pn fundamentals online practice B
questions and answers 2024\2025 A+
Grade
A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their
right leg. Which of the following is the proper crutch gait for this client?
A. Four-point
B. Three-point
C. Two-point
D. Swing-through
- correct answer B. Three-point
The nurse should identify that the client needs to be able to bear weight on the unaffected leg;
therefore, a three-point gait provides at least two points of support at all times.
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following
instructions should the nurse give the partner about turning the client in bed?
A. "Keep your feet close together."
B. "Tighten your stomach muscles."
C. "Straighten your knees."
D. "Bend at your waist."
- correct answer B. "Tighten your stomach muscles."
The nurse should instruct the client's partner to tighten the abdominal and gluteal muscles to help
protect their back.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions
should the nurse take?
, A. Clean the perineal area at least once a day.
B. Empty the drainage bag when it is three-fourths full.
C. Flush the catheter with sterile water daily.
D. Disconnect the drainage bag when emptying and measuring urine.
- correct answer A. Clean the perineal area at least once a day.
The nurse should clean the perineal area at least once a day to reduce the risk for infection.
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following
questions should the nurse ask the client to clarify the client's religious preferences?
A. "Do you receive Holy Communion?"
B. "Do you follow a kosher diet?"
C. "Do you consume pork products?"
D. "Do you oppose receiving a blood transfusion if it is needed?"
- correct answer C. "Do you consume pork products?"
Some clients who practice Islam do not consume pork or alcohol.
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of
the following findings as a potential adverse effect of this procedure?
A. Fluid overload
B. Diarrhea
C. Headache
D. Difficulty voiding
- correct answer C. Headache
The nurse should identify that a headache can be an adverse effect following a lumbar puncture. To
minimize the client's discomfort, the nurse should administer analgesics, offer fluids, and maintain the
client in a dorsal recumbent position for the length of time prescribed by the provider.
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm
edema. Which of the following information should the nurse document?
questions and answers 2024\2025 A+
Grade
A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their
right leg. Which of the following is the proper crutch gait for this client?
A. Four-point
B. Three-point
C. Two-point
D. Swing-through
- correct answer B. Three-point
The nurse should identify that the client needs to be able to bear weight on the unaffected leg;
therefore, a three-point gait provides at least two points of support at all times.
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following
instructions should the nurse give the partner about turning the client in bed?
A. "Keep your feet close together."
B. "Tighten your stomach muscles."
C. "Straighten your knees."
D. "Bend at your waist."
- correct answer B. "Tighten your stomach muscles."
The nurse should instruct the client's partner to tighten the abdominal and gluteal muscles to help
protect their back.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions
should the nurse take?
, A. Clean the perineal area at least once a day.
B. Empty the drainage bag when it is three-fourths full.
C. Flush the catheter with sterile water daily.
D. Disconnect the drainage bag when emptying and measuring urine.
- correct answer A. Clean the perineal area at least once a day.
The nurse should clean the perineal area at least once a day to reduce the risk for infection.
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following
questions should the nurse ask the client to clarify the client's religious preferences?
A. "Do you receive Holy Communion?"
B. "Do you follow a kosher diet?"
C. "Do you consume pork products?"
D. "Do you oppose receiving a blood transfusion if it is needed?"
- correct answer C. "Do you consume pork products?"
Some clients who practice Islam do not consume pork or alcohol.
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of
the following findings as a potential adverse effect of this procedure?
A. Fluid overload
B. Diarrhea
C. Headache
D. Difficulty voiding
- correct answer C. Headache
The nurse should identify that a headache can be an adverse effect following a lumbar puncture. To
minimize the client's discomfort, the nurse should administer analgesics, offer fluids, and maintain the
client in a dorsal recumbent position for the length of time prescribed by the provider.
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm
edema. Which of the following information should the nurse document?
