Fundamental Content Management System
A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the
following clients should the nurse assigned to the room closest to the station?
A. A middle adult who is post operative following a laparoscopic cholecystectomy
B. A middle-aged adult who requires telemetry for a possible myocardial infraction
C. A young adult who is post operative following an open reduction internal fixation of the ankle
D. An older adult who is postoperative following a below the knee amputation - ansD. An older adult who is
postoperative following a below the knee amputation
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following
data should the nurse identify as objective data? Select all that apply
A. Respiratory rate is 22/min with even, unlabored respiration's
B. The client's partner states, " he said he hurt after walking for about 10 minutes."
C. Pain rating is a three on a scale from 0 to 10
D. The assistive personnel report the client walk with a lamp
E. Skin is pink, warm, and dry - ansA. Respiratory rate is 22/min with even, unlabored respiration's
D. The assistive personnel report the client walk with a lamp
E. Skin is pink, warm, and dry
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require
a providers prescription. Which of the following interventions should the nurse include? Select all that apply
A. Writing a prescription for morphine sulfate as needed for pain
B. Insert a nasogastric tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after evening meal
,E. Re-positioning a client every two hours to reduce pressure ulcer risk - ansC. Showing a client how to use
progressive muscle relaxation
D. Performing a daily bath after evening meal
E. Re-positioning a client every two hours to reduce pressure ulcer risk
A client who has an indwelling catheter reports I need to urinate. Which of the following actions should the
nurse take?
A. Check to see whether the catheter is patent
B. Reassure the client that it is not possible for her to urinate
C. Re-catheterize the bladder with a larger gauge
D. Collect a urine specimen for analysis - ansA. Check to see whether the catheter is patent
A client who has had a CVA has persistent problems with dysphasia. The nurse caring for the client should
initiate a referral with which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech language pathologist - ansD. Speech language pathologist
A client who is postoperative following a knee arthroplasty is concerned about adverse effects of the
medication he is receiving for pain management. Which of the following members of the interprofessional care
team can assist the client in understanding the medications effects?
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
,E. Respiratory therapist - ansA. Provider
B. Certified nursing assistant
D. Registered nurse
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices.
The nurse caring for the client should initiate a referral to which of the following members of the
interprofessional care team?
A. Social worker
B. CNA
C. Registered dietitian
D. Occupational therapist - ans
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "the
clients at his leg pain was back, so I checked his medical record, the last received his pain medication six hours
ago. The prescription reads every four hours PRN for pain, so I decided that he needs it. I asked the unit nurse
to observe me preparing and administering it. I checked back with a client 40 minutes later, he said his pain is
going away." The charge nurse should inform the newly licensed nurse that she left out which of the following
steps and the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ans
A nurse attempts to collect a capillary blood specimen via fingerstick for a blood glucose monitoring from a
client who has diabetes mellitus. The nurse is unable to obtain an adequate drop of blood for the reagent strip.
Which of the following actions should the nurse take?
A. Puncture another finger to obtain a capillary specimen
, B. Test the urine with a urinary agent strip instead
C. Wrap the hand in a warm moist cloth
D. Perform a venipuncture to obtain a venous sample - ansC. Wrap the hand in a warm moist cloth
A nurse educator is reviewing with a newly hired nurse the difference in manifestation of a localized versus a
systemic infection. The nurse indicates understanding when she states which of the following are
manifestations of a systemic infection? (Select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increased pulse and resp rate - ansA. Fever
B. Malaise
E. Increased pulse and resp rate
A nurse educator is teaching a module about safe medication administration to newly licensed nurses. Which
of the following statements should the nurse identify as an indication that one of the groups understands how
to implement medication therapy? (Select all that apply)
A. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
C. " I will prescribe the appropriate dose"
D. " I will change the dose if adverse effects occur"
E. " I will refuse to give a medication if I believe that it is unsafe" - ansA. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
E. " I will refuse to give a medication if I believe that it is unsafe"
A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the
following clients should the nurse assigned to the room closest to the station?
A. A middle adult who is post operative following a laparoscopic cholecystectomy
B. A middle-aged adult who requires telemetry for a possible myocardial infraction
C. A young adult who is post operative following an open reduction internal fixation of the ankle
D. An older adult who is postoperative following a below the knee amputation - ansD. An older adult who is
postoperative following a below the knee amputation
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following
data should the nurse identify as objective data? Select all that apply
A. Respiratory rate is 22/min with even, unlabored respiration's
B. The client's partner states, " he said he hurt after walking for about 10 minutes."
C. Pain rating is a three on a scale from 0 to 10
D. The assistive personnel report the client walk with a lamp
E. Skin is pink, warm, and dry - ansA. Respiratory rate is 22/min with even, unlabored respiration's
D. The assistive personnel report the client walk with a lamp
E. Skin is pink, warm, and dry
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require
a providers prescription. Which of the following interventions should the nurse include? Select all that apply
A. Writing a prescription for morphine sulfate as needed for pain
B. Insert a nasogastric tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after evening meal
,E. Re-positioning a client every two hours to reduce pressure ulcer risk - ansC. Showing a client how to use
progressive muscle relaxation
D. Performing a daily bath after evening meal
E. Re-positioning a client every two hours to reduce pressure ulcer risk
A client who has an indwelling catheter reports I need to urinate. Which of the following actions should the
nurse take?
A. Check to see whether the catheter is patent
B. Reassure the client that it is not possible for her to urinate
C. Re-catheterize the bladder with a larger gauge
D. Collect a urine specimen for analysis - ansA. Check to see whether the catheter is patent
A client who has had a CVA has persistent problems with dysphasia. The nurse caring for the client should
initiate a referral with which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech language pathologist - ansD. Speech language pathologist
A client who is postoperative following a knee arthroplasty is concerned about adverse effects of the
medication he is receiving for pain management. Which of the following members of the interprofessional care
team can assist the client in understanding the medications effects?
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
,E. Respiratory therapist - ansA. Provider
B. Certified nursing assistant
D. Registered nurse
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices.
The nurse caring for the client should initiate a referral to which of the following members of the
interprofessional care team?
A. Social worker
B. CNA
C. Registered dietitian
D. Occupational therapist - ans
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "the
clients at his leg pain was back, so I checked his medical record, the last received his pain medication six hours
ago. The prescription reads every four hours PRN for pain, so I decided that he needs it. I asked the unit nurse
to observe me preparing and administering it. I checked back with a client 40 minutes later, he said his pain is
going away." The charge nurse should inform the newly licensed nurse that she left out which of the following
steps and the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ans
A nurse attempts to collect a capillary blood specimen via fingerstick for a blood glucose monitoring from a
client who has diabetes mellitus. The nurse is unable to obtain an adequate drop of blood for the reagent strip.
Which of the following actions should the nurse take?
A. Puncture another finger to obtain a capillary specimen
, B. Test the urine with a urinary agent strip instead
C. Wrap the hand in a warm moist cloth
D. Perform a venipuncture to obtain a venous sample - ansC. Wrap the hand in a warm moist cloth
A nurse educator is reviewing with a newly hired nurse the difference in manifestation of a localized versus a
systemic infection. The nurse indicates understanding when she states which of the following are
manifestations of a systemic infection? (Select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increased pulse and resp rate - ansA. Fever
B. Malaise
E. Increased pulse and resp rate
A nurse educator is teaching a module about safe medication administration to newly licensed nurses. Which
of the following statements should the nurse identify as an indication that one of the groups understands how
to implement medication therapy? (Select all that apply)
A. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
C. " I will prescribe the appropriate dose"
D. " I will change the dose if adverse effects occur"
E. " I will refuse to give a medication if I believe that it is unsafe" - ansA. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
E. " I will refuse to give a medication if I believe that it is unsafe"
