Fundamentals of Nursing Exam 3
Which classification describes the bones located in the wrist? - ANSWER:short bones
A nurse stretches out a patient's leg and moves it in a circle. This is an example of what type of body
movement? - ANSWER:circumduction
T or F: Jogging is an example of isometric exercise. - ANSWER:False. Jogging is an isotonic exercise
A nurse is caring for a patient who has been sitting in a chair for 1 hr. Which of the following
complications is the greatest risk to the patient? - ANSWER:pressure ulcer.
A nurse is caring for a patient who is postoperative. Which of the following interventions should the
nurse take to reduce the risk of thrombus development? - ANSWER:Apply elastic stockings & assist the
patient to change positions often.
In which of the following sleep disorders does the patient have an uncontrollable desire to sleep? -
ANSWER:Narcolepsy
Which of the following snacks is an appropriate bedtime snack to promote sleep in a patient? -
ANSWER:toast, because carbohydrates seem to promote sleep
A patient who has bone cancer is most likely experiencing which of the following types of pain? -
ANSWER:Somatic
T or F: The best judge of the existence and severity of a patient's pain is the physician or nurse caring for
the patient. - ANSWER:False. It is the patient
Which following pain assessment tool is recommended for use with neonates ages 0 to 6mo? -
ANSWER:CRIES pain scale
T or F: a hypertonic solution has a greater osmolarity, causing water to move out of the cells and to be
drawn into the intravascular compartment, causing the cell to shrink? - ANSWER:True
Which one of the following chemical buffer systems is the most important buffer system of the body in
that it buffers as much as 90% of the hydrogen of ECF? - ANSWER:Carbonic acid-sodium
an older adult client is experiencing difficulty with edema and fluid overload, what nursing intervention
would be the most accurate in evaluating the client's fluid balance? - ANSWER:evaluate changes in daily
weight
the nurse would identify which set of blood gas values as consistent with normal levels? - ANSWER:pH
7.5; PACO2 44; HCO3 26
the nurse is admitting a patient with DM-type 1 for control of their diabetes. what values on the ABGs
would indicate the patient is developing a complication as a result of poorly controlled diabetes? -
ANSWER:PACO2 38 mmHg, pH 7.30, HCO3 20meq/L, Base excess -2
, the nursing assistant is preparing to help the client make a lateral transfer from the bed to a stretcher.
the client informs the nurse that the client is able to move onto the stretcher without the nurse's help.
what is the nurse's best response? - ANSWER:"you are free to move onto the stretcher without
assistance, but i will supervise for your safety"
A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client
should be turned by logrolling. What statement is correct regarding logrolling? - ANSWER:use a
drawsheet or a friction-reducing sheet to facilitate smooth movement
the nurse has asked the client to grasp his overbed trapeze and pull his torso up off the surface of the
bed. what movement will the client perform with his arms? - ANSWER:flexion
a home care nurse visits a client with parkinson's disease. the nurse observes that the client has
rhythmic, repetitive movements of the hands. the home care nurse documents this as: - ANSWER:tremor
a nurse is caring for a frail older client with chronic obstructive pulmonary disease (COPD). the client
always remains in a sitting position to help him breathe more easily. based on the understanding that
prolonged sitting may put pressure on bony prominences, the nurse frequently assesses which area of
the client? - ANSWER:sacrum
when a client is lifted or held by a nurse, the additional weight becomes a part of the nurse's weight and
should be: - ANSWER:balanced over the center of gravity
A nurse applies padded boots to maintain the foot in dorsiflexion on a client who is comatose. The nurse
is protecting the client from: - ANSWER:footdrop
When logrolling a client, the nurse should use supportive devices in turning the client in order to: -
ANSWER:maintain the natural alignment of the client's body
the nurse is caring for a client who is on bed rest and was just turned to the left side. which action should
the nurse take next to decrease the risk of impaired skin integrity? - ANSWER:pull the shoulder blade
forward and out from under the client
a nurse is preparing to turn a hospitalized client age 65 years. which action is a recommended guideline
for performing this skill? - ANSWER:position a friction-reducing sheet under the client
the nurse is assisting a client to ambulate following knee surgery. what is a key concern when assisting
clients with activity? - ANSWER:safety
the nurse is preparing a client to be turned in bed. in what position would the nurse place the client to
begin this procedure? - ANSWER:lying flat
The nurse adjusts a client's bed to a comfortable working height in order to turn a patient. What would
be the nurse's next action? - ANSWER:move the client to edge of the bed opposite the side that client
will be turning
the nurse is assisting a client with limited mobility to turn in bed. after successfully turning the client to
the side, where would the nurse place an additional pillow? - ANSWER:supporting the client's back
Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's
weight? - ANSWER:shift their weight back and forth, from back leg to front leg
Which classification describes the bones located in the wrist? - ANSWER:short bones
A nurse stretches out a patient's leg and moves it in a circle. This is an example of what type of body
movement? - ANSWER:circumduction
T or F: Jogging is an example of isometric exercise. - ANSWER:False. Jogging is an isotonic exercise
A nurse is caring for a patient who has been sitting in a chair for 1 hr. Which of the following
complications is the greatest risk to the patient? - ANSWER:pressure ulcer.
A nurse is caring for a patient who is postoperative. Which of the following interventions should the
nurse take to reduce the risk of thrombus development? - ANSWER:Apply elastic stockings & assist the
patient to change positions often.
In which of the following sleep disorders does the patient have an uncontrollable desire to sleep? -
ANSWER:Narcolepsy
Which of the following snacks is an appropriate bedtime snack to promote sleep in a patient? -
ANSWER:toast, because carbohydrates seem to promote sleep
A patient who has bone cancer is most likely experiencing which of the following types of pain? -
ANSWER:Somatic
T or F: The best judge of the existence and severity of a patient's pain is the physician or nurse caring for
the patient. - ANSWER:False. It is the patient
Which following pain assessment tool is recommended for use with neonates ages 0 to 6mo? -
ANSWER:CRIES pain scale
T or F: a hypertonic solution has a greater osmolarity, causing water to move out of the cells and to be
drawn into the intravascular compartment, causing the cell to shrink? - ANSWER:True
Which one of the following chemical buffer systems is the most important buffer system of the body in
that it buffers as much as 90% of the hydrogen of ECF? - ANSWER:Carbonic acid-sodium
an older adult client is experiencing difficulty with edema and fluid overload, what nursing intervention
would be the most accurate in evaluating the client's fluid balance? - ANSWER:evaluate changes in daily
weight
the nurse would identify which set of blood gas values as consistent with normal levels? - ANSWER:pH
7.5; PACO2 44; HCO3 26
the nurse is admitting a patient with DM-type 1 for control of their diabetes. what values on the ABGs
would indicate the patient is developing a complication as a result of poorly controlled diabetes? -
ANSWER:PACO2 38 mmHg, pH 7.30, HCO3 20meq/L, Base excess -2
, the nursing assistant is preparing to help the client make a lateral transfer from the bed to a stretcher.
the client informs the nurse that the client is able to move onto the stretcher without the nurse's help.
what is the nurse's best response? - ANSWER:"you are free to move onto the stretcher without
assistance, but i will supervise for your safety"
A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client
should be turned by logrolling. What statement is correct regarding logrolling? - ANSWER:use a
drawsheet or a friction-reducing sheet to facilitate smooth movement
the nurse has asked the client to grasp his overbed trapeze and pull his torso up off the surface of the
bed. what movement will the client perform with his arms? - ANSWER:flexion
a home care nurse visits a client with parkinson's disease. the nurse observes that the client has
rhythmic, repetitive movements of the hands. the home care nurse documents this as: - ANSWER:tremor
a nurse is caring for a frail older client with chronic obstructive pulmonary disease (COPD). the client
always remains in a sitting position to help him breathe more easily. based on the understanding that
prolonged sitting may put pressure on bony prominences, the nurse frequently assesses which area of
the client? - ANSWER:sacrum
when a client is lifted or held by a nurse, the additional weight becomes a part of the nurse's weight and
should be: - ANSWER:balanced over the center of gravity
A nurse applies padded boots to maintain the foot in dorsiflexion on a client who is comatose. The nurse
is protecting the client from: - ANSWER:footdrop
When logrolling a client, the nurse should use supportive devices in turning the client in order to: -
ANSWER:maintain the natural alignment of the client's body
the nurse is caring for a client who is on bed rest and was just turned to the left side. which action should
the nurse take next to decrease the risk of impaired skin integrity? - ANSWER:pull the shoulder blade
forward and out from under the client
a nurse is preparing to turn a hospitalized client age 65 years. which action is a recommended guideline
for performing this skill? - ANSWER:position a friction-reducing sheet under the client
the nurse is assisting a client to ambulate following knee surgery. what is a key concern when assisting
clients with activity? - ANSWER:safety
the nurse is preparing a client to be turned in bed. in what position would the nurse place the client to
begin this procedure? - ANSWER:lying flat
The nurse adjusts a client's bed to a comfortable working height in order to turn a patient. What would
be the nurse's next action? - ANSWER:move the client to edge of the bed opposite the side that client
will be turning
the nurse is assisting a client with limited mobility to turn in bed. after successfully turning the client to
the side, where would the nurse place an additional pillow? - ANSWER:supporting the client's back
Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's
weight? - ANSWER:shift their weight back and forth, from back leg to front leg
