PNR 105 Foundations of Nursing

PNR 105 Foundations of Nursing

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Free PNR 105 Foundations of Nursing Questions

1. A nurse is reviewing dietary restrictions with a patient who follows the Jewish faith. What is the rule regarding the consumption of meat and milk in this religion?
  • Meat and milk must be eaten together for proper nutrition
  • Meat and milk can be consumed together if prepared separately
  • Eating meat and milk together is prohibited or strongly discouraged at the same meal
  • Only milk products are prohibited, but meat may be eaten freely

Explanation

In Jewish dietary law (kashrut), meat and dairy products must not be consumed together during the same meal. Separate preparation areas, utensils, and even time intervals between eating meat and milk are often observed. This rule is rooted in religious teachings and is an important part of maintaining a kosher diet. Nurses should respect and accommodate this belief when planning meals or providing care.
2. A nurse is teaching a student about the stages of grief related to dying. How might anger be expressed during this stage?
  • “I feel at peace with what’s happening.”
  • “Why me?” while placing blame on others such as doctors, nurses, family, or even God
  • “If I can just live long enough to see my grandchild, I’ll be satisfied.”
  • “There must be some mistake in the diagnosis.”

Explanation

In the anger stage of dealing with death, individuals often feel resentment and ask “Why me?” They may search for a cause or direct displaced anger toward caregivers, loved ones, or a higher power. This anger is a normal part of the grieving process and reflects the struggle with loss of control. Nurses should respond with empathy and understanding, recognizing this as a natural reaction to impending death.
3. A nurse is teaching a patient about medications that may contribute to constipation. Which of the following classes of drugs are known to cause constipation?
  • Narcotics, antidepressants, and general anesthetics
  • Diuretics, anticholinergics, and sedatives
  • Calcium channel blockers
  • All of the above

Explanation

Many medications can contribute to constipation. Narcotics slow gastrointestinal motility, antidepressants and sedatives depress nervous system activity, anticholinergics decrease peristalsis, calcium channel blockers reduce smooth muscle contractility, diuretics can cause dehydration that hardens stool, and general anesthetics temporarily reduce bowel activity. Because multiple drug classes have this side effect, constipation is a common concern in patients taking these medications.
4. A nurse is teaching a patient about progression from a clear liquid diet to a full liquid diet. Which foods are included in a full liquid diet?
  • Toast, scrambled eggs, and oatmeal
  • Milk, yogurt, custard, strained fruit juices, and vegetable juice
  • Baked chicken, mashed potatoes, and pudding
  • Fresh fruit, raw vegetables, and nuts

Explanation

A full liquid diet includes all foods allowed on a clear liquid diet plus foods that are liquid or can be strained to liquid form at room temperature. Examples include milk, yogurt, custard, pudding, strained fruit juices, sherbet, popsicles, strained gruels, vegetable juice, and puréed meats. This diet provides more calories, protein, and nutrition than a clear liquid diet while still being easy to digest.
5. A nurse is inserting a Foley catheter for a patient. While inflating the retention balloon, what should the nurse observe?
  • The patient’s urine output in the drainage tubing
  • The patient’s facial expressions for signs of discomfort
  • The color of the patient’s urine in the drainage bag
  • The position of the catheter tubing on the bed

Explanation

When inflating the Foley catheter balloon, the nurse must carefully observe the patient’s facial expressions for discomfort or pain. Discomfort may indicate the balloon is being inflated while still in the urethra rather than the bladder, which can cause trauma. If pain is noted, inflation should stop immediately and the catheter repositioned. Monitoring the patient’s response ensures correct placement and prevents injury.
6. A nurse is assessing a patient suspected of having anorexia nervosa. Which finding is most consistent with this eating disorder?
  • Increased calorie intake with minimal activity
  • Restricted calorie intake with moderate to vigorous physical activity
  • Binge eating without purging behaviors
  • Normal eating patterns with occasional dieting

Explanation

Anorexia nervosa is characterized by significantly restricted calorie intake, often accompanied by excessive exercise to promote further weight loss. Patients typically have an intense fear of gaining weight and a distorted body image. This combination of inadequate intake and high energy expenditure leads to severe malnutrition, electrolyte imbalances, and multiple organ complications if not addressed with timely intervention.
7. To reduce the systemic absorption of eye drops, the nurse should:
  • use finger pressure to close the eyelid tightly.
  • request the client tilt the head slightly to the side of the unaffected eye.
  • instruct the client to widen the eyes in order to increase access to the lacrimal duct.
  • apply slight finger pressure over the lacrimal duct.

Explanation

Applying gentle pressure with a finger over the lacrimal duct (nasolacrimal occlusion) for 1–2 minutes prevents the medication from draining into the nasolacrimal system and being absorbed into the systemic circulation. This technique reduces the risk of systemic side effects and ensures more of the medication remains in contact with the eye for local therapeutic effect.
8. A nurse is preparing to collect a stool specimen for ova and parasite testing. Which equipment is required?
  • Clean bedpan, sterile gloves, and urine cup
  • Wooden tongue blade, ova and parasite specimen container, and biohazard bag
  • Sterile catheter kit, specimen cup, and alcohol swabs
  • Collection hat, sterile cup, and gauze pads

Explanation

When collecting stool for ova and parasite examination, the correct equipment includes a wooden tongue blade to transfer the stool, a special specimen container designed for ova and parasite testing (often with preservative), and a biohazard bag for safe transport. Using the correct tools ensures specimen integrity, prevents contamination, and maintains safety standards during collection and handling.
9. Is it ok to apply suction when inserting a catheter into a tracheotomy?
  • Yes, continuous suction should be applied during insertion
  • Yes, intermittent suction prevents tissue damage during insertion
  • No, suction should not be used while placing the catheter
  • No, suction is never used during tracheotomy care

Explanation

Suction must never be applied during insertion of a catheter into a tracheostomy. Applying suction on the way in can traumatize the mucosa, cause bleeding, and remove oxygen, leading to hypoxia. The catheter should first be gently inserted to the appropriate depth, and suction is only applied while withdrawing the catheter to safely and effectively clear secretions.
10. A nurse is preparing to collect a 24-hour urine specimen for a patient. What is the best way to ensure that all staff and visitors know the urine must be saved?
  • Tell the patient only and rely on them to remind others
  • Place a reminder note in the patient’s chart
  • Place a sign over the bed and toilet stating all urine must be saved
  • Remind staff verbally at the start of each shift only

Explanation

For a 24-hour urine collection, it is crucial that no urine is accidentally discarded, as this would invalidate the entire test. Placing a clear, visible sign over the patient’s bed and toilet alerts all staff, family, and visitors that every voided specimen must be saved. This ensures compliance and accuracy of the collection.

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