PN Fundamentals Exam

Extract:

Question 1 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 2 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 3 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.

Question 4 of 5

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

A. I cannot confirm or deny that we have a client by that name. B. I will tell him you called. C. The client's condition is stable right now. D. He is here in the hospital, but I cannot tell you anything else.

Correct Answer: A

Rationale: Not confirming or denying protects confidentiality per HIPAA.
Choice B implies presence, breaching privacy.
Choice C discloses health status.
Choice D confirms presence, violating privacy.

Question 5 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.

PN Fundamentals Exam | Nurselytic

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