide educational brochures in large print
C. Speak very loudly so that the client can hear.
D. Have the walkways to the clients bed clear from obstruction
Speak in a clear voice while facing the client
A middle aged client is experiencing some age related skin changes. What is priority action by the nurse
related to these changes?
A. Tell the client to be checked every 3 months for skin changes
B. Inform the client that there are no problems related to the changes.
, C. Discuss with the client normal vs. abnormal changes.
D. Inform the client that the age spots on the hands can be cancerous.
Discuss with the client normal vs. abnormal changes
A middle age client informs the nurse of an increasing weight gain. What should the nurse prepare the
client for related to potential complications of the weight gain?
A. Glucose level to screen for diabetes
B. WBC count to screen for infection
C. Hemoglobin and hematocrit to screen for anemia
D. Urine specimen to screen for ketones.
Glucose level to screen for diabetes
A client asks the nurse why so many wrinkles have developed on the clients face. What is the best
response by the nurse?
A. "This is related to problems with your liver."
B. "The wrinkles are caused by stress."
C. "Wrinkles are the result of a loss of elasticity."
D. "The wrinkles are cause by an increase in pigmentation."
The wrinkles are a result of a loss of elasticity
A senior adult nurse wishes to mentor the younger new nurse and asks the supervisor for permission to
be a mentor. What developmental stage according to Erickson is the senior nurse experiencing?
A. Stagnation
B. Generativity
C. Integrity
D. Despair
Generativity ???
The nurse is talking with an eldest adult client and the client states. "I have done so many things in life
and was able to achieve my goals" What developmental stage has this client achieved?
A. Ego integrity
B. Despair
C. Stagnation
D. Generativity
Ego intergrity ???
The nurse overhears an elder adult client saying to another client , :I feel depressed because I have so
many regrets about my life" What activity can the nurse provide to help this client gain a positive
perspective?
