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PN Fundamentals EXAM COMPLETE Questions and
Verified Solutions Latest Update This Year
QUESTION: A nurse is caring for a client who has a visual impairment. When setting up the
client's meal tray, the nurse should take which of the following actions? - ANSWER-Describe
food placement using the numbers on the face of a clock
By using the numbers of a clock to describe the placement of food on the client's plate, the
nurse is providing the client an opportunity to eat independently.
QUESTION: A nurse is reinforcing teaching with a male client about clean intermittent self-
catheterization. Which of the following instructions should the nurse include? - ANSWER-Wash
the catheter with soap and water after use
Rationale: Medical aseptic technique is used for clean intermittent self-catheterization.
Therefore, the client should wash the catheter with soap and water and store it in a clean place.
The client should replace the catheter before it becomes dry and brittle.
QUESTION: A nurse is caring for a client who has a terminal illness. Which of the following is an
expected response by a family member during the anger stage of grieving? - ANSWER-The
family member criticizes care provided by the nurse
, Page 2 of 38
QUESTION: A nurse is assisting with the plan of care for a client who is dying. Which of the
following interventions should the nurse include in the plan of care? - ANSWER-Allow family to
assist the client with personal hygiene
QUESTION: A nurse is preparing to collect blood samples from an older adult client. Which of
the following actions should the nurse take when performing venipuncture? - ANSWER-Apply
the tourniquet over the client's sleeve
QUESTION: A nurse is collecting data from a client who is receiving a continuous IV infusion of
lactated Ringer's for dehydration. Which of the following findings indicates infiltration of the
solution into the subcutaneous area? - ANSWER-The area around the infusion site is cool to the
touch
Rationale: Swelling, coolness, paleness, and discomfort at the infusion site indicate infiltration.
The nurse should stop the infusion and discontinue the IV line
QUESTION: A nurse is reinforcing teaching about home safety with a client who is at risk for
falls. Which of the following client statements indicates an understanding of the teaching? -
ANSWER-I will secure all of my electrical cords to the baseboard
A nurse at a rehabilitation facility is assisting with the admission of a client who has left
hemiplegia following a stroke. Which of the following actions should the nurse take first? -
ANSWER-Determine the client's mental status
, Page 3 of 38
QUESTION: A nurse is planning care for a client who practices Judaism. Which of the following
questions should the nurse ask the client to better understand how he practices Judaism? -
ANSWER-"Do you observe the Sabbath?"
Rationale: Some clients who practice Judaism might avoid a number of activities on the
Sabbath, including medical procedures and business transactions
QUESTION: A nurse is reinforcing teaching about sleep promotion with a client who reports
having difficulty sleeping. Which of the following client statements indicates an understanding
of the teaching? - ANSWER-I should play music that relaxes me before I go to bed
Rationale: The client should establish a relaxing routine such as taking a warm bath, reading, or
listening to soothing sounds, such as soft music. The client should avoid playing music while
sleeping because this can be a distraction and interrupt sleep.
QUESTION: A nurse is reinforcing teaching with the partner of a client who has left-sided
weakness about how to safely move the client from a bed to a chair at home. which of the
following statements by the partner indicates an understanding of the teaching? - ANSWER-I'll
bend at the knees when lifting to get better leverage
QUESTION: A nurse is reinforcing teaching about health promotion with an older adult client.
Which of the following instructions to the client is an example of secondary prevention? -
ANSWER-Participate in screenings for tuberculosis
, Page 4 of 38
QUESTION: A nurse is monitoring an assistive personnel (AP) who is measuring a client's oxygen
saturation using a pulse oximeter. Which of the following observations by the nurse indicates
that the AP is correctly performing the task? - ANSWER-The AP chooses a site with a capillary
refill of less than 2 seconds.
Rationale: The nurse should evaluate that the AP is performing the task correctly by choosing a
site with a capillary refill of less than 2 seconds. The oximeter probe calculates the percentage
of oxygen in hemoglobin. Decreased peripheral circulation will result in an inaccurate reading.
QUESTION: A nurse is reviewing the laboratory results of a client who has malnutrition and has
been receiving total parenteral nutrition (TPN). The nurse should identify that which of the
following laboratory values indicates the treatment has been effective? - ANSWER-Prealbumin
28 mg/dL
Rationale: A prealbumin level of 28 mg/dL is within the expected reference range of 15 to 36
mg/dL and indicates the client is receiving adequate nutrition. A prealbumin level below 15
mg/dL indicates malnutrition.
QUESTION: A nurse is preparing to perform wound irrigation for a client who has a stage IV
pressure ulcer. Which of the following images indicates the appropriate supply the nurse should
plan to use? - ANSWER-Nurse should select a 30 to 60 mL syringe and use an 18 to 19 gauge
needle to irrigate the client's wound.
PN Fundamentals EXAM COMPLETE Questions and
Verified Solutions Latest Update This Year
QUESTION: A nurse is caring for a client who has a visual impairment. When setting up the
client's meal tray, the nurse should take which of the following actions? - ANSWER-Describe
food placement using the numbers on the face of a clock
By using the numbers of a clock to describe the placement of food on the client's plate, the
nurse is providing the client an opportunity to eat independently.
QUESTION: A nurse is reinforcing teaching with a male client about clean intermittent self-
catheterization. Which of the following instructions should the nurse include? - ANSWER-Wash
the catheter with soap and water after use
Rationale: Medical aseptic technique is used for clean intermittent self-catheterization.
Therefore, the client should wash the catheter with soap and water and store it in a clean place.
The client should replace the catheter before it becomes dry and brittle.
QUESTION: A nurse is caring for a client who has a terminal illness. Which of the following is an
expected response by a family member during the anger stage of grieving? - ANSWER-The
family member criticizes care provided by the nurse
, Page 2 of 38
QUESTION: A nurse is assisting with the plan of care for a client who is dying. Which of the
following interventions should the nurse include in the plan of care? - ANSWER-Allow family to
assist the client with personal hygiene
QUESTION: A nurse is preparing to collect blood samples from an older adult client. Which of
the following actions should the nurse take when performing venipuncture? - ANSWER-Apply
the tourniquet over the client's sleeve
QUESTION: A nurse is collecting data from a client who is receiving a continuous IV infusion of
lactated Ringer's for dehydration. Which of the following findings indicates infiltration of the
solution into the subcutaneous area? - ANSWER-The area around the infusion site is cool to the
touch
Rationale: Swelling, coolness, paleness, and discomfort at the infusion site indicate infiltration.
The nurse should stop the infusion and discontinue the IV line
QUESTION: A nurse is reinforcing teaching about home safety with a client who is at risk for
falls. Which of the following client statements indicates an understanding of the teaching? -
ANSWER-I will secure all of my electrical cords to the baseboard
A nurse at a rehabilitation facility is assisting with the admission of a client who has left
hemiplegia following a stroke. Which of the following actions should the nurse take first? -
ANSWER-Determine the client's mental status
, Page 3 of 38
QUESTION: A nurse is planning care for a client who practices Judaism. Which of the following
questions should the nurse ask the client to better understand how he practices Judaism? -
ANSWER-"Do you observe the Sabbath?"
Rationale: Some clients who practice Judaism might avoid a number of activities on the
Sabbath, including medical procedures and business transactions
QUESTION: A nurse is reinforcing teaching about sleep promotion with a client who reports
having difficulty sleeping. Which of the following client statements indicates an understanding
of the teaching? - ANSWER-I should play music that relaxes me before I go to bed
Rationale: The client should establish a relaxing routine such as taking a warm bath, reading, or
listening to soothing sounds, such as soft music. The client should avoid playing music while
sleeping because this can be a distraction and interrupt sleep.
QUESTION: A nurse is reinforcing teaching with the partner of a client who has left-sided
weakness about how to safely move the client from a bed to a chair at home. which of the
following statements by the partner indicates an understanding of the teaching? - ANSWER-I'll
bend at the knees when lifting to get better leverage
QUESTION: A nurse is reinforcing teaching about health promotion with an older adult client.
Which of the following instructions to the client is an example of secondary prevention? -
ANSWER-Participate in screenings for tuberculosis
, Page 4 of 38
QUESTION: A nurse is monitoring an assistive personnel (AP) who is measuring a client's oxygen
saturation using a pulse oximeter. Which of the following observations by the nurse indicates
that the AP is correctly performing the task? - ANSWER-The AP chooses a site with a capillary
refill of less than 2 seconds.
Rationale: The nurse should evaluate that the AP is performing the task correctly by choosing a
site with a capillary refill of less than 2 seconds. The oximeter probe calculates the percentage
of oxygen in hemoglobin. Decreased peripheral circulation will result in an inaccurate reading.
QUESTION: A nurse is reviewing the laboratory results of a client who has malnutrition and has
been receiving total parenteral nutrition (TPN). The nurse should identify that which of the
following laboratory values indicates the treatment has been effective? - ANSWER-Prealbumin
28 mg/dL
Rationale: A prealbumin level of 28 mg/dL is within the expected reference range of 15 to 36
mg/dL and indicates the client is receiving adequate nutrition. A prealbumin level below 15
mg/dL indicates malnutrition.
QUESTION: A nurse is preparing to perform wound irrigation for a client who has a stage IV
pressure ulcer. Which of the following images indicates the appropriate supply the nurse should
plan to use? - ANSWER-Nurse should select a 30 to 60 mL syringe and use an 18 to 19 gauge
needle to irrigate the client's wound.