FUNDAMENTALS II 2026 COMPREHENSIVE
EXAM SCRIPT FULL QUESTIONS AND
CORRECT ANSWERS
◉A nurse is prioritizing care for two clients at the start of the shift.
The first client is 1 day postop following a partial bowel resection,
requires a dressing change, total parenteral nutrition and has
reported pain of 6/10. The second client had a newly inserted
percutaneous gastrostomy tube, requires a tube feeding, dressing
change and daily weight. Select the nursing action that should be
completed first.
A. Weight the second client
B. Obtain vital signs for both clients
C. Administer pain medication to the first client
D. Change the dressings of both clients. Answer: B. Obtain vital signs
for both clients
◉A nurse assesses a client who is 2 days postop and auscultates
bilateral breath sounds with absent breath sounds in the lung bases.
The nurse suspects this postoperative complication:
,A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Arterial thrombus. Answer: A. Atelectasis
◉A nurse is caring for a client who had IV fluids initiated at 0330.
The fluids are infusing at 120 mL/hr. The nurse should record how
many mL of IV fluids on the intake record at 0600?
A. 100mL
B. 120mL
C. 200mL
D. 300mL. Answer: D. 300mL
0600 - 0330 = 2.5hr
120mLx2.5 = 300 mL
◉A nurse transcribing a client's medication prescriptions is having
difficulty reading one of them. What action should the nurse take
next?
A. Clarify the prescription with the client's family
B. Interpret the prescription based on the client's health history
,C. Ask a pharmacist to clarify the prescription
D. Contact the provider to clarify the prescription. Answer: D.
Contact the provider to clarify the prescription
◉Which client would benefit most from the nurse acting as a client
advocate?
A. A client who has previously undergone a procedure to be
performed a second time
B. A client who has been educated on treatment options and selects
alternative treatments
C. A client who makes an informed decision not to continue
treatment
D. An older adult who has no family and is uncertain about moving
to assisted living. Answer: D. An older adult who has no family and is
uncertain about moving to assisted living
◉An older adults wishes a "Do Not Resuscitate" order and informs
the nurse of this. What is the correct response from the nurse?
A. This is a minor procedure, there is no need for a DNR order.
, B. You need to let your provider know your wishes following the
procedure.
C. You need to discuss this with the hospital chaplain.
D. Your provider needs to talk with you concerning your request..
Answer: D. Your provider needs to talk with you concerning your
request.
◉A nurse performing a pain assessment for a client who is alert and
oriented understands this is the most reliable indicator of pain.
A. Vital signs
B. Self-report of pain
C. Severity of the condition
D. Nonverbal behavior. Answer: B. Self-report of pain
◉A nurse is assessing a client who has insomnia. Choose the
question with the highest priority for the nurse to ask the client.
A. Are there any specific factors that you think are affecting your
ability to sleep?
EXAM SCRIPT FULL QUESTIONS AND
CORRECT ANSWERS
◉A nurse is prioritizing care for two clients at the start of the shift.
The first client is 1 day postop following a partial bowel resection,
requires a dressing change, total parenteral nutrition and has
reported pain of 6/10. The second client had a newly inserted
percutaneous gastrostomy tube, requires a tube feeding, dressing
change and daily weight. Select the nursing action that should be
completed first.
A. Weight the second client
B. Obtain vital signs for both clients
C. Administer pain medication to the first client
D. Change the dressings of both clients. Answer: B. Obtain vital signs
for both clients
◉A nurse assesses a client who is 2 days postop and auscultates
bilateral breath sounds with absent breath sounds in the lung bases.
The nurse suspects this postoperative complication:
,A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Arterial thrombus. Answer: A. Atelectasis
◉A nurse is caring for a client who had IV fluids initiated at 0330.
The fluids are infusing at 120 mL/hr. The nurse should record how
many mL of IV fluids on the intake record at 0600?
A. 100mL
B. 120mL
C. 200mL
D. 300mL. Answer: D. 300mL
0600 - 0330 = 2.5hr
120mLx2.5 = 300 mL
◉A nurse transcribing a client's medication prescriptions is having
difficulty reading one of them. What action should the nurse take
next?
A. Clarify the prescription with the client's family
B. Interpret the prescription based on the client's health history
,C. Ask a pharmacist to clarify the prescription
D. Contact the provider to clarify the prescription. Answer: D.
Contact the provider to clarify the prescription
◉Which client would benefit most from the nurse acting as a client
advocate?
A. A client who has previously undergone a procedure to be
performed a second time
B. A client who has been educated on treatment options and selects
alternative treatments
C. A client who makes an informed decision not to continue
treatment
D. An older adult who has no family and is uncertain about moving
to assisted living. Answer: D. An older adult who has no family and is
uncertain about moving to assisted living
◉An older adults wishes a "Do Not Resuscitate" order and informs
the nurse of this. What is the correct response from the nurse?
A. This is a minor procedure, there is no need for a DNR order.
, B. You need to let your provider know your wishes following the
procedure.
C. You need to discuss this with the hospital chaplain.
D. Your provider needs to talk with you concerning your request..
Answer: D. Your provider needs to talk with you concerning your
request.
◉A nurse performing a pain assessment for a client who is alert and
oriented understands this is the most reliable indicator of pain.
A. Vital signs
B. Self-report of pain
C. Severity of the condition
D. Nonverbal behavior. Answer: B. Self-report of pain
◉A nurse is assessing a client who has insomnia. Choose the
question with the highest priority for the nurse to ask the client.
A. Are there any specific factors that you think are affecting your
ability to sleep?
