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NURS 301 FUNDAMENTAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED A+ SUCCESS ASUARED
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NURS 301 FUNDAMENTAL EXAM QUESTIONS WITHCORRECT ANSWERS GRADED A+ SUCCESS ASUARED
1. Transdermal top or bottom- goes into bottom layer of skin
2. Patient bilateral ear pain, what to do- ask for pain relief prescription such as
acetaminophen
3. Low back pain due to surgery, how do you position patient- Sit with a back support
(such as a rolled-up towel) at the curve of your back. Keep your hips and knees at a right
angle. (Use a foot rest or stool if necessary.) Your legs should not be crossed and your
feet should be flat on the floor.
4. Magnesium levels are low, symptoms?- weaken your bones, give you bad headaches,
make you feel nervous, and even hurt your heart. Abnormal eye movements
(nystagmus), Convulsions, Fatigue, Muscle spasms or cramps, Muscle weakness,
Numbness.
5. Patient was dehydrated and now is on iv, how do u confirm they are re-hydrated-
Plasma osmolality, urine osmolality and urine specific gravity are the most widely used
markers of hydration.
6. Sleep apnea patients, who should nurse monitors for (copd, insomnia, etc? pt with
multiple problems that has diabetes htn? )- pt with multiple problems that has diabetes
htn.
7. Which needle for a well-developed patient (was it IM, yes it was?)- IM
8. Quality of pain, do you provide a scale or ask them to describe it- you describe pain
quality.
9. Intact skin non-blanchable (do I turn them?)- yes, it is a sign of stage 1 pressure ulcer.
remove all pressure from the area. Keep the area as dry and clean as possible to prevent
bacterial infections.
10. Axillary temperature (should the arm be at heart level, put sheath over it, check when the
last time they ate or drank was??)- for axillary, which is armpit, u put plastic sheath over
the thermometer probe. You only check when last they ate r drank for oral temp and ask
to place arm at heart level for blood pressure.
11. Muslim women C-section (bow down as respect? Focus solely on the client? Use
the family members as primary source? ethnic sensitivity?)- ethnic sensitivity.
12. The patient family (they speak spanish) is crying (Do u close room or ask another nurse
to see why they crying, or contact an interpreter)- close room to give them rivacy.
13. What is fidelity? What is considered fidelity- Fidelity in nursing means that nurses
must be faithful to the promises they made as professionals to provide competent care.
Keep their promises.
,NURS 301 FUNDAMENTAL EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ SUCCESS ASUARED
14. Patient blood pressure was 140/60 after 6 hours it became 180/90 what should the nurse
do- retake the BP in 15 mins
15. Rash on the abdomen used cream and ointment - put on ppe before assessing, ask if
pain was there before putting on ointment
16. Nasopharynx- skin and mucous membrane
17. Heating pad- neurosensory impairment
18. Cancer patient taking medication causing constipation they increased laxative - add more
morphine
19. Activity intolerance- unsteady gait to progress to deliberately walking, do you move
things out of the way for him
20. Patient watching TV and don't want to take medication you took out of the
wrapper- nurse watch as u dispose of it
21. Patient with a CVA trying to get dressed- put the right side on first or tell the
pt something like “it must be difficult”
22. Answer for a question : place padding under nasal cannula
23. Knowledge deficit (diet change) is part of a care of a care plan. What do you need
to know and include- etiology
24. UAP fixing bed feeding tube- tube with purulent drainage
25. Brady scale reassess- urinary incontinence (Braden scale assesses pressure ulcer risk)
26. Temperature of 102- select all that apply
1. An elderly woman comes to the clinic because of vaginal bleeding. The healthcare provider
finds a vaginal tear, which the client reports are likely to have occurred during unprotected
sexual intercourse. Which content is most important for the nurse to include in the client's
teaching plan?
a. The importance of using vaginal lubricants
b. Methods used to practice safe sex
c. Information about alternative ways to express sexuality
d. Intercourse positions that help prevent tears
2. While suctioning a client's nasopharynx, the nurse observes that the client's oxygen
saturation remains at 94%, which is the same reading obtained prior to starting the
procedure. What action would the nurse take in response to this finding?
a. Reposition the pulse oximeter clip to obtain a new reading
,NURS 301 FUNDAMENTAL EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ SUCCESS ASUARED
b. Stop suctioning until the pulse oximeter reading is above 95%
c. Complete the intermittent suction of the nasopharynx
d. Apply an oxygen mask over the client's nose and mouth
3. The home health nurse is reviewing the personal care of an elderly client who lives alone.
Which client assessment findings indicate the need to assign the UAP to provide routine
foot care and file the client's toenails? (SATA)
a. Syncope when bending
b. Hand tremors
c. Diminished visual acuity
d. Urinary incontinence
e. Shuffling gait
4. A client who has been diagnosed with terminal cancer tells the nurse, "The doctor told me I
have cancer and do not have long to live." Which response is best for the nurse to provide?
a. "That's correct. You do not have long to live."
b. "Would you like me to call your minister?"
c. "Don't give up, you still have chemotherapy to try."
d. "Yes, your condition is serious."
5. A client is in contact isolation due to a stage IV coccyx wound infected with methicillin
resistant staphylococcus aureus (MRSA). The nurse plans interventions to prevent
multiple re-entries to the client's room. In which order should the nurse perform the
interventions?
a. Change coccyx dressing, perform tracheostomy care, and restart the IV
b. Perform tracheostomy care, change coccyx dressing, and restart the IV
c. Restart the IV, perform tracheostomy care, and change coccyx dressing
d. Change coccyx dressing, restart the IV, and perform tracheostomy care
6. A female nursing home resident and her family only speak Spanish. During a visit, the entire
family begins to cry hysterically. When unable to determine why the family is upset, what
intervention is most important for the nurse to implement?
a. Ask a Spanish-speaking staff member to talk with the family
b. Use a Spanish translation reference to interview the family
c. Close the door to the client's room to provide family privacy
d. Sit quietly with the family to offer comfort and support
7. A middle-aged male client tells the nurse that weeks ago he began exercising four times a
week to lose weight and to help him sleep better. He states that it still takes an hour to
fall asleep at night. What action should the nurse implement?
a. Advice the client that lifestyle changes often take several weeks to be effective
b. Determine the amount of weight the client has lost since increasing his activity
c. Encourage the client to exercise everyday to eliminate bedtime wakefulness
d. Ask the client to describe the exercise schedule that he has been following
8. The female client who has a one-day post mastectomy is crying when the nurse enters the
room. What action should the nurse take?
, NURS 301 FUNDAMENTAL EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+ SUCCESS ASUARED
a. Remain quietly by the door until the client stops crying
b. Stay with the client in silence while touching her forearm
c. Ask the client if she would like her clergy notified
d. Tell the client it is normal to cry after surgery
9. The nurse enters the room of a client with Clostridium difficile infection to administer an
IV antibiotic. The UAP is in the room cleaning the client's buttocks and states the client has
been incontinent with diarrhea. The UAP is wearing gloves but not a gown. What action
should the nurse implement first?
a. Advise the UAP to put on a gown
b. Observe the appearance of the diarrhea
c. Hang the scheduled dose of antibiotic
d. Assess the client's skin integrity
10. The grandmother of a young adult male admitted to the psychiatric unit yesterday requests
information about her grandson's treatment plan. Before answering the family member's
questions, what action should the nurse take?
a. Ask the client if he wants this information shared with his grandmother
b. Ensure that the signed release of information includes the grandmother
c. Consult with the healthcare provider before sharing the information
d. Reassure the grandmother by providing an honest response
11. The nurse is planning care for a group of patients on a Med-Surg unit during night
shift. Which patient should be closely monitored for sleep apnea?
a. A woman with restless leg syndrome and COPD
b. A young woman taking Coumadin and has a diagnosis of insomnia
c. A male with a bleeding ulcer
d. A male with multiple problems including diabetes, HTN, and obesity
12. It is most important for a nurse to recalculate a patient's Braden score. Who develops
which problem?
a. Urinary incontinence
b. Hypoactive bowel sounds
c. Weakened cough reflex
d. 2+ pitting edema to both legs
13. The nurse observes that there are reddened areas on the cheekbones of a client receiving
oxygen per nasal cannula at 3L/minute, and the client's oxygen saturation level is 92%.
What intervention should the nurse implement?
a. Place padding around the cannula tubing.
14. While undergoing hemodialysis, a male client suddenly complains of dizziness. He is alert
and oriented, but his skin is cool and clammy. His vital signs are: heart rate 128
beats/minute, respirations 18 breaths/minute, and blood pressure 90/60. Which
intervention should the nurse implement first?
a. Raise the client's legs and feet
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