PN FUNDAMENTALS ONLINE PRACTISE TEST B 2023 / QUESTIONS AND VERIFIED ANSWERS

. A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. which of the following actions should the nurse take first? Check the IV tubing for obstruction. Rationale: The first action the nurse should take using the nursing process is to assess the client. By checking the IV tubing for obstruction, the nurse might be able to facilitate the flow of fluid through the tubing. This could re-establish the infusion rate the provider prescribed. 2. A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing she says, “Every time you change my bandage, it hurts so much.” Which of the following interventions is the nurse’s priority action? 3. A nurse is caring for a child who has a prescription for a blood transfusion. The parents have refused the treatment due to religious beliefs. Which of the following actions should the nurse take? Examine the personal values about the issue. Rationale: The nurse should examine her own personal values about the issue to help her provide care that is without bias. 4. A middle adult client tells the nurse, “I feel so useless now that my children do not need me anymore.” Which of the following responses should the nurse make? “People in middle adulthood often find satisfaction in nurturing and guiding young people.” Rationale: According to Erikson, the task of middle adulthood is generativity versusself-absorption and stagnation. The focus on this task is on offering support and guidance to future generations. The nurse should explore with the client opportunities for mastering the developmental tasks of this stage such as volunteering and mentoring. 5. A nurse hasjust inserted an NG tube for a client. Which of the following assessment findings should the nurse expect to confirm correct tube placement? An x-ray showsthe end of the tube above the pylorus. Rationale: An abdominal x-ray showing the end of the tube above the pylorus indicates gastric placement. 6. A nurse is caring for a client who has a heart murmur. The nurse is preparing to auscultate the pulmonary valve. Over which of the following locations should the nurse place the bell of the stethoscope? Second intercostal space at the lef t sternal border. Thisis the area over the pulmonary valve. The nurse should listen over this, apex and the other valve areas for the rate and rhythm, as well as gallops and murmurs. 7. A nurse is providing home care for a client who is receiving tube feedings and medication through a gastrostomy tube. The family member providing the feedingsreportsthat the client has begun to have diarrhea. For which of the following practices should the nurse intervene? The family member washes out the feeding bag with warm water once every 24 hr. Rationale: The family member should wash out the feeding bag at each refilling throughout the day (every 4 to 8 hr) replace it with a new feeding bag every 34 hr to prevent bacterial contamination. Therefore, the nurse should reinforce this information with the family member. 8. A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family? (select all that apply.) Check the cord routinely for fr