PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A. Urinate after the specimen collection. B. Place 1.3 cm (0.5 in) of formed stool into a culture tube. C. Keep the specimen in a warm area. D. Avoid placing toilet tissue in the bedpan after defecation.

Correct Answer: D

Rationale: Avoiding toilet tissue in the bedpan prevents contamination, ensuring accurate results.
Choice A doesn’t prevent contamination during collection.
Choice B is incorrect as sample size varies by test.
Choice C risks altering the sample; room temperature is standard.

Question 2 of 5

A nurse is caring for a client who is dying. One of the client's family members tells the nurse, 'I need to help. What can I do?' Which of the following actions should the nurse take?

A. Include the family member in providing care for the client. B. Describe a personal experience with the death of a family member. C. Ask if they have had prior experience with the death of a family member. D. Suggest that the family member contact a grief counselor.

Correct Answer: C

Rationale: Asking about prior experience helps tailor support to the family member’s comfort level and needs.
Choice A may overwhelm them if unprepared.
Choice B shifts focus inappropriately.
Choice D delays addressing their immediate desire to help.

Question 3 of 5

A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?

A. Stomach contents are yellowish green in color. B. Aspirated stomach contents' pH measures 6.5. C. Residual volume of stomach contents measures 90 mL. D. Hyperactive bowel sounds are present.

Correct Answer: C

Rationale: A 90 mL residual volume indicates delayed gastric emptying, requiring reporting for potential care adjustments.
Choice A is normal due to bile.
Choice B isn’t significantly abnormal.
Choice D isn’t urgent unless paired with other issues.

Question 4 of 5

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?

A. Recheck the client's SaO2 level after having the client cough and clear their throat. B. Review the client's most recent SaO2 level in the medical record. C. Notify the charge nurse of the client's condition. D. Check the client's medical records to see which medications were recently administered.

Correct Answer: A

Rationale: Rechecking SaO2 after coughing ensures accuracy, as secretions may affect readings; it’s the priority action.
Choice B delays immediate assessment.
Choice C is premature before verification.
Choice D is secondary to confirming the current status.

Question 5 of 5

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A. Measure the intake and output of a client who has received furosemide. B. Reinforce teaching with a client about crutch-gait walking. C. Check a client's peripheral IV site for redness or swelling. D. Assess the pain level of a client who has received acetaminophen.

Correct Answer: A

Rationale: Measuring intake and output is within an AP’s scope, requiring documentation, not judgment.
Choice B involves teaching, a nursing role.
Choice C requires assessment skills beyond AP scope.
Choice D involves subjective pain assessment, reserved for nurses.

PN Fundamentals Exam | Nurselytic

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