NURSING FUNDAMENTALS FINAL EXAM 2024/2025
VERIFIED QUESTIONS AND ANSWERS GRADED A+
Before performing a wound assessment, which nursing action would reduce the patient's risk for
infection?
A. Taking the patient's temperature
B. Applying clean gloves
C. Assessing the wound for drainage
D. Assessing the dressing for drainage
ANS: B. Applying clean gloves
Which intervention can the nurse delegate to nursing assistive personnel (NAP) in caring for a
patient with a wound?
A. Assessing the site for signs of redness or swelling
B. Reporting the presence of wound odor
C. Removing a soiled outer dressing
D. Opening sterile dressings during the dressing change
ANS: B. Reporting the presence of wound odor
The nurse notes that a patient's surgical wound is healing slowly. Which health problem would
contribute to slow wound healing?
,NURSING FUNDAMENTALS FINAL EXAM 2024/2025
A. Osteoarthritis
B. Glaucoma
C. Deafness
D. Diabetes mellitus
ANS: D. Diabetes mellitus
The nurse is preparing to provide perineal care for a female patient who is on bed rest. Which
patient position should the nurse use for this care?
A. Supine
B. Prone
C. Side-lying
D. Dorsal recumbent
ANS: D. Dorsal Recumbent
How can the nurse promote infection control while providing perineal care for a female patient
who has a catheter?
A. By avoiding the application of tension on the catheter
B. By patting, not rubbing, the skin dry after thoroughly rinsing it
C. By cleansing the patient's labia from the pubic area toward the rectum.
D. By using warm water to cleanse the patient's entire perineal area.
ANS: C. By cleansing the patient's labia from the pubic area toward the rectum.
,NURSING FUNDAMENTALS FINAL EXAM 2024/2025
You have delegated vital signs to assistive personnel. The assistant informs you that the patient
has just finished a bowl of hot soup. The nurse's most appropriate advice would be to:
A. take a rectal temperature.
B. take the oral temperature as planned.
C. advise the patient to drink a glass of cold water.
D. wait 30 minutes and take an oral temperature.
ANS: D. wait 30 minutes and take an oral temperature.
Rationale: pg. 473 - The consumption of hot liquids will affect oral temperature readings.
You notice that a teenager has an irregular pulse. The best action you should take includes:
A. reading the history and physical.
B. assessing the apical pulse rate for 1 full minute.
C. auscultating for strength and depth of pulse.
D. asking whether the patient feels any palpitations or faintness of breath.
ANS: B. assessing the apical pulse rate for 1 full minute.
Rationale: pg. 479 - If you detect an abnormal rate while palpating a peripheral pulse, the next
step is to assess the apical rate.
, NURSING FUNDAMENTALS FINAL EXAM 2024/2025
A postoperative patient is breathing rapidly. You should immediately:
A. call the physician.
B. count the respirations.
C. assess the oxygen saturation.
D. ask the patient if he feels uncomfortable.
ANS: C. assess the oxygen saturation.
Rationale: pg. 481 - Shortness of breath is an indicator of hypoxemia. Assessing the oxygen
saturation will let the nurse know if the patient's breathing status is a result of hypoxemia.
When assessing the blood pressure of a school-age child, using an adult cuff of normal size will
affect the reading and produce a value that is:
A. accurate.
B. indistinct.
C. falsely low.
D. falsely high.
ANS: D. falsely high.
Rationale: pg. 487 Table 29.12 - If bladder or cuff is too wide it will result in a falsely high BP.
Children should only have their blood pressure taken with an appropriately fitting cuff, otherwise
it will skew the results. Specifically, if an adult cuff is used on a child, the resulting BP will be
falsely high.
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