Fundamentals Practice Test B
1. A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium
difficile infection. Which of the following information should the nurse including in the
teaching?
a. Assign the client to a room with a negative airflow system
b. Use alcohol-based hand sanitizer when leaving the client’s room
c. Clean contaminated surfaces in the client’s room with a phenol solution
d. Have family members wear a gown & gloves when visiting
2. A nurse is giving change-of-shift report about a client they admitted earlier that day who has
pneumonia. Which of the following pieces of information is the priority for the nurse to
provide?
a. Admitting diagnosis
b. Breath sounds
c. Body temperature
d. Diagnostic test results
3. A nurse is preparing to delegate client care tasks to an assistive personal (AP). Which of the
following tasks should the nurse delegate?
a. Ambulating a client who is postoperative
b. Inserting an indwelling urinary catheter for a client
c. Demonstrating the use of an incentive spirometer to a client
d. Confirming that a client’s pain has decreased after receiving an analgesic
4. A nurse enters a client’s room & finds her on the floor. The client’s roommate reports that the
client was trying to get out of bed & fell over the side rails onto the floor. Which of the following
statements should the nurse document about this incident?
a. “Incident report completed.”
b. “Client climbed over the side rails.”
c. “Client found lying on floor.”
d. “Client was trying to get out of bed.”
5. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following
actions should the nurse take?
a. Wear sterile gloves when removing old dressing
b. Warm the irrigation solution to 40.5*C (105*F)
c. Cleanse the would from the center outward
d. Use a 20-mL syringe to irrigate the wound
6. A nurse is admitting a client who has rubella. Which of the following types of transmission-
based precautions should the nurse initiatie?
a. Droplet
b. Airborne
c. Contact
d. Protective environment
7. A nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
& his family? (Select all that apply).
a. Check the cord routinely for frays or tearing
, b. Keep the unit at least 1.2m (4 feet) away from a gas stove
c. Consider purchasing a generator for power backup
d. Observe for signs of hypoxia
e. Select synthetic clothing & bedding
8. A nurse is calculating a client’s fluid intake over the past 8 hr. Which of the following items
should the nurse plan to document on the client’s intake & output record as 120 mL of fluid?
a. 2 cups of soup
i. 2 cups of soup = 480 mL of fluid
b. 1 quart of water
i. 1 quart of water = 960 to 1,000 mL of fluid
c. 8 oz of ice chips
i. 4 oz of liquid water = 120 mL of fluid
d. 6 oz of tea
i. 6 oz of tea = 180 mL of fluid
9. A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take? (Select all that apply.)
a. Place the client in a room with negative-pressure airflow
b. Wear gloves when assisting the client with oral care
c. Limit each visitor to 2-hr increments
d. Wear a surgical mask when providing client care
i. Nurse would wear an N95 respirator due to airborne precautions
e. Use antimicrobial sanitizer for hand hygiene
10. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client’s
partner wants the client to have the blood transfusion. Which of the following actions should
the nurse take?
a. Ask the client to consider a direct donation
b. Withhold the blood transfusion
c. Request a consultation with the ethics committee
d. Ask the client’s family to intervene
11. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client understands the
teaching?
a. “When descending stairs, I will first shift my weight to my right leg.”
b. “I should place my crutches 12 inches in front & to the side of each foot.”
c. “As I sit down, I will hold one crutch in each hand.”
d. “I will make sure the shoulder rests are snug against my armpits.”
12. A nurse has accepted a verbal prescription “for three tenths of a milligram of levothyroxine IV
stat” for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the client’s medical record?
a. .3 mg
b. 0.3 mg
c. 0.30 mg
d. 3/10 mg
1. A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium
difficile infection. Which of the following information should the nurse including in the
teaching?
a. Assign the client to a room with a negative airflow system
b. Use alcohol-based hand sanitizer when leaving the client’s room
c. Clean contaminated surfaces in the client’s room with a phenol solution
d. Have family members wear a gown & gloves when visiting
2. A nurse is giving change-of-shift report about a client they admitted earlier that day who has
pneumonia. Which of the following pieces of information is the priority for the nurse to
provide?
a. Admitting diagnosis
b. Breath sounds
c. Body temperature
d. Diagnostic test results
3. A nurse is preparing to delegate client care tasks to an assistive personal (AP). Which of the
following tasks should the nurse delegate?
a. Ambulating a client who is postoperative
b. Inserting an indwelling urinary catheter for a client
c. Demonstrating the use of an incentive spirometer to a client
d. Confirming that a client’s pain has decreased after receiving an analgesic
4. A nurse enters a client’s room & finds her on the floor. The client’s roommate reports that the
client was trying to get out of bed & fell over the side rails onto the floor. Which of the following
statements should the nurse document about this incident?
a. “Incident report completed.”
b. “Client climbed over the side rails.”
c. “Client found lying on floor.”
d. “Client was trying to get out of bed.”
5. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following
actions should the nurse take?
a. Wear sterile gloves when removing old dressing
b. Warm the irrigation solution to 40.5*C (105*F)
c. Cleanse the would from the center outward
d. Use a 20-mL syringe to irrigate the wound
6. A nurse is admitting a client who has rubella. Which of the following types of transmission-
based precautions should the nurse initiatie?
a. Droplet
b. Airborne
c. Contact
d. Protective environment
7. A nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
& his family? (Select all that apply).
a. Check the cord routinely for frays or tearing
, b. Keep the unit at least 1.2m (4 feet) away from a gas stove
c. Consider purchasing a generator for power backup
d. Observe for signs of hypoxia
e. Select synthetic clothing & bedding
8. A nurse is calculating a client’s fluid intake over the past 8 hr. Which of the following items
should the nurse plan to document on the client’s intake & output record as 120 mL of fluid?
a. 2 cups of soup
i. 2 cups of soup = 480 mL of fluid
b. 1 quart of water
i. 1 quart of water = 960 to 1,000 mL of fluid
c. 8 oz of ice chips
i. 4 oz of liquid water = 120 mL of fluid
d. 6 oz of tea
i. 6 oz of tea = 180 mL of fluid
9. A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take? (Select all that apply.)
a. Place the client in a room with negative-pressure airflow
b. Wear gloves when assisting the client with oral care
c. Limit each visitor to 2-hr increments
d. Wear a surgical mask when providing client care
i. Nurse would wear an N95 respirator due to airborne precautions
e. Use antimicrobial sanitizer for hand hygiene
10. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client’s
partner wants the client to have the blood transfusion. Which of the following actions should
the nurse take?
a. Ask the client to consider a direct donation
b. Withhold the blood transfusion
c. Request a consultation with the ethics committee
d. Ask the client’s family to intervene
11. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client understands the
teaching?
a. “When descending stairs, I will first shift my weight to my right leg.”
b. “I should place my crutches 12 inches in front & to the side of each foot.”
c. “As I sit down, I will hold one crutch in each hand.”
d. “I will make sure the shoulder rests are snug against my armpits.”
12. A nurse has accepted a verbal prescription “for three tenths of a milligram of levothyroxine IV
stat” for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the client’s medical record?
a. .3 mg
b. 0.3 mg
c. 0.30 mg
d. 3/10 mg
