Extract:

Question 1 of 5

A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A. Apply intermittent suction for up to 30 seconds.B. Preoxygenate the client prior to suctioning.C. Instruct the client to swallow during catheter insertion.D. Apply suction while inserting the catheter.

Correct Answer: B

Rationale: Preoxygenating ensures oxygen levels, reducing suctioning risks.
Choice A is too long; 10-15 seconds is safer.
Choice C isn’t standard.
Choice D risks trauma; suction is for withdrawal.

Question 2 of 5

A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?

A. Encourage your partner to eat three large meals each day.B. We will use an electric blanket to keep your partner warm.C. Opioids will be restricted if your partner develops respiratory distress.D. Assume your partner can hear you, even if they do not respond.

Correct Answer: D

Rationale: Assuming hearing persists supports emotional connection, a key end-of-life principle.
Choice A may cause discomfort due to reduced appetite.
Choice B risks safety with poor circulation.
Choice C is false; opioids manage symptoms.

Question 3 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 medicationB. Add 0.5 ml of diluent to the medicationC. Cleanse the tip of the ampule with an alcohol swab after openingD. Inject air into the ampule prior to drawing the medication into a syringe

Correct Answer: A

Rationale: A filter needle prevents glass shards from entering the syringe, critical for safety.
Choice B is incorrect as adding diluent alters the pre-measured dose.
Choice C is incorrect since cleansing post-opening doesn’t address glass contamination and the interior is sterile.
Choice D is incorrect as injecting air isn’t standard and could compromise the medication.

Question 4 of 5

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

A. Stand on the client's stronger side when moving the client into the chair.B. Pivot on the foot farthest from the bed when assisting the client into the chair.C. Flex hips and knees when assisting the client to a standing position.D. Raise the bed to waist level before moving the client.

Correct Answer: C

Rationale: Flexing hips and knees uses proper mechanics, protecting the nurse and stabilizing the client.
Choice A is incorrect; stand on the weaker side for support.
Choice B risks imbalance; pivot on the closer foot.
Choice D is incorrect; lower the bed for foot placement.

Question 5 of 5

A charge nurse is observing a newly licensed nurse who is caring for a group of clients. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A. I will rinse the contaminants from a bedpan with hot water.B. I will double-bag a client's linens each day.C. I will wear sterile gloves when bathing a client who is incontinent.D. I will use disinfectant to clean the blood pressure cuff after use on a client.

Correct Answer: D

Rationale: Using disinfectant on equipment prevents pathogen spread, a key infection control measure.
Choice A is insufficient for disinfection.
Choice B isn’t standard unless specified.
Choice C is excessive; clean gloves suffice.

Nurselytic

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PN Fundamentals Exam Questions

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