PN Fundamentals Online Practice 2023 B

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1. A nurse in an emergency department is caring -Review the medications that may be

for a client. The nurse should first _______, fol- causing the client's confusion.
lowed by_________ -Using alternative methods to keep the
client safe.

2. A nurse is preparing to obtain a client's vital Turn off the faucet with a clean paper
signs. Which of the following actions should towel after drying hands.
the nurse take when washing their hands?

3. A nurse is collecting data from a client who Positive Chvostek's sign

has an NG tube set to low intermittent suction.
Which of the following finding indicates hypo-
magnesemia?

4. A nurse is preparing to document information 3+ pitting edema

about a client's lower legs, which are swollen
with 6 mm edema. Which of the following in-
formation should the nurse document?

5. A nurse is caring for a group of clients in a -Wash hands after removing gloves
long-term care facility. Which of the follow- -Use antimicrobial hand gel after refill-
ing actions should the nurse take to prevent ing a client's water pitcher
health care-associated infections for these -Clean the stethoscope with an antimi-
clients? (Select all that apply.) crobial wipe after obtaining vital signs

6. A nurse is checking a client for a pulse deficit Count the client's radial and api-
after detecting an irregular heart rate. Which cal pulse simultaneously with another
of the following actions should the nurse take? nurse.

7. A nurse is contributing to the plan of care for a Do you consume pork products?
client who practices Islam. Which of the follow-
ing questions should the nurse ask the client
to clarify the client's religious preferences?
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8. A nurse is reviewing the medical record of a BUN 8 mg/dL (10 to 20 mg/mL)

female client who has heart failure. The nurse
should identify which of the following labora-
tory results as an indication that the client has
fluid volume excess?

9. A nurse is caring for a client who has chronic Guided imagery

pain. The nurse recommends that the client
concentrate on a memory of a pleasurable ex-
perience. Which of the following complemen-
tary therapies is the nurse suggesting?

10. A nurse is collecting data from a client who A purple-colored stoma

is 2 days postoperative following a colosto-
my placement. Which of the following findings
should the nurse report to the provider?

11. A nurse is contributing to the plan of care for a Pad bony prominences on the wrist.
client who has a new prescription for a wrist re-
straint. Which of the following actions should
the nurse include in the plan of care?

12. A nurse is preparing to administer a medica- 13.6 (divide 30/2.2)

tion to a preschooler and must convert the
child's weight from pounds to kilograms. The
child weights 30 lbs. How many kilos does the
child weigh?

13. A nurse is contributing to the plan of care for -Keep the family updated about the
a client who is dying. Which of the following client's status
interventions should the nurse recommend to -Encourage the family to comb the
client's hair.
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include the client's family in the plan of care? -Tell the client's family what to expect
(Select all that apply.) as the client's death nears.

14. A nurse is caring for client who has prescrip- Beneficence

tion for a potassium supplement. The client
tells the nurse that the pill is too large to swal-
low and refuses to take it. The nurse offers
to break the pill into two smaller pieces. The
nurse is demonstrating which of the following
ethical principles?

15. A nurse is assisting with the admission of a Pallor with scaly skin
client to a medical-surgical unit. Which of the
following findings should the nurse identify as
an indication that the client is malnourished?

16. A nurse is caring for a client and is concerned water liquid stool
that the client might have a fecal impaction.
Which of the following is the most important
question for the nurse to ask?

17. A nurse is planning to perform wound irriga- Administer an analgesic 30 minutes

tion for a client who has a large abdominal before starting the procedure.
wound. Which of the following actions should
the nurse plan to take?

18. A nurse is reinforcing dietary teaching with 1 cup of applesauce

a client who has chronic kidney disease and
requires a low-potassium diet. Which of the
following food choices by the client demon-
strates an understanding of the teaching?

19. Check the pH of the gastric aspirate.

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A nurse is preparing to administer an enteral

feeding to a client who has an NG tube in
place. Which of the following methods should
the nurse use to verify correct placement of
the NG tube?

20. A nurse is assisting with the plan of care for Ask the client close-ended questions.
a client who has aphasia following a stroke.
Which of the following interventions should
the nurse use to assist the client with commu-
nication?

21. A nurse is assisting with the care of a client Latex

who has a prescription for IV therapy. The
client tells the nurse that they have numer-
ous allergies. Which of the following allergies
should the nurse bring to the attention of the
charge nurse prior to the initiation of the ther-
apy?

22. A nurse at a long-term care facility is caring Speak with the client about their con-
for a client who is alert. Which of the following dition after visitors have left.
actions should the nurse take to protect the
client's privacy?

23. A nurse is caring for a client who has ter- The reduced muscle tone relaxed the
minal illness and a family member asks why jaw muscles.
the client's mouth is continually open. Which
of the following responses should the nurse
take?

24. A nurse is reinforcing teaching with the part- Tighten your stomach muscles.
ner of a client who is immobile. Which of the
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following instructions should the nurse give

the partner about turning the client in bed?

25. A nurse is caring for a postoperative client who Apply thromboembolic stockings
is at risk for thrombus formation. Which of
the following interventions should the nurse
delegate to assistive personnel (AP)?

26. A nurse is preparing to palpate a client's pulse. Dorsalis pedis

The nurse should recognize that which of the
following pulses is located on the top of the
client's foot?

27. A nurse is reinforcing teaching about health Young adults should receive a dental
promotion with a group of young adult clients. assessment every 6 months.
Which of the following information should the
nurse include?

28. A nurse is reinforcing teaching about the use I will be sure to keep the crutch tips dry.
of crutches with a client who has a fractured
right tibia and fibula. Which of the following
statements by the client indicates an under-
standing of the teaching?

29. A nurse is caring for client who has just died The client's face should be turned to-
and practiced the Islamic faith. Which of the ward Mecca.
following cultural practices should the nurse
expect?

30. A nurse is planning care for a group of clients. Performance of a paracentesis.

The nurse should expect to witness an in-
formed consent for a client who will undergo
which of the following procedures?
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31. A nurse is contributing to the plan of care Compare the client's pedal pulses bi-
for a client who has a prescription for elastic laterally every 4 hr.
bandages to the lower extremities. Which of
the following actions should the nurse recom-
mend for the plan of care?

32. A nurse is contributing to the plan of care for A client who has measles.
four clients. For which of the following clients
should the nurse indicate airborne precau-
tions?

33. A nurse is reinforcing teaching with a client The client advances the unaffected leg
about the use of crutches. Which of the follow- first while climbing stairs.
ing actions by the client indicates an under-
standing of the teaching?

34. A nurse is repositioning a client who has quad- Internally rotate the client's hips by us-
riplegia and is in the supine position. Which of ing a trochanter roll.
the following actions should the nurse take to
prevent client musculoskeletal injury?

35. A nurse working in a community clinic is talk- Ego integrity vs despair

ing with an older adult client who states that
their life has no purpose. The nurse should
identify that the client is in which of the follow-
ing stages of Erikson's Theory of Psychosocial
Development1/

36. A nurse is assisting with the admission of an Describe your concerns about sleeping
older adult client to an acute care facility. The to me.
client states that they are afraid to go to sleep,
fearing they will not wake up. Which of the

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following is a therapeutic response the nurse

should make?

37. A nurse has delegated various client care tasks Donning a mask to measure the vital
to the AP on the care team. Which of the signs of a client who has pertussis.
following actions by the AP should the nurse
identify as correct?

38. A nurse is assisting with a plan of care for four Assist a client to get out of bed after a
clients. Which of the following tasks should the breathing treatment.
nurse assign to an AP?

39. A nurse is an acute care setting is docu- Release of personal belongings form.
menting postmortem care in a client's med-
ical record. Which of the following information
should the nurse include in the documenta-
tion?

40. A nurse is caring for a client who is postopera- Actual loss

tive following a mastectomy. The client states,
"I can barely look myself in the mirror." The
nurse should identify that the client is experi-
encing which of the following?

41. A nurse is contributing to the plan of care for Ensure that client wears a surgical
a client who has a positive throat culture for mask during transportation through-
streptococci. Which of the following interven- out the facility.
tions should the nurse recommend to be in-
cluded in the plan of care?

42. A client who is scheduled to undergo surgery Notify the charge nurse of the client's
tells the nurse that they do not understand concern.
the procedure and are reconsidering their de-
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cision to have it. Which of the following actions

should the nurse take?

43. A charge nurse smells smoke, enters the visi- 1. Evacuate clients from the area.
tor restroom, and sees flames in the trash can. 2. Pull the lever
What is the sequence of actions that the nurse 3. Close the fire doors
should take? 4. Use fire extinguishers

44. A nurse is providing care to four clients in an Please don't tell the doctor, but I am
acute care setting. The nurse should identify taking my partner's oxycodone.
that which of the following client statements
presents an ethical dilemma?

45. A nurse is caring for a client who reports diffi- Perform muscle relaxation before bed.
culty sleeping at home. Which of the following
recommendations should the nurse provide to
promote a restful home sleep environment?

46. A nurse in a long-term care facility is collecting Choose a private room for the inter-
admission data from a client who uses a hear- view.
ing aid. Which of the following actions should
the nurse take?

47. A nurse is assisting with the admission of Compare the medications the provider
a client who has brought their medications has prescribed with the client's med-
to the facility. Which of the following actions ications from home.
should the nurse take?

48. A nurse is caring for client who has chronic The client's output was 60 mL for the
kidney disease. The nurse should identify that past 3 hr.
which of the following findings is the priority
to report to the provider?

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49. A nurse is planning to perform intermittent Perform a bladder scan

catheterization for a client who is unable to
urinate. Which of the following actions should
the nurse take first?

50. A nurse is caring for a client who is postopera- -cool extremities

tive and is experiencing nausea and vomiting. -orthostatic hypotension
The nurse should identify which of the follow- -flat neck veins
ing findings as indications that the client has
fluid volume deficit?

51. A nurse is caring for a client who has a new Providing client information to another
diagnosis of cancer. Which of the following ac- nurse at the change of shift.
tions by the nurse maintains the client's confi-
dentiality?

52. A nurse is reinforcing preoperative teaching This can prevent pneumonia.

with a client about how to turn, cough, and
deep breathe. Which of the following state-
ments by the client indicates an understand-
ing of the teaching?

53. A nurse in an emergency department (ED) is -Client is cachectic with flaccid muscle
assisting in the care of a client. tone.
which of the following are s/s of malnourished -Skin is dry and scaly with bruises on
extremities.
-Pulse rate 118/min
-Abdomen is distended
-BMI 17

54. A nurse is assisting in the care of a client who -Document clients vital signs.
has pancreatitis. Select the 3 tasks the nurse -Measure intake and output
should delegate to an assistive personnel (AP)
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-Transfer the client from wheelchair to

the bed

55. A nurse is admitting a client. The nurse is re- -place the client in droplet isolation
viewing the client's medical record. Which of precautions
the following actions should the nurse take? -apply oxygen at 2L/min via nasal can-
Select all that apply nula
-request a prescription for an an-
tipyretic medication
-stay at least 0.9 (3 feet) away from the
client when possible

56. A nurse is caring for a client who has a periph- -Stop the IV infusion
eral IV inserted for fluid replacement. A nurse -Elevate the client's left arm
is collecting data from the client. Which of the -Apply heat to the client's left hand
following actions should the nurse take? Select
all that apply

57. A nurse is assisting in the care of a client in tissue, no odor, comfort level, decrease
a medical-surgical unit. Click to highlight the in wound size and tunneling.
findings that indicate an improvement in the
client's condition,

58. A nurse is assisting with the care of a client -an allergic reaction
who is receiving a unit of packed RBCs. Com- -itching
plete the following sentence by using the lists
of options.

59. A nurse is assisting in the care of a client who -lung sounds

has a continuous enteral feeding. Select the 3 -gastric residual
findings that require notification of the charge -client cough
nurse.

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60. A nurse is assisting in the admission of a client -request a prescription for antibiotic
who reports experiencing a sore throat, pro- -wear a mask with 1 m(3 feet) of the
ductive cough, and fever for the past 3 days. client
What interventions? -initiate droplet precautions
-apply a mask on the client when the
client leaves their room

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