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PN Fundamentals Online Practice 2020 B with NGN – Complete Nursing Exam Prep

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This document provides a full set of practical nursing (PN) fundamentals practice questions, version 2020 B, including Next Generation NCLEX (NGN) style items. It covers core nursing concepts, patient care, and clinical scenarios to strengthen understanding and exam readiness. Designed for practical nursing students preparing for online practice exams and NCLEX-PN assessments. Includes rationales and strategies for effective test-taking.

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PN Fundamentals Online Practice 2020 B with NGN – Practice Questions with Answers and Rationales!!!! Page 1




PN Fundamentals Online Practice
2020 B with NGN – Practice
Questions with Answers and
Rationales
This document contains practice questions with answers and explanations based on PN Fundamentals Online Practice 2020 B with NGN content.
The material reviews essential nursing fundamentals including infection control, documentation, client safety, therapeutic communication,
nutrition, and postoperative care. It is designed to help nursing students prepare for ATI fundamentals exams, NGN assessments, and
NCLEX-PN style questions. fundamentals of nursing practice questions ATI PN fundamentals exam review nursing infection control principles
therapeutic communication nursing nursing documentation guidelines client safety nurs ing interventions enteral feeding nursing care pressure
injury nursing care postmortem nursing care nursing ethical and legal concepts


Question 1
A nurse is caring for a client who has an indwelling urinary catheter. Which action should the
nurse take?
Answer
Clean the perineal area at least once a day.
Explanation
Daily perineal care reduces bacterial growth around the catheter and helps prevent
catheter-associated urinary tract infections.

Question 2
A nurse is preparing to remove staples from a client's incision. Which action should the
nurse take?
Answer
Remove the staple from the skin after both sides are visible.
Explanation
Both sides of the staple must be visible to ensure proper alignment and safe removal without
damaging the incision.

Question 3
For which client should the nurse initiate airborne precautions?
Answer
A client who has measles.
Explanation
Measles is transmitted through airborne particles and requires airborne isolation precautions.

Question 4
Which finding indicates that a client is malnourished?
Answer
Pallor with scaly skin.
Explanation
Malnutrition can lead to skin changes such as pallor, dryness, and scaling due to inadequate
nutrient intake.



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, PN Fundamentals Online Practice 2020 B with NGN – Practice Questions with Answers and Rationales!!!! Page 2




Question 5
Which instruction should the nurse give when teaching a client to administer ophthalmic
drops?
Answer
Cleanse the eye from the inner corner to the outer corner before applying drops.
Explanation
Cleaning from the inner to outer area prevents contaminants from entering the tear duct.

Question 6
A client reports itching after receiving a new medication. What should the nurse document?
Answer
Client states, “I started to itch after taking that medication.”
Explanation
Documentation should include the client’s exact words to provide objective and accurate
information.

Question 7
To whom can a nurse disclose client health information without written consent?
Answer
A physical therapist involved in the client’s care.
Explanation
Healthcare team members directly involved in care can access client information for
treatment purposes.

Question 8
Which finding indicates fluid volume deficit?
Answer
A thready pulse.
Explanation
A thready pulse indicates decreased circulating blood volume and possible dehydration.

Question 9
What should the nurse recommend to a client with minimal sunlight exposure?
Answer
Take vitamin D supplements.
Explanation
Vitamin D helps maintain bone health and is normally synthesized through sunlight
exposure.

Question 10
What is the first action when teaching carbohydrate counting to a client with diabetes?
Answer
Ask what the client already knows about meal planning.
Explanation
Assessing prior knowledge allows the nurse to tailor education appropriately.




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