PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse in a long-term care facility is preparing to administer medications to a client who has advanced dementia and does not have an identification band. Which of the following actions should the nurse take to verify the client's identity?

A. Ask the client to state their room number. B. Have the client state their phone number. C. Request an assistive personnel to identify the client. D. Review the client's photograph in the medical record.

Correct Answer: D

Rationale: Reviewing a photograph ensures accurate identification, reliable with dementia.

Choices A and B are unreliable due to memory issues.
Choice C risks error if personnel aren’t familiar.

Question 2 of 5

A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?

A. Aren't you interested in learning how to perform this test? B. Let's talk about what you're thinking. C. I'll discuss this with your partner instead. D. Is this something you think you can do?

Correct Answer: B

Rationale: Discussing thoughts addresses distraction, fostering communication and understanding.
Choice A is judgmental.
Choice C bypasses the client.
Choice D doesn’t explore the distraction’s cause.

Question 3 of 5

A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?

A. Aren't you interested in learning how to perform this test? B. Let's talk about what you're thinking. C. I'll discuss this with your partner instead. D. Is this something you think you can do?

Correct Answer: B

Rationale: Talking about thoughts invites dialogue, addressing distraction effectively.
Choice A risks defensiveness.
Choice C undermines autonomy.
Choice D misses underlying concerns.

Question 4 of 5

A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. I can't change my mind about the care I will receive once I sign my living will. B. If I want life support, I'll need to sign a separate consent form first. C. I'm glad to have the opportunity to choose what kind of care I receive while I still can. D. Once I fill out my living will, there will be a 1-month delay before it is legally binding.

Correct Answer: C

Rationale: Choosing care reflects understanding of advance directives’ purpose.
Choice A is false; directives can change.
Choice B misrepresents scope.
Choice D is incorrect; no standard delay exists.

Question 5 of 5

A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. I can't change my mind about the care I will receive once I sign my living will. B. If I want life support, I'll need to sign a separate consent form first. C. I'm glad to have the opportunity to choose what kind of care I receive while I still can. D. Once I fill out my living will, there will be a 1-month delay before it is legally binding.

Correct Answer: C

Rationale: Gladness to choose care shows comprehension of autonomy in directives.
Choice A is a misconception; changes are allowed.
Choice B oversimplifies.
Choice D is false; no delay applies.

PN Fundamentals Exam | Nurselytic

Nurselytic

ATI LPN

ATI LPN