Fundamentals of Nursing Final Exam 100% Questions and Answers

Fundamentals of Nursing Final Exam 100% Questions and Answers Fundamentals of Nursing Final Exam 100% Questions and Answers Fundamentals of Nursing Final Exam 100% Questions and Answers 1. 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. ANS B. Dispose of the dressing in a biohazardous waste container. 2. 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. " ANS D. "I don't eat shellfish because it gives me hives." 3. 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 ANS 125 mL/hr 4. 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 ANS D. Dysphagia 5. A nurse is going to give a presentation about preventing deep-vein throm- bosis (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 ANS Flights Immobility 6. 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 . ANS C. Decompress the stomach. 7. 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. ANS The shoulders droop. The facial muscles relax. The pulse is within the expected range. 8. 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 ANS A. Fatigue 9. 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 D. PaCO2 above 45 mmHg ANS A. pH below 7.35 10. A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the following prescriptions should the nurse expect? (Select all that apply.) Provide skin care with a moisture barrier cream. Administer artificial tear PRN. Obtain vital signs every 2 hr. Perform mouth care every hour. Administer oxygen 2L/min via nasal cannula. ANS Provide skin care with a moisture barrier cream. Administer artificial tear PRN. Perform mouth care every hour. Administer oxygen 2L/min via nasal cannula. 11. A nurse is planning care for a client who is postoperative and at risk of paralytic ileus. Which of the following interventions should the nurse plan to take to promote peristalsis? A. Increase ambulation. B. Decrease fluid intake. C. Increase protein intake. D. Offer the client the bedpan every 2 hr . ANS A. Increase ambulation. 12. A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove last? A. Mask B. Gloves C. Gown D. Goggles ANS A. Mask 13. A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints. Which of the following statements by the AP indi- cates an understanding of the teaching? A. "I will tie restraints in double knots." B. "I will tie a restraint to the portion of the bed that moves when the head of the bed is moved." C. "I will ensure that restraints fit tightly against the client." D. "I will put four side rails up if a client is confused. " ANS B. "I will tie a restraint to the portion of the bed that moves when the head of the bed is moved." 14. A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include? A. "If you wear gloves, you do not have to wash your hands." B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." C. "Use an alcohol rub when your hands are visibly soiled." D. "If you don't have an infection, your hands won't infect others ." ANS B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." 15. A nurse is planning postoperative care for a client who is scheduled for an ileal conduit (urinary diversion) procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply). Notify the provider immediately if mucus is present in the urine. Maintain the client on a fluid restriction. Apply skin barrier around the stoma site. Educate the client that hematuria is expected following the procedure. Monitor hourly urine output. ANS Apply skin barrier around the stoma site. Educate the client that hematuria is expected following the procedure. Monitor hourly urine output. 16. A nurse is admitting a client who has tuberculosis and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client? A. Contact B. Droplet C. Protective D. Airborne ANS D. Airborne 17. A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities? A. Assuring the current health status of the client. B. Explaining the operative procedure, risks, and benefits. C. Reviewing preoperative laboratory test results. D. Ensuring that a signed surgical consent was completed. ANS B. Explaining the operative procedure, risks, and benefits. 18. A nurse is caring for a client who is postoperative. The nurse should base her pain management interventions primarily on which of the following methods of determining the intensity of the client's pan? A. Vital sign management B. The client's self-report of pain intensity. C. Visual observation for nonverbal signs of pain. D. The nature and invasiveness of the surgical procedure. ANS B. The client's self-re- port of pain intensity. 19. A nurse is working with an assistive personnel (AP) while caring for a surgical client who is 1 day postoperative. Which task should the nurse take responsibility for completing? A. Measuring vital signs. B. Removing the abdominal dressing. C. Helping the client into the shower. D. Ambulating the client in the hallway. ANS B. Removing the abdominal dressing. 20. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mmHg, and temperature 36.8ºC (98.2ºF). Which of the following actions should the nurse perform? A. Complete a neurological check. B. Administer the prescribed PRN antihypertensive medication. C. Increase the client's fluid intake. Hold the client's evening dose of digoxin. ANS A. Complete a neurological check