PNR TEST Exam QUESTIONS AND
ANSWERS 100% RATED CORRECT
WITH 100% SURE PASS|GRADED A+
What aspects of the therapeutic nurse Client relationship is addressed in the article "lend an ear"? -
CORRECT ANSWERS Trust and respect
What is one way a nurse violates the nurse client relationship? - CORRECT ANSWERS When
we don't listen.
What is the goal behind listening according to Broeder-morin and land? - CORRECT ANSWERS
Gain empathetic understanding
How does a nurse show they are listening? - CORRECT ANSWERS Eye contact, arms
uncrossed, facial expression, touch, warmth
What are the client consequences of not being listened to according to the article? - CORRECT
ANSWERS Depression, frustration, complaints about care , perceived nurses as being rude,
abrupt and not caring.
What happened in a recents coroners report when a client was not listened to? - CORRECT ANSWERS
A man died due to a med error because the client was not listening when he said it did not like the pills
he received before and no double check was made.
What does an electronic health record(EHR) do? - CORRECT ANSWERS Enhances
communication among healthcare providers and thus patient safety.
Nurses are legally and ethically to keep patient information confidential, how long are records retained
for? - CORRECT ANSWERS Minimum of 10 years.
Communication between healthcare providers is important in client care. What must the nurse do in
order to ensure that communication is adequate? - CORRECT ANSWERS provide accurate,
detailed, objective, and timely information.
SOAP - CORRECT ANSWERS subjective, objective, assessment, plan
SOAPIE - CORRECT ANSWERS subjective, objective, assessment, plan, intervention,
evaluation
Focus charting (DAR) - CORRECT ANSWERS data, action, response
PIE - CORRECT ANSWERS Problem, intervention, evaluation
A nurse has just admitted a patient with a medical diagnosis of heart failure. When the admission
paperwork is filled out, what does the nurse need to record? - CORRECT ANSWERS Objective
data that are observed
,Health documentation is an electronic format is an evolving process that faces many challenges. Which
of the following is one of these challenges? - CORRECT ANSWERS Ensuring that
documentation is accurate and precise.
What about the patient should be confidential? - CORRECT ANSWERS All written, verbal
communication, only people involved in care may have access to records, can not be copied or
duplicated, and clients can view their health record often due with a person in authority so that
questions may be answered
5 red flags that need to be advised in chart altering - CORRECT ANSWERS 1. Don't add info
later without indicating you did so
2. Don't date the entry so it appears to have e been written at an earlier time
3. Don't add inaccurate info
4. Don't destroy records
5. No writing in margins
When might a health care provider suspect a patient is experiencing urinary retention? - CORRECT
ANSWERS The patient indicates pain in the suprapubic region.
Is the rectum sterile? - CORRECT ANSWERS No, you have to clean it.
Is the ostomy stertile? - CORRECT ANSWERS No.
Patients with cardiovascular disease should be cautioned against straining while having a bowel
movement. What does this help to avoid? - CORRECT ANSWERS Decreased venous return to
the heart
To maintain normal elimination patterns in the hospitalized patient, the nurse should encourage the
patient to defecate 1 hour after meals for which reason? - CORRECT ANSWERS Mass colonic
peristalsis occurs at this time.
A patient states that he has recently had a change in medications and reports that his stools are now dry
and hard, which makes them difficult to eliminate. What condition is this type of bowel pattern
consistent with? - CORRECT ANSWERS Constipation.
What side do patients turn on for rectal checks? - CORRECT ANSWERS Patients always go on
their left side with there knees flexed and pad underneath.
Which type of urine specimen is obtained through catheterization? - CORRECT ANSWERS
Cultural and sensitivity
What is the medical terminology used for microscopic amounts of blood in stool? - CORRECT ANSWERS
Gastrointestinal hematochezia
A client with a long history of arthritis complains of sensitivity and warmth in both knees. To determine
the degree of limitation, what should the nurse assess? - CORRECT ANSWERS The clients
RANGE OF MOTION
, When assessing a clients activity tolerance, the nurse must consider which of the following? - CORRECT
ANSWERS The clients physiological, emotional, and developmental factors
What is a complication of immobility and is worse in smokers called? - CORRECT ANSWERS
Hypostatic pneumonia
What refers to bone on bone - CORRECT ANSWERS Crepitation
What can result in constipation? - CORRECT ANSWERS Immobility
What can be reduced by performing activities more slowly and for a shorter period? - CORRECT
ANSWERS Fatigue
The nurse notices an increased respiratory rate, decreased oxygen saturation, and increased sputum in
an immobilized postoperative Patient, the noted change is consistent with which one of the following? -
CORRECT ANSWERS Atelectasis(can't expand lungs)(collapse of lungs)
When the nurse is caring for a client on bed rest, what is the most appropriate nursing action? -
CORRECT ANSWERS Encourage hourly use of the incentive spirometer
infancy - CORRECT ANSWERS 1/3 awake, 1/3 NON REM, 1/3 REM
old-age - CORRECT ANSWERS 1/4 REM, 1/2 awake, 1/3 NON REM
Stage 1 NREM sleep - CORRECT ANSWERS - lightest sleep, lasts for a few minutes, person is
drowsy and relaxed, easily aroused, aroused 2-5% of adult sleep time
Stage 2 NREM sleep - CORRECT ANSWERS Sound sleep, 45-55% of adult sleep
time,relaxation progresses, arousal easy but needs more stimuli than stage 1, body functions slower
Stage 3 NREM - CORRECT ANSWERS Deepest sleep, 10% of adult sleep time, difficult to
arouse, muscles completely relaxed, may snore, lasts 15-30min
REM - CORRECT ANSWERS Vivid, full colour dreaming(25% of adult sleep time) begins about
90minutes after sleep began, rapidly moving eyes, fluctuating, heart rate, respiratory rate and BP. Loss
of muscle tone, gastric secretions increase, very difficult to arouse, INCREASED metabolism
During rounds on the night shift, the nurse notes that a client stops breathing for 1-2 minutes several
times during the shift. What is this condition called? - CORRECT ANSWERS Sleep apnea
A 4-year-old pediatric patient resists going to sleep. What action should the nurse take in order to assist
this client? - CORRECT ANSWERS Maintain the clients home sleep routine
A client suffers from a sleep pattern disturbance. What is the most important nursing intervention to
promote adequate sleep? - CORRECT ANSWERS Administer a sleep aid 2 hours before
bedtime
ANSWERS 100% RATED CORRECT
WITH 100% SURE PASS|GRADED A+
What aspects of the therapeutic nurse Client relationship is addressed in the article "lend an ear"? -
CORRECT ANSWERS Trust and respect
What is one way a nurse violates the nurse client relationship? - CORRECT ANSWERS When
we don't listen.
What is the goal behind listening according to Broeder-morin and land? - CORRECT ANSWERS
Gain empathetic understanding
How does a nurse show they are listening? - CORRECT ANSWERS Eye contact, arms
uncrossed, facial expression, touch, warmth
What are the client consequences of not being listened to according to the article? - CORRECT
ANSWERS Depression, frustration, complaints about care , perceived nurses as being rude,
abrupt and not caring.
What happened in a recents coroners report when a client was not listened to? - CORRECT ANSWERS
A man died due to a med error because the client was not listening when he said it did not like the pills
he received before and no double check was made.
What does an electronic health record(EHR) do? - CORRECT ANSWERS Enhances
communication among healthcare providers and thus patient safety.
Nurses are legally and ethically to keep patient information confidential, how long are records retained
for? - CORRECT ANSWERS Minimum of 10 years.
Communication between healthcare providers is important in client care. What must the nurse do in
order to ensure that communication is adequate? - CORRECT ANSWERS provide accurate,
detailed, objective, and timely information.
SOAP - CORRECT ANSWERS subjective, objective, assessment, plan
SOAPIE - CORRECT ANSWERS subjective, objective, assessment, plan, intervention,
evaluation
Focus charting (DAR) - CORRECT ANSWERS data, action, response
PIE - CORRECT ANSWERS Problem, intervention, evaluation
A nurse has just admitted a patient with a medical diagnosis of heart failure. When the admission
paperwork is filled out, what does the nurse need to record? - CORRECT ANSWERS Objective
data that are observed
,Health documentation is an electronic format is an evolving process that faces many challenges. Which
of the following is one of these challenges? - CORRECT ANSWERS Ensuring that
documentation is accurate and precise.
What about the patient should be confidential? - CORRECT ANSWERS All written, verbal
communication, only people involved in care may have access to records, can not be copied or
duplicated, and clients can view their health record often due with a person in authority so that
questions may be answered
5 red flags that need to be advised in chart altering - CORRECT ANSWERS 1. Don't add info
later without indicating you did so
2. Don't date the entry so it appears to have e been written at an earlier time
3. Don't add inaccurate info
4. Don't destroy records
5. No writing in margins
When might a health care provider suspect a patient is experiencing urinary retention? - CORRECT
ANSWERS The patient indicates pain in the suprapubic region.
Is the rectum sterile? - CORRECT ANSWERS No, you have to clean it.
Is the ostomy stertile? - CORRECT ANSWERS No.
Patients with cardiovascular disease should be cautioned against straining while having a bowel
movement. What does this help to avoid? - CORRECT ANSWERS Decreased venous return to
the heart
To maintain normal elimination patterns in the hospitalized patient, the nurse should encourage the
patient to defecate 1 hour after meals for which reason? - CORRECT ANSWERS Mass colonic
peristalsis occurs at this time.
A patient states that he has recently had a change in medications and reports that his stools are now dry
and hard, which makes them difficult to eliminate. What condition is this type of bowel pattern
consistent with? - CORRECT ANSWERS Constipation.
What side do patients turn on for rectal checks? - CORRECT ANSWERS Patients always go on
their left side with there knees flexed and pad underneath.
Which type of urine specimen is obtained through catheterization? - CORRECT ANSWERS
Cultural and sensitivity
What is the medical terminology used for microscopic amounts of blood in stool? - CORRECT ANSWERS
Gastrointestinal hematochezia
A client with a long history of arthritis complains of sensitivity and warmth in both knees. To determine
the degree of limitation, what should the nurse assess? - CORRECT ANSWERS The clients
RANGE OF MOTION
, When assessing a clients activity tolerance, the nurse must consider which of the following? - CORRECT
ANSWERS The clients physiological, emotional, and developmental factors
What is a complication of immobility and is worse in smokers called? - CORRECT ANSWERS
Hypostatic pneumonia
What refers to bone on bone - CORRECT ANSWERS Crepitation
What can result in constipation? - CORRECT ANSWERS Immobility
What can be reduced by performing activities more slowly and for a shorter period? - CORRECT
ANSWERS Fatigue
The nurse notices an increased respiratory rate, decreased oxygen saturation, and increased sputum in
an immobilized postoperative Patient, the noted change is consistent with which one of the following? -
CORRECT ANSWERS Atelectasis(can't expand lungs)(collapse of lungs)
When the nurse is caring for a client on bed rest, what is the most appropriate nursing action? -
CORRECT ANSWERS Encourage hourly use of the incentive spirometer
infancy - CORRECT ANSWERS 1/3 awake, 1/3 NON REM, 1/3 REM
old-age - CORRECT ANSWERS 1/4 REM, 1/2 awake, 1/3 NON REM
Stage 1 NREM sleep - CORRECT ANSWERS - lightest sleep, lasts for a few minutes, person is
drowsy and relaxed, easily aroused, aroused 2-5% of adult sleep time
Stage 2 NREM sleep - CORRECT ANSWERS Sound sleep, 45-55% of adult sleep
time,relaxation progresses, arousal easy but needs more stimuli than stage 1, body functions slower
Stage 3 NREM - CORRECT ANSWERS Deepest sleep, 10% of adult sleep time, difficult to
arouse, muscles completely relaxed, may snore, lasts 15-30min
REM - CORRECT ANSWERS Vivid, full colour dreaming(25% of adult sleep time) begins about
90minutes after sleep began, rapidly moving eyes, fluctuating, heart rate, respiratory rate and BP. Loss
of muscle tone, gastric secretions increase, very difficult to arouse, INCREASED metabolism
During rounds on the night shift, the nurse notes that a client stops breathing for 1-2 minutes several
times during the shift. What is this condition called? - CORRECT ANSWERS Sleep apnea
A 4-year-old pediatric patient resists going to sleep. What action should the nurse take in order to assist
this client? - CORRECT ANSWERS Maintain the clients home sleep routine
A client suffers from a sleep pattern disturbance. What is the most important nursing intervention to
promote adequate sleep? - CORRECT ANSWERS Administer a sleep aid 2 hours before
bedtime