BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V3
(Latest Update )
Questions & Answers |100% Correct
| Grade A - Nightingale
Question:
The nurse plans to obtain health assessment information from a primary
source. Which option is a primary source for the completion of the health
assessment?
A. Client.
B. Healthcare provider.
C. A family member.
D. Previous medical records.
Answer:
A. Client.
Question:
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital
signs from a very anxious client. What instructions should the nurse give the
UAP?
,A. Remain calm with the client and record abnormal results in the chart.
B. Notify the medication nurse immediately if the pulse or blood pressure is
low.
C. Report the results of the vital signs to the nurse.
D. Reassure the client that the vital signs are normal.
Answer:
C. Report the results of the vital signs to the nurse.
Question:
A male client tells the nurse that he does not know where he is or what year it
is. What data should the nurse document that is most accurate?
A. Demonstrates loss of remote memory.
B. Exhibits expressive dysphasia.
C. Has a diminished attention span.
D. Is disoriented to place and time.
Answer:
D. Is disoriented to place and time.
Question:
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
,C. Plan appropriate interventions.
D. Collaborate with the client to set goals.
Answer:
A. Determine the etiology of the problem.
Question:
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in the
client's medical record?
A. Healthcare provider notified of failure to collect specimens for prescribed
blood studies.
B. Blood specimens not collected because client no longer wants blood tests
performed.
C. Healthcare provider notified of client's refusal to have blood specimens
collected for testing.
D. Client irritable, uncooperative, and refuses to have blood collected.
Healthcare provider notified.
Answer:
C. Healthcare provider notified of client's refusal to have blood specimens
collected for testing.
, Question:
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for anxiety.
Alprazolam is available in 0.5 mg scored tablets. How many tablets should the
nurse administer? (Enter numeric value only.)
Answer:
1.5
Question:
A female client with a nasogastric tube attached to low suction states that she
is nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last two hours. Which action should the nurse take
first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
Answer:
B. Reposition the client on her side
Question:
An older client who requires frequent monitoring fell and fractured a hip.
Which nurse is at greatest risk for a malpractice judgment?
A. The nurse who worked the 7 to 3 shift at the hospital and wrote poor
nursing notes.
Fundamentals of Nursing Exam V3
(Latest Update )
Questions & Answers |100% Correct
| Grade A - Nightingale
Question:
The nurse plans to obtain health assessment information from a primary
source. Which option is a primary source for the completion of the health
assessment?
A. Client.
B. Healthcare provider.
C. A family member.
D. Previous medical records.
Answer:
A. Client.
Question:
The nurse assigns an unlicensed assistive personnel (UAP) to obtain vital
signs from a very anxious client. What instructions should the nurse give the
UAP?
,A. Remain calm with the client and record abnormal results in the chart.
B. Notify the medication nurse immediately if the pulse or blood pressure is
low.
C. Report the results of the vital signs to the nurse.
D. Reassure the client that the vital signs are normal.
Answer:
C. Report the results of the vital signs to the nurse.
Question:
A male client tells the nurse that he does not know where he is or what year it
is. What data should the nurse document that is most accurate?
A. Demonstrates loss of remote memory.
B. Exhibits expressive dysphasia.
C. Has a diminished attention span.
D. Is disoriented to place and time.
Answer:
D. Is disoriented to place and time.
Question:
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
,C. Plan appropriate interventions.
D. Collaborate with the client to set goals.
Answer:
A. Determine the etiology of the problem.
Question:
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in the
client's medical record?
A. Healthcare provider notified of failure to collect specimens for prescribed
blood studies.
B. Blood specimens not collected because client no longer wants blood tests
performed.
C. Healthcare provider notified of client's refusal to have blood specimens
collected for testing.
D. Client irritable, uncooperative, and refuses to have blood collected.
Healthcare provider notified.
Answer:
C. Healthcare provider notified of client's refusal to have blood specimens
collected for testing.
, Question:
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for anxiety.
Alprazolam is available in 0.5 mg scored tablets. How many tablets should the
nurse administer? (Enter numeric value only.)
Answer:
1.5
Question:
A female client with a nasogastric tube attached to low suction states that she
is nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last two hours. Which action should the nurse take
first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
Answer:
B. Reposition the client on her side
Question:
An older client who requires frequent monitoring fell and fractured a hip.
Which nurse is at greatest risk for a malpractice judgment?
A. The nurse who worked the 7 to 3 shift at the hospital and wrote poor
nursing notes.
