PN Fundamentals Exam

Extract:

Question 1 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 2 of 5

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

A. I'll use focused breathing to control my pain. B. I'll learn to notice the sensation of muscle tension. C. I'll think about my grandfather's farm to reduce pain. D. I'll listen to my favorite music to take my mind off the pain.

Correct Answer: C

Rationale: Thinking about a farm uses visualization, a core of guided imagery, to reduce pain perception.
Choice A is breathing, not imagery.
Choice B is progressive relaxation.
Choice D is distraction via music, not imagery.

Question 3 of 5

A nurse is checking for the proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

A. Verify the bilirubin level of the tube contents. B. Auscultate for air insufflation. C. Request a chest x-ray. D. Check the pH level of gastric contents.

Correct Answer: C

Rationale: A chest x-ray definitively confirms tube placement, the gold standard.
Choice A isn’t standard.
Choice B is unreliable due to inconsistent results.
Choice D is useful but less definitive due to variable factors.

Question 4 of 5

A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

A. I might have headaches due to a decline in my estrogen levels. B. The best time to perform a breast self-examination is on the first day of my period. C. I can expect to have regular periods until I am in menopause. D. I should stop receiving Papanicolaou tests once I reach menopause.

Correct Answer: A

Rationale: Headaches from declining estrogen reflect perimenopausal hormonal changes.
Choice B is incorrect as timing varies.
Choice C is false; periods become irregular.
Choice D is incorrect; Pap tests continue post-menopause.

Question 5 of 5

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A. Type 1 diabetes mellitus B. Orthostatic hypotension C. BMI of 24 D. Family history of osteoporosis

Correct Answer: A

Rationale: Type 1 diabetes increases cardiovascular risk via atherosclerosis.
Choice B relates to BP regulation, not a direct risk.
Choice C is normal BMI.
Choice D affects bones, not cardiovascular health.

PN Fundamentals Exam | Nurselytic

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