Fundamentals Final Test Bank:Questions and Correct Answers
A 70 year old client is admitted to the PACU with an intravenous (IV) solution of 0.9% NaCl which is running as
123cc/hour. The nurse detects new onset of crackles in the lung bases and distended neck veins. What is
nurses the priority action?
A. Notify a health care provider
B. Immediately document findings in the medical record
C. Decrease the IV flow rate
D. Discontinue the IV - ansC. Decrease the IV flow rate
A client was given a narcotic pain med at 0800. At 0900 the nurse finds the client slumped in the chair, hard to
arouse, with respirations of 6/minute. Arterial blood gases are ordered what would you expect to see in the
ABG results?
A. pH less than 7.35
B. pH higher than 7.45
C. CO2 of about 35
D. Co2 lower than 45 - ansA. pH less than 7.35
A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the
procedure. Which of the following responses should the nurse make?
A. "The laxative will prevent the absorption of magnesium."
B. "The laxative helps eliminate the barium."
C. "The laxative is the protocol at this facility."
D. "The laxative makes the barium turn brown." - ansB. "The laxative helps eliminate the barium."
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the
following prescriptions should the nurse expect? (Select all that apply.)
,Provide skin care with a moisture barrier cream.
Administer artificial tear PRN.
Obtain vital signs every 2 hr.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula. - ansProvide skin care with a moisture barrier cream.
Administer artificial tear PRN.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula.
A nurse assess a hospice client. The assessment reveals BP 74/40, urine output 30 cc over 3 hours, poor skin
turgor and skin cool to touch, resp 8 and irregular, and dysphagia. The nurse recognizes these combined
assessment findings
A. Are signs of impending death.
B. Are signs of airway obstruction.
C. Are signs the patient may require resuscitation soon.
D. Are signs of the need to increase oral fluids to improve hydration. - ansA. Are signs of impending death.
A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent
drainage. How should the nurse dispose of the dressing material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle. - ansB. Dispose
of the dressing in a biohazardous waste container.
A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should
the nurse include in the incident/variance report? (Select all the apply.)
, The date of the incident
The name of the provider who prescribed the medication
The potential adverse effects of the medication
The time the client was to receive the medication
The client's vital signs - ansThe date of the incident
The time the client was to receive the medication
The client's vital signs
A nurse has completed care procedures for a client who requires airborne precautions. Which of the following
items of personal protective equipment (PPE) should the nurse remove last?
A. Mask
B. Gloves
C. Gown
D. Goggles - ansA. Mask
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. When he
arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will
need to come back again this week. I am feeling much better since my discharge from the hospital and I think
my kidneys are working again." The nurse should identify that this client is demonstrating which of the
following Kübler-Ross stages of grieving?
A. Bargaining
B. Denial
C. Depression
D. Anger - ansB. Denial
A nurse in the PACU is assessing a client who has a endotracheal tube (ET) in place and observes the absence of
A 70 year old client is admitted to the PACU with an intravenous (IV) solution of 0.9% NaCl which is running as
123cc/hour. The nurse detects new onset of crackles in the lung bases and distended neck veins. What is
nurses the priority action?
A. Notify a health care provider
B. Immediately document findings in the medical record
C. Decrease the IV flow rate
D. Discontinue the IV - ansC. Decrease the IV flow rate
A client was given a narcotic pain med at 0800. At 0900 the nurse finds the client slumped in the chair, hard to
arouse, with respirations of 6/minute. Arterial blood gases are ordered what would you expect to see in the
ABG results?
A. pH less than 7.35
B. pH higher than 7.45
C. CO2 of about 35
D. Co2 lower than 45 - ansA. pH less than 7.35
A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the
procedure. Which of the following responses should the nurse make?
A. "The laxative will prevent the absorption of magnesium."
B. "The laxative helps eliminate the barium."
C. "The laxative is the protocol at this facility."
D. "The laxative makes the barium turn brown." - ansB. "The laxative helps eliminate the barium."
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the
following prescriptions should the nurse expect? (Select all that apply.)
,Provide skin care with a moisture barrier cream.
Administer artificial tear PRN.
Obtain vital signs every 2 hr.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula. - ansProvide skin care with a moisture barrier cream.
Administer artificial tear PRN.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula.
A nurse assess a hospice client. The assessment reveals BP 74/40, urine output 30 cc over 3 hours, poor skin
turgor and skin cool to touch, resp 8 and irregular, and dysphagia. The nurse recognizes these combined
assessment findings
A. Are signs of impending death.
B. Are signs of airway obstruction.
C. Are signs the patient may require resuscitation soon.
D. Are signs of the need to increase oral fluids to improve hydration. - ansA. Are signs of impending death.
A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent
drainage. How should the nurse dispose of the dressing material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle. - ansB. Dispose
of the dressing in a biohazardous waste container.
A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should
the nurse include in the incident/variance report? (Select all the apply.)
, The date of the incident
The name of the provider who prescribed the medication
The potential adverse effects of the medication
The time the client was to receive the medication
The client's vital signs - ansThe date of the incident
The time the client was to receive the medication
The client's vital signs
A nurse has completed care procedures for a client who requires airborne precautions. Which of the following
items of personal protective equipment (PPE) should the nurse remove last?
A. Mask
B. Gloves
C. Gown
D. Goggles - ansA. Mask
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. When he
arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will
need to come back again this week. I am feeling much better since my discharge from the hospital and I think
my kidneys are working again." The nurse should identify that this client is demonstrating which of the
following Kübler-Ross stages of grieving?
A. Bargaining
B. Denial
C. Depression
D. Anger - ansB. Denial
A nurse in the PACU is assessing a client who has a endotracheal tube (ET) in place and observes the absence of
