CAPSTONE FUNDAMENTALS ASSESSMENT TEST BANK / 100% ACCURATE EXAM QUESTIONS & VERIFIED ANSWERS / ULTIMATE STUDY GUIDE FOR SUCCESS

1. a nurse is reviewing the lab report of a client who has been experiencing a fever for the last 3 days, what lab results indicates the client is experiencing FVD (fluid volume deficit)?a. increased hematocrit 1. A charge nurse discovers that a nurse did not notify the provider that a client's condition had changed. the charge nurse should identify that the nurse is accountable for which of the following torts?a. Negligence 1. A nurse is performing a cultural assessment of a group of clients to maintain respect for their value systems and beliefs. which of the following should the nurse identify as examples of cultural variables? (SATA)a. eye contact b. personal space c. touch 1. A nurse is admitting a client who has recently developed fever, confusion, and a decreased level of consciousness. which of the following actions should the nurse take first after obtaining the client's history and assessment?a. identify the client's needs 1. A nurse is planning to administer several meds to a client through a ng tube, which actions should the nurse take?a. dissolve crushed tablet meds in sterile water (in 15-30 mL sterile water) 1. A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. which of the following actions should the nurse take to prevent contamination during the dressing change?a. Restart the procedure if the sterile solution splashes onto the sterile field when pouring the solution into the dressing tray 1. a nurse is admitting a client who has meningococcal meningitis, what should the nurse do first?a. initiate droplet precaution 1. A nurse is reviewing the health history of an OA who has a hip fracturethe nurse should identify what is a risk of developing pressure injuries?a. urinary incontinence 1. a nurse is performing a focused assessment for a client who has dysrhythmias, what indicates ineffective cardiac contractions?a. pulse deficit 1. A nurse is preparing to transfer a client from a chair to the bed. the client can bear partial weight and has upper body strength. which of the following devices should the nurse use to transfer the patient?a. A stand-assist lift 1. a charge nurse is making assignments for the upcoming shift, what assignments should the charge nurse assign to an LPN?a. a client who has dehydration and IBD (inflammatory bowel disease) 1. a nurse is caring for a client who has a prescription for a narcotic med, after admin the nurse is left with an unused portion, what should the nurse do?a. discards the medication with another nurse as a witness 1. a nurse enters a client's room and sees smoke coming from the trash can. which of the following actions should the nurse take first?a. evacuate the room 1. a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in) in diameter. which of the following terms should the nurse use to document this finding?a. Macule (nonpalpable smaller than 1cm, ex: freckle) 1. a nurse is caring for a client who has an indwelling urinary catheter, what should the nurse identify as a catheter occlusion?a. Bladder distention 1. A nurse is teaching about foot care to a client who has DM, what statement indicates understanding?a. I should wear my slippers whenever i am out of bed 1. a nurse is providing discharge teaching to a client who has a prescription for home oxygen therapy (O2), which info should the nurse teach?a. Wear cotton socks when oxygen is in use 1. A nurse finds a client on the floor of their room experiencing a seizure, which of the following actions is the nurse's prioritya. Place the client on their sided with their head forward 1. A nurse is caring for a client who reports burning around the peripheral IV site, which finding should the nurse identify as a manifestation of infiltration?Edema Administering Insulin to a Diabetic Client. What Action Should the Nurse Take if Blood Glucose is Low?Provide a fast-acting carbohydrate