PN Fundamentals Online Practice B – Questions With
Solutions
A nurse is assisting with the care of a patient who is receiving a unit of packed
RBCs
The patient has manifestations of ____ as evidenced by the patient's _____-
Correct Ans - allergic reaction, itching
A nurse in an emergency department (ED) is assisting with the care of a
patient.
What findings indicate the patient might be malnourished? Correct Ans -
- patient is cachectic with flaccid muscle tone
- skin is dry and scaly with bruises on extremities
-pulse rate 118/min
- abdomen is distended
- BMI 17
A nurse is assisting in the care of a patient who has pancreatitis.
Select 3 tasks the nurse should delegate to an assistive personnel (AP)
Correct Ans - 1. measure the patient's intake and output
2. Document the patient's vital signs
3. Transfer the patient from a wheelchair to the bed
A nurse is caring for a patient who has chronic kidney disease. The nurse
should identify that which of the following findings is the priority to report to
the provider? Correct Ans - The patient's output was 60 mL for the
past 3 hours
, *this represents oliguria and can indicate a decrease in kidney perfusion or
function
A nurse is preparing to administer an enteral feeding to a patient who has an
NG tube in place. Which of the following methods should the nurse use to
verify correct placement of the NG tube? Correct Ans - check the
gastric pH of the gastric aspirate
A nurse is repositioning a patient who has quadriplegia and is in the supine
position. Which of the following actions should the nurse take to prevent
patient musculoskeletal injury? Correct Ans - internally rotate the
patient's hips by using a trochanter roll
A nurse is preparing to palpate a patient's pulse. The nurse should recognize
that which of the following pulses is located on the top of the patient's foot?
Correct Ans - dorsalis pedis
A patient who is scheduled to undergo surgery tells the nurse that they do not
understand the procedure and are reconsidering their decision to have it.
Which of the following actions should the nurse take? Correct Ans -
notify the charge nurse of the patient's concerns
A nurse is reinforcing preoperative teaching with a patient about how to turn,
cough, and deep breathe. Which of the following statements by the patient
indicates an understanding of the teaching? Correct Ans - "this can
help prevent pneumonia"
A nurse is preparing to document information about a patient's lower legs,
which are swollen with 6 mm edema. Which of the following information
should the nurse document? Correct Ans - 3+ pitting edema
A nurse is checking for a patient's pulse deficit after detecting an irregular
heart rate. Which of the following actions should the nurse take? Correct
Ans - count the patient's radial and apical pulses simultaneously with
another nurse
A nurse is contributing to a plan of care for a patient who has a new
prescription for a wrist restraint. Which of the following actions should the
nurse take? Correct Ans - pad bony prominences on the wrist
Solutions
A nurse is assisting with the care of a patient who is receiving a unit of packed
RBCs
The patient has manifestations of ____ as evidenced by the patient's _____-
Correct Ans - allergic reaction, itching
A nurse in an emergency department (ED) is assisting with the care of a
patient.
What findings indicate the patient might be malnourished? Correct Ans -
- patient is cachectic with flaccid muscle tone
- skin is dry and scaly with bruises on extremities
-pulse rate 118/min
- abdomen is distended
- BMI 17
A nurse is assisting in the care of a patient who has pancreatitis.
Select 3 tasks the nurse should delegate to an assistive personnel (AP)
Correct Ans - 1. measure the patient's intake and output
2. Document the patient's vital signs
3. Transfer the patient from a wheelchair to the bed
A nurse is caring for a patient who has chronic kidney disease. The nurse
should identify that which of the following findings is the priority to report to
the provider? Correct Ans - The patient's output was 60 mL for the
past 3 hours
, *this represents oliguria and can indicate a decrease in kidney perfusion or
function
A nurse is preparing to administer an enteral feeding to a patient who has an
NG tube in place. Which of the following methods should the nurse use to
verify correct placement of the NG tube? Correct Ans - check the
gastric pH of the gastric aspirate
A nurse is repositioning a patient who has quadriplegia and is in the supine
position. Which of the following actions should the nurse take to prevent
patient musculoskeletal injury? Correct Ans - internally rotate the
patient's hips by using a trochanter roll
A nurse is preparing to palpate a patient's pulse. The nurse should recognize
that which of the following pulses is located on the top of the patient's foot?
Correct Ans - dorsalis pedis
A patient who is scheduled to undergo surgery tells the nurse that they do not
understand the procedure and are reconsidering their decision to have it.
Which of the following actions should the nurse take? Correct Ans -
notify the charge nurse of the patient's concerns
A nurse is reinforcing preoperative teaching with a patient about how to turn,
cough, and deep breathe. Which of the following statements by the patient
indicates an understanding of the teaching? Correct Ans - "this can
help prevent pneumonia"
A nurse is preparing to document information about a patient's lower legs,
which are swollen with 6 mm edema. Which of the following information
should the nurse document? Correct Ans - 3+ pitting edema
A nurse is checking for a patient's pulse deficit after detecting an irregular
heart rate. Which of the following actions should the nurse take? Correct
Ans - count the patient's radial and apical pulses simultaneously with
another nurse
A nurse is contributing to a plan of care for a patient who has a new
prescription for a wrist restraint. Which of the following actions should the
nurse take? Correct Ans - pad bony prominences on the wrist
