Fundamentals Final Exam // 90+
questions and answers// Complete
test bank.
Which action best demonstrates the nurse applying the principle of patient safety during
medication administration?
A. Giving medications quickly to avoid delays in care
B. Checking the room number before entering
C. Comparing the medication label with the prescription and patient ID ✔️✔️
D. Asking the patient if they recognize the medication name
A nurse is assessing a patient’s vital signs. Which finding requires immediate attention?
A. Temperature of 36.8°C
B. Pulse rate of 52 beats per minute in a resting athlete
C. Respiratory rate of 32 breaths per minute ✔️✔️
D. Blood pressure of 118/76 mmHg
Which position is most appropriate for a patient experiencing shortness of breath?
A. Supine position
B. Trendelenburg position
C. High Fowler’s position ✔️✔️
D. Prone position
What is the primary purpose of hand hygiene in nursing practice?
A. To make hands look clean
B. To reduce transmission of microorganisms ✔️✔️
C. To prevent skin dryness
D. To improve nurse-patient interaction
A nurse is preparing to assess a patient’s pain. Which tool is most appropriate for a conscious
adult?
A. FLACC scale
B. Wong-Baker FACES scale
C. Numeric rating scale ✔️✔️
D. APGAR score
Which nursing action best prevents pressure ulcers in immobile patients?
A. Massaging bony prominences vigorously
B. Repositioning the patient every 2 hours ✔️✔️
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,C. Keeping the head of bed flat at all times
D. Restricting fluid intake
A patient is admitted with risk of falls. Which intervention is priority?
A. Keep bed rails up on all sides
B. Place call bell within reach ✔️✔️
C. Limit patient movement completely
D. Dim room lighting
Which assessment finding indicates dehydration?
A. Moist mucous membranes
B. Slow capillary refill
C. Dry mucous membranes ✔️✔️
D. Elevated oxygen saturation
What is the correct sequence of donning PPE?
A. Gloves, gown, mask, goggles
B. Gown, mask, goggles, gloves ✔️✔️
C. Mask, gown, gloves, goggles
D. Goggles, mask, gown, gloves
Which is the best site for measuring temperature in an unconscious patient?
A. Oral
B. Axillary
C. Tympanic ✔️✔️
D. Rectal without caution
A nurse is documenting patient care. Which entry is most appropriate?
A. Patient seems fine today
B. Patient appears less anxious
C. Patient reports pain score of 7/10 in lower abdomen ✔️✔️
D. Patient is probably improving
Which principle guides sterile technique?
A. Clean before sterile
B. Sterile items can touch clean items
C. Sterile field must remain uncontaminated ✔️✔️
D. Gloves eliminate need for sterile field
A patient is receiving oxygen therapy. What is the nurse’s priority?
A. Encourage smoking cessation education only
B. Monitor oxygen saturation regularly ✔️✔️
C. Reduce fluid intake
D. Keep oxygen off during meals
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,Which pulse site is most appropriate during cardiac arrest assessment?
A. Radial
B. Femoral ✔️✔️
C. Temporal
D. Apical only after equipment setup
What is the main purpose of therapeutic communication?
A. To give medical advice
B. To build trust and understand patient needs ✔️✔️
C. To speed up assessment
D. To avoid emotional topics
A nurse observes redness over a bony prominence. What is the first action?
A. Apply heat
B. Document and ignore
C. Relieve pressure from area ✔️✔️
D. Massage vigorously
Which is an early sign of hypoxia?
A. Bradycardia
B. Cyanosis
C. Restlessness ✔️✔️
D. Severe hypotension
A nurse is calculating intake and output. Which item is considered output?
A. Soup
B. IV fluids
C. Urine ✔️✔️
D. Gelatin
Which action reduces risk of infection in urinary catheter care?
A. Disconnect tubing frequently
B. Maintain closed drainage system ✔️✔️
C. Place bag above bladder
D. Irrigate daily routinely
What is the best indication of effective handwashing?
A. Hands feel dry
B. Visible dirt is removed
C. Reduced infection transmission ✔️✔️
D. Soap is completely used
A nurse is assessing edema. What is expected finding?
A. Sunken skin
B. Pitting on pressure ✔️✔️
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, C. Warm dry skin only
D. Normal capillary refill
Which food is appropriate for a patient on a soft diet?
A. Toast
B. Boiled eggs ✔️✔️
C. Raw carrots
D. Nuts
What is the priority action when a patient is choking?
A. Offer water
B. Perform abdominal thrusts ✔️✔️
C. Encourage coughing only
D. Lay patient supine
Which vital sign change suggests shock?
A. Increased blood pressure
B. Warm skin
C. Tachycardia ✔️✔️
D. Slow respiration
What is the correct way to verify patient identity?
A. Ask room number
B. Ask nurse on duty
C. Check two identifiers ✔️✔️
D. Recognize patient face
A nurse is teaching infection prevention. What is most important?
A. Antibiotic use daily
B. Hand hygiene ✔️✔️
C. Wearing double gloves always
D. Isolation of all patients
Which is a sign of inflammation?
A. Pale skin
B. Swelling ✔️✔️
C. Low temperature
D. Bradycardia
What is the first step in the nursing process?
A. Diagnosis
B. Assessment ✔️✔️
C. Implementation
D. Evaluation
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