PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. I can't change my mind about the care I will receive once I sign my living will. B. If I want life support, I'll need to sign a separate consent form first. C. I'm glad to have the opportunity to choose what kind of care I receive while I still can. D. Once I fill out my living will, there will be a 1-month delay before it is legally binding.

Correct Answer: C

Rationale: Gladness to choose care shows comprehension of autonomy in directives.
Choice A is a misconception; changes are allowed.
Choice B oversimplifies.
Choice D is false; no delay applies.

Question 2 of 5

A nurse is reviewing the laboratory reports of four clients. Which of the following clients should the nurse expect to have a positive fecal occult blood test?

A. A client who has ulcerative colitis B. A client who has stomatitis C. A client who uses laxatives D. A client who has cholecystitis

Correct Answer: A

Rationale: Ulcerative colitis causes colon bleeding, detectable by fecal occult test.
Choice B affects the mouth, not GI tract.
Choice C rarely causes bleeding.
Choice D involves the gallbladder, not GI bleeding.

Question 3 of 5

A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A. Apply intermittent suction for up to 30 seconds. B. Preoxygenate the client prior to suctioning. C. Instruct the client to swallow during catheter insertion. D. Apply suction while inserting the catheter.

Correct Answer: B

Rationale: Preoxygenation prevents hypoxemia during suctioning, a critical step.
Choice A risks harm; suction should be 10-15 seconds.
Choice C is irrelevant.
Choice D damages tissue; suction applies on withdrawal.

Question 4 of 5

A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?

A. Adhesive tape B. Tongue depressor C. Syringe D. Cotton-tipped applicator

Correct Answer: D

Rationale: A cotton-tipped applicator aids gentle wound cleaning and treatment application for a stage 4 injury.
Choice A secures dressings, not primary care.
Choice B is for oral use.
Choice C is for irrigation, less essential here.

Question 5 of 5

A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

A. Apply intermittent suction for up to 30 seconds. B. Preoxygenate the client prior to suctioning. C. Instruct the client to swallow during catheter insertion. D. Apply suction while inserting the catheter.

Correct Answer: B

Rationale: Preoxygenating ensures oxygen levels, reducing suctioning risks.
Choice A is too long; 10-15 seconds is safer.
Choice C isn’t standard.
Choice D risks trauma; suction is for withdrawal.

PN Fundamentals Exam | Nurselytic

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