PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

A. Discontinue supplements containing vitamin C 24 hr. before the testB. Refrain from consuming pork 7 days before the testC. Place a thick layer of stool on the specimen cardD. Urinate prior to collecting the stool specimen

Correct Answer: D

Rationale: Urinating prior to collection prevents urine contamination of the stool sample, ensuring test accuracy.
Choice A is incorrect as vitamin C typically doesn’t affect this test unless specified.
Choice B is unnecessary as pork doesn’t universally impact results.
Choice C is incorrect; a small sample is sufficient, and excess can skew results.

Question 2 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A. The stoma bleeds lightly when touched.B. The stoma appears dark in color.C. The stoma is draining a small amount of liquid stool.D. The stoma protrudes slightly from the abdomen.

Correct Answer: B

Rationale: A dark stoma indicates potential ischemia, a serious issue needing prompt reporting.
Choice A is expected post-op.
Choice C is normal initially.
Choice D is typical and not concerning.

Question 3 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.

Question 4 of 5

A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?

A. Obtain urine from the drainage bag if a urinary specimen is required.B. Use a catheter securing device to hold the catheter in place.C. Position the drainage bag higher than the client's bladder.D. Change the catheter bag every 3 days and as needed.

Correct Answer: B

Rationale: A securing device prevents movement and trauma, reducing infection risk.
Choice A risks contamination; sterile sampling is preferred.
Choice C causes reflux, increasing infection risk.
Choice D isn’t routine unless indicated, to avoid infection.

Question 5 of 5

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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