PN Fundamentals Online Practice Test A.pdf file:///C:/Users/HP/Desktop/eewwww/PN%20Fundamentals%20Onl
PN Fundamentals Online Practice Test A Questions
& Answers With Rationals
1. 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.)
ANS De- crease 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.
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2. 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 deliv- ery equipment
should the nurse select to provide the highest concentration of oxygen to the client?
ANS Nonrebreather mask
Rationality
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.
3. 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.)
ANS Evacuate clients from the area is the first step.
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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.
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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.
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.
4. 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?
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