FUNDAMENTALS OF NURSING PROCTOR WITH ACTUAL EXAM (UPDATED)
A nurse is planning to administer medication to a client who has a Clostridium diicile
infection. Which of the following actions should the nurse plan to take to prevent the
transmission of this infection to others?
a. Clean hands with an alcohol-based hand rub immediately after removing gloves.
b. Remove the cover gown in the client's room after providing care.
c. Place the client in a room with negative-pressure airow
d. Wear a mask when administering oral medications to the client.
Correct answer: Remove the cover gown in the client's room after providing care.
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client
Correct answer: ask the dietitian to recommend alternative food choices for the client
A nurse is caring for a client who has prescription for a high-protein diet to promote wound
healing following surgery. The client's religion prohibits eating meat on particular days.
Which of the following actions should the nurse take?
Encourage the client to eat meat during this time to promote healing
,Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie
Correct answer: Ask the dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following ndings should the nurse report to the
provider?
a purple-colored stoma
protrusion of the stoma
a small amount of bleeding from the stoma
intestinal gas in the pouch
Correct answer: a purple-colored stoma
A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the drops in your eye."
Correct answer: "You should cleanse your eye from the inner to the outer edge prior to
putting in
the drops."
, A nurse is reinforcing teaching about carbohydrate counting with a client who has
a new diagnosis of diabetes mellitus. Which of the following actions should the
nurse take rst?
a. use pictures of dierent food groups to help the client plan a daily menu
b. ask the client what he already knows about meal planning
c. give the client a brochure with sample menus for all meals
d. involve the family in the discussion of the client's meal plan
Correct answer: ask the client what he already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which
of the following ndings should the nurse identify as an indication that the client is
malnourished?
heart rate 89/min
pink mucous membranes
pale, scaly skin
body mass index 23
Correct answer: pale, scaly skin
A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that i can change my advance directives if I need to in the future."
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
c. "My family can overrule the decisions made by my health care proxy."
A nurse is planning to administer medication to a client who has a Clostridium diicile
infection. Which of the following actions should the nurse plan to take to prevent the
transmission of this infection to others?
a. Clean hands with an alcohol-based hand rub immediately after removing gloves.
b. Remove the cover gown in the client's room after providing care.
c. Place the client in a room with negative-pressure airow
d. Wear a mask when administering oral medications to the client.
Correct answer: Remove the cover gown in the client's room after providing care.
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client
Correct answer: ask the dietitian to recommend alternative food choices for the client
A nurse is caring for a client who has prescription for a high-protein diet to promote wound
healing following surgery. The client's religion prohibits eating meat on particular days.
Which of the following actions should the nurse take?
Encourage the client to eat meat during this time to promote healing
,Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie
Correct answer: Ask the dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following ndings should the nurse report to the
provider?
a purple-colored stoma
protrusion of the stoma
a small amount of bleeding from the stoma
intestinal gas in the pouch
Correct answer: a purple-colored stoma
A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the drops in your eye."
Correct answer: "You should cleanse your eye from the inner to the outer edge prior to
putting in
the drops."
, A nurse is reinforcing teaching about carbohydrate counting with a client who has
a new diagnosis of diabetes mellitus. Which of the following actions should the
nurse take rst?
a. use pictures of dierent food groups to help the client plan a daily menu
b. ask the client what he already knows about meal planning
c. give the client a brochure with sample menus for all meals
d. involve the family in the discussion of the client's meal plan
Correct answer: ask the client what he already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which
of the following ndings should the nurse identify as an indication that the client is
malnourished?
heart rate 89/min
pink mucous membranes
pale, scaly skin
body mass index 23
Correct answer: pale, scaly skin
A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that i can change my advance directives if I need to in the future."
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
c. "My family can overrule the decisions made by my health care proxy."
