PN Fundamentals Online Practice 2020 B
with NGN
A client who is scheduled to undergo surgery tells the nurse that they do not understand
the procedure and are reconsidering their decision to have it. Which of the following
actions should the nurse take?
a. offer information about alternative therapies to the procedure
b. contact a family member to convince the client to change their mind
c. tell the client the benefits of the surgery
d. notify the charge nurse of the client's concerns - ANS -Notify the charge nurse of the
client's concerns.
The nurse should notify the charge nurse of the client's concerns. The charge nurse can
then inform the provider that the client requires further explanation of the procedure.
A nurse and an assistive personnel (AP) are providing postmortem care for a deceased
client prior to visitation by the family. Which of the following actions by the AP requires
intervention by the nurse?
a. gathering the client's personal belongings
b. removing the client's dentures
c. placing absorbent pads under the client's buttocks
d. closing the client's eyes - ANS -Removing the client's dentures.
The client's dentures should remain in place in order to give the face a natural
appearance.
-The nurse should determine what items need to remain with the client's body. All other
belongings should be gathered and given to the client's family.
-Absorbent pads are placed under the buttocks to absorb feces and urine released
because of relaxation of the sphincter muscles.
-The deceased client's eyes should be closed by holding them gently shut for a few
seconds.
A nurse in a long-term care facility is collecting admission data from a client who uses a
hearing aid. Which of the following actions should the nurse take?
,a. sit beside the client
b. speak slowly and loudly to the client
c. dim the lights on the client's room
d. choose a private room for the interview - ANS -Choose a private room for the
interview.
The nurse should use a private room, which will minimize background noise so the
client is able to hear what the nurse is saying.
A nurse in a provider's office is providing care for a client who has minimal exposure to
sunlight. Which of the following interventions should the nurse recommend?
a. reduce intake of calcium-rich foods
b. use sunscreen with skin protection factor (SPF) of 8
c. take vitamin D supplements
d. use tanning bed 2 hr weekly - ANS -Take Vitamin D supplements .
The human body requires sunlight exposure to synthesize vitamin D. Therefore, the
nurse should recommend that a client who has minimal sunlight exposure take
supplemental vitamin D.
A nurse in a providers clinic is caring for a client who has heart failure. The nurse is
evaluating the client's understanding of the teaching. Select three client statements that
indicate an understanding of the teaching:
a. "I know to call my doctor if I gain 3 pounds or more in 2 days"
b. "I am eating fewer potato chips and more fruit for snacks"
c. "I am limiting my sodium intake to 2 grams daily"
d. "I am trying to decrease my intake of foods with potassium"
e. "I have been weighing myself twice a week" - ANS -"I know to call my doctor if I gain
3 pounds or more in 2 days" is correct. The client should monitor their weight daily and
call their provider for a weight gain of 3 lb or greater in 2 days to prevent an
exacerbation of their heart failure.
"I am eating fewer potato chips and more fruit for snacks" is correct. Chips are a
processed snack food that contain increased amounts of sodium. Additionally, fruits
contain electrolytes and fiber, both of which are important in controlling blood pressure
and lipid levels.
, "I am limiting my sodium intake to 2 grams daily" is correct. Clients who have heart
failure should maintain a sodium intake of between 2 to 3 g daily.
A nurse in an acute care setting is documenting postmortem care in a client's medical
record. Which of the following information should the nurse include in the
documentation?
a. completion of an incident report
b. name of the nurse certifying the client's death
c. release of personal belonging form
d. one client identifier at the client's time of death - ANS -Release of personal
belongings form.
The nurse should document the release of the client's personal belongings form and the
articles the nurse gave to the family.
-The nurse should not document the completion of an incident report in the client's
medical record.
-The nurse should document the name of the provider who certified the death of the
client.
-The nurse should document the identification of the client using two identifiers at the
time of death and compare these with the identifiers in the client's medical record.
A nurse is admitting a client. The nurse is reviewing the client's medical record.
Nurses Notes:
-0930:Client reports a sore throat, productive cough, shortness of breath, and fever for
the past 4 days.
-1030:Client has swollen cervical lymph nodes on palpation. Client reports chills and
coughs up yellow-colored mucus. Client's face is flushed and is diaphoretic. Reports
poor appetite. Chest x-ray obtained and positive for pneumonia.
Blood pressure 110/68 mm Hg Heart rate 110/min Respiratory rate 24/min Temperature
38.6° C (101.5° F)Oxygen saturation 91% on room air
-Which of the following actions should the nurse take? select all that apply
a. stay at least 0.9 m away from the client when possible
b. initiate droplet precautions
c. request prescription for an antihypertensive medication
d. wear an N95 mask when providing care to the client
e. apply oxygen at 2L/min via nasal cannula
f. request a prescription for an - ANS --Place the client in droplet isolation precautions
is correct. The nurse should identify that the client has pneumonia, which is transmitted
with NGN
A client who is scheduled to undergo surgery tells the nurse that they do not understand
the procedure and are reconsidering their decision to have it. Which of the following
actions should the nurse take?
a. offer information about alternative therapies to the procedure
b. contact a family member to convince the client to change their mind
c. tell the client the benefits of the surgery
d. notify the charge nurse of the client's concerns - ANS -Notify the charge nurse of the
client's concerns.
The nurse should notify the charge nurse of the client's concerns. The charge nurse can
then inform the provider that the client requires further explanation of the procedure.
A nurse and an assistive personnel (AP) are providing postmortem care for a deceased
client prior to visitation by the family. Which of the following actions by the AP requires
intervention by the nurse?
a. gathering the client's personal belongings
b. removing the client's dentures
c. placing absorbent pads under the client's buttocks
d. closing the client's eyes - ANS -Removing the client's dentures.
The client's dentures should remain in place in order to give the face a natural
appearance.
-The nurse should determine what items need to remain with the client's body. All other
belongings should be gathered and given to the client's family.
-Absorbent pads are placed under the buttocks to absorb feces and urine released
because of relaxation of the sphincter muscles.
-The deceased client's eyes should be closed by holding them gently shut for a few
seconds.
A nurse in a long-term care facility is collecting admission data from a client who uses a
hearing aid. Which of the following actions should the nurse take?
,a. sit beside the client
b. speak slowly and loudly to the client
c. dim the lights on the client's room
d. choose a private room for the interview - ANS -Choose a private room for the
interview.
The nurse should use a private room, which will minimize background noise so the
client is able to hear what the nurse is saying.
A nurse in a provider's office is providing care for a client who has minimal exposure to
sunlight. Which of the following interventions should the nurse recommend?
a. reduce intake of calcium-rich foods
b. use sunscreen with skin protection factor (SPF) of 8
c. take vitamin D supplements
d. use tanning bed 2 hr weekly - ANS -Take Vitamin D supplements .
The human body requires sunlight exposure to synthesize vitamin D. Therefore, the
nurse should recommend that a client who has minimal sunlight exposure take
supplemental vitamin D.
A nurse in a providers clinic is caring for a client who has heart failure. The nurse is
evaluating the client's understanding of the teaching. Select three client statements that
indicate an understanding of the teaching:
a. "I know to call my doctor if I gain 3 pounds or more in 2 days"
b. "I am eating fewer potato chips and more fruit for snacks"
c. "I am limiting my sodium intake to 2 grams daily"
d. "I am trying to decrease my intake of foods with potassium"
e. "I have been weighing myself twice a week" - ANS -"I know to call my doctor if I gain
3 pounds or more in 2 days" is correct. The client should monitor their weight daily and
call their provider for a weight gain of 3 lb or greater in 2 days to prevent an
exacerbation of their heart failure.
"I am eating fewer potato chips and more fruit for snacks" is correct. Chips are a
processed snack food that contain increased amounts of sodium. Additionally, fruits
contain electrolytes and fiber, both of which are important in controlling blood pressure
and lipid levels.
, "I am limiting my sodium intake to 2 grams daily" is correct. Clients who have heart
failure should maintain a sodium intake of between 2 to 3 g daily.
A nurse in an acute care setting is documenting postmortem care in a client's medical
record. Which of the following information should the nurse include in the
documentation?
a. completion of an incident report
b. name of the nurse certifying the client's death
c. release of personal belonging form
d. one client identifier at the client's time of death - ANS -Release of personal
belongings form.
The nurse should document the release of the client's personal belongings form and the
articles the nurse gave to the family.
-The nurse should not document the completion of an incident report in the client's
medical record.
-The nurse should document the name of the provider who certified the death of the
client.
-The nurse should document the identification of the client using two identifiers at the
time of death and compare these with the identifiers in the client's medical record.
A nurse is admitting a client. The nurse is reviewing the client's medical record.
Nurses Notes:
-0930:Client reports a sore throat, productive cough, shortness of breath, and fever for
the past 4 days.
-1030:Client has swollen cervical lymph nodes on palpation. Client reports chills and
coughs up yellow-colored mucus. Client's face is flushed and is diaphoretic. Reports
poor appetite. Chest x-ray obtained and positive for pneumonia.
Blood pressure 110/68 mm Hg Heart rate 110/min Respiratory rate 24/min Temperature
38.6° C (101.5° F)Oxygen saturation 91% on room air
-Which of the following actions should the nurse take? select all that apply
a. stay at least 0.9 m away from the client when possible
b. initiate droplet precautions
c. request prescription for an antihypertensive medication
d. wear an N95 mask when providing care to the client
e. apply oxygen at 2L/min via nasal cannula
f. request a prescription for an - ANS --Place the client in droplet isolation precautions
is correct. The nurse should identify that the client has pneumonia, which is transmitted
