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Exam (elaborations)

PN Fundamentals Online Practice 2023 A

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Uploaded on
January 27, 2025
Number of pages
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Written in
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PN Fundamentals Online Practice 2023 A
A nurse in a provider's clinic is caring for a client who has heart failure. The nurse is evaluating
the client's understanding of the teaching.

Select the 3 client statements that indicate an understanding of the teaching. - ANS "I know to
call my doctor if I gain 3 pounds or more in 2 days"

"I am eating fewer potato chips and more fruit for snacks"

"I am limiting my sodium intake to 2 grams daily"



A nurse is assisting with admitting a client to a health care facility. A nurse is assisting in the
care of a client who is being placed on transmission-based precautions. Which of the following
actions should the nurse plan to take when caring for this client?

Select all that apply. - ANS -Wear an N95 mask when caring for the client

-Place a trash can for soiled linens inside the client's room

-Place the client in a negative airflow room

-Perform hand hygiene before leaving the client's room



A nurse is caring for a client who had a spinal cord injury and has paraplegia. Click to highlight
the findings below that that require intervention by the nurse. - ANS -Passive range-of-motion
exercises to lower extremities performed once daily

-Plantar flexion contractures noted bilaterally

-Left heel has 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of Non blanchable erythema; skin is intact



Assisting With the Care of a Client Who Reports an Extended Period of Constipation. Based on
the client's clinical findings, which of the following actions should the nurse take? - ANS -Assist
the client to a left side-lying position with the right knee flexed

-Administer a cleansing enema

, -Auscultate the client's bowel sounds

-Perform a manual digital examination of the client's rectum



A nurse is caring for a client in a medical-surgical unit. After reviewing the findings, which of the
following actions should the nurse plan to take?

Select the 3 actions that the nurse should plan to take. - ANS -Administer analgesic prior to
planned activities

-Assist the client to dangle their legs at the bedside prior to standing

-Delegate the application of sequential compression devices to assistive personnel



A nurse is caring for a client who is postoperative following abdominal surgery. Click to highlight
the findings the nurse should report to the provider. - ANS -Urinary output

-Reported pain level

-Vital signs



A nurse is assisting in the care of a client. When prioritizing care for the client, the nurse should
first - ANS -first, plan a turning and positioning schedule

-second, apply a hydrocolloid dressing to the client's sacrum

-third, request a prescription for a pressure redistribution bed



A nurse is assisting with caring for a female client who has a newly placed ileostomy. Complete
the following sentence by using the lists of options. The nurse should first address
the___________ followed by the ______________ - ANS -Color of the stoma

-Skin condition around the stoma



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

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