Fundamentals Practice Test, UNIT 1: Foundations of
Nursing Practice
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Terms in this set (342)
,Which assessment data would provide the most C) Examining a chest x-ray obtained after the tubing was inserted
accurate determination of proper placement of a
nasogastric tube? Both (A and B) are methods used to determine proper placement of
the NG tubing. However, the best indicator that the tubing is properly
A) Aspirating gastric contents to assure a pH placed is (C). (D) is not an indicator of proper placement
value of 4 or less.
B) Hearing air pass in the stomach after injecting
air into the tubing.
C) Examining a chest x-ray obtained after the
tubing was inserted.
D) Checking the remaining length of tubing to
ensure that the correct length was inserted.
When assisting an 82-year-old client to ambulate, B) Upper torso
it is important for the nurse to realize that the
center of gravity for an elderly person is the The center of gravity for adults is the hips. However, as the person
grows older, a stooped posture is common because of the changes
A) Arms. from osteoporosis and normal bone degeneration, and the knees, hips,
B) Upper torso. and elbows flex. This stooped posture results in the upper torso (B)
C) Head. becoming the center of gravity for older persons. Although (A) is a
D) Feet part, or an extension of the upper torso, this is not the best and most
complete answer.
,Which action is most important for the nurse to C) Keep gloved hands above the elbows
implement when donning sterile gloves?
Gloved hands held below waist level are considered unsterile (C). (A
A) Maintain thumb at a ninety degree angle. and B) are not essential to maintaining asepsis. While it may be helpful
B) Hold hands with fingers down while gloving. to put the glove on the dominant hand first, it is not necessary to
C) Keep gloved hands above the elbows. ensure asepsis (D).
D) Put the glove on the dominant hand first.
An adult male client with a history of hypertension A) It is important that you continue your medication while learning to
tells the nurse that he is tired of taking meditate
antihypertensive medications and is going to try
spiritual meditation instead. What should be the The prolonged practice of meditation may lead to a reduced need for
nurse's first response? antihypertensive medications. However, the medications must be
continued (A) while the physiologic response to meditation is
A) It is important that you continue your monitored. (B) is not as important as continuing the medication. The
medication while learning to meditate. healthcare provider should be informed, but permission is not required
B) Spiritual meditation requires a time commitment to meditate (C). Although it is true that this complimentary therapy
of 15 to 20 minutes daily. might be effective (D), it is essential that the client continue with
C) Obtain your healthcare provider's permission antihypertensive medications until the effect of meditation can be
before starting meditation. measured
D) Complementary therapy and western medicine
can be effective for you.
, The nurse plans to obtain health assessment A) Client
information from a primary source. Which option
is a primary source for the completion of the A primary source of information for a health assessment is the client
health assessment? (A). (B, C, and D) are considered secondary sources about the client's
health history, but other details, such as subjective data, can only be
A) Client. provided directly from the client.
B) Healthcare provider.
C) A family member.
D) Previous medical records
The nurse is instructing a client with high C) I will limit my intake of beef to 4 ounces per week
cholesterol about diet and life style modification.
What comment from the client indicates that the Limiting saturated fat from animal food sources to no more than 4
teaching has been effective? ounces per week (C) is an important diet modification for lowering
cholesterol. To be effective in reducing cholesterol, the client should
A) If I exercise at least two times weekly for one exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red
hour, I will lower my cholesterol. meat and all proteins do not need to be eliminated (B) to lower
B) I need to avoid eating proteins, including red cholesterol, but should be restricted to lean cuts of red meat and
meat. smaller portions (2-ounce servings). The low density lipoproteins (D)
C) I will limit my intake of beef to 4 ounces per need to decrease rather than increase
week.
D) My blood level of low density lipoproteins
needs to increase.