Test Mode Assessment

No.

1 :
A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

Ask the assist personnel to document the client's time of death.

Place an identification tag on the outside of the client's shroud.

Wear sterile gloves when cleaning the client's body.

Remove the client's dentures and give them to the client's family.

Hint : 🏷️ Tag body externally

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

Check the medical record for the client's signature on a previous consent form.

Have another nurse co-sign the client's consent.

Obtain verbal consent from the end.

Witness the client's signature on a consent form.

Hint : 🗣️ Verbal OK for catheter

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

Use a filter needle to aspirate the medication

Add 0.5 ml of diluent to the medication,

Cleanse the tip of the ampule with an alcohol swab after opening.

Inject air into the ampule prior to drawing the medication into a syringe.

Hint : 💉 Filter prevents glass entry

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

Place the bed in the lowest position before logrolling the client.

Place the client in semi-Fowler's position prior to logrolling.

Place the client's arms above her head prior to logrolling.

Place a pillow between the client's legs prior to logrolling.

Hint : 🛏️ Keep spine straight

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?

Training the bladder by voiding every 5 hr.

Applying adult diapers at bedtime is incorrect

Performing pelvic-muscle exercises is correct.

Drinking citrus juice with meals is incorrect

Hint : 🏋️‍♀️ Strengthen pelvic control

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
A nurse is reinforcing discharge teaching about fecal occult blood testing with include in the teaching?

Discontinue supplements containing vitamin C 24 hr. before the test

Refrain from consuming pork 7 days before the test.

Place a thick layer of stool on the specimen card.

Urinate prior to collecting the stool specimen

Hint : 💩 Avoid urine in stool sample

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.
Cleanse the stoma site with 0.9% sodium chloride solution.
Unlock and remove the inner cannula.
Scrub the inside and outside of the inner cannula with a small brush.
Wipe the inside of the inner cannula with a folded pipe cleaner.

Hint : 🫁 Stoma then cannula sequence

Correct Order:

No correct order available !

Rationale :

Rationale to be Available Soon

8 :
A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days. Which of the following laboratory findings should the nurse expect?

Hyperkalemia

Hypocalcemia

Hypermagnesemia

Hyponatremia

Hint : 🧂 Sodium loss with GI fluid loss

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

The stoma bleeds lightly when touched.

The stoma appears dark in color.

The stoma is draining a small amount of liquid stool.

The stoma protrudes slightly from the abdomen.

Hint : ⚠️ Dark stoma = bad sign

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

10 :
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

The stoma bleeds lightly when touched.

The stoma appears dark in color.

The stoma is draining a small amount of liquid stool.

The stoma protrudes slightly from the abdomen.

Hint : ⚠️ Dark stoma = ischemia alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

Urinate after the specimen collection.

Place 1.3 cm (0.5 in) of formed stool into a culture tube.

Keep the specimen in a warm area.

Avoid placing toilet tisane in the bedpan after defecation.

Hint : 🚫 No tissue in stool

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

12 :
A nurse is caring for a client who is dying. One of the client's family members tells the nurse, "I need to help. What can I do?" Which of the following actions should the nurse take?

Include the family member in providing care for the client.

Describe a personal experience with the death of a family member.

Ask if they have had prior experience with the death of a family member.

Suggest that the family member contact a grief counselor.

Hint : 🤝 Let them assist directly

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?

Stomach contents are yellowish green in color.

Aspirated stomach contents' pH measures 6.5.

Residual volume of stomach contents measures 90 mL.

Hyperactive bowel sounds are present.

Hint : ⚠️ High pH = check tube placement

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?

Recheck the client's SaO, level after having the client cough and clear their throat.

Review the client's most recent Sao, level in the medical record.

Notify the charge nurse of the client's condon.

Check the client's medical records to see which medications were recently administered.

Hint : 🌬️ Clear airway, reassess O₂

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Measure the intake and output of a client who has received furosemide

Reinforce teaching with a client about crutch-gait walking.

Check a client's peripheral IV site for redness or swelling.

Assess the pain level of a client who has received acetaminophen.

Hint : 💧 I&O task is safe to delegate

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

Remove 45 mL of urine from the catheter with a syringe.

Clamp the catheter tubing for 60 min.

Clamp the catheter tubing below the needleless port

Place the specimen in a clean specimen cup.

Hint : 🧫 Clamp for fresh sample collection

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?

Deflate the cuff faster when repeating the BP measurement.

Measure the client's BP in the other arm.

Use a narrower cuff to repeat the BP measurement.

Request a prescription for an antihypertensive medication.

Hint : 🩺 Validate first, treat second

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Apply clean gloves.
Ask the client to take a deep breath.
Instill 50 mL of air into the tube.
Pinch and withdraw the tube.
Disconnect the tube from the suction device.

Hint : 🧼 Disconnect → gloves → clear → prepare → remove

Correct Order:

No correct order available !

Rationale :

Rationale to be Available Soon

19 :
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Decrease the volume on the hearing aid.

Clean the hearing aid with isopropyl alcohol.

Turn the hearing aid off for 5 min.

Soak the hearing aid in warm water.

Hint : 🔉 Whistling = lower volume

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)

Increased peripheral circulation

Increased saliva production

Increased constipation

Decreased muscle mass

Decreased cough reflex

Hint : 🧓 Common aging issues: gut, muscle, cough

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?

Encourage the client to abstain from distracting activities.

Ensure that the client's room is kept at a cool temperature.

Play music in the client's room.

Keep the client's room well lit.

Hint : 🎵 Use music to ease pain

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?

Obtain urine from the drainage bag if a urinary specimen is required.

Use a catheter securing device to hold the catheter in place.

Position the drainage bag higher than the client's bladder.

Change the catheter bag every 3 days and as needed.

Hint : 📌 Secure to prevent trauma

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

Stand on the client's stronger side when moving the client into the chair.

Pivot on the foot farthest from the bed when assisting the client into the chair.

Flex hips and knees when assisting the client to a standing position.

Raise the bed to waist level before moving the client.

Hint : 🦵 Bend knees for safe lift

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

"I'll use focused breathing to control my pain."

"I'll learn to notice the sensation of muscle tension."

"I'll think about my grandfather's farm to reduce pain."

"I'll listen to my favorite music to take my mind off the pain."

Hint : 🌾 Imagery = mental escape from pain

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
A nurse is checking for the proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

Verify the bilirubin level of the tube contents.

Auscultate for air insufflation.

Request a chest x-ray.

Check the pH level of gastric contents.

Hint : 🩻 X-ray = gold standard for tube check

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

26 :
A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

"I might have headaches due to a decline in my estrogen levels."

"The best time to perform a breast self-examination is on the first day of my period."

"I can expect to have regular periods until I am in menopause."

"I should stop receiving Papanicolaou tests once I reach menopause."

Hint : 🧠 Estrogen drop can trigger headaches

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

27 :
A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Type 1 diabetes mellitus

Orthostatic hypotension

BMI of 24

Family history of osteoporosis

Hint : ❤️ Diabetes = heart disease risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

"I cannot confirm or deny that we have a client by that name."

"I will tell him you called."

"The client's condition is stable right now."

"He is here in the hospital, but I cannot tell you anything else."

Hint : 🔒 Privacy = no disclosure without consent

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Total Questions: 28

Choose Different Exam !

PN Fundamentals of Nursing Exam

No.

1 : A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

2 : A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

3 : A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

4 : A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

5 : A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?

6 : A nurse is reinforcing discharge teaching about fecal occult blood testing with include in the teaching?

7 : A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

8 : A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days. Which of the following laboratory findings should the nurse expect?

9 : A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

10 : A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

11 : A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

12 : A nurse is caring for a client who is dying. One of the client's family members tells the nurse, "I need to help. What can I do?" Which of the following actions should the nurse take?

13 : A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?

14 : A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?

15 : A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

16 : A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

17 : A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?

18 : A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

19 : A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

20 : A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)

21 : A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?

22 : A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?

23 : A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

24 : A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

25 : A nurse is checking for the proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

26 : A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

27 : A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

28 : A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

1 :
A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

2 :
A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

3 :
A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

4 :
A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

5 :
A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?

6 :
A nurse is reinforcing discharge teaching about fecal occult blood testing with include in the teaching?

7 :
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

8 :
A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days. Which of the following laboratory findings should the nurse expect?

9 :
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

10 :
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

11 :
A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

12 :
A nurse is caring for a client who is dying. One of the client's family members tells the nurse, "I need to help. What can I do?" Which of the following actions should the nurse take?

13 :
A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?

14 :
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?

15 :
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

16 :
A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

17 :
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?

18 :
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

19 :
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

20 :
A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)

21 :
A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?

22 :
A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?

23 :
A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

24 :
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

25 :
A nurse is checking for the proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

26 :
A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

27 :
A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

28 :
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?