RN Fundamentals Online Practice 2019 A with
NGN
Assessment 1 Pre Proctored Fundamentals
(Nurs 100)
A nurse is preparing to apply a dressing for a client who has a
stage 2 pressure injury. Which of the following types of dressing
should the nurse use? - Correct answer Hydrocolloid
(Hydrocolloid dressings promote healing in stage 2 pressure
injuries by creating a moist wound bed.)
A nurse is caring for a client who has a terminal illness and is at
the end of life. The nurse should recognize that which of the
following statements by the client's partner indicates effective
coping? - Correct answer "I am relying on support from our family
during this time."
(This statement indicates effective coping because the partner is
relying on others in the family for support during a time of crisis.)
A nurse is assessing an older adult client's risk for falls. Which of
the following assessments should the nurse use to identify the
client's safety needs? (Select all that apply.) - Correct answer Pupil
clarity
Visual fields
Visual acuity
-Pupil clarity is correct. Cloudy pupils mean that the client has
cataracts. This makes vision cloudy and creates halos around
lights, which can increase the risk for falls because clients cannot
see items in their path clearly.
-Visual fields is correct. The nurse should use a finger to test the
client's peripheral vision by moving the finger out of range and
then back into the visual field to determine when the client sees
the finger. Clients who have a visual field impairment are at an
,increased risk for falls because they might not see objects outside
of their central vision and trip over them or bump into them and
fall.
-Visual acuity is correct. The nurse should use a Snellen chart to
assess distance vision and a handheld card to assess near vision.
Clients who wear eyeglasses should wear them during the
assessments. Clients who have impaired visual acuity are at an
increased risk for falls because they might not see objects in their
path and trip over them or bump into them and fall.
A nurse is evaluating a client's use of a cane. Which of the
following actions should the nurse identify as an indication of
correct use? - Correct answer The client holds the cane on the
stronger side of her body.
(The client should hold the cane on the stronger side of her body
to increase support and maintain alignment.)
A nurse is initiating a protective environment for a client who has
had an allogeneic stem cell transplant. Which of the following
precautions should the nurse plan for this client? - Correct answer
Make sure the client wears a mask when outside her room if there
is construction in the area.
(An allogeneic stem cell transplant compromises the client's
immune system, greatly increasing the risk for infection. The client
will need protection from breathing in any pathogens in the
environment.)
A nurse is providing discharge instructions to a client who will be
using a walker. Which of the following client statements indicates
an understanding of the teaching? - Correct answer "I will hire
someone to trim the tree that hangs low over the stairs of my front
porch."
(Clearing stairs of any object that could cause the client to trip or
require them to bend over while walking will decrease the risk for
falls.)
, A nurse is preparing to administer enoxaparin subcutaneously to
a client. Which of the following actions should the nurse take? -
Correct answer Administer the medication with the needle at a 45°
angle.
(The nurse should insert the needle at a 45° to 90° angle for a
subcutaneous injection.)
A nurse manager is preparing to review medication
documentation with a group of newly licensed nurses. Which of
the following statements should the nurse manager plan to
include in the teaching? - Correct answer "Use the complete name
of the medication magnesium sulfate."
(The Institute for Safe Medication Practices designates that
nurses and providers write the complete medication name for
magnesium sulfate when documenting medications to avoid any
misinterpretation of MgSO4 as MSO4, which means morphine
sulfate.)
A nurse is talking with the partner of a client who has dementia.
The client's partner expresses frustration about finding time to
manage household responsibilities while caring for their partner.
The nurse should identify that the partner is experiencing which of
the following types of role-performance stress? - Correct answer
Role overload
(The partner's expression of frustration is an example of role
overload, which refers to having more responsibilities within a role
than one person can manage.)
A nurse is preparing an education program for staff about
advocacy. Which of the following information should the nurse
include? - Correct answer Advocacy ensures clients' safety, health,
and rights.
(Advocacy is a key component of professional nurses' code of
ethics. As a client advocate, the nurse ensures clients' safety,
NGN
Assessment 1 Pre Proctored Fundamentals
(Nurs 100)
A nurse is preparing to apply a dressing for a client who has a
stage 2 pressure injury. Which of the following types of dressing
should the nurse use? - Correct answer Hydrocolloid
(Hydrocolloid dressings promote healing in stage 2 pressure
injuries by creating a moist wound bed.)
A nurse is caring for a client who has a terminal illness and is at
the end of life. The nurse should recognize that which of the
following statements by the client's partner indicates effective
coping? - Correct answer "I am relying on support from our family
during this time."
(This statement indicates effective coping because the partner is
relying on others in the family for support during a time of crisis.)
A nurse is assessing an older adult client's risk for falls. Which of
the following assessments should the nurse use to identify the
client's safety needs? (Select all that apply.) - Correct answer Pupil
clarity
Visual fields
Visual acuity
-Pupil clarity is correct. Cloudy pupils mean that the client has
cataracts. This makes vision cloudy and creates halos around
lights, which can increase the risk for falls because clients cannot
see items in their path clearly.
-Visual fields is correct. The nurse should use a finger to test the
client's peripheral vision by moving the finger out of range and
then back into the visual field to determine when the client sees
the finger. Clients who have a visual field impairment are at an
,increased risk for falls because they might not see objects outside
of their central vision and trip over them or bump into them and
fall.
-Visual acuity is correct. The nurse should use a Snellen chart to
assess distance vision and a handheld card to assess near vision.
Clients who wear eyeglasses should wear them during the
assessments. Clients who have impaired visual acuity are at an
increased risk for falls because they might not see objects in their
path and trip over them or bump into them and fall.
A nurse is evaluating a client's use of a cane. Which of the
following actions should the nurse identify as an indication of
correct use? - Correct answer The client holds the cane on the
stronger side of her body.
(The client should hold the cane on the stronger side of her body
to increase support and maintain alignment.)
A nurse is initiating a protective environment for a client who has
had an allogeneic stem cell transplant. Which of the following
precautions should the nurse plan for this client? - Correct answer
Make sure the client wears a mask when outside her room if there
is construction in the area.
(An allogeneic stem cell transplant compromises the client's
immune system, greatly increasing the risk for infection. The client
will need protection from breathing in any pathogens in the
environment.)
A nurse is providing discharge instructions to a client who will be
using a walker. Which of the following client statements indicates
an understanding of the teaching? - Correct answer "I will hire
someone to trim the tree that hangs low over the stairs of my front
porch."
(Clearing stairs of any object that could cause the client to trip or
require them to bend over while walking will decrease the risk for
falls.)
, A nurse is preparing to administer enoxaparin subcutaneously to
a client. Which of the following actions should the nurse take? -
Correct answer Administer the medication with the needle at a 45°
angle.
(The nurse should insert the needle at a 45° to 90° angle for a
subcutaneous injection.)
A nurse manager is preparing to review medication
documentation with a group of newly licensed nurses. Which of
the following statements should the nurse manager plan to
include in the teaching? - Correct answer "Use the complete name
of the medication magnesium sulfate."
(The Institute for Safe Medication Practices designates that
nurses and providers write the complete medication name for
magnesium sulfate when documenting medications to avoid any
misinterpretation of MgSO4 as MSO4, which means morphine
sulfate.)
A nurse is talking with the partner of a client who has dementia.
The client's partner expresses frustration about finding time to
manage household responsibilities while caring for their partner.
The nurse should identify that the partner is experiencing which of
the following types of role-performance stress? - Correct answer
Role overload
(The partner's expression of frustration is an example of role
overload, which refers to having more responsibilities within a role
than one person can manage.)
A nurse is preparing an education program for staff about
advocacy. Which of the following information should the nurse
include? - Correct answer Advocacy ensures clients' safety, health,
and rights.
(Advocacy is a key component of professional nurses' code of
ethics. As a client advocate, the nurse ensures clients' safety,
