FUNDAMENTALS BENCHMARK I(All correctly
answered)
Listen attentively when the client talks about the past correct answersA nurse is caring for an
older adult client who expresses feelings of grief for his earlier lie. Which of the following
actions should the nurse take to help the client cope w/feelings of loss?
Erythema correct answersA nurse is observing the IV catheter insertion site of a client who is
receiving continuous IV therapy. Which of the following manifestations should the nurse
identify as an indication that the client has developed phlebitis?
Asking if the client took his meds this morning correct answersA nurse is assisting in
interviewing a client who is being admitted from a long-term care facility. In which of the
following situations should the nurse ask a close-ended question?
"I will wear gloves & a gown when bathing a client who has open skin lesions." correct
answersA nurse is reinforcing teaching w/assistive-personnel about using PPE while caring for
clients. Which of the following statements should the nurse identify as an indication that the AP
understands the instructions?
Clean gloves correct answersA nurse is caring for a client who has MRSA in an abdominal
wound. The nurse enters the room to check the client's pulse. Which of the following items
should the nurse wear?
Provide the client w/diet-high in protein correct answersA nurse is caring for an older adult client
who is at risk for skin breakdown. Which of the following interventions should the nurse use to
help maintain the client's skin integrity?
Determine the location of the pain correct answersA nurse is caring for a client who requests
pain medication. Which of the following actions should the nurse perform first?
Ventricular gallop correct answersA nurse is collecting data about a client's cardiac functioning.
The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Hypertension correct answersA nurse is caring for a client who is in the early stages of hypoxia
& is receiving O2 therapy. When collecting data from this client, the nurse should expect to find
which of the following early indications of hypoxia?
Denial correct answersA nurse in a dialysis center is caring for a client who has a new diagnosis
of ESRD, client says, "I decided to come today, but I'm not sure if I will need to come back again
this week. I'm feeling much better since my discharge from the hospital & I think my kidneys are
working again." What is the Kübler-Ross stage?
Bend at the knees when picking up an object correct answersA nurse is reinforcing teaching with
a client who has strained her back muscles while preparing to move to a new apartment. Which
of the following instructions should the nurse include?
answered)
Listen attentively when the client talks about the past correct answersA nurse is caring for an
older adult client who expresses feelings of grief for his earlier lie. Which of the following
actions should the nurse take to help the client cope w/feelings of loss?
Erythema correct answersA nurse is observing the IV catheter insertion site of a client who is
receiving continuous IV therapy. Which of the following manifestations should the nurse
identify as an indication that the client has developed phlebitis?
Asking if the client took his meds this morning correct answersA nurse is assisting in
interviewing a client who is being admitted from a long-term care facility. In which of the
following situations should the nurse ask a close-ended question?
"I will wear gloves & a gown when bathing a client who has open skin lesions." correct
answersA nurse is reinforcing teaching w/assistive-personnel about using PPE while caring for
clients. Which of the following statements should the nurse identify as an indication that the AP
understands the instructions?
Clean gloves correct answersA nurse is caring for a client who has MRSA in an abdominal
wound. The nurse enters the room to check the client's pulse. Which of the following items
should the nurse wear?
Provide the client w/diet-high in protein correct answersA nurse is caring for an older adult client
who is at risk for skin breakdown. Which of the following interventions should the nurse use to
help maintain the client's skin integrity?
Determine the location of the pain correct answersA nurse is caring for a client who requests
pain medication. Which of the following actions should the nurse perform first?
Ventricular gallop correct answersA nurse is collecting data about a client's cardiac functioning.
The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Hypertension correct answersA nurse is caring for a client who is in the early stages of hypoxia
& is receiving O2 therapy. When collecting data from this client, the nurse should expect to find
which of the following early indications of hypoxia?
Denial correct answersA nurse in a dialysis center is caring for a client who has a new diagnosis
of ESRD, client says, "I decided to come today, but I'm not sure if I will need to come back again
this week. I'm feeling much better since my discharge from the hospital & I think my kidneys are
working again." What is the Kübler-Ross stage?
Bend at the knees when picking up an object correct answersA nurse is reinforcing teaching with
a client who has strained her back muscles while preparing to move to a new apartment. Which
of the following instructions should the nurse include?
