A 2023 ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the
trash can. What is the sequence of actions that the nurse should take? (Move the
steps into the box on the right, placing them in the selected order of performance.
Use all the steps.)
Evacuate clients from the area is the first step.
EXPLANATION: The first action the nurse should take when using the RACE
protocol is to "rescue" or evacuate the clients from the area to prevent harm.
Pull the lever on the fire alarm box is the second step.
EXPLANATION: For the next step, "alarm," the nurse should activate the facility
fire alarm and call to report the fire to the facility emergency extension.
Close the fire doors on the unit is the third step.
PN FUNDAMENTALS ONLINE PRACTICE TEST
A 2023 ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS
,EXPLANATION: Close the fire doors on the unit is the third step. For the third
step, "confine," the nurse should close the unit fire doors to prevent the fire from
spreading.
Use a fire extinguisher to put out the fire is the fourth step.
EXPLANATION: For the final step, "extinguish," the nurse should use a fire
extinguisher to put out the fire by aiming the nozzle at the base of the fire and
using a sweeping motion.
A nurse is caring for a client who is receiving continuous NG tube feedings. The
nurse listens to the client's bowel sounds. Which of the following actions should
the nurse take? (Click on the audio button to listen to the clip.)
Decrease the rate of the feeding
- EXPLANATION: The nurse should expect to hear bowel sounds every 5 to 35
seconds. This audio clip indicates hypermotility because there are greater than 40
bowel sounds/min. Hypermotility leads to diarrhea and is an indication of
intolerance to the enteral feeding. Therefore, the nurse should slow the rate of the
feeding to promote the client's tolerance of the feeding.
The nurse should maintain a client who is receiving continuous NG tube feedings
in a position with the head of the bed elevated 30° to 45° to prevent aspiration of
the formula.
PN FUNDAMENTALS ONLINE PRACTICE TEST
A 2023 ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS
,A nurse is preparing to administer oxygen to a client who has heart failure and is
having severe difficulty breathing. Which of the following oxygen delivery
equipment should the nurse select to provide the highest concentration of oxygen
to the client?
Nonrebreather mask
EXPLANATION:
A nonrebreather mask provides the highest percentage of oxygen concentration
without intubation and mechanical ventilation.
A Venturi mask can be adjusted to provide a consistent lower oxygen
concentration.
A simple face mask can be adjusted for short-term delivery of low to medium
oxygen concentration.
A nasal cannula provides a low oxygen concentration.
A nurse is caring for a client who has metastatic cancer and practices Catholicism.
The client asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the client's spiritual needs? "Tell me
what the afterlife means to you."
PN FUNDAMENTALS ONLINE PRACTICE TEST
A 2023 ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS
, Rationale: This statement respects the client's spiritual needs by using open-ended
therapeutic communication to assist the client to talk about their concerns.
A nurse is reinforcing teaching with a client about the prevention of stress injuries.
Which of the following instructions should the nurse include?
"When lifting a heavy object, keep it close to your body."
EXPLANATION: The nurse should instruct the client to keep the object as close to
their body as possible to increase stability and decrease back strain when lifting a
heavy object.
A nurse is reinforcing teaching with a client about the use of crutches. Which of the
following actions by the client indicates an understanding of the teaching?
The client advances the unaffected leg first while climbing stairs.
EXPLANATION: When ascending stairs, the client should first advance the
unaffected leg.
The nurse should reinforce with the client that their axilla should not bear any
weight while in the tripod position because this can cause pressure injury
formation. The client should bear their weight with their arms and hands.
PN FUNDAMENTALS ONLINE PRACTICE TEST
A 2023 ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS