PN fundamentals 2020: Questions and Answers
A client 24 hour postop for repair of hernia He's tolerating clear liquids well and has active bowel sounds and is
expressing desire for real food the nurse says she will call the surgeon to ask. What level level of critical
thinking is this - ansBasic
A client sitting in the chair I asked to return to bed what is the nurse is priority - ansDetermine if the client is
able to help with the transfer
A client who had a stroke is about to be transferred to a rehab center what is the responsibility of the nurse -
ansEnsure the client has possession of his valuables
confirm the rehab center has a room available at the time of transfer
give verbal transfer report over the telephone
complete a transfer form to for the receiving facility
A client who has an indwelling catheter reports and need to urinate which of the following actions should the
nurse take - ansCheck to see whether the catheter is patent.
A client with COPD understands the use of the orthopenic position when she states she will do what when she
has difficulty breathing - ansSit on the side of her bed and rest her arms over pillows on top of her bedside
table
A nurse admitting a patient with a cute Coley cystitis to the MedSurg unit what actions are essential steps of
the admission process - ansExplain the roles of the other care members
Began discharge planning
Document the client wishes about organ donation
Introduce the client to his roommate
A nurse educator is reviewing wound healing process with a group of nurses the educator should include
information on the following alterations for wound healing my secondary intention select all that apply -
ansStage III pressure ulcer
, open burn area
A nurse has a patient with history of falls what is her first priority - ansComplete a fall risk assessment
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and
unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she
was not on a break. Which of the following actions should the nurse take? - ansReport the observations to the
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following
events should the nurse recognize as contaminating the sterile field? (Select all that apply) - ansThe nurse
moistens a cotton ball with sterile normal saline and places it on the sterile field.
The procedure is delayed 1 hr because the provider receives an emergency call.
The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation
for an invasive procedure. Which of the following flaps should the nurse unfold first? - ansThe flap farthest
from the body
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the
following week. The client tells the nurse that he will prepare his advance directives before he goes to the
hospital. Which of the following statements made by the client should indicate to the nurse an understanding
of advance directives? - ansI plan to write that I don't want them to keep me on a breathing machine."
A nurse is caring for a client in a long-term care facility who was received an ENTER AL feedings which of the
following actions should the nurse complete prior to administering the tube feeding select all that apply -
ansAuscultation bowel sounds
Assist the client to an upright position
test the pH of the gastric aspirate
A nurse is caring for a client who has a prescription for 24 hour urine collection which of the following actions
should the nurse take - ansDiscard the first void
A client 24 hour postop for repair of hernia He's tolerating clear liquids well and has active bowel sounds and is
expressing desire for real food the nurse says she will call the surgeon to ask. What level level of critical
thinking is this - ansBasic
A client sitting in the chair I asked to return to bed what is the nurse is priority - ansDetermine if the client is
able to help with the transfer
A client who had a stroke is about to be transferred to a rehab center what is the responsibility of the nurse -
ansEnsure the client has possession of his valuables
confirm the rehab center has a room available at the time of transfer
give verbal transfer report over the telephone
complete a transfer form to for the receiving facility
A client who has an indwelling catheter reports and need to urinate which of the following actions should the
nurse take - ansCheck to see whether the catheter is patent.
A client with COPD understands the use of the orthopenic position when she states she will do what when she
has difficulty breathing - ansSit on the side of her bed and rest her arms over pillows on top of her bedside
table
A nurse admitting a patient with a cute Coley cystitis to the MedSurg unit what actions are essential steps of
the admission process - ansExplain the roles of the other care members
Began discharge planning
Document the client wishes about organ donation
Introduce the client to his roommate
A nurse educator is reviewing wound healing process with a group of nurses the educator should include
information on the following alterations for wound healing my secondary intention select all that apply -
ansStage III pressure ulcer
, open burn area
A nurse has a patient with history of falls what is her first priority - ansComplete a fall risk assessment
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and
unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she
was not on a break. Which of the following actions should the nurse take? - ansReport the observations to the
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following
events should the nurse recognize as contaminating the sterile field? (Select all that apply) - ansThe nurse
moistens a cotton ball with sterile normal saline and places it on the sterile field.
The procedure is delayed 1 hr because the provider receives an emergency call.
The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation
for an invasive procedure. Which of the following flaps should the nurse unfold first? - ansThe flap farthest
from the body
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the
following week. The client tells the nurse that he will prepare his advance directives before he goes to the
hospital. Which of the following statements made by the client should indicate to the nurse an understanding
of advance directives? - ansI plan to write that I don't want them to keep me on a breathing machine."
A nurse is caring for a client in a long-term care facility who was received an ENTER AL feedings which of the
following actions should the nurse complete prior to administering the tube feeding select all that apply -
ansAuscultation bowel sounds
Assist the client to an upright position
test the pH of the gastric aspirate
A nurse is caring for a client who has a prescription for 24 hour urine collection which of the following actions
should the nurse take - ansDiscard the first void
