NEW PRACTICE QUESTIONS AND ANSWERS FOR PN LIVE REVIEW
FUNDAMENTALS 2020
, NEW PRACTICE QUESTIONS AND ANSWERS FOR PN LIVE REVIEW
FUNDAMENTALS 2020
A nurse is reinforcing teaching with a client about breast self-examination (BSE). Which of the
following statements by the client indicated an understanding of the teaching?
A) "I should begin my BSE by looking at my breasts while standing in front of the mirror."
B) "I should perform my BSE each month on the first day of my menstrual cycle."
C)"I should expect a small amount of white discharge when I gently squeeze my nipples."
D) "I should feel each of my breasts at the same time to check for any differences." - CORRECT
ANSWER A) "I should begin my BSE by looking at my breasts while standing in front of the
mirror."
Rationale:
The client should begin their BSE by standing in front of the mirror and inspecting the
appearance of each breast. The client should observe for symmetry and changes in
appearance. The nurse should instruct the client to report to the provider any indications of
dimpling, puckered skin, rashes or scaling of the skin, or nipple discharge. These findings, or
any other changes, warrant further assessment by the provider.
Why the other options are incorrect:
The client should perform a BSE each month 4 to 7 days after menstruation ends. During this
time of the menstrual cycle, the client's breasts are less tender than at the beginning of the
cycle. Performing the BSE when the breasts are less tender allows the client to perform a more
thorough self-examination and increases the likelihood that they will detect changes or
abnormalities.
The client should gently squeeze each nipple during the BSE to check for any discharge. The
nurse should instruct the client to report any discharge from their nipples to the provider. After
childbirth, the client might have clear yellow discharge from the nipples. Otherwise, this finding
warrants further assessment by the provider.
The client should palpate one breast thoroughly in a vertical strip, circular, or wedge pattern,
checking for any lumps or masses in the breast. After completing the palpation of one breast,
,the client should repeat the process on the other breast. The nurse should instruct the client to
report any lumps, masses, or changes to the provider for further assessment.
A nurse is preparing a client for a routine gynecoligical examination. Which of the following
actions should the nurse take?
A) Assist the client into a dorsal recumbent position prior to the examination.
B) Instruct the client to empty their bladder prior to the examination.
C)Advise the client to tighten their abdominal muscles during the internal examination.
D) Provide sterile gloves for the provider to wear during the examination. - CORRECT
ANSWER B) Instruct the client to empty their bladder prior to the examination.
Rationale:
The nurse should instruct the client to empty their bladder prior to a gynecological examination.
This action allows the provider to perform a more thorough palpation of the client's uterus and
ovaries and promotes client comfort during the examination. During the gynecological
examination, the provider can perform a vaginal examination and can assess the client's
reproductive organs and external genitalia for abnormalities. Instructing the client to void also
provides a urine specimen for urinalysis, which is often prescribed as part of the examination.
The nurse should assist the client into a lithotomy position for a gynecological examination. In
this position, the client's feet are in stirrups with the buttocks at the end of the examination table,
allowing the provider to examine the client's genitalia and genital tract. The nurse should place
clients in a dorsal recumbent position for examination of the thorax or abdomen.
The nurse should instruct the client to relax their abdominal muscles during the examination.
This relaxation promotes comfort during the examination. The nurse should have the client
place their arms at the side or across the chest and take deep breaths during the examination.
These actions help to prevent the client's abdominal muscles from tightening.
Prior to the exam, the nurse should prepare supplies needed by the provider. Supplies include
clean gloves, a light source, vaginal speculum, and supplies for collection of cytological
specimens. Clean gloves provide protection for the provider from contact with bodily fluids of the
genitalia and genital tract. This examination is a clean procedure. Sterile gloves are not
necessary.
, A nurse is providing postmortem care to an adult client. Which of the following actions should
the nurse take?
A) Place the client in a side-lying position
B) Determine whether an autopsy has been ordered
C)Cover the client's body with a sheet
D) Ask the client's loved ones about their religious rituals
E) Remove the client's dentures - CORRECT ANSWER B, C, D
Rationale:
Place the client in a side-lying position is incorrect. The nurse should place the client in a supine
position with their head on a pillow.
Determine whether an autopsy has been ordered is correct. The nurse should determine
whether an autopsy has been ordered prior to performing any care to the body.
Cover the client's body with a sheet is correct. The nurse should cover the client's body with a
sheet and provide privacy for the family to view the body.
Ask the client's loved ones about their religious rituals is correct. The nurse should ask the
client's family or loved ones about any religious or cultural practices that might need to be
included in the postmortem care of the client's body.
Remove the client's dentures is incorrect. The nurse should ensure that the client's dentures
remain in place to maintain the client's normal facial appearance.
A nurse is reinforcing teaching regarding bladder retraining with a client who has urinary
incontinence. Which of the following statements by the client indicated an understanding of the
teaching?
A) "I should go to the bathroom whenever I feel the urge to void."
FUNDAMENTALS 2020
, NEW PRACTICE QUESTIONS AND ANSWERS FOR PN LIVE REVIEW
FUNDAMENTALS 2020
A nurse is reinforcing teaching with a client about breast self-examination (BSE). Which of the
following statements by the client indicated an understanding of the teaching?
A) "I should begin my BSE by looking at my breasts while standing in front of the mirror."
B) "I should perform my BSE each month on the first day of my menstrual cycle."
C)"I should expect a small amount of white discharge when I gently squeeze my nipples."
D) "I should feel each of my breasts at the same time to check for any differences." - CORRECT
ANSWER A) "I should begin my BSE by looking at my breasts while standing in front of the
mirror."
Rationale:
The client should begin their BSE by standing in front of the mirror and inspecting the
appearance of each breast. The client should observe for symmetry and changes in
appearance. The nurse should instruct the client to report to the provider any indications of
dimpling, puckered skin, rashes or scaling of the skin, or nipple discharge. These findings, or
any other changes, warrant further assessment by the provider.
Why the other options are incorrect:
The client should perform a BSE each month 4 to 7 days after menstruation ends. During this
time of the menstrual cycle, the client's breasts are less tender than at the beginning of the
cycle. Performing the BSE when the breasts are less tender allows the client to perform a more
thorough self-examination and increases the likelihood that they will detect changes or
abnormalities.
The client should gently squeeze each nipple during the BSE to check for any discharge. The
nurse should instruct the client to report any discharge from their nipples to the provider. After
childbirth, the client might have clear yellow discharge from the nipples. Otherwise, this finding
warrants further assessment by the provider.
The client should palpate one breast thoroughly in a vertical strip, circular, or wedge pattern,
checking for any lumps or masses in the breast. After completing the palpation of one breast,
,the client should repeat the process on the other breast. The nurse should instruct the client to
report any lumps, masses, or changes to the provider for further assessment.
A nurse is preparing a client for a routine gynecoligical examination. Which of the following
actions should the nurse take?
A) Assist the client into a dorsal recumbent position prior to the examination.
B) Instruct the client to empty their bladder prior to the examination.
C)Advise the client to tighten their abdominal muscles during the internal examination.
D) Provide sterile gloves for the provider to wear during the examination. - CORRECT
ANSWER B) Instruct the client to empty their bladder prior to the examination.
Rationale:
The nurse should instruct the client to empty their bladder prior to a gynecological examination.
This action allows the provider to perform a more thorough palpation of the client's uterus and
ovaries and promotes client comfort during the examination. During the gynecological
examination, the provider can perform a vaginal examination and can assess the client's
reproductive organs and external genitalia for abnormalities. Instructing the client to void also
provides a urine specimen for urinalysis, which is often prescribed as part of the examination.
The nurse should assist the client into a lithotomy position for a gynecological examination. In
this position, the client's feet are in stirrups with the buttocks at the end of the examination table,
allowing the provider to examine the client's genitalia and genital tract. The nurse should place
clients in a dorsal recumbent position for examination of the thorax or abdomen.
The nurse should instruct the client to relax their abdominal muscles during the examination.
This relaxation promotes comfort during the examination. The nurse should have the client
place their arms at the side or across the chest and take deep breaths during the examination.
These actions help to prevent the client's abdominal muscles from tightening.
Prior to the exam, the nurse should prepare supplies needed by the provider. Supplies include
clean gloves, a light source, vaginal speculum, and supplies for collection of cytological
specimens. Clean gloves provide protection for the provider from contact with bodily fluids of the
genitalia and genital tract. This examination is a clean procedure. Sterile gloves are not
necessary.
, A nurse is providing postmortem care to an adult client. Which of the following actions should
the nurse take?
A) Place the client in a side-lying position
B) Determine whether an autopsy has been ordered
C)Cover the client's body with a sheet
D) Ask the client's loved ones about their religious rituals
E) Remove the client's dentures - CORRECT ANSWER B, C, D
Rationale:
Place the client in a side-lying position is incorrect. The nurse should place the client in a supine
position with their head on a pillow.
Determine whether an autopsy has been ordered is correct. The nurse should determine
whether an autopsy has been ordered prior to performing any care to the body.
Cover the client's body with a sheet is correct. The nurse should cover the client's body with a
sheet and provide privacy for the family to view the body.
Ask the client's loved ones about their religious rituals is correct. The nurse should ask the
client's family or loved ones about any religious or cultural practices that might need to be
included in the postmortem care of the client's body.
Remove the client's dentures is incorrect. The nurse should ensure that the client's dentures
remain in place to maintain the client's normal facial appearance.
A nurse is reinforcing teaching regarding bladder retraining with a client who has urinary
incontinence. Which of the following statements by the client indicated an understanding of the
teaching?
A) "I should go to the bathroom whenever I feel the urge to void."
