PN FUNDAMENTALS ONLINE PRACTICE
2025 B VN QUESTIONS WITH
RATIONALES FOR CORRECT ANSWER.
A nurse is planning to administer medication to a client who has a Clostridium
difficile infection. Which of the following actions should the nurse plan to take to
prevent the transmission of this infection to others?
A. Clean hands with an alcohol-based hand rub immediately after removing gloves.
B. Remove the cover gown in the client's room after providing care.
C. Place the client in a room with negative-pressure airflow
D. Wear a mask when administering oral medications to the client. - ANSWER B.
Remove the cover gown in the client's room after providing care. (The nurse should
initiate contact precautions for clients who have a C. difficile infection. Contact
precautions include the removal of the cover gown and other personal protective
equipment inside the client's room to prevent the spread of infection).
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan.
Which of the following instructions should the nurse include in the teaching?
A. "You will need to sign a consent form before we begin the procedure."
B. "I will place a gel pad directly above your pubic area before I place the probe."
,C. "You will need to hold your urine for 1 hour prior to the procedure."
D. "You will receive a contrast dye through an IV catheter prior to the scan." -
ANSWER B. "I will place a gel pad directly above your pubic area before I place the
probe." (The nurse should use a gel pad, which promotes ultrasound transmission
and accurate measurement. The correct placement of the ultrasound device is just
above the symphysis pubis.)
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate.
Which of the following actions should the nurse take?
A. Count the client's radial and apical pulses simultaneously with another nurse.
B. Calculate the client's pulse for 30 seconds and multiply by 2.
C. Assist the client to a side-lying position.
D. Auscultate the area of the client's chest over the Erb's point. - ANSWER A. Count
the client's radial and apical pulses simultaneously with another nurse. (The nurse
should have another nurse count the radial pulse as they count the apical pulse. A
pulse deficit occurs when there are differences between the radial and apical pulse
rates.)
A nurse is preparing to obtain a clients vital signs. Which of the following actions
should the nurse take when washing their hands?
,A. Rinse their forearms with running water before applying soap.
B. Hold their hands above elbow level while washing and rinsing.
C. Generate a lather by rubbing their hands together vigorously for 5 seconds.
D. Turn off the faucet with a clean paper towel after drying hands. - ANSWER D.
Turn off the faucet with a clean paper towel after drying hands. (If the nurse's hands
are wet or the paper towel is wet when they turn off the faucet, they increase the
risk of transferring micro-organisms from the faucet back to their hands.)
A nurse is preparing to perform a wound irrigation for a client who has a stage 3
pressure injury. Which of the following supplies should the nurse plan to use?
A. A piston syringe.
B. Barrier ointment.
C. Chilled irrigation solution.
D. Sterile cotton balls. - ANSWER A. A piston syringe (The nurse should use an
irrigation or piston syringe with an angiocatheter attached to irrigate wounds
because it provides a gentle flow of solution to flush exudate and debris from the
wound.
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The
nurse should assist the client into which of the following positions.
, A. Orthopneic.
B. Dorsal recumbent.
C. Sims'
D. Prone. - ANSWER A. Orthopneic. (The nurse should assist the client into the
orthopedic position by having the client sit upright either in bed or in a chair and lean
forward. This position allows maximal chest expansion and facilitates breathing).
A nurse in reinforcing teaching about carbohydrate counting with a client who has a
new diagnosis of diabetes mellitus. Which of the following actions should the nurse
take first?
A. Use pictures of different food groups to help the client plan a daily menu.
B. Ask the client what they already know about meal planning.
C. Give the client a brochure with sample menus for all meals.
D. Involve the family in the discussion of the client's meal plan. - ANSWER B. Ask
the client what they already know about meal planning. (The first action the nurse
should take using the nursing process is to collect data to determine the client's
current level of knowledge. Then, the nurse can plan education to meet the client's
needs).
2025 B VN QUESTIONS WITH
RATIONALES FOR CORRECT ANSWER.
A nurse is planning to administer medication to a client who has a Clostridium
difficile infection. Which of the following actions should the nurse plan to take to
prevent the transmission of this infection to others?
A. Clean hands with an alcohol-based hand rub immediately after removing gloves.
B. Remove the cover gown in the client's room after providing care.
C. Place the client in a room with negative-pressure airflow
D. Wear a mask when administering oral medications to the client. - ANSWER B.
Remove the cover gown in the client's room after providing care. (The nurse should
initiate contact precautions for clients who have a C. difficile infection. Contact
precautions include the removal of the cover gown and other personal protective
equipment inside the client's room to prevent the spread of infection).
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan.
Which of the following instructions should the nurse include in the teaching?
A. "You will need to sign a consent form before we begin the procedure."
B. "I will place a gel pad directly above your pubic area before I place the probe."
,C. "You will need to hold your urine for 1 hour prior to the procedure."
D. "You will receive a contrast dye through an IV catheter prior to the scan." -
ANSWER B. "I will place a gel pad directly above your pubic area before I place the
probe." (The nurse should use a gel pad, which promotes ultrasound transmission
and accurate measurement. The correct placement of the ultrasound device is just
above the symphysis pubis.)
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate.
Which of the following actions should the nurse take?
A. Count the client's radial and apical pulses simultaneously with another nurse.
B. Calculate the client's pulse for 30 seconds and multiply by 2.
C. Assist the client to a side-lying position.
D. Auscultate the area of the client's chest over the Erb's point. - ANSWER A. Count
the client's radial and apical pulses simultaneously with another nurse. (The nurse
should have another nurse count the radial pulse as they count the apical pulse. A
pulse deficit occurs when there are differences between the radial and apical pulse
rates.)
A nurse is preparing to obtain a clients vital signs. Which of the following actions
should the nurse take when washing their hands?
,A. Rinse their forearms with running water before applying soap.
B. Hold their hands above elbow level while washing and rinsing.
C. Generate a lather by rubbing their hands together vigorously for 5 seconds.
D. Turn off the faucet with a clean paper towel after drying hands. - ANSWER D.
Turn off the faucet with a clean paper towel after drying hands. (If the nurse's hands
are wet or the paper towel is wet when they turn off the faucet, they increase the
risk of transferring micro-organisms from the faucet back to their hands.)
A nurse is preparing to perform a wound irrigation for a client who has a stage 3
pressure injury. Which of the following supplies should the nurse plan to use?
A. A piston syringe.
B. Barrier ointment.
C. Chilled irrigation solution.
D. Sterile cotton balls. - ANSWER A. A piston syringe (The nurse should use an
irrigation or piston syringe with an angiocatheter attached to irrigate wounds
because it provides a gentle flow of solution to flush exudate and debris from the
wound.
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The
nurse should assist the client into which of the following positions.
, A. Orthopneic.
B. Dorsal recumbent.
C. Sims'
D. Prone. - ANSWER A. Orthopneic. (The nurse should assist the client into the
orthopedic position by having the client sit upright either in bed or in a chair and lean
forward. This position allows maximal chest expansion and facilitates breathing).
A nurse in reinforcing teaching about carbohydrate counting with a client who has a
new diagnosis of diabetes mellitus. Which of the following actions should the nurse
take first?
A. Use pictures of different food groups to help the client plan a daily menu.
B. Ask the client what they already know about meal planning.
C. Give the client a brochure with sample menus for all meals.
D. Involve the family in the discussion of the client's meal plan. - ANSWER B. Ask
the client what they already know about meal planning. (The first action the nurse
should take using the nursing process is to collect data to determine the client's
current level of knowledge. Then, the nurse can plan education to meet the client's
needs).
