PNC Clinical Procedures & Protocols 2

Question 1

A parish nurse is conducting a blood pressure screening at a health fair. Which arm position is correct for an accurate reading?

Accepted Answer

Arm supported at heart level

Answer

The arm should be supported at heart level to ensure accurate blood pressure measurement, as positions above or below affect readings.

Question 2

When performing a blood glucose screening, a parish nurse obtains a fasting result of 126 mg/dL on two separate occasions. This finding is consistent with:

Accepted Answer

Diabetes mellitus

Answer

A fasting blood glucose of 126 mg/dL or higher on two separate tests meets the diagnostic criteria for diabetes mellitus per ADA guidelines.

Question 3

A parish nurse is teaching a congregation member how to use a peak flow meter. Which instruction is correct?

Accepted Answer

Exhale as hard and fast as possible after a deep breath

Answer

The correct technique is to take a deep breath, seal the lips around the mouthpiece, and exhale as hard and fast as possible to measure peak expiratory flow.

Question 4

During a home visit, a parish nurse notices a client's nitroglycerin tablets are stored in a clear glass container on a sunny windowsill. The appropriate action is to:

Accepted Answer

Advise storing in the original dark glass container away from light and heat

Answer

Nitroglycerin is sensitive to light, heat, and moisture and must be stored in the original dark glass container in a cool, dry location to maintain potency.

Question 5

A parish nurse is assessing a diabetic client's feet during a home visit. Which finding requires immediate referral to a physician?

Accepted Answer

A 2 cm open ulcer on the plantar surface of the foot

Answer

An open ulcer on the foot of a diabetic client is a serious wound at high risk for infection and osteomyelitis, requiring immediate physician referral.

(PNC) Parish Nurse Certification Practice Test

(PNC) Parish Nurse Certification Practice Test

PNC Clinical Procedures & Protocols 2