PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse is preparing to clean a blood spill on a bedside table. Which of the following solutions should the nurse plan to use?

A. Chlorine bleach B. Chlorhexidine gluconate C. Hydrogen peroxide D. Isopropyl alcohol

Correct Answer: A

Rationale: Chlorine bleach effectively disinfects bloodborne pathogens per guidelines.
Choice B is for skin, not surfaces.
Choice C is less effective for blood spills.
Choice D is limited against some pathogens.

Question 2 of 5

A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, 'I don't know what to do because they're not eating.' Which of the following responses should the nurse make?

A. I'm sure it's nothing serious and their appetite will return soon. B. Tell me more about what happens at mealtime. C. Why do you think they're not eating? D. They may need a feeding tube.

Correct Answer: B

Rationale: Asking about mealtime gathers details for tailored advice, addressing the concern.
Choice A dismisses the issue.
Choice C burdens the child.
Choice D is premature without assessment.

Question 3 of 5

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 4 of 5

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 5 of 5

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.

PN Fundamentals Exam | Nurselytic

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