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FUNDAMENTALS OF NURSING EXAM 2 QUESTIONS WITH CORRECT ANSWERS 2024
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FUNDAMENTALS OF NURSING EXAM 2 QUESTIONS WITH CORRECT ANSWERS 2024
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FUNDAMENTALS OF NURSING EXAM 2QUESTIONS WITH CORRECT ANSWERS
2024/25
1)WTheWnurseWisWinsertingWaWnasogastricWtubeWinWanWadultWclient.WDuringWtheWprocedure,WtheWclientWbeg
insWtoWcoughWandWhasWdifficultyWbreathing.WWhatWisWtheWmostWappropriateWaction?
a.WInsertWtheWtubeWquickly.
b.WNotifyWtheWhealthWcareWproviderWimmediately.
c.WRemoveWtheWtubeWandWreinsertWitWwhenWtheWrespiratoryWdistressWsubsides.
d.WPullWbackWonWtheWtubeWandWwaitWuntilWtheWrespiratoryWdistressWsubsides.W-WcorrectWanswer-d
Rationale:WDuringWtheWinsertionWofWtheWnasogastricWtube,WifWtheWclientWexperiencesWdifficultyWbreathing
WorWanyWrespiratoryWdistress,WwithdrawWtheWtubeWslightly,WstopWtheWtubeWadvancement,WandWwaitWuntilW
theWdistressWsubsides.WItWisWnotWnecessaryWtoWnotifyWtheWHCPWimmediatelyWorWremoveWtheWtubeWcompl
etely.WQuickWinsertingWtheWtubeWisWnotWanWappropriateWactionWbecause,WinWthisWsituation,WitWisWlikelyWth
atWtheWtubeWhasWenteredWtheWbronchus.
2)WTheWnurseWreceivesWaWtelephoneWcallWfromWtheWpostWanesthesiaWcareWunitWstatingWthatWaWclientWisWb
eingWtransferredWtoWtheWsurgicalWunit.WTheWnurseWplansWtoWtakeWwhichWactionWfirstWonWarrivalWofWtheWcli
ent?
a.WAssessWtheWpatencyWofWtheWairway
b.WCheckWtubesWorWdrainsWforWpatency
c.WCheckWtheWdressingWtoWassessWforWbleeding
d.WAssessWtheWvitalWsignsWtoWcompareWwithWpreoperativeWmeasurementsW-WcorrectWanswer-a
Rationale:WTheWfirstWactionWofWtheWnurseWisWtoWassessWtheWpatencyWofWtheWairwayWandWrespiratoryWfunc
tion.WIfWtheWairwayWisWnotWpatent,WtheWnurseWmustWtakeWimmediateWmeasuresWforWtheWsurvivalWofWtheW
client.WTheWnurseWthenWtakesWvitalWsignsWfollowedWbyWcheckingWtheWdressingWandWtheWtubesWorWdrains.W
TheWotherWnursingWactionsWshouldWbeWperformedWafterWaWpatentWairwayWhasWbeenWestablished.
3)WTheWnurseWisWadministeringWaWcleansingWenemaWtoWaWclientWwithWaWfecalWimpaction.WBeforeWadminist
eringWtheWenema,WtheWnurseWshouldWplaceWtheWclientWinWwhichWposition?
a.WLeftWSims'Wposition
b.WRightWSims'Wposition
c.WOnWtheWleftWsideWofWtheWbody,WwithWtheWheadWofWtheWbedWelevatedW45Wdegrees
,d.WOnWtheWrightWsideWofWtheWbody,WwithWtheWheadWofWtheWbedWelevatedW45Wdegrees.W-WcorrectWanswer-
a
Rationale:WForWadministeringWanWenema,WtheWclientWisWplacedWinWaWleftWSims'WpositionWsoWthatWtheWene
maWsolutionWcanWflowWbyWgravityWinWtheWnaturalWdirectionWofWtheWcolon.WTheWheadWofWtheWbedWisWnotW
elevatedWinWtheWSims'Wposition.
4)WTheWnurseWisWpreparingWtoWinsertWaWnasogastricWtubeWintoWaWclient.WTheWnurseWshouldWplaceWtheWclie
ntWinWwhichWpositionWforWinsertion?
a.WRightWside
b.WLowWFowler's
c.WHighWfowler's
d.WSupineWwithWtheWheadWflatW-WcorrectWanswer-c
Rationale:WDuringWinsertionWofWaWnasogastricWtube,WtheWclientWisWplacedWinWaWsittingWorWhighWFowler'sWp
ositionWtoWfacilitateWinsertionsWofWtheWtubeWandWreduceWtheWriskWofWpulmonaryWaspirationWifWtheWclient
WshouldWvomit.WTheWrightWside,WandWlowWFowler'sWandWsupineWpositionsWplaceWtheWclientWatWriskWforWas
piration;WinWaddition,WtheseWpositionsWdoWnotWfacilitateWinsertionWofWtheWtube.
5)WTheWnurseWisWpreparingWtoWadministerWmedicationWusingWaWclient'sWnasogastricWtube.WWhatWactionsW
shouldWtheWnurseWtakeWbeforeWadministeringWtheWmedication?WSelectWallWthatWapply.
a.WCheckWtheWresidualWvolume
b.WAspirateWtheWstomachWcontents
c.WTurnWoffWtheWsuctionWtoWtheWnasogastricWtube
d.WRemoveWtheWtubeWandWplaceWitWinWtheWotherWnostril
e.WTestWtheWstomachWcontentsWforWaWpHWindicatingWacidityW-WcorrectWanswer-a,Wb,Wc,We
Rationale:WByWaspiratingWstomachWcontents,WtheWresidualWvolumeWcanWbeWdetermined,WandWtheWpHWche
cked.WAWpHWlessWthanW3.5WverifiesWgastricWplacement.WTheWsuctionWshouldWbeWturnedWoffWbeforeWtheWtu
bingWisWdisconnectedWtoWcheckWforWresidualWvolume;WinWaddition,WsuctionWshouldWremainWoffWforW30WtoW
60WminutesWfollowingWmedicationWadministrationWtoWallowWforWmedicationWabsorption.WThereWisWnoWne
edWtoWremoveWtheWtubeWandWplaceWitWinWtheWotherWnostrilWinWorderWtoWadministerWaWfeeding;WinWfact,Wt
hisWisWanWinvasiveWprocedureWandWisWunnecessary.
6)WTheWnurseWisWpreparingWtoWadministerWmedicationWthroughWaWnasogastricWtubeWthatWisWconnectedWto
Wsuction.WToWadministerWtheWmedication,WtheWnurseWshouldWtakeWwhichWaction?
a.WPositionWtheWclientWsupineWtoWassistWinWmedicationWabsorption
,b.WAspirateWtheWnasogastricWtubeWafterWmedicationWadministrationWtoWmaintainWpatency.
c.WClampWtheWnasogastricWtubeWforW30WtoW60WminutesWfollowingWadministrationWofWtheWmedication
d.WChangeWtheWsuctionWsettingWtoWlowWintermittentWsuctionWforW30WminutesWafterWmedicationWadministr
ationW-WcorrectWanswer-c
Rationale:WIfWtheWclientWhasWaWnasogastricWtubeWconnectedWtoWsuction,WtheWnurseWshouldWwaitW30WtoW6
0WminutesWbeforeWreconnectingWtheWtubeWtoWsuctionWapparatusWtoWallowWadequateWtimeWforWmedicatio
nWabsorption.WTheWclientWshouldWnotWbeWplacedWinWtheWsupineWpositionWbecauseWofWtheWriskWforWaspira
tion.WAspiratingWtheWnasogastricWtubeWwillWremoveWtheWmedicationWjustWadministered.WLowWintermitten
tWsuctionWalsoWwillWremoveWtheWmedicationWjustWadministered.
7)WTheWnurseWisWassessingWforWcorrectWplacementWofWaWnasogastricWtube.WTheWnurseWaspiratesWtheWsto
machWcontents,WchecksWtheWgastricWpH,WandWnotesWaWpHWofW7.35,WBasedWonWthisWinformation,WwhichWa
ctionWshouldWtheWnurseWtakeWatWthisWtime?
a.WRetestWtheWpHWusingWanotherWstrip
b.WDocumentWthatWtheWnasogastricWtubeWisWinWtheWcorrectWplace
c.WCheckWforWplacementWbyWauscultatingWforWairWinjectedWintoWtheWtube
d.WCallWtheWhealthWcareWproviderWtoWrequestWaWprescriptionWforWaWchestWradiographW(xray)W-
WcorrectWanswer-d
Rationale:WIfWtheWnasogastricWtubeWisWinWtheWstomach,WtheWpHWofWtheWcontentsWwillWbeWacidic.WGastricW
aspiratesWhaveWacidicWpHWvaluesWandWshouldWbeW3.5WorWlower.WAWpHWofW7.35WindicatesWaWneutralWpH,W
whichWmayWindicateWthatWtheWtubeWisWnoWlongerWinWtheWstomach.WBasedWonWthisWinformation,WtheWnurs
eWshouldWcallWtheWHCPWtoWrequestWaWchestWxrayWtoWdetermineWifWplacementWisWaccurate.WRetestingWthe
WpHWusingWanotherWtestWstripWisWunnecessaryWandWcheckingWforWplacementWbyWauscultatingWforWairWinje
ctedWintoWtheWtubeWisWnotWaWdefinitiveWmethodWofWcheckingWforWtubeWplacement.WTheWnurseWshouldWno
tWdocumentWthatWtheWtubeWisWinWtheWcorrectWplaceWbecauseWtheWdataWindicatesWthisWmayWnotWbeWtheWc
ase.
8)WTheWregisteredWnurseWisWpreparingWtoWinsertWaWnasogastricWtubeWinWanWadultWclient.WToWdetermineWt
heWaccurateWmeasurementWofWtheWlengthWofWtheWtubeWtoWbeWinserted,WtheWnurseWshouldWtakeWwhichWa
ction?
a.WMarkWtheWtubeWatW10WinchesW(25.5Wcm)
b.WMarkWtheWtubeWaW32WinchesW(81Wcm)
c.WPlaceWtheWtubeWatWtheWtipWofWtheWnoseWandWmeasureWbyWextendingWtheWtubeWtoWtheWearlobeWandWth
enWdownWtoWtheWxiphoidWprocess
, d.WPlaceWtheWtubeWatWtheWtipWofWtheWnoseWandWmeasureWbyWextendingWtheWtubeWtoWtheWearlobeWandWt
henWdownWtoWtheWtopWofWtheWsternumW-WcorrectWanswer-c
Rationale:WMeasuringWtheWlengthWofWaWnasogastricWtubeWneededWisWdoneWbyWplacingWtheWtubeWatWtheWt
ipWofWtheWclient'sWnoseWandWextendingWtheWtubeWtoWtheWearlobeWandWthenWdownWtoWtheWxiphoidWproce
ss.WTheWaverageWlengthWforWanWadultWisWaboutW22WtoW26WinchesW(56WtoW66Wcm).WTheWremainingWoptions
WidentifyWincorrectWproceduresWforWmeasuringWtheWlengthWofWtheWtube.
9)WTheWnurseWinspectsWtheWcolorWofWtheWdrainageWfromWaWnasogastricWtubeWonWaWpostoperativeWclientW
approximatelyW24WhoursWafterWgastricWsurgery.WWhichWfindingWindicatesWtheWneedWtoWnotifyWtheWhealthW
careWproviderW(HCP)?
a.WDarkWredWdrainage
b.WDarkWbrownWdrainage
c.WGreen-tingedWdrainage
d.WLightWyellowish-brownWdrainageW-WcorrectWanswer-a
Rationale:WForWtheWfirstW12WhoursWafterWgastricWsurgery,WtheWnasogastricWtubeWdrainageWmayWbeWdarkWb
rownWtoWdarkWred.WLater,WtheWdrainageWshouldWchangeWtoWaWlightWyellowish-
brownWcolor.WTheWpresenceWofWbileWmayWcauseWaWgreen-
tinge.WTheWHCPWshouldWbeWnotifiedWifWdarkWredWdrainage,WaWsignWofWhemorrhage,WisWnotedW24WhoursWp
ostoperatively.
10)WAWnurseWisWassessingWaWpatientWwhoWhasWhadWdiarrheaWforW4Wdays.WWhichWofWtheWfollowingWfinding
sWshouldWtheWnurseWexpect?W(SelectWallWthatWapply)
a.WBradycardia
b.WHypotension
c.WElevatedWtemperature
d.WPoorWskinWturgor
e.WPeripheralWedemaW-WcorrectWanswer-b,Wc,Wd
Rationale:WProlongedWdiarrheaWleadsWtoWdehydration,WexpectWtheWclientWtoWhaveWanWelevatedWtemperat
ure,WaWdecreaseWinWbloodWpressure,WpoorWskinWturgor,Wtachycardia,WandWweakenedWperipheralWpulses.WP
eripheralWedemaWresultsWfromWaWfluidWoverload.
11)WWhileWaWnurseWisWperformingWaWcleansingWenema,WtheWclientWreportsWabdominalWcramping.WWhichW
ofWtheWfollowingWactionsWshouldWtheWnurseWtake?
a.WHaveWtheWclientWholdWtheirWbreathWbrieflyWandWbearWdown
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