PN Fundamentals Exam

Extract:

Question 1 of 5

A home health nurse is visiting a client who has advanced Alzheimer's disease. The client's partner states, 'I miss being able to go places with my friends.' Which of the following is an appropriate response by the nurse?

A. We can discuss this when you're not feeling overwhelmed. B. I understand how you feel. I've had a relative go through the same thing. C. Have you tried taking your partner with you when you go out? D. Tell me more about your expectations.

Correct Answer: D

Rationale: Asking about expectations opens dialogue for tailored support.
Choice A delays help.
Choice B shifts focus.
Choice C may not be feasible.

Question 2 of 5

A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?

A. He appears anxious about the transfer. B. He is allergic to sulfa. C. His partner has been visiting. D. He is voiding adequately.

Correct Answer: B

Rationale: Sulfa allergy is critical clinical info for safe care.
Choice A is subjective.
Choice C is less urgent.
Choice D is relevant but secondary unless abnormal.

Question 3 of 5

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

A. Ask the assist personnel to document the client's time of death. B. Place an identification tag on the outside of the client's shroud. C. Wear sterile gloves when cleaning the client's body. D. Remove the client's dentures and give them to the client's family.

Correct Answer: B

Rationale: Placing an identification tag on the outside of the client's shroud ensures proper identification throughout the postmortem process, crucial for autopsy procedures.
Choice A is incorrect as documenting time of death is typically the physician’s responsibility, not assist personnel.
Choice C is incorrect because sterile gloves aren’t required unless there’s an infectious concern; regular gloves suffice.
Choice D is incorrect as dentures are handled per protocol or family wishes, not routinely given during postmortem care.

Question 4 of 5

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

A. Check the medical record for the client's signature on a previous consent form. B. Have another nurse co-sign the client's consent. C. Obtain verbal consent from the client. D. Witness the client's signature on a consent form.

Correct Answer: D

Rationale: Witnessing the client's signature on a consent form ensures informed, express consent for the procedure, required for invasive actions like catheter insertion.
Choice A is incorrect as prior consent may not apply to the current procedure.
Choice B is incorrect because co-signing doesn’t verify client understanding.
Choice C is incorrect as verbal consent alone isn’t sufficient for invasive procedures; written consent is standard.

Question 5 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Use a filter needle to aspirate the medication B. Add 0.5 ml of diluent to the medication C. Cleanse the tip of the ampule with an alcohol swab after opening D. Inject air into the ampule prior to drawing the medication into a syringe

Correct Answer: A

Rationale: Using a filter needle prevents glass particles from being aspirated into the syringe, ensuring safe administration.
Choice B is incorrect as ampules contain pre-measured doses not requiring dilution.
Choice C is unnecessary since the opened ampule’s contents are sterile, and swabbing doesn’t remove glass.
Choice D is incorrect as injecting air isn’t needed and could spill medication or affect dosing.

PN Fundamentals Exam | Nurselytic

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