Swift River - Health
Assessment/Fundamentals Exam
Questions and Answers
Hildegard Lowe
Diagnosis: fractured ulna, macular degeneration, osteoporosis
DOB: 5/22/1956
MRN: 52919120
Room: 103 - Correct Answers -Which of the following concerns should the nurse plan to
address? (Select all that apply.)
Physiological: Pain
Physiological: Sensory
Safety: Injury prevention
Physiological: Tissue Integrity
A nurse is observing an AP assisting a client who has visual impairment with their meal.
Which of the following actions by the AP require follow-up by the nurse? (Select all that
apply.)
Feeding the client
Entering client's room without announcing their presence
A nurse is updating the plan of care for a 68-year-old client who has a visual
impairment, osteoporosis, and a casted right arm. Which of the following
interprofessional team members should the nurse recommend the provider consult?
(Select all that apply.)
Physical therapy (PT)
Occupational therapy (OT)
Nutritionist
Case manager
A nurse is caring for an older adult client who has a visual impairment, osteoporosis,
and a fractured right arm. Which of the following safety interventions should the nurse
implement? (Select all that apply.)
Orient the client to the environment of their hospital room.
Clear the pathway from the client's bed to their bathroom.
Place nurse call bell system within reach of the client.
Hildegard Lowe
, Diagnosis: fractured ulna, macular degeneration, osteoporosis
DOB: 5/22/1956
MRN: 52919120
Room: 103
Part 2 - Correct Answers -A nurse is caring for a client who has fractured their arm and
is reporting pain. Which of the following actions should the nurse take? (Select all that
apply.)
Assess the severity of the pain using a numeric pain scale.
Offer to apply an ice pack to the cast at the right forearm.
Reassess the client's fingers on the right hand for skin color, edema, numbness, and
movement.
A nurse is providing care to an older adult client who has a visual impairment,
osteoporosis, and a cast on their right upper extremity and is being discharged home
with their adult child. Which of the following information should the nurse include in the
discharge teaching? (Select all that apply.)
Remove throw rugs from the home environment.
Suggest the use of audiobooks.
Provide the contact information of a community resource that provides assistance for
people who have visual impairments.
Christina Mullen
Diagnosis: urinary tract infection
DOB: 5/16/1983
MRN: 15684873
Room: 104 - Correct Answers -Based on the initial assessment findings and client
reports, which of the following concerns should the nurse address when providing care?
(Select all that apply.)
Physiological: Pain
Physiological: Infection
Health Promotion: Client Education
Physiological: Elimination
Physiological: Thermoregulation
Which of the following instructions should the nurse include in the teaching? (Select all
that apply.)
Place the collection container into urine stream after they have started voiding.
Instruct the client to cap the container tightly after collecting the specimen.
The nurse is reviewing the laboratory results for the client. Which of the following
findings indicate that the client is experiencing a urinary tract infection? (Select all that
apply.)
Appearance
Color
RBCs
Assessment/Fundamentals Exam
Questions and Answers
Hildegard Lowe
Diagnosis: fractured ulna, macular degeneration, osteoporosis
DOB: 5/22/1956
MRN: 52919120
Room: 103 - Correct Answers -Which of the following concerns should the nurse plan to
address? (Select all that apply.)
Physiological: Pain
Physiological: Sensory
Safety: Injury prevention
Physiological: Tissue Integrity
A nurse is observing an AP assisting a client who has visual impairment with their meal.
Which of the following actions by the AP require follow-up by the nurse? (Select all that
apply.)
Feeding the client
Entering client's room without announcing their presence
A nurse is updating the plan of care for a 68-year-old client who has a visual
impairment, osteoporosis, and a casted right arm. Which of the following
interprofessional team members should the nurse recommend the provider consult?
(Select all that apply.)
Physical therapy (PT)
Occupational therapy (OT)
Nutritionist
Case manager
A nurse is caring for an older adult client who has a visual impairment, osteoporosis,
and a fractured right arm. Which of the following safety interventions should the nurse
implement? (Select all that apply.)
Orient the client to the environment of their hospital room.
Clear the pathway from the client's bed to their bathroom.
Place nurse call bell system within reach of the client.
Hildegard Lowe
, Diagnosis: fractured ulna, macular degeneration, osteoporosis
DOB: 5/22/1956
MRN: 52919120
Room: 103
Part 2 - Correct Answers -A nurse is caring for a client who has fractured their arm and
is reporting pain. Which of the following actions should the nurse take? (Select all that
apply.)
Assess the severity of the pain using a numeric pain scale.
Offer to apply an ice pack to the cast at the right forearm.
Reassess the client's fingers on the right hand for skin color, edema, numbness, and
movement.
A nurse is providing care to an older adult client who has a visual impairment,
osteoporosis, and a cast on their right upper extremity and is being discharged home
with their adult child. Which of the following information should the nurse include in the
discharge teaching? (Select all that apply.)
Remove throw rugs from the home environment.
Suggest the use of audiobooks.
Provide the contact information of a community resource that provides assistance for
people who have visual impairments.
Christina Mullen
Diagnosis: urinary tract infection
DOB: 5/16/1983
MRN: 15684873
Room: 104 - Correct Answers -Based on the initial assessment findings and client
reports, which of the following concerns should the nurse address when providing care?
(Select all that apply.)
Physiological: Pain
Physiological: Infection
Health Promotion: Client Education
Physiological: Elimination
Physiological: Thermoregulation
Which of the following instructions should the nurse include in the teaching? (Select all
that apply.)
Place the collection container into urine stream after they have started voiding.
Instruct the client to cap the container tightly after collecting the specimen.
The nurse is reviewing the laboratory results for the client. Which of the following
findings indicate that the client is experiencing a urinary tract infection? (Select all that
apply.)
Appearance
Color
RBCs
