PN Fundamentals Predictor 2025
A nurse is assisting in the care of a client who has a urinary tract infection. The
nurse is reviewing the client's medical record. Which of the following actions
should the nurse take? Select all that apply. - ANSWER-Clarify the prescription
for amoxicillin with the provider. Place the client on contact precautions.
A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of
the following actions should the nurse take? - ANSWER-Reposition the client once
every 4 hr.
A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is
refusing blood products. Which of the following responses should the nurse make? -
ANSWER-"I understand that you decided not to receive blood products."
A nurse is collecting data from an older adult client who lives alone. Which of the
following findings should the nurse identify as the priority? - ANSWER-The client is
sedentary throughout most of the day.
A nurse is planning to obtain a client's oxygen saturation. Which of the following might
influence the result of this test? - ANSWER-The client is wearing nail polish.
A nurse is caring for an adult client who has a developmental disability. The client
requires an emergency appendectomy, and the staff cannot reach the appointed
guardian. Which of the following is an appropriate action for the nurse to take? -
ANSWER-Prepare the client for surgery with implied consent
A nurse is collecting data from a client who is 2 days postoperative following the
placement of a colostomy. Which of the following findings should the nurse report to the
provider? - ANSWER-The stoma appears dark in color.
A nurse is preparing to obtain a capillary blood specimen from a client. Which of the
following actions should the nurse take? (Select all that apply) - ANSWER-Prick the side
of the client's finger.
Using clean gloves
A nurse is collecting data from a client who is immobile and has a potential deep-vein
thrombosis. Which of the following findings should the nurse report to the provider? -
ANSWER-calf swelling
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the
following actions should the nurse take? - ANSWER-Apply the belt restraint over the
client's gown.
, A nurse is caring for a client who is postpartum. Which of the following documentations
should the nurse include in the client's health record? - ANSWER-Episiotomy
approximated, 3 cm (1.18 in) in length.
A nurse is contributing to a community center's in-service program about early detection
of breast cancer. Which of the following recommendations should the nurse make for
female clients who do not have a family history of breast cancer? - ANSWER-"You
should receive a breast examination from your provider each year after age 30.
A nurse is preparing to perform a fecal occult blood test of stool specimens for a client.
Which of the following actions should the nurse plan to take? - ANSWER-Ensure that
the stool specimen does not contain urine.
A nurse is assisting in the care of a client who is receiving newly prescribed IV
antibiotics. Which of the following findings should the nurse report immediately? -
ANSWER-Severe wheezing
A nurse is reinforcing teaching with a group of newly licensed nurses regarding client
confidentiality. In which of the following situations can the nurse disclose health
information without the client's written consent? - ANSWER-To a medical interpreter
service on behalf of a client
A nurse is assisting with the care of a client who has cancer that has metastasized. The
client has decided to discontinue chemotherapy treatment. Which of the following
responses should the nurse make? - ANSWER-How will you discuss this decision with
your loved ones?
A nurse is reinforcing teaching with a client who has an ostomy. Which of the following
statements by the client indicates an understanding of the teaching? - ANSWER-"I will
press on the skin barrier for 30 seconds to ensure that it adheres."
A nurse is preparing to instill an otic medication for an adult client. Which of the
following actions should the nurse take? - ANSWER-Hold the ear dropper 1 cm (0.5 in)
from the client's ear.
A nurse is preparing to irrigate a client's wound. Which of the following actions should
the nurse plan to take? - ANSWER-Hold the syringe tip 2.5 cm (1 in) above the upper
end of the wound.
A nurse is caring for a client and observes a nurse from another unit reviewing the
client's medical record. Which of the following actions should the nurse take? -
ANSWER-Remind the nurse that only staff caring for the client may access the client's
record.
A nurse is assisting in the care of a client who has a urinary tract infection. The
nurse is reviewing the client's medical record. Which of the following actions
should the nurse take? Select all that apply. - ANSWER-Clarify the prescription
for amoxicillin with the provider. Place the client on contact precautions.
A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of
the following actions should the nurse take? - ANSWER-Reposition the client once
every 4 hr.
A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is
refusing blood products. Which of the following responses should the nurse make? -
ANSWER-"I understand that you decided not to receive blood products."
A nurse is collecting data from an older adult client who lives alone. Which of the
following findings should the nurse identify as the priority? - ANSWER-The client is
sedentary throughout most of the day.
A nurse is planning to obtain a client's oxygen saturation. Which of the following might
influence the result of this test? - ANSWER-The client is wearing nail polish.
A nurse is caring for an adult client who has a developmental disability. The client
requires an emergency appendectomy, and the staff cannot reach the appointed
guardian. Which of the following is an appropriate action for the nurse to take? -
ANSWER-Prepare the client for surgery with implied consent
A nurse is collecting data from a client who is 2 days postoperative following the
placement of a colostomy. Which of the following findings should the nurse report to the
provider? - ANSWER-The stoma appears dark in color.
A nurse is preparing to obtain a capillary blood specimen from a client. Which of the
following actions should the nurse take? (Select all that apply) - ANSWER-Prick the side
of the client's finger.
Using clean gloves
A nurse is collecting data from a client who is immobile and has a potential deep-vein
thrombosis. Which of the following findings should the nurse report to the provider? -
ANSWER-calf swelling
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the
following actions should the nurse take? - ANSWER-Apply the belt restraint over the
client's gown.
, A nurse is caring for a client who is postpartum. Which of the following documentations
should the nurse include in the client's health record? - ANSWER-Episiotomy
approximated, 3 cm (1.18 in) in length.
A nurse is contributing to a community center's in-service program about early detection
of breast cancer. Which of the following recommendations should the nurse make for
female clients who do not have a family history of breast cancer? - ANSWER-"You
should receive a breast examination from your provider each year after age 30.
A nurse is preparing to perform a fecal occult blood test of stool specimens for a client.
Which of the following actions should the nurse plan to take? - ANSWER-Ensure that
the stool specimen does not contain urine.
A nurse is assisting in the care of a client who is receiving newly prescribed IV
antibiotics. Which of the following findings should the nurse report immediately? -
ANSWER-Severe wheezing
A nurse is reinforcing teaching with a group of newly licensed nurses regarding client
confidentiality. In which of the following situations can the nurse disclose health
information without the client's written consent? - ANSWER-To a medical interpreter
service on behalf of a client
A nurse is assisting with the care of a client who has cancer that has metastasized. The
client has decided to discontinue chemotherapy treatment. Which of the following
responses should the nurse make? - ANSWER-How will you discuss this decision with
your loved ones?
A nurse is reinforcing teaching with a client who has an ostomy. Which of the following
statements by the client indicates an understanding of the teaching? - ANSWER-"I will
press on the skin barrier for 30 seconds to ensure that it adheres."
A nurse is preparing to instill an otic medication for an adult client. Which of the
following actions should the nurse take? - ANSWER-Hold the ear dropper 1 cm (0.5 in)
from the client's ear.
A nurse is preparing to irrigate a client's wound. Which of the following actions should
the nurse plan to take? - ANSWER-Hold the syringe tip 2.5 cm (1 in) above the upper
end of the wound.
A nurse is caring for a client and observes a nurse from another unit reviewing the
client's medical record. Which of the following actions should the nurse take? -
ANSWER-Remind the nurse that only staff caring for the client may access the client's
record.
