Final Exam PN Fundamentals Online
Practice B Questions Fully Solved.
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 _____- - Answer 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? - Answer - 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) - Answer 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
, 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? - Answer 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? - Answer
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? - Answer 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? - Answer 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? - Answer "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? - Answer
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? - Answer 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? - Answer pad bony
prominences on the wrist
A nurse is assisting with the plan of care for four adults. Which of the following tasks should the
nurse assign to an assistive personnel? - Answer assist a patient to get out of bed after a
breathing treatment
A nurse is collecting data from a patient who is 2 days postop following a colostomy placement.
Practice B Questions Fully Solved.
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 _____- - Answer 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? - Answer - 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) - Answer 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
, 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? - Answer 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? - Answer
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? - Answer 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? - Answer 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? - Answer "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? - Answer
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? - Answer 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? - Answer pad bony
prominences on the wrist
A nurse is assisting with the plan of care for four adults. Which of the following tasks should the
nurse assign to an assistive personnel? - Answer assist a patient to get out of bed after a
breathing treatment
A nurse is collecting data from a patient who is 2 days postop following a colostomy placement.
