PN FUNDAMENTALS EXAMINATION SET 2025/2026
QUESTIONS WITH ANSWERS RATED A+
✔✔Which nursing action would avoid pressure on the popliteal nerve when applying the
safety strap across the client's legs on the operating table? - ✔✔Apply the safety strap 2
inches above the knees.
✔✔The nurse is caring for an elderly Hispanic client who is a migrant farm worker and
has been admitted for asthma. The nurse is unfamiliar with the cultural practices and
beliefs of the client's home land. Which questions are appropriate for the nurse to ask
when caring for this client? Select all that apply. - ✔✔What do you believe is causing
your illness?
Are there any remedies you have used in the past?
Who do you usually see for help when you are sick
✔✔The nurse is assigned to assist in caring for a client who has had an autograft
placed on the anterior lower extremity. Which activity should the nurse include in the
plan of care? - ✔✔Elevate and immobilize the surgical extremity.
✔✔The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at
0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag.
At noon the nurse should expect that the infusion line on the IV bag would be at which
point? Refer to figure. - ✔✔2
✔✔The nurse is reading a client's urinalysis report. The nurse interprets which item
found on the report to be considered abnormal? - ✔✔Positive protein
✔✔The nurse is assigned to care for a client on contact precautions. On review of the
client's record, the nurse notes that the client has a hospital-acquired infection caused
by methicillin-resistant Staphylococcus aureus (MRSA). The client has an abdominal
wound that requires irrigation and has a tracheostomy attached to a mechanical
ventilator and requires frequent suctioning. The nurse gathers supplies before entering
the client's room and obtains which necessary protective items? - ✔✔Gloves, mask,
gown, and goggles
✔✔The skin surrounding a postoperative client's abdominal wound is becoming irritated
in the area where the dressing tape is being reapplied with each dressing change.
Which is the appropriate nursing action? - ✔✔Apply Montgomery ties.
✔✔The nurse monitors the postoperative client frequently, knowing that accumulated
secretions can lead to which problem? - ✔✔Pneumonia
, ✔✔The medication prescribed is hydromorphone hydrochloride (Dilaudid), 3 mg
intramuscularly, every 4 hours as needed. The medication label reads hydromorphone
hydrochloride (Dilaudid), 4 mg/1 mL. The nurse should prepare to administer how many
mL to the client? Fill in the blank. - ✔✔0.75
✔✔The nurse is reinforcing instructions to a client regarding how to decrease the intake
of phosphorus in the diet. The nurse should tell the client that which food item contains
the least amount of phosphorus? - ✔✔Oranges
✔✔Fentanyl 75 mcg intravenous push (IVP) has been prescribed by the health care
provider. The medication ampule reads fentanyl 50 mcg/mL. The nurse should prepare
how many milliliters to administer the correct dose? Fill in the blank and record your
answer using one decimal place. - ✔✔1.5
✔✔A client with a seizure disorder is taking phenytoin (Dilantin). A sample for a serum
phenytoin level is drawn, and the nurse determines that the next dose of the medication
may be administered if which laboratory result is noted? - ✔✔17 mcg/mL
✔✔The nurse is reading the health care provider's (HCP's) progress notes in the client's
record and sees that the HCP has documented "insensible fluid loss of approximately
800 mL daily." Which client is at risk for this loss? - ✔✔Client with a fast respiratory rate
✔✔The nurse is assigned to care for a client who has just returned to the nursing unit
following a renal biopsy. The nurse plans to do which action to properly care for this
client for the remainder of the shift? - ✔✔Test the urine for occult blood.
✔✔The nurse is caring for a client who has a wound infection. Contact precautions are
being followed. Which are correct actions by the nurse when using personal protective
equipment (PPE)? Select all that apply. - ✔✔Perform hand hygiene after removal of
PPE.
Perform hand hygiene before donning any PPE.
When removing PPE, always remove gloves first
Protective eyewear and face shield are indicated if there is risk of splatter.
✔✔A client is receiving standard oral anticoagulant therapy with warfarin (Coumadin).
The result of a newly drawn international normalized ratio is 3.8 seconds. The nurse
anticipates carrying out a prescription to do which action? - ✔✔Hold the next dose of
warfarin.
✔✔A client's preoperative vital signs are temperature 98.6° F orally, apical pulse 80
beats per minute with a regular rhythm, respiration rate 22 breaths per minute, and
QUESTIONS WITH ANSWERS RATED A+
✔✔Which nursing action would avoid pressure on the popliteal nerve when applying the
safety strap across the client's legs on the operating table? - ✔✔Apply the safety strap 2
inches above the knees.
✔✔The nurse is caring for an elderly Hispanic client who is a migrant farm worker and
has been admitted for asthma. The nurse is unfamiliar with the cultural practices and
beliefs of the client's home land. Which questions are appropriate for the nurse to ask
when caring for this client? Select all that apply. - ✔✔What do you believe is causing
your illness?
Are there any remedies you have used in the past?
Who do you usually see for help when you are sick
✔✔The nurse is assigned to assist in caring for a client who has had an autograft
placed on the anterior lower extremity. Which activity should the nurse include in the
plan of care? - ✔✔Elevate and immobilize the surgical extremity.
✔✔The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at
0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag.
At noon the nurse should expect that the infusion line on the IV bag would be at which
point? Refer to figure. - ✔✔2
✔✔The nurse is reading a client's urinalysis report. The nurse interprets which item
found on the report to be considered abnormal? - ✔✔Positive protein
✔✔The nurse is assigned to care for a client on contact precautions. On review of the
client's record, the nurse notes that the client has a hospital-acquired infection caused
by methicillin-resistant Staphylococcus aureus (MRSA). The client has an abdominal
wound that requires irrigation and has a tracheostomy attached to a mechanical
ventilator and requires frequent suctioning. The nurse gathers supplies before entering
the client's room and obtains which necessary protective items? - ✔✔Gloves, mask,
gown, and goggles
✔✔The skin surrounding a postoperative client's abdominal wound is becoming irritated
in the area where the dressing tape is being reapplied with each dressing change.
Which is the appropriate nursing action? - ✔✔Apply Montgomery ties.
✔✔The nurse monitors the postoperative client frequently, knowing that accumulated
secretions can lead to which problem? - ✔✔Pneumonia
, ✔✔The medication prescribed is hydromorphone hydrochloride (Dilaudid), 3 mg
intramuscularly, every 4 hours as needed. The medication label reads hydromorphone
hydrochloride (Dilaudid), 4 mg/1 mL. The nurse should prepare to administer how many
mL to the client? Fill in the blank. - ✔✔0.75
✔✔The nurse is reinforcing instructions to a client regarding how to decrease the intake
of phosphorus in the diet. The nurse should tell the client that which food item contains
the least amount of phosphorus? - ✔✔Oranges
✔✔Fentanyl 75 mcg intravenous push (IVP) has been prescribed by the health care
provider. The medication ampule reads fentanyl 50 mcg/mL. The nurse should prepare
how many milliliters to administer the correct dose? Fill in the blank and record your
answer using one decimal place. - ✔✔1.5
✔✔A client with a seizure disorder is taking phenytoin (Dilantin). A sample for a serum
phenytoin level is drawn, and the nurse determines that the next dose of the medication
may be administered if which laboratory result is noted? - ✔✔17 mcg/mL
✔✔The nurse is reading the health care provider's (HCP's) progress notes in the client's
record and sees that the HCP has documented "insensible fluid loss of approximately
800 mL daily." Which client is at risk for this loss? - ✔✔Client with a fast respiratory rate
✔✔The nurse is assigned to care for a client who has just returned to the nursing unit
following a renal biopsy. The nurse plans to do which action to properly care for this
client for the remainder of the shift? - ✔✔Test the urine for occult blood.
✔✔The nurse is caring for a client who has a wound infection. Contact precautions are
being followed. Which are correct actions by the nurse when using personal protective
equipment (PPE)? Select all that apply. - ✔✔Perform hand hygiene after removal of
PPE.
Perform hand hygiene before donning any PPE.
When removing PPE, always remove gloves first
Protective eyewear and face shield are indicated if there is risk of splatter.
✔✔A client is receiving standard oral anticoagulant therapy with warfarin (Coumadin).
The result of a newly drawn international normalized ratio is 3.8 seconds. The nurse
anticipates carrying out a prescription to do which action? - ✔✔Hold the next dose of
warfarin.
✔✔A client's preoperative vital signs are temperature 98.6° F orally, apical pulse 80
beats per minute with a regular rhythm, respiration rate 22 breaths per minute, and
