PN FUNDAMENTALS COMPREHENSIVE EXAM 2025/2026
QUESTIONS WITH ANSWERS RATED A+
✔✔A nurse is caring for a client who has vancomycin-resistant enterococci (VRE) in a
wound. Which of the following actions should the nurse take to control the transmission
of this infection? - ✔✔Wear a gown when assisting the client with hygiene care
✔✔A nurse is contributing to the plan of care for a client who follows a kosher diet.
Which of the following dietary interventions should the nurse expect to include in the
plan? - ✔✔Withhold foods that contain both meat and dairy products.
Rationale: The nurse should identify that kosher dietary practices include restrictions
about food preparation, such as mixing milk and meat dishes
✔✔A nurse is caring for a client who states that he is concerned that his neighbor, who
works as an assistive personnel (AP) on another inpatient unit, will access his records
and share his information with others. Which of the following is an appropriate response
by the nurse? - ✔✔"only those who are involved with some aspect of your care may
access your health care information"
Rationale: The nurse should inform the client that HIPAA regulations require that only
members of the health care team who are involved with a client's care can access the
client's health care information. Health care institutions are responsible for taking
reasonable steps to limit the use or disclosure of protected health information.
✔✔A nurse is preparing to administer a medication intramuscularly to an adult client.
Which of the following is the preferred site for administering the medication to this
client? - ✔✔Ventrogluteal
✔✔A nurse is reinforcing discharge teaching about preventing thrombophlebitis with a
client who is postoperative. Which of the following statements by the client indicates an
understanding of the teaching? - ✔✔"I will do leg exercises every 1 to 2 hours while I
am awake"
Rationale: The client should perform range-of-motion exercises to promote venous
return and prevent the stasis of blood in the veins, which can cause thrombus formation
and subsequent thrombophlebitis.
✔✔A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning? - ✔✔Identify
areas of concern
✔✔A nurse is providing change-of-shift report for a client who had a stroke 48 hr ago.
Which of the following information should the nurse include in the report? - ✔✔The
client's Glasgow coma scale score
, ✔✔A nurse is caring for a client who has cancer and is asking about hospice care.
Which of the following responses should the nurse make? - ✔✔The hospice staff's
focus is to relieve your pain and distress
✔✔A nurse in a community center is reinforcing teaching about health risks with a group
of adolescent clients. Which of the following topics is the priority for this age group? -
✔✔Driving while intoxicated
Rationale: The greatest risk to this age group is injury from motor vehicle crashes due to
driving while intoxicated. Therefore, the priority topic to reinforce with adolescents is the
importance of abstaining from the use of alcohol or drugs while operating a motorized
vehicle. Motor vehicle crashes is a frequent cause of death in adolescents.
✔✔A nurse is caring for a client who is upset about receiving a terminal diagnosis. The
client states, "I want some time alone to pray," Which of the following is an appropriate
response by the nurse? - ✔✔How much time alone do you think you will need
Rationale: It is important for the nurse to respect and accommodate the client's choice
to pray. This statement by the nurse is open-ended and provides a lead for the client to
offer more information. It also helps the nurse to minimize interruptions for the client
during prayer.
✔✔A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise? - ✔✔Close the door to the client's room
✔✔A nurse is collecting date from an older adult client. Which of the following findings is
an indication of infection? - ✔✔Change in mental status
✔✔A nurse is reinforcing teaching about guided imagery with a client who has chronic
pain. Which of the following information should the nurse include? - ✔✔This method
uses the mind to create pictures to produce physical changes in the body
Rationale: MY ANSWER
Guided imagery uses the mind to create images to decrease anxiety, stress, and pain
✔✔A nurse is assisting with the admission of a client who has varicella. Which of the
following isolation precautions should the nurse implement? - ✔✔Place a surgical mask
on the client during transport.
✔✔A nurse is caring for a client who is 1 day postoperative following an abdominal
hysterectomy. The client states, "I am so sad that I can't have any more children."
QUESTIONS WITH ANSWERS RATED A+
✔✔A nurse is caring for a client who has vancomycin-resistant enterococci (VRE) in a
wound. Which of the following actions should the nurse take to control the transmission
of this infection? - ✔✔Wear a gown when assisting the client with hygiene care
✔✔A nurse is contributing to the plan of care for a client who follows a kosher diet.
Which of the following dietary interventions should the nurse expect to include in the
plan? - ✔✔Withhold foods that contain both meat and dairy products.
Rationale: The nurse should identify that kosher dietary practices include restrictions
about food preparation, such as mixing milk and meat dishes
✔✔A nurse is caring for a client who states that he is concerned that his neighbor, who
works as an assistive personnel (AP) on another inpatient unit, will access his records
and share his information with others. Which of the following is an appropriate response
by the nurse? - ✔✔"only those who are involved with some aspect of your care may
access your health care information"
Rationale: The nurse should inform the client that HIPAA regulations require that only
members of the health care team who are involved with a client's care can access the
client's health care information. Health care institutions are responsible for taking
reasonable steps to limit the use or disclosure of protected health information.
✔✔A nurse is preparing to administer a medication intramuscularly to an adult client.
Which of the following is the preferred site for administering the medication to this
client? - ✔✔Ventrogluteal
✔✔A nurse is reinforcing discharge teaching about preventing thrombophlebitis with a
client who is postoperative. Which of the following statements by the client indicates an
understanding of the teaching? - ✔✔"I will do leg exercises every 1 to 2 hours while I
am awake"
Rationale: The client should perform range-of-motion exercises to promote venous
return and prevent the stasis of blood in the veins, which can cause thrombus formation
and subsequent thrombophlebitis.
✔✔A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning? - ✔✔Identify
areas of concern
✔✔A nurse is providing change-of-shift report for a client who had a stroke 48 hr ago.
Which of the following information should the nurse include in the report? - ✔✔The
client's Glasgow coma scale score
, ✔✔A nurse is caring for a client who has cancer and is asking about hospice care.
Which of the following responses should the nurse make? - ✔✔The hospice staff's
focus is to relieve your pain and distress
✔✔A nurse in a community center is reinforcing teaching about health risks with a group
of adolescent clients. Which of the following topics is the priority for this age group? -
✔✔Driving while intoxicated
Rationale: The greatest risk to this age group is injury from motor vehicle crashes due to
driving while intoxicated. Therefore, the priority topic to reinforce with adolescents is the
importance of abstaining from the use of alcohol or drugs while operating a motorized
vehicle. Motor vehicle crashes is a frequent cause of death in adolescents.
✔✔A nurse is caring for a client who is upset about receiving a terminal diagnosis. The
client states, "I want some time alone to pray," Which of the following is an appropriate
response by the nurse? - ✔✔How much time alone do you think you will need
Rationale: It is important for the nurse to respect and accommodate the client's choice
to pray. This statement by the nurse is open-ended and provides a lead for the client to
offer more information. It also helps the nurse to minimize interruptions for the client
during prayer.
✔✔A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise? - ✔✔Close the door to the client's room
✔✔A nurse is collecting date from an older adult client. Which of the following findings is
an indication of infection? - ✔✔Change in mental status
✔✔A nurse is reinforcing teaching about guided imagery with a client who has chronic
pain. Which of the following information should the nurse include? - ✔✔This method
uses the mind to create pictures to produce physical changes in the body
Rationale: MY ANSWER
Guided imagery uses the mind to create images to decrease anxiety, stress, and pain
✔✔A nurse is assisting with the admission of a client who has varicella. Which of the
following isolation precautions should the nurse implement? - ✔✔Place a surgical mask
on the client during transport.
✔✔A nurse is caring for a client who is 1 day postoperative following an abdominal
hysterectomy. The client states, "I am so sad that I can't have any more children."
