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PN Fundamentals EXAM VERSION A & B COMPLETE 300
Questions and Verified Solutions Latest Update This
Year
PN Fundamentals EXAM VERSION A
QUESTION: 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.
QUESTION: 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 ;
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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 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.
QUESTION: 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
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.
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QUESTION: 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.
QUESTION: 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.
QUESTION: 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
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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.
QUESTION: A nurse is preparing to administer a tap water enema to a client. Which of the
following actions should the nurse take?
1. raise the enema bag if the client experiences cramping
2. lubricate 2.54 cm (1 in) of the tip of the rectal tube prior to insertion
3. place the client in a left Sims' position
4. don sterile gloves prior to the procedure - ANSWER-Place the client in a left Sims' position ;
administer fluids slowly and lower the container when there if fullness or pain during
administration. Lubricate 5.08 cm (2 in) of the rectal tube. Clean gloves are necessary.
QUESTION: A nurse is reviewing the medical record of an older adult client. For which of the
following medications should the nurse request a hearing assessment for the client?
1. omeprazole
2. ferrous sulfate
3. digoxin
4. furosemide - ANSWER-Furosemide ; it can cause ototoxicity, especially in older adult client
due to a decrease in medication metabolism in the kidneys.
PN Fundamentals EXAM VERSION A & B COMPLETE 300
Questions and Verified Solutions Latest Update This
Year
PN Fundamentals EXAM VERSION A
QUESTION: 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.
QUESTION: 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 ;
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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 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.
QUESTION: 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
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.
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QUESTION: 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.
QUESTION: 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.
QUESTION: 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
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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.
QUESTION: A nurse is preparing to administer a tap water enema to a client. Which of the
following actions should the nurse take?
1. raise the enema bag if the client experiences cramping
2. lubricate 2.54 cm (1 in) of the tip of the rectal tube prior to insertion
3. place the client in a left Sims' position
4. don sterile gloves prior to the procedure - ANSWER-Place the client in a left Sims' position ;
administer fluids slowly and lower the container when there if fullness or pain during
administration. Lubricate 5.08 cm (2 in) of the rectal tube. Clean gloves are necessary.
QUESTION: A nurse is reviewing the medical record of an older adult client. For which of the
following medications should the nurse request a hearing assessment for the client?
1. omeprazole
2. ferrous sulfate
3. digoxin
4. furosemide - ANSWER-Furosemide ; it can cause ototoxicity, especially in older adult client
due to a decrease in medication metabolism in the kidneys.
