Fundamentals Practice Exam Study Guide Exam Questions And Complete Answers.
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Course
Nursing Fundamentals
Institution
Nursing Fundamentals
The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after fill...
Fundamentals Practice Exam Study
Guide Exam Questions And Complete
Answers.
The nurse observes that a male client has removed the covering from an ice pack applied to his knee.
What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - Answer A
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a rate of 5
mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many drops per
minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - Answer C. 93 gtt/min
The healthcare provider prescribes 1,000 ml of Ringer's Lactate with 30 Units of Pitocin to run in over 4
hours for a client who has just delivered a 10 pound infant by cesarean section. The tubing has been
changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many gtt/min?
A. 42 gtt/min.
B. 83 gtt/min.
C. 125 gtt/min.
D. 250 gtt/min. - Answer C. 125 gtt/min
Which assessment data provides the most accurate determination of proper placement of a nasogastric
tube? - Answer C. Examining a chest x-ray obtained after the tubing was inserted
,Three days following surgery, a male client observes his colostomy for the first time. He becomes quite
upset and tells the nurse that it is much bigger than he expected. What is the best response by the
nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the procedure. - Answer
B. Instruct the client that the stoma will become smaller when the initial swelling diminishes
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last two hours. What
action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - Answer B. Reposition the client on
her side
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine
now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. - Answer C. After
clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube
A male client tells the nurse that he does not know where he is or what year it is. What data should the
nurse document that is most accurate? - Answer D. Is disoriented to place and time
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action should
the nurse take? - Answer A. Commend the client for selecting a high biologic value protein
, When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the center
of gravity for an elderly person is the
A. Arms.
B. Upper torso.
C. Head.
D. Feet. - Answer B. Upper torso
In developing a plan of care for a client with dementia, the nurse should remember that confusion in the
elderly
A. is to be expected, and progresses with age.
B. often follows relocation to new surroundings.
C. is a result of irreversible brain pathology.
D. can be prevented with adequate sleep. - Answer B. Often follows relocation to new surroundings
A postoperative client will need to perform daily dressing changes after discharge. Which outcome
statement best demonstrates the client's readiness to manage his wound care after discharge? The client
- Answer C. demonstrates the wound care procedure correctly
A client who is 5'5 tall and weighs 200 pounds is scheduled for surgery the next day. What question is
most important for the nurse to include during the preoperative assessment? - Answer B. "What
vitamin and mineral supplements do you take?"
During the initial assessment, a male client denies dysuria but reports that his urine appears dark amber.
Which intervention should the nurse implement? - Answer D. Encourage additional oral intake of juices
and water
Which intervention is most important for the nurse to implement for a male client who is experiencing
urinary retention?
A. Apply a condom catheter.
B. Apply a skin protectant.
C. Encourage increased fluid intake.
D. Assess for bladder distention. - Answer D. Assess for bladder distention
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