PN VATI FUNDAMENTALS PRACTICE QUESTIONS AND
ANSWERS LATEST AND COMPREHENSIVE VERSION WITH
VERIFIED ANSWERS GUARANTEED PASS WITH INSTANT
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A nurse is collecting data from a client who has an elevated temperature with no
sweating. Which of the following findings is an indication of hypernatremia?
Thirst
Muscle twitching
Headache
Abdominal cramps
Answer: Thirst.
Rationale: Thirst, combined with an elevated temperature and a lack of sweating,
can be an indication of hypernatremia.
A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise?
Close the door to the client's room.
Turn off the alarms and beeps on monitoring equipment.
Conduct change-of-shift report outside the client's door.
Keep the television on low in the client's room.
,Answer: Close the door to the client's room.
Rationale: The nurse should close the door to the client's room whenever possible
to reduce environmental noise.
A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning?
Identify areas of concern.
Prioritize learning objectives.
Demonstrate psychomotor skills.
Observe nonverbal communication.
Answer: Identify areas of concern.
Rationale: The first action the nurse should take when using the nursing process is
to collect data from the client. Identifying and understanding the client's concerns
prior to reinforcing teaching promotes effective learning.
A home health nurse is assisting with the plan of care for a client. Which of the
following should the nurse include during the orientation phase of the helping
relationship?
Review current client data.
Assist to meet client goals.
Review shared memories of interactions with client.
Clarify the role of this individual nurse.
,Answer: Clarify the role of this individual nurse.
Rationale: The nurse should plan to establish a warm, caring relationship while
clarifying the role of each participant, which occurs during the orientation phase
of the relationship.
A nurse is preparing to assist with the admission of a client who has pneumonia.
Which of the following observations about the client's room requires immediate
attention?
The wall BP gauge is missing.
The room has no IV infusion pump.
The examination light above the bed does not work.
The wheel locks on the bed are malfunctioning.
Answer: The wheel locks on the bed are malfunctioning.
Rationale: The greatest risk to this client is injury from a fall when getting into or
out of a bed that is unstable due to malfunctioning locks. Therefore, the priority is
to report and replace the bed before admitting the client to the room.
A nurse is reinforcing teaching about health promotion with an older adult client.
Which of the following instructions to the client is an example of secondary
prevention?
Participate in screenings for tuberculosis.
Follow dietary recommendations to reduce the risk for osteoporosis.
, Limit alcohol intake to one drink per day.
Perform yoga exercises three times per week.
Answer: Participate in screenings for tuberculosis.
Rationale: The nurse should encourage the client to participate in screenings for
tuberculosis, a secondary prevention measure. Secondary prevention measures
focus on diagnosis and early intervention.
A licensed practical nurse (LPN) is receiving change-of-shift report for a client who
had a stroke. For which of the following tasks should the nurse request assistance
from a registered nurse (RN)?
Administering a cleansing enema
Staging a pressure ulcer
Inserting an indwelling urinary catheter
Performing passive range-of-motion exercises
Answer: Staging a pressure ulcer.
Rationale: An LPN can collect data for the client and report findings to an RN.
However, staging a pressure ulcer requires advance knowledge and skill, and is
outside the scope of practice of an LPN. An RN should assess the stage of a
complex wound, such as a pressure ulcer, and provide primary client teaching
about pressure ulcer prevention and care.
A nurse is reinforcing teaching about home safety with a client who is at risk for
falls. Which of the following client statements indicates an understanding of the
teaching?
"I will keep my floors well waxed."
"I will take my shoes off when I come back into the house."
ANSWERS LATEST AND COMPREHENSIVE VERSION WITH
VERIFIED ANSWERS GUARANTEED PASS WITH INSTANT
PDF DOWNLOAD
A nurse is collecting data from a client who has an elevated temperature with no
sweating. Which of the following findings is an indication of hypernatremia?
Thirst
Muscle twitching
Headache
Abdominal cramps
Answer: Thirst.
Rationale: Thirst, combined with an elevated temperature and a lack of sweating,
can be an indication of hypernatremia.
A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise?
Close the door to the client's room.
Turn off the alarms and beeps on monitoring equipment.
Conduct change-of-shift report outside the client's door.
Keep the television on low in the client's room.
,Answer: Close the door to the client's room.
Rationale: The nurse should close the door to the client's room whenever possible
to reduce environmental noise.
A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning?
Identify areas of concern.
Prioritize learning objectives.
Demonstrate psychomotor skills.
Observe nonverbal communication.
Answer: Identify areas of concern.
Rationale: The first action the nurse should take when using the nursing process is
to collect data from the client. Identifying and understanding the client's concerns
prior to reinforcing teaching promotes effective learning.
A home health nurse is assisting with the plan of care for a client. Which of the
following should the nurse include during the orientation phase of the helping
relationship?
Review current client data.
Assist to meet client goals.
Review shared memories of interactions with client.
Clarify the role of this individual nurse.
,Answer: Clarify the role of this individual nurse.
Rationale: The nurse should plan to establish a warm, caring relationship while
clarifying the role of each participant, which occurs during the orientation phase
of the relationship.
A nurse is preparing to assist with the admission of a client who has pneumonia.
Which of the following observations about the client's room requires immediate
attention?
The wall BP gauge is missing.
The room has no IV infusion pump.
The examination light above the bed does not work.
The wheel locks on the bed are malfunctioning.
Answer: The wheel locks on the bed are malfunctioning.
Rationale: The greatest risk to this client is injury from a fall when getting into or
out of a bed that is unstable due to malfunctioning locks. Therefore, the priority is
to report and replace the bed before admitting the client to the room.
A nurse is reinforcing teaching about health promotion with an older adult client.
Which of the following instructions to the client is an example of secondary
prevention?
Participate in screenings for tuberculosis.
Follow dietary recommendations to reduce the risk for osteoporosis.
, Limit alcohol intake to one drink per day.
Perform yoga exercises three times per week.
Answer: Participate in screenings for tuberculosis.
Rationale: The nurse should encourage the client to participate in screenings for
tuberculosis, a secondary prevention measure. Secondary prevention measures
focus on diagnosis and early intervention.
A licensed practical nurse (LPN) is receiving change-of-shift report for a client who
had a stroke. For which of the following tasks should the nurse request assistance
from a registered nurse (RN)?
Administering a cleansing enema
Staging a pressure ulcer
Inserting an indwelling urinary catheter
Performing passive range-of-motion exercises
Answer: Staging a pressure ulcer.
Rationale: An LPN can collect data for the client and report findings to an RN.
However, staging a pressure ulcer requires advance knowledge and skill, and is
outside the scope of practice of an LPN. An RN should assess the stage of a
complex wound, such as a pressure ulcer, and provide primary client teaching
about pressure ulcer prevention and care.
A nurse is reinforcing teaching about home safety with a client who is at risk for
falls. Which of the following client statements indicates an understanding of the
teaching?
"I will keep my floors well waxed."
"I will take my shoes off when I come back into the house."
