PN Fundamentals Online Practice Test A
2025-2026 (Latest Edition).
A |nurse |is |caring |for |a |client |who |is |receiving |continuous |NG |tube |feedings. |The |nurse |listens |
to |the |client's |bowel |sounds. |Which |of |the |following |actions |should |the |nurse |take? |(Click |on |
the |audio |button |to |listen |to |the |clip.) |- |ANS |-Decrease |the |rate |of |the |feeding
- |Rationality: |The |nurse |should |expect |to |hear |bowel |sounds |every |5 |to |35 |seconds. |This |audio
|clip |indicates |hypermotility |because |there |are |greater |than |40 |bowel |sounds/min. |
Hypermotility |leads |to |diarrhea |and |is |an |indication |of |intolerance |to |the |enteral |feeding. |
Therefore, |the |nurse |should |slow |the |rate |of |the |feeding |to |promote |the |client's |tolerance |of |
the |feeding.
The |nurse |should |maintain |a |client |who |is |receiving |continuous |NG |tube |feedings |in |a |position
|with |the |head |of |the |bed |elevated |30° |to |45° |to |prevent |aspiration |of |the |formula.
A |nurse |is |preparing |to |administer |oxygen |to |a |client |who |has |heart |failure |and |is |having |
severe |difficulty |breathing. |Which |of |the |following |oxygen |delivery |equipment |should |the |
nurse |select |to |provide |the |highest |concentration |of |oxygen |to |the |client? |- |ANS |-
Nonrebreather |mask
Rationality:
A |nonrebreather |mask |provides |the |highest |percentage |of |oxygen |concentration |without |
intubation |and |mechanical |ventilation.
A |Venturi |mask |can |be |adjusted |to |provide |a |consistent |lower |oxygen |concentration.
,A |simple |face |mask |can |be |adjusted |for |short-term |delivery |of |low |to |medium |oxygen |
concentration.
A |nasal |cannula |provides |a |low |oxygen |concentration.
A |charge |nurse |smells |smoke, |enters |the |visitor |restroom, |and |sees |flames |in |the |trash |can. |
What |is |the |sequence |of |actions |that |the |nurse |should |take? |(Move |the |steps |into |the |box |on |
the |right, |placing |them |in |the |selected |order |of |performance. |Use |all |the |steps.) |- |ANS |-
Evacuate |clients |from |the |area |is |the |first |step. |
Rationality: |The |first |action |the |nurse |should |take |when |using |the |RACE |protocol |is |to |"rescue"
|or |evacuate |the |clients |from |the |area |to |prevent |harm.
Pull |the |lever |on |the |fire |alarm |box |is |the |second |step. |
Rationality: |For |the |next |step, |"alarm," |the |nurse |should |activate |the |facility |fire |alarm |and |call
|to |report |the |fire |to |the |facility |emergency |extension.
Close |the |fire |doors |on |the |unit |is |the |third |step. |
Rationality: |Close |the |fire |doors |on |the |unit |is |the |third |step. |For |the |third |step, |"confine," |the |
nurse |should |close |the |unit |fire |doors |to |prevent |the |fire |from |spreading.
Use |a |fire |extinguisher |to |put |out |the |fire |is |the |fourth |step.
Rationality: |For |the |final |step, |"extinguish," |the |nurse |should |use |a |fire |extinguisher |to |put |out
|the |fire |by |aiming |the |nozzle |at |the |base |of |the |fire |and |using |a |sweeping |motion.
, A |nurse |is |caring |for |a |client |who |has |metastatic |cancer |and |practices |Catholicism. |The |client |
asks |the |nurse |to |discuss |the |afterlife |with |them. |Which |of |the |following |statements |by |the |
nurse |assists |in |meeting |the |client's |spiritual |needs? |- |ANS |-"Tell |me |what |the |afterlife |means |
to |you."
Rationale: |This |statement |respects |the |client's |spiritual |needs |by |using |open-ended |
therapeutic |communication |to |assist |the |client |to |talk |about |their |concerns.
A |nurse |is |reinforcing |teaching |with |a |client |about |the |prevention |of |stress |injuries. |Which |of |
the |following |instructions |should |the |nurse |include? |- |ANS |-"When |lifting |a |heavy |object, |keep |
it |close |to |your |body."
Rationality: |The |nurse |should |instruct |the |client |to |keep |the |object |as |close |to |their |body |as |
possible |to |increase |stability |and |decrease |back |strain |when |lifting |a |heavy |object.
A |nurse |is |reinforcing |teaching |with |a |client |about |the |use |of |crutches. |Which |of |the |following |
actions |by |the |client |indicates |an |understanding |of |the |teaching? |- |ANS |-The |client |advances |
the |unaffected |leg |first |while |climbing |stairs.
Rationality: |When |ascending |stairs, |the |client |should |first |advance |the |unaffected |leg.
The |nurse |should |reinforce |with |the |client |that |their |axilla |should |not |bear |any |weight |while |in
|the |tripod |position |because |this |can |cause |pressure |injury |formation. |The |client |should |bear |
their |weight |with |their |arms |and |hands.
A |client |who |has |advanced |cancer |tells |the |nurse |that |they |have |a |difficult |time |talking |to |
anyone |about |the |illness. |Which |of |the |following |actions |should |the |nurse |take |to |encourage |
therapeutic |communication? |- |ANS |-Let |the |client |know |that, |as |their |nurse, |they |are |available
|and |willing |to |listen.
2025-2026 (Latest Edition).
A |nurse |is |caring |for |a |client |who |is |receiving |continuous |NG |tube |feedings. |The |nurse |listens |
to |the |client's |bowel |sounds. |Which |of |the |following |actions |should |the |nurse |take? |(Click |on |
the |audio |button |to |listen |to |the |clip.) |- |ANS |-Decrease |the |rate |of |the |feeding
- |Rationality: |The |nurse |should |expect |to |hear |bowel |sounds |every |5 |to |35 |seconds. |This |audio
|clip |indicates |hypermotility |because |there |are |greater |than |40 |bowel |sounds/min. |
Hypermotility |leads |to |diarrhea |and |is |an |indication |of |intolerance |to |the |enteral |feeding. |
Therefore, |the |nurse |should |slow |the |rate |of |the |feeding |to |promote |the |client's |tolerance |of |
the |feeding.
The |nurse |should |maintain |a |client |who |is |receiving |continuous |NG |tube |feedings |in |a |position
|with |the |head |of |the |bed |elevated |30° |to |45° |to |prevent |aspiration |of |the |formula.
A |nurse |is |preparing |to |administer |oxygen |to |a |client |who |has |heart |failure |and |is |having |
severe |difficulty |breathing. |Which |of |the |following |oxygen |delivery |equipment |should |the |
nurse |select |to |provide |the |highest |concentration |of |oxygen |to |the |client? |- |ANS |-
Nonrebreather |mask
Rationality:
A |nonrebreather |mask |provides |the |highest |percentage |of |oxygen |concentration |without |
intubation |and |mechanical |ventilation.
A |Venturi |mask |can |be |adjusted |to |provide |a |consistent |lower |oxygen |concentration.
,A |simple |face |mask |can |be |adjusted |for |short-term |delivery |of |low |to |medium |oxygen |
concentration.
A |nasal |cannula |provides |a |low |oxygen |concentration.
A |charge |nurse |smells |smoke, |enters |the |visitor |restroom, |and |sees |flames |in |the |trash |can. |
What |is |the |sequence |of |actions |that |the |nurse |should |take? |(Move |the |steps |into |the |box |on |
the |right, |placing |them |in |the |selected |order |of |performance. |Use |all |the |steps.) |- |ANS |-
Evacuate |clients |from |the |area |is |the |first |step. |
Rationality: |The |first |action |the |nurse |should |take |when |using |the |RACE |protocol |is |to |"rescue"
|or |evacuate |the |clients |from |the |area |to |prevent |harm.
Pull |the |lever |on |the |fire |alarm |box |is |the |second |step. |
Rationality: |For |the |next |step, |"alarm," |the |nurse |should |activate |the |facility |fire |alarm |and |call
|to |report |the |fire |to |the |facility |emergency |extension.
Close |the |fire |doors |on |the |unit |is |the |third |step. |
Rationality: |Close |the |fire |doors |on |the |unit |is |the |third |step. |For |the |third |step, |"confine," |the |
nurse |should |close |the |unit |fire |doors |to |prevent |the |fire |from |spreading.
Use |a |fire |extinguisher |to |put |out |the |fire |is |the |fourth |step.
Rationality: |For |the |final |step, |"extinguish," |the |nurse |should |use |a |fire |extinguisher |to |put |out
|the |fire |by |aiming |the |nozzle |at |the |base |of |the |fire |and |using |a |sweeping |motion.
, A |nurse |is |caring |for |a |client |who |has |metastatic |cancer |and |practices |Catholicism. |The |client |
asks |the |nurse |to |discuss |the |afterlife |with |them. |Which |of |the |following |statements |by |the |
nurse |assists |in |meeting |the |client's |spiritual |needs? |- |ANS |-"Tell |me |what |the |afterlife |means |
to |you."
Rationale: |This |statement |respects |the |client's |spiritual |needs |by |using |open-ended |
therapeutic |communication |to |assist |the |client |to |talk |about |their |concerns.
A |nurse |is |reinforcing |teaching |with |a |client |about |the |prevention |of |stress |injuries. |Which |of |
the |following |instructions |should |the |nurse |include? |- |ANS |-"When |lifting |a |heavy |object, |keep |
it |close |to |your |body."
Rationality: |The |nurse |should |instruct |the |client |to |keep |the |object |as |close |to |their |body |as |
possible |to |increase |stability |and |decrease |back |strain |when |lifting |a |heavy |object.
A |nurse |is |reinforcing |teaching |with |a |client |about |the |use |of |crutches. |Which |of |the |following |
actions |by |the |client |indicates |an |understanding |of |the |teaching? |- |ANS |-The |client |advances |
the |unaffected |leg |first |while |climbing |stairs.
Rationality: |When |ascending |stairs, |the |client |should |first |advance |the |unaffected |leg.
The |nurse |should |reinforce |with |the |client |that |their |axilla |should |not |bear |any |weight |while |in
|the |tripod |position |because |this |can |cause |pressure |injury |formation. |The |client |should |bear |
their |weight |with |their |arms |and |hands.
A |client |who |has |advanced |cancer |tells |the |nurse |that |they |have |a |difficult |time |talking |to |
anyone |about |the |illness. |Which |of |the |following |actions |should |the |nurse |take |to |encourage |
therapeutic |communication? |- |ANS |-Let |the |client |know |that, |as |their |nurse, |they |are |available
|and |willing |to |listen.
