FUNDAMENTALS FINAL TEST BANK
A nurse caring for a client who has an infected wound
removes a dressing saturated with blood and purulent
drainage. How should the nurse dispose of the dressing
material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and
discard in the bedside trash receptacle. - CORRECT ANSWER-
B. Dispose of the dressing in a biohazardous waste container.
A nurse is caring for a female client who has recurrent kidney
stones and is scheduled for an intravenous pyelogram. Which
of the following statements should the nurse report to the
provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - CORRECT
ANSWER-D. "I don't eat shellfish because it gives me hives."
,A nurse is preparing to administer 40 mEq of potassium
chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10
mEq/hr. The nurse should set the IV pump to deliver how
many mL/hr? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing
zero.)
CALCULATION - CORRECT ANSWER-125 mL/hr
A nurse working for a home agency is assessing an older adult
male client. Which of the following findings is the priority for
the nurse to address?
A. Swollen gums
B. Pruritus
C. Urinary Hesitancy
D. Dysphagia - CORRECT ANSWER-D. Dysphagia
A nurse is going to give a presentation about preventing
deep-vein thrombosis (DVT). Which of the following should
the nurse include as a risk factor for this disorder? (Select all
that apply.)
BMI of 20
Recent long flight
,Hypertension
High calcium intake
Immobility - CORRECT ANSWER-Flights
Immobility
A nurse is teaching a client who has a prescription of a
nasogastric tube (NG) to treat a pyloric obstruction. Which of
the following rationales for the use of the nasogastric tube
should the nurse include in the teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - CORRECT ANSWER-C.
Decompress the stomach.
A nurse provides a back massage as a palliative care measure
to a client who is unconscious, grimacing, and restless. Which
of the following findings should the nurse identify as
indicating a therapeutic response? (Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
, The pulse is within the expected range.
The client draws his legs up into a fetal position. - CORRECT
ANSWER-The shoulders droop.
The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has
anemia due to excess blood loss following surgery. Which of
the following findings should the nurse expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - CORRECT ANSWER-A. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a
client who the provider suspects has metabolic acidosis.
Which of the following results should the nurse expect to
see?
A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
A nurse caring for a client who has an infected wound
removes a dressing saturated with blood and purulent
drainage. How should the nurse dispose of the dressing
material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and
discard in the bedside trash receptacle. - CORRECT ANSWER-
B. Dispose of the dressing in a biohazardous waste container.
A nurse is caring for a female client who has recurrent kidney
stones and is scheduled for an intravenous pyelogram. Which
of the following statements should the nurse report to the
provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - CORRECT
ANSWER-D. "I don't eat shellfish because it gives me hives."
,A nurse is preparing to administer 40 mEq of potassium
chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10
mEq/hr. The nurse should set the IV pump to deliver how
many mL/hr? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing
zero.)
CALCULATION - CORRECT ANSWER-125 mL/hr
A nurse working for a home agency is assessing an older adult
male client. Which of the following findings is the priority for
the nurse to address?
A. Swollen gums
B. Pruritus
C. Urinary Hesitancy
D. Dysphagia - CORRECT ANSWER-D. Dysphagia
A nurse is going to give a presentation about preventing
deep-vein thrombosis (DVT). Which of the following should
the nurse include as a risk factor for this disorder? (Select all
that apply.)
BMI of 20
Recent long flight
,Hypertension
High calcium intake
Immobility - CORRECT ANSWER-Flights
Immobility
A nurse is teaching a client who has a prescription of a
nasogastric tube (NG) to treat a pyloric obstruction. Which of
the following rationales for the use of the nasogastric tube
should the nurse include in the teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - CORRECT ANSWER-C.
Decompress the stomach.
A nurse provides a back massage as a palliative care measure
to a client who is unconscious, grimacing, and restless. Which
of the following findings should the nurse identify as
indicating a therapeutic response? (Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
, The pulse is within the expected range.
The client draws his legs up into a fetal position. - CORRECT
ANSWER-The shoulders droop.
The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has
anemia due to excess blood loss following surgery. Which of
the following findings should the nurse expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - CORRECT ANSWER-A. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a
client who the provider suspects has metabolic acidosis.
Which of the following results should the nurse expect to
see?
A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg