PN Fundamentals Exam

Extract:

Question 1 of 4

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client receives burns from a heating pad. B. A client's visitor becomes dizzy and faints in the client's room. C. A client becomes disoriented and falls out of bed. D. A client reports being dissatisfied with the temperature of the meals provided.

Correct Answer: A,C

Rationale: Burns (
A) and falls (
C) require incident reports for safety review.
Choice B doesn’t typically need one unless facility-related.
Choice D is a service issue, not an incident unless harmful.

Question 2 of 4

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

A. To an employer for a pre-employment screening B. To a medical interpreter service on behalf of a client C. To a family member when the client is not available D. To an insurance agency in regard to a life insurance policy

Correct Answer: A

Rationale:
Note: The document’s explanation incorrectly marks A as correct, but per HIPAA, consent is required for employers.
Choice B is correct as interpreters need info for care, allowed under HIPAA without written consent.

Choices C and D require consent or specific conditions.

Question 3 of 4

A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?

A. Turn on loud music in client care areas. B. Assign different nurses to provide care for clients each day. C. Offer the clients many choices regarding care. D. Restrict the number of visitors for clients.

Correct Answer: D

Rationale: Restricting visitors reduces overstimulation, promoting calm.
Choice A increases stress.
Choice B disrupts continuity.
Choice C may overwhelm clients.

Question 4 of 4

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 5 of 4

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.

PN Fundamentals Exam | Nurselytic

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