FUNDAMENTALS OF NURSING QUESTIONS
AND ANSWERS CORRECT ANSWERS AND
SOLUTIONS
◉ Which action would the nurse take for a client whose right radial
pulse is weak and thready? select all that apply. Once, some, or all
may be correct.
a. assess all peripheral pulses
b. administer intravenous fluids
c. assess and compare both radial pulses
d. ask a second nurse to assess the clients pulses
e. assess the client's pulse oxygenation (SpO2) on that hand
f. assess for edema or other issues that may be restricting peripheral
blood flow
g. observe for pallor/ skin temperature differences distal to the weak
pulse
h. withhold prescribed antihypertensive medications.. Answer:
ANSWER:
a, c, d, f, g
if the clients radial pulse is weak and thready, further assessment
would be indicted and includes assessing all peripheral pulses;
assessing and comparing both radial pulses; asking another nurse to
assess and verify the findings; assessing for any issues that may be
,restricting peripheral blood flow; and observing colour and
temperature differences distal to the weak pulse. the nurse should not
administer IV fluids without a roviders order. the SpO2 may not be
accurate if measured in an area of impaired circulation and should be
assessed on the opposite hand. in this situation the nurse should notify
the provider who may subsequently order specific medication,
including antihypertensives, to be withheld, but the nurse would not
do this without proper orders.
◉ the nurse receives report, reviews the electronic health record, and
documents care in the nursing progress notes. Labs drawn and
diagnostics completed per provider orders. education provided as
appropriate.
a client who is positive for human immunodeficiency virus (HIV) is
admitted to a surgical unit after an orthopedic procedure. select the 2
possible routes of HIV transmission.
a. feces
b. blood
c. semen
d. urine
e. sweat
f. tears. Answer: ANSWER: b, c
HIV, which is the virus that causes AIDS is transmitted through
infected blood, semen, and bloody bodily fluids. HIV is not spread
causally. although HIV may be found in other bodily secretions,
including feces, urine, sweat, tears, saliva, soutum, and emesis, the
amount of virus is likely not sufficient enough to be transmitted.
, ◉ the nurse reviews the electronic health record and documents care
in the nursing progress notes. medication administered and labs drawn
per provider orders.
which finding would the nurse identify as normal for a newborn?
select all that apply. one, some, or all may be correct.
a. flat abdomen
b. corner of the mouth drops with crying
c. baby's weight is 6lbs (2700g)
d. copious watery discharge from eyes
e. hands and feet appear cyanosed
f. head circumference of 33cm (13 inches)
g. does not blink in the presence of light
h. nipples spaced widely apart.. Answer: ANSWER: c, e, f
The average newborn weighs between 6 and 9 pounds (2700 and 4000
g). The hands and feet of the newborn are usually cyanosed during the
first 24 hours after birth. The average newborn has a head
circumference of 33 to 35 cm (13-14 inches). Newborns generally
have protuberant (not flat) abdomens. The corner of the mouth
dropping with crying is a sign of facial nerve paralysis that may have
been caused during birth. Copious watery discharge which progresses
to purulent is a sign of Chlamydia conjunctivitis and must be treated
immediately. Newborns exhibit a blinking reflex when light is
directed toward the eye. Widely spaced nipples, along with
lymphedema and excessive nuchal tissue, are signs of Turner
syndrome.
AND ANSWERS CORRECT ANSWERS AND
SOLUTIONS
◉ Which action would the nurse take for a client whose right radial
pulse is weak and thready? select all that apply. Once, some, or all
may be correct.
a. assess all peripheral pulses
b. administer intravenous fluids
c. assess and compare both radial pulses
d. ask a second nurse to assess the clients pulses
e. assess the client's pulse oxygenation (SpO2) on that hand
f. assess for edema or other issues that may be restricting peripheral
blood flow
g. observe for pallor/ skin temperature differences distal to the weak
pulse
h. withhold prescribed antihypertensive medications.. Answer:
ANSWER:
a, c, d, f, g
if the clients radial pulse is weak and thready, further assessment
would be indicted and includes assessing all peripheral pulses;
assessing and comparing both radial pulses; asking another nurse to
assess and verify the findings; assessing for any issues that may be
,restricting peripheral blood flow; and observing colour and
temperature differences distal to the weak pulse. the nurse should not
administer IV fluids without a roviders order. the SpO2 may not be
accurate if measured in an area of impaired circulation and should be
assessed on the opposite hand. in this situation the nurse should notify
the provider who may subsequently order specific medication,
including antihypertensives, to be withheld, but the nurse would not
do this without proper orders.
◉ the nurse receives report, reviews the electronic health record, and
documents care in the nursing progress notes. Labs drawn and
diagnostics completed per provider orders. education provided as
appropriate.
a client who is positive for human immunodeficiency virus (HIV) is
admitted to a surgical unit after an orthopedic procedure. select the 2
possible routes of HIV transmission.
a. feces
b. blood
c. semen
d. urine
e. sweat
f. tears. Answer: ANSWER: b, c
HIV, which is the virus that causes AIDS is transmitted through
infected blood, semen, and bloody bodily fluids. HIV is not spread
causally. although HIV may be found in other bodily secretions,
including feces, urine, sweat, tears, saliva, soutum, and emesis, the
amount of virus is likely not sufficient enough to be transmitted.
, ◉ the nurse reviews the electronic health record and documents care
in the nursing progress notes. medication administered and labs drawn
per provider orders.
which finding would the nurse identify as normal for a newborn?
select all that apply. one, some, or all may be correct.
a. flat abdomen
b. corner of the mouth drops with crying
c. baby's weight is 6lbs (2700g)
d. copious watery discharge from eyes
e. hands and feet appear cyanosed
f. head circumference of 33cm (13 inches)
g. does not blink in the presence of light
h. nipples spaced widely apart.. Answer: ANSWER: c, e, f
The average newborn weighs between 6 and 9 pounds (2700 and 4000
g). The hands and feet of the newborn are usually cyanosed during the
first 24 hours after birth. The average newborn has a head
circumference of 33 to 35 cm (13-14 inches). Newborns generally
have protuberant (not flat) abdomens. The corner of the mouth
dropping with crying is a sign of facial nerve paralysis that may have
been caused during birth. Copious watery discharge which progresses
to purulent is a sign of Chlamydia conjunctivitis and must be treated
immediately. Newborns exhibit a blinking reflex when light is
directed toward the eye. Widely spaced nipples, along with
lymphedema and excessive nuchal tissue, are signs of Turner
syndrome.
