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Fundies Actual Questions and CORRECT Answers A nurse is documenting the intake for a client who is scheduled for an abdominal computed axial tomography (CT) scan. prior to the scan, the client consumes 12 oz sodium diatrizoate and meglumine diatrizoate. The client has an IV of D5 1/2 NS runni...

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  • September 22, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
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Fundies Actual Questions and CORRECT
Answers
A nurse is documenting the intake for a client who is scheduled for an abdominal computed
axial tomography (CT) scan. prior to the scan, the client consumes 12 oz sodium diatrizoate
and meglumine diatrizoate. The client has an IV of D5 1/2 NS running at 75 ml/hr from 0700
until 1200. The IV runs at 30ml/hr from 1200 to 1500, the client has 6 oz juice. How many
mL should the nurse document as the client's intake for the shift? - CORRECT ANSWER-
✔✔1,005 mL


The nurse is preparing to a minister a cleansing enema to a client. Which of the following
actions should the nurse take? - CORRECT ANSWER- ✔✔Hold the container of solution 30
cm (12 in) above the anus.


A nurse enters an older adult client's room to insert a sailing lock. The client asks the nurse,
"Why do I need that? I am drinking plenty of fluids." Which of the following responses
should the nurse provide? - CORRECT ANSWER- ✔✔"Your provider has prescribed
antibiotic therapy to be administered intravenously every 6 hours."


A nurse is caring for a client who is immobile. Which of the following actions is the priority
for the nurse to include in the client's plan of care? - CORRECT ANSWER- ✔✔Auscultate
breath sounds at least every 2 hr.


A nurse is providing home safety information for an older adult client who uses a cane.
Which of the following statements should the nurse include in the teaching? - CORRECT
ANSWER- ✔✔"You should advance your weak leg forward to the cane, then move your
strong leg."


A nurse is caring for a group of clients on a medical-surgical unit. Which of the following
situations requires that the nurse wear gloves? (Select all that apply.) - CORRECT
ANSWER- ✔✔Emptying urine from an indwelling urine collection bag
providing oral care
changing an ostomy pouch

, A nurse is admitting a client who reports anorexia and experiencing malnutrition. Which of
the following laboratory findings should the nurse expect to be altered? - CORRECT
ANSWER- ✔✔Albumin


A nurse is preparing to administer 3 liquid medications to a client who has an NG feeding
tube with a continuous enteral feedings. Which of the following actions should the nurse
take? - CORRECT ANSWER- ✔✔Flush the NG feeding tube with 30 mL of water
immediately following medication administration


A nurses providing discharge teaching to a client who was recently diagnosed with a latex
allergy. Which of the following client statements indicates an understanding of the teaching?
- CORRECT ANSWER- ✔✔"I will use ink pens for writing."


A nurse is planning to perform a sterile dressing thing for a client. Which of the following
actions should the nurse plan to take? - CORRECT ANSWER- ✔✔Use sterile forceps to
move the sterile items on the sterile field


A nurse is preparing to measure a client's level oxygen saturation and observes edema of both
hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of
the following locations? - CORRECT ANSWER- ✔✔earlobe


A nurse's is reinforcing teaching with a client about using transdermal patches at home.
Which of the following statements should the nurse identify as an indication that the client
understands the teaching? - CORRECT ANSWER- ✔✔"I will clean and dry the area before
applying the patch."


A client receives a wrong medication. The nurse who made the medication error should take
which of the following actions first? - CORRECT ANSWER- ✔✔Asses the client


A nurse is preparing to transfer a client who has left sided weakness from the bed to a chair.
Which of the following actions should the nurse plan to take? - CORRECT ANSWER-
✔✔Use a gait belt to stand and pivot the client


A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy.
Additional data includes pulse a 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and

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