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PN Fundamentals Online Practice Test A 2024 Questions and Answers A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the following actions should the nurse take? (Click on the audio button to listen to the clip.)...

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  • November 4, 2024
  • 35
  • 2024/2025
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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




PN Fundamentals Online Practice Test A

2024 Questions and Answers


A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the

client's bowel sounds. Which of the following actions should the nurse take? (Click on the audio button

to listen to the clip.) - ANSWER✔✔-Decrease the rate of the feeding




- Rationality: The nurse should expect to hear bowel sounds every 5 to 35 seconds. This audio clip

indicates hypermotility because there are greater than 40 bowel sounds/min. Hypermotility leads to

diarrhea and is an indication of intolerance to the enteral feeding. Therefore, the nurse should slow the

rate of the feeding to promote the client's tolerance of the feeding.




The nurse should maintain a client who is receiving continuous NG tube feedings in a position with the

head of the bed elevated 30° to 45° to prevent aspiration of the formula.


A nurse is preparing to administer oxygen to a client who has heart failure and is having severe difficulty

breathing. Which of the following oxygen delivery equipment should the nurse select to provide the

highest concentration of oxygen to the client? - ANSWER✔✔-Nonrebreather mask




Rationality:




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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


A nonrebreather mask provides the highest percentage of oxygen concentration without intubation and

mechanical ventilation.




A Venturi mask can be adjusted to provide a consistent lower oxygen concentration.




A simple face mask can be adjusted for short-term delivery of low to medium oxygen concentration.




A nasal cannula provides a low oxygen concentration.


A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is the

sequence of actions that the nurse should take? (Move the steps into the box on the right, placing them

in the selected order of performance. Use all the steps.) - ANSWER✔✔-Evacuate clients from the area is

the first step.




Rationality: The first action the nurse should take when using the RACE protocol is to "rescue" or

evacuate the clients from the area to prevent harm.




Pull the lever on the fire alarm box is the second step.




Rationality: For the next step, "alarm," the nurse should activate the facility fire alarm and call to report

the fire to the facility emergency extension.


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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




Close the fire doors on the unit is the third step.




Rationality: Close the fire doors on the unit is the third step. For the third step, "confine," the nurse

should close the unit fire doors to prevent the fire from spreading.




Use a fire extinguisher to put out the fire is the fourth step.




Rationality: For the final step, "extinguish," the nurse should use a fire extinguisher to put out the fire by

aiming the nozzle at the base of the fire and using a sweeping motion.


A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the

nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in

meeting the client's spiritual needs? - ANSWER✔✔-"Tell me what the afterlife means to you."




Rationale: This statement respects the client's spiritual needs by using open-ended therapeutic

communication to assist the client to talk about their concerns.


A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the

following instructions should the nurse include? - ANSWER✔✔-"When lifting a heavy object, keep it

close to your body."




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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


Rationality: The nurse should instruct the client to keep the object as close to their body as possible to

increase stability and decrease back strain when lifting a heavy object.


A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by

the client indicates an understanding of the teaching? - ANSWER✔✔-The client advances the unaffected

leg first while climbing stairs.




Rationality: When ascending stairs, the client should first advance the unaffected leg.




The nurse should reinforce with the client that their axilla should not bear any weight while in the tripod

position because this can cause pressure injury formation. The client should bear their weight with their

arms and hands.


A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about

the illness. Which of the following actions should the nurse take to encourage therapeutic

communication? - ANSWER✔✔-Let the client know that, as their nurse, they are available and willing to

listen.




- Rationality: Active listening conveys the nurse's respect and acceptance for the client's feelings and

gives the client an opportunity to express their thoughts and needs.


A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and

applying clean gloves, which of the following actions should the nurse take first? - ANSWER✔✔-Clamp

the infusion tubing.


Copyright ©Stuvia International BV 2010-2024 Page 4/35

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