PN FUNDAMENTALS ACTUAL EXAM NEWEST 2024 ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse is preparing to collect data bout the function of a client's trigeminal nerve or cranial nerve
(CNV). Which of the following items should the nurse gather for the test?
1. sugar
2. coffee
3. cotton wisps
4. snellen chart - (answer) Cotton wisps ; trigeminal nerve has sensory and motor capabilities. Use
cotton to test sensation, ask client to clench teeth to test motor abilities.
A nurse is collecting data regarding a client's nutritional status during a community health screening. The
client is consuming 500 calories per day more than his energy level requires. When will the client have
gained 4.5 kg (10lb)?
1. 10 months
2. 5 months
3. 5 weeks
4. 10 weeks - (answer) 10 weeks ; 1 lb of fat is equivalent to 3,500 calories. 500 calories/day for 7 days
= 1 lb gain each week.
A nurse is collecting data about a client's pulses. Which of the following descriptions should the nurse
use to document the findings?
1. peripheral pulses equal bilaterally at a rate of 60/min
2. radial, brachial, and pedal pulses bilaterally weak
3. peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities
4. brachial, radial, popliteal, and dorsalis pedis pulses regular, 58, and bilaterally palpable - (answer)
Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities ; documentation of
peripheral pulse evaluation should include strength, equality, and symmetry in all 4 extremities. HR is not
a component of peripheral pulse evaluation.
A nurse at an ophthalmology clinic is collecting data from a client who was referred by the provider for a
potential cataract. Which of the following client reports is consistent with cataracts?
1. halos when looking at lights
2. loss of peripheral vision
, PN FUNDAMENTALS ACTUAL EXAM NEWEST 2024 ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
3. bright flashes of light and floaters
4. eyestrain and headaches with close work - (answer) Halos when looking at lights ; other
manifestations of cataracts are difficulty seeing at night, glare sensitivity, and decreased visual acuity
even in daylight.
A nurse is caring for a client who has a hearing impairment. Which of the following interventions should
the nurse use when speaking with the client?
1. speak directly toward the client's impaired ear
2. exaggerate lip movements
3. speak loudly
4. face the client when speaking - (answer) Face the client when speaking ; also stand or sit at the same
level, and speak toward the client's best ear, enunciate and avoid mumbling. Speaking loudly or shouting
can distort sounds.
A nurse is assisting a client who has dysphagia at mealtime. Which of the following actions should the
nurse take?
1. assist the client into a semi-sitting position
2. have the client lean slightly backeard
3. advise the client to tuck his chin downward
4. instruct the client to tilt his head slightly backward - (answer) Advise the client to tuck his chin
downward ; the client should sit upright, lean slightly forward, tilt his head forward, and tuck his chin in.
A nurse is reinforcing teaching with a client who is postop following a knee arthroplasty about the
muscles he will need to strengthen in physical therapy. Which of the following muscle groups are
responsible for movement at the knee joint?
1. antigravity
2. antagonistic
3. synergistic
4. skeletal - (answer) Antagonistic ; the antagonistic group is responsible for the movement of the knee
joint by contracting while other muscles relax.
DETAILED ANSWERS
A nurse is preparing to collect data bout the function of a client's trigeminal nerve or cranial nerve
(CNV). Which of the following items should the nurse gather for the test?
1. sugar
2. coffee
3. cotton wisps
4. snellen chart - (answer) Cotton wisps ; trigeminal nerve has sensory and motor capabilities. Use
cotton to test sensation, ask client to clench teeth to test motor abilities.
A nurse is collecting data regarding a client's nutritional status during a community health screening. The
client is consuming 500 calories per day more than his energy level requires. When will the client have
gained 4.5 kg (10lb)?
1. 10 months
2. 5 months
3. 5 weeks
4. 10 weeks - (answer) 10 weeks ; 1 lb of fat is equivalent to 3,500 calories. 500 calories/day for 7 days
= 1 lb gain each week.
A nurse is collecting data about a client's pulses. Which of the following descriptions should the nurse
use to document the findings?
1. peripheral pulses equal bilaterally at a rate of 60/min
2. radial, brachial, and pedal pulses bilaterally weak
3. peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities
4. brachial, radial, popliteal, and dorsalis pedis pulses regular, 58, and bilaterally palpable - (answer)
Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities ; documentation of
peripheral pulse evaluation should include strength, equality, and symmetry in all 4 extremities. HR is not
a component of peripheral pulse evaluation.
A nurse at an ophthalmology clinic is collecting data from a client who was referred by the provider for a
potential cataract. Which of the following client reports is consistent with cataracts?
1. halos when looking at lights
2. loss of peripheral vision
, PN FUNDAMENTALS ACTUAL EXAM NEWEST 2024 ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED ANSWERS
3. bright flashes of light and floaters
4. eyestrain and headaches with close work - (answer) Halos when looking at lights ; other
manifestations of cataracts are difficulty seeing at night, glare sensitivity, and decreased visual acuity
even in daylight.
A nurse is caring for a client who has a hearing impairment. Which of the following interventions should
the nurse use when speaking with the client?
1. speak directly toward the client's impaired ear
2. exaggerate lip movements
3. speak loudly
4. face the client when speaking - (answer) Face the client when speaking ; also stand or sit at the same
level, and speak toward the client's best ear, enunciate and avoid mumbling. Speaking loudly or shouting
can distort sounds.
A nurse is assisting a client who has dysphagia at mealtime. Which of the following actions should the
nurse take?
1. assist the client into a semi-sitting position
2. have the client lean slightly backeard
3. advise the client to tuck his chin downward
4. instruct the client to tilt his head slightly backward - (answer) Advise the client to tuck his chin
downward ; the client should sit upright, lean slightly forward, tilt his head forward, and tuck his chin in.
A nurse is reinforcing teaching with a client who is postop following a knee arthroplasty about the
muscles he will need to strengthen in physical therapy. Which of the following muscle groups are
responsible for movement at the knee joint?
1. antigravity
2. antagonistic
3. synergistic
4. skeletal - (answer) Antagonistic ; the antagonistic group is responsible for the movement of the knee
joint by contracting while other muscles relax.
