PNC Exam final Questions and Answers 100% Correct
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During
the admission interview, the nurse should implement which communication techniques to elicit the most
information from the parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions correct answer D
A charge nurse meets with staff to outline a plan to provide transcultural nursing care for patients in
their health care facility. Which theorist promoted this type of caring as the central theme of nursing
care, knowledge, and practice?
A. Madeline Leininger
B. Jean Watson
C. Dorothy E. Johnson
D. Betty Newman correct answer A
A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The treatment for this
cancer is worse than the disease itself. I'm not going to come for my therapy anymore." The nurse
responds by using critical thinking skills to address this patient problem. Which action is the first step the
nurse would take in this process?
A. The nurse judges whether the patient database is adequate to address the problem.
B. The nurse considers whether or not to suggest a counseling session for the patient.
C. The nurse reassesses the patient and decides how best to intervene in her care.
D. The nurse identifies several options for intervening in the patient's care and critiques the merit of
each option. correct answer C
Rationale: Reassessing the patient is the first step in the critical thinking process when addressing a
complex problem. By reevaluating the patient's emotional and physical state, the nurse gathers updated
,information, which is essential for making an informed decision about how to proceed. This approach
ensures that interventions are tailored to the patient's current needs and concerns.
A home health care nurse is using the steps of the SDLC, to design a new system for home health care
documentation. The nurse analyzes the old system and develops plans for the new system. What is the
next step of the nurse in this process?
A. Test
B. Design
C. Implement
D. Evaluate correct answer B
A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent
harm to the patient. The nurse's action reflects which principle of bioethics?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
E. Nonmaleficence correct answer E
A hospice nurse is caring for a patient with end-stage cancer. What action demonstrates this nurse's
commitment to the principle of autonomy?
A. The nurse helps the patient prepare a durable power of attorney document.
B. The nurse gives the patient undivided attention when listening to concerns.
C. The nurse keeps a promise to provide a counselor for the patient.
D. The nurse competently administers pain medication to the patient. correct answer A
,A new nurse who is being oriented to the subacute care unit is expected to follow existing standards
when providing patient care. Which nursing actions are examples of these standards? Select all that
apply.
A. Monitoring patient status every hour
B. Using intuition to troubleshoot patient problems
C. Turning a patient on bed rest every 2 hours
D. Becoming a nurse mentor to a student nurse
E. Administering pain medication ordered by the physician
F. Becoming involved in community nursing events correct answer A
C
E
A new RN is being oriented to a nursing unit that is currently understaffed and is told that the UAPs have
been trained to obtain the initial nursing assessment. What is the best response of the new RN?
A. Allow the UAPs to do the admission assessment and report the findings to the RN.
B. Do his or her own admission assessments but don't interfere with the practice if other professional
RNs seem comfortable with the practice.
C. Tell the charge nurse that he or she chooses not to delegate the admission assessment until further
clarification is received from administration.
D. Contact his or her labor representative to report this practice to the state board of nursing. correct
answer C
A nurse administers the wrong medication to a patient and the patient is harmed. The health care
provider who ordered the medication did not read the documentation that the patient was allergic to
the drug. Which statement is true regarding liability for the administration of the wrong medication?
A. The nurse is not responsible, because the nurse was following the doctor's orders.
B. Only the nurse is responsible, because the nurse actually administered the medication.
C. Only the health care provider is responsible, because the health care provider actually ordered the
drug.
, D. Both the nurse and the health care provider are responsible for their respective actions. correct
answer D
A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After
calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and
then fills out an incident report. Which statements accurately describe steps of this procedure and why it
is performed? Select all that apply.
A. An incident report is used as disciplinary action against staff members.
B. An incident report is used as a means of identifying risks.
C. An incident report is used for quality control.
D. The facility manager completes the incident report.
E. An incident report makes facts available in case litigation occurs.
F. Filing of an incident report should be documented in the patient record. correct answer B
C
E
A nurse assesses a patient and formulates the following nursing diagnosis: Risk for Impaired Skin
Integrity related to prescribed bed rest as evidenced by reddened areas of skin on the heels and back.
Which phrase represents the etiology of this diagnostic statement?
A. Risk for Impaired Skin Integrity
B. Related to prescribed bed rest
C. As evidenced by
D. As evidenced by reddened areas of skin on the heels and back correct answer B
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge
plan for the patient. Which action should be the focus of this termination phase of the helping
relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During
the admission interview, the nurse should implement which communication techniques to elicit the most
information from the parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions correct answer D
A charge nurse meets with staff to outline a plan to provide transcultural nursing care for patients in
their health care facility. Which theorist promoted this type of caring as the central theme of nursing
care, knowledge, and practice?
A. Madeline Leininger
B. Jean Watson
C. Dorothy E. Johnson
D. Betty Newman correct answer A
A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The treatment for this
cancer is worse than the disease itself. I'm not going to come for my therapy anymore." The nurse
responds by using critical thinking skills to address this patient problem. Which action is the first step the
nurse would take in this process?
A. The nurse judges whether the patient database is adequate to address the problem.
B. The nurse considers whether or not to suggest a counseling session for the patient.
C. The nurse reassesses the patient and decides how best to intervene in her care.
D. The nurse identifies several options for intervening in the patient's care and critiques the merit of
each option. correct answer C
Rationale: Reassessing the patient is the first step in the critical thinking process when addressing a
complex problem. By reevaluating the patient's emotional and physical state, the nurse gathers updated
,information, which is essential for making an informed decision about how to proceed. This approach
ensures that interventions are tailored to the patient's current needs and concerns.
A home health care nurse is using the steps of the SDLC, to design a new system for home health care
documentation. The nurse analyzes the old system and develops plans for the new system. What is the
next step of the nurse in this process?
A. Test
B. Design
C. Implement
D. Evaluate correct answer B
A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent
harm to the patient. The nurse's action reflects which principle of bioethics?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
E. Nonmaleficence correct answer E
A hospice nurse is caring for a patient with end-stage cancer. What action demonstrates this nurse's
commitment to the principle of autonomy?
A. The nurse helps the patient prepare a durable power of attorney document.
B. The nurse gives the patient undivided attention when listening to concerns.
C. The nurse keeps a promise to provide a counselor for the patient.
D. The nurse competently administers pain medication to the patient. correct answer A
,A new nurse who is being oriented to the subacute care unit is expected to follow existing standards
when providing patient care. Which nursing actions are examples of these standards? Select all that
apply.
A. Monitoring patient status every hour
B. Using intuition to troubleshoot patient problems
C. Turning a patient on bed rest every 2 hours
D. Becoming a nurse mentor to a student nurse
E. Administering pain medication ordered by the physician
F. Becoming involved in community nursing events correct answer A
C
E
A new RN is being oriented to a nursing unit that is currently understaffed and is told that the UAPs have
been trained to obtain the initial nursing assessment. What is the best response of the new RN?
A. Allow the UAPs to do the admission assessment and report the findings to the RN.
B. Do his or her own admission assessments but don't interfere with the practice if other professional
RNs seem comfortable with the practice.
C. Tell the charge nurse that he or she chooses not to delegate the admission assessment until further
clarification is received from administration.
D. Contact his or her labor representative to report this practice to the state board of nursing. correct
answer C
A nurse administers the wrong medication to a patient and the patient is harmed. The health care
provider who ordered the medication did not read the documentation that the patient was allergic to
the drug. Which statement is true regarding liability for the administration of the wrong medication?
A. The nurse is not responsible, because the nurse was following the doctor's orders.
B. Only the nurse is responsible, because the nurse actually administered the medication.
C. Only the health care provider is responsible, because the health care provider actually ordered the
drug.
, D. Both the nurse and the health care provider are responsible for their respective actions. correct
answer D
A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After
calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and
then fills out an incident report. Which statements accurately describe steps of this procedure and why it
is performed? Select all that apply.
A. An incident report is used as disciplinary action against staff members.
B. An incident report is used as a means of identifying risks.
C. An incident report is used for quality control.
D. The facility manager completes the incident report.
E. An incident report makes facts available in case litigation occurs.
F. Filing of an incident report should be documented in the patient record. correct answer B
C
E
A nurse assesses a patient and formulates the following nursing diagnosis: Risk for Impaired Skin
Integrity related to prescribed bed rest as evidenced by reddened areas of skin on the heels and back.
Which phrase represents the etiology of this diagnostic statement?
A. Risk for Impaired Skin Integrity
B. Related to prescribed bed rest
C. As evidenced by
D. As evidenced by reddened areas of skin on the heels and back correct answer B
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge
plan for the patient. Which action should be the focus of this termination phase of the helping
relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications