PN Fundamentals Online Practice Test A 2023: Questions and Correct Answers
A charge nurse is reinforcing teaching with an assistive personnel (AP) about performing pulse oximetry. Which
of the following information should the nurse include in the teaching? - ansRemove polish from the client's
fingernail before applying the oximetry probe.
Rationality: The nurse should instruct the AP to remove the client's fingernail polish on at least one finger
before placing the probe on that finger because the sensor needs to detect a pulsating vascular bed to produce
a reading.
The nurse should instruct the AP to select an alternate site to place the probe if the capillary refill is greater
than 2 seconds because of the inability of the sensor to detect a pulsating vascular bed to produce a reading.
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.) - ansEvacuate 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 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? -
ansLet the client know that, as their nurse, they are available and willing to listen.
- Rationality: Active listening conveys the nurse's respect and acceptance for the client's feelings and gives the
client an opportunity to express their thoughts and needs.
A nurse at a long-term care facility is caring for a client who is alert. Which of the following actions should the
nurse take to protect the client's privacy? - ansSpeak with the client about their condition after visitors have
left.
Rationality: The nurse should ensure a private environment before discussing the client's condition with them.
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the
following actions by the AP should the nurse identify as correct? - ansDonning a mask to measure the vital signs
of a client who has pertussis
Rationality: Caring for clients who have pertussis requires droplet precautions. Therefore, the AP should wear a
mask when within 1 m (3.3 feet) of the client.
A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia
and hyperthermia. Which of the following information should the nurse include about age-related changes? -
ansCirculation becomes less efficient with age.
Rationality:
Older adults have an increased sensitivity to temperature extremes due to decreased cardiac output. Poor
cardiac output leads to less efficient circulation of blood to the tissues.
, Older adults have a decreased ability to regulate body temperature due to poor control of vasoconstriction and
vasodilation. Older adults also have a reduced ability to shiver to increase body temperature.
Older adults have a decreased body temperature due to a decrease in metabolic rate.
Older adults will have a decrease in sweat gland activity, which affects body temperature regulation.
A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions
should the nurse plan to take? - ansAssign the client to a negative-pressure airflow room.
Rationality: The nurse should assign the client to a negative-pressure airflow room to ensure that the air from
the client's room is not circulated throughout the facility.
The nurse should have the client wear a surgical mask whenever they leave their room to prevent transmitting
bacteria to others.
A nurse is assisting with the admission of a client who has brought their medications to the facility. Which of
the following actions should the nurse take? - ansCompare the medications the provider has prescribed with
the client's medications from home.
- Rationality: During admission, the nurse should compare the medications that the provider has prescribed
with the medications that the client is taking at home to decrease the risk of medication error. The nurse
should include this information in the client's medical record as a resource for other health care personnel.
A nurse is assisting with the care of a client who is receiving a unit of packed RBCs.
Exhibit 1:
Nurses Notes
0800:Packed RBCs initiated by the charge nurse through an 18-gauge peripheral IV to infuse over 2
hr.0815:Client reports itching and anxiety. Client's face is flushed and has hives.
A charge nurse is reinforcing teaching with an assistive personnel (AP) about performing pulse oximetry. Which
of the following information should the nurse include in the teaching? - ansRemove polish from the client's
fingernail before applying the oximetry probe.
Rationality: The nurse should instruct the AP to remove the client's fingernail polish on at least one finger
before placing the probe on that finger because the sensor needs to detect a pulsating vascular bed to produce
a reading.
The nurse should instruct the AP to select an alternate site to place the probe if the capillary refill is greater
than 2 seconds because of the inability of the sensor to detect a pulsating vascular bed to produce a reading.
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.) - ansEvacuate 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 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? -
ansLet the client know that, as their nurse, they are available and willing to listen.
- Rationality: Active listening conveys the nurse's respect and acceptance for the client's feelings and gives the
client an opportunity to express their thoughts and needs.
A nurse at a long-term care facility is caring for a client who is alert. Which of the following actions should the
nurse take to protect the client's privacy? - ansSpeak with the client about their condition after visitors have
left.
Rationality: The nurse should ensure a private environment before discussing the client's condition with them.
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the
following actions by the AP should the nurse identify as correct? - ansDonning a mask to measure the vital signs
of a client who has pertussis
Rationality: Caring for clients who have pertussis requires droplet precautions. Therefore, the AP should wear a
mask when within 1 m (3.3 feet) of the client.
A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia
and hyperthermia. Which of the following information should the nurse include about age-related changes? -
ansCirculation becomes less efficient with age.
Rationality:
Older adults have an increased sensitivity to temperature extremes due to decreased cardiac output. Poor
cardiac output leads to less efficient circulation of blood to the tissues.
, Older adults have a decreased ability to regulate body temperature due to poor control of vasoconstriction and
vasodilation. Older adults also have a reduced ability to shiver to increase body temperature.
Older adults have a decreased body temperature due to a decrease in metabolic rate.
Older adults will have a decrease in sweat gland activity, which affects body temperature regulation.
A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions
should the nurse plan to take? - ansAssign the client to a negative-pressure airflow room.
Rationality: The nurse should assign the client to a negative-pressure airflow room to ensure that the air from
the client's room is not circulated throughout the facility.
The nurse should have the client wear a surgical mask whenever they leave their room to prevent transmitting
bacteria to others.
A nurse is assisting with the admission of a client who has brought their medications to the facility. Which of
the following actions should the nurse take? - ansCompare the medications the provider has prescribed with
the client's medications from home.
- Rationality: During admission, the nurse should compare the medications that the provider has prescribed
with the medications that the client is taking at home to decrease the risk of medication error. The nurse
should include this information in the client's medical record as a resource for other health care personnel.
A nurse is assisting with the care of a client who is receiving a unit of packed RBCs.
Exhibit 1:
Nurses Notes
0800:Packed RBCs initiated by the charge nurse through an 18-gauge peripheral IV to infuse over 2
hr.0815:Client reports itching and anxiety. Client's face is flushed and has hives.
