Fundamentals of Nursing Exam Latest
2024 Questions and Correct Answers
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After abdominal surgery a client reports pain. What action should the
nurse take first? -ANSWER-determine the characteristics
The nurse should monitor for which involuntary physiologic response
in a client who is experiencing pain? -ANSWER-perspiring
A nurse prioritizes client care using Maslow's hierarchy of needs.
Which situation should the nurse address first according to Maslow's
hierarchy? -ANSWER-A client complains of sleeplessness due to pain
post-surgery.
The nurse is assessing a client who had knee replacement surgery.
Which assessment finding gathered by the nurse is an example of
subjective data? -ANSWER-The client's pain is 7 on a scale of 1 to 10
A nurse is assessing a client who underwent abdominal surgery 10
days ago. The client complains of pain in the abdomen. What type of
pain does the client experience? -ANSWER-Visceral pain
During an assessment, the client complains of tenderness when the
nurse palpates the calf muscle. What would be the nurse's next
assessment? -ANSWER-To evaluate for swelling, warmth and muscle
firmness
The nurse is assessing a client with arthritis. Which statement made
by the client indicates a precipitating factor that is an intellectual
standard for critical thinking? -ANSWER-"I run for 30 minutes every
day; this exercise increases my pain.
A client who underwent surgery feels pain in the lower abdomen. The
nurse provides pain relief but the client is still reporting pain. Which
,actions of the nurse would help the client to get relief? Select all that
apply. -ANSWER-- looking for different distraction technique
- involving the client's family in creating a new plan for pain relief
A client complains of pain. Which question asked by the nurse are
most appropriate to assess the nature of the pain? -ANSWER-"Can
you describe your pain to me?"
The nurse is caring for a client who is in pain following surgery. The
nurse informs the primary health care provider about the client's
request for pain medication. What is the role of the nurse in this
situation? -ANSWER-advocate
A client reports severe pain 2 days after surgery. After assessing the
characteristics of the pain, which initial action should the nurse take
next? -ANSWER-obtain vitals
A nurse applies a cold pack to treat an acute musculoskeletal injury.
Cold therapy decreases pain by doing what? -ANSWER-Causing local
vasoconstriction, preventing edema and muscle spasms
What are the desired outcomes that the nurse expects when
administering a nonsteroidal antiinflammatory drug (NSAID)? Select
all that apply. -ANSWER-- pain relief
- antipyresis
- reduced inflammation
A client is receiving oxycodone postoperatively for pain. The
healthcare provider's prescription indicates that the dose should be
administered every 3 hours for eight doses. What should the nurse
assess before administering each dose of oxycodone? -ANSWER-
Respiratory rate and level of consciousness
A pain scale of 1 to 10 is used by a nurse to assess a client's degree
of pain. The client rates the pain as an 8 before receiving an analgesic
and a 7 after being medicated. What conclusion should the nurse
,make regarding the client's response to pain medication? -ANSWER-
Medication is not adequately effective
A client has received instructions to take 650 mg aspirin every 6 hours
as needed for arthritic pain. What should the nurse include in the
client's medication teaching? Select all that apply. -ANSWER-- take
the aspirin with meals or a snake
- do not chew enteric coated tablets
- report persistent abdominal pain
What is a nurse's responsibility when administering prescribed opioid
analgesics? Select all that apply. -ANSWER-- count the client's
respirations
- document the intensity of the client's pain
- verify the number of doses in the locked cabinet before administering
the prescribed dose
A nurse is caring for an older adult who is taking acetaminophen for
the relief of chronic pain. Which substance is most important for the
nurse to determine if the client is taking because it intensifies the most
serious adverse effect of acetaminophen? -ANSWER-alcohol
A hospice client who has severe pain asks for another dose of
oxycodone. What is the nurse's primary consideration when
responding to the client's request? -ANSWER-Reduce the client's pain
A client receiving morphine is being monitored by the nurse for signs
and symptoms of overdose. Which clinical findings support a
conclusion of overdose? Select all that apply. -ANSWER-- slow
respirations
- bradycardia
- sedation
A client who has a long leg cast for a fractured bone is to be
discharged from the emergency department. When discussing pain
management, when does the nurse advise the client to take the
, prescribed as-needed oxycodone? -ANSWER-When the discomfort
begins
A client with a known history of opioid addiction is treated for multiple
stab wounds to the abdomen. After surgical repair the nurse notes that
the client's pain is not relieved by the prescribed morphine injections.
The nurse realizes that the failure to achieve pain relief indicates that
the client is probably experiencing what phenomenon? -ANSWER-
tolerance
When a nurse requests that a client's pain intensity be rated on a
scale of 0 to 10, the client states that the pain is "99." How does the
nurse interpret the client's behavior? -ANSWER-Requires an
intervention immediately
A pregnant client's history reveals opioid abuse. What is the nurse's
initial plan for providing pain relief measures during labor? -ANSWER-
Scheduling pain medication at regular intervals
A nurse is teaching an older adult client about managing chronic pain
with acetaminophen. Which client statement indicates that the
teaching is effective? -ANSWER-"I have to be careful about which
over-the-counter cold preparations I take when I have a cold."
A client in a hospice home care program is experiencing severe pain.
Morphine has been prescribed for pain management. Which
information should the nurse plan to explain to the client in preparation
for this pain management regimen? -ANSWER-Dosages of the drug
will be given automatically at regular intervals around the clock.
A client who had thoracic surgery complains of pain at the incision site
when coughing and deep breathing. What action should the nurse
take? -ANSWER-Instruct the client to splint the wound with a pillow
when coughing.
A client who had a total hip replacement is receiving continuous
regional analgesia. The nurse recognizes what as the benefit of this
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