Fundamental exam 3 final Exam | Most Recent Exam
2026 Actual Complete Real Exam Questions With 100%
Correct Answers | Verified Answers | Already Graded A+
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A client visits an urgent care facility with a chief complaint of
shortness of breath, cough, and fever. What should the nurse
perform. - ANSWER-focused assessment
The nurse is assessing a heel pressure injury on a client.
Objective data reveals an ulcer that is 3cm x 4 cm x 0.5cm and
involves the epidermis, dermis, subcutaneous tissue, and
exposed muscle. The wound bed is red and moist. The nurse
also notes an area where the wound extends laterally under the
skin 3cm. what would the nurse document this wound as? -
ANSWER-A stage IV pressure ulcer with granulation tissue and
undermining
A client has an open wound from a left great toe amputation.
Within one week,
the nurse observes the wound bed is beginning to
accumulate a thick yellow
covering with watery drainage. How would the nurse
document this? -
ANSWER-yellow fibrinous slough covering wound bed with
serous drainage
,A nurse is caring for a postoperative patient who is
experiencing pain. Which
complementary and alternative therapy involves client
participation by the
patient and is appropriate for all levels of care? - ANSWER-
MEDICATION
Upon evaluation of the outcomes/goals set in the care plan for
your client, you determine that the client is unable to meet the
outcome/goal. What may you change in the original care plan?
(Select all that apply) - ANSWER-a. Modify the interventions.
b. Modify the outcome to be realistic.
c. Adjust time criteria in outcome
You are providing care for a client who is unable to move the
right side of their body due to a stroke. You create a plan of
care to include which types of passive and active range of
motion (ROM) - ANSWER-a. Right side PROM; left side AROM
. You are a nurse working in a sub-acute rehabilitation hospital.
Several of the clients have orders for straight catheterization
every 4 hours. You question whether frequent straight
catheterization can increase the risk for urinary tract infection
(UTI) compared to inserting an indwelling catheter. You began
by formulating a PICO question. Which of the following will the
"O" in your PICO question refer to? - ANSWER-b. Incidence of
UTI
, A nurse is reviewing a client's chief complaint and reads "urge
incontinence ".
Based on this information, the nurse will assess which
system? - ANSWER-b.
Genitourinary
(GU)
The client's white blood cell count (WBC) is 6,500/mm3. What
interpretation of the laboratory values by the nurse is most
accurate? - ANSWER-b. Client value is within normal range
You are interviewing a patient who is on continuous oxygen for
chronic lung disease. He stops speaking several times to catch
his breath. What statement by the patient is most concerning
and would require the nurse to intervene? - ANSWER-b. I
smoke in the house because it is too hard to breath outside in
the cold
what medical procedure removes devitalized tissue and foreign
material in a wound? Was reworded as - what medical
procedure removes necrotic tissue in a wound? - ANSWER-
Debridement
The nurse knows that communication can occur by verbal or
nonverbal methods. What are examples of non-verbal
communication the nurse may observe in a client? (Select all
that apply) - ANSWER-Posture
Silence
Eye contact
2026 Actual Complete Real Exam Questions With 100%
Correct Answers | Verified Answers | Already Graded A+
| Guaranteed Success!! | Newest Exam | Just Released!!
A client visits an urgent care facility with a chief complaint of
shortness of breath, cough, and fever. What should the nurse
perform. - ANSWER-focused assessment
The nurse is assessing a heel pressure injury on a client.
Objective data reveals an ulcer that is 3cm x 4 cm x 0.5cm and
involves the epidermis, dermis, subcutaneous tissue, and
exposed muscle. The wound bed is red and moist. The nurse
also notes an area where the wound extends laterally under the
skin 3cm. what would the nurse document this wound as? -
ANSWER-A stage IV pressure ulcer with granulation tissue and
undermining
A client has an open wound from a left great toe amputation.
Within one week,
the nurse observes the wound bed is beginning to
accumulate a thick yellow
covering with watery drainage. How would the nurse
document this? -
ANSWER-yellow fibrinous slough covering wound bed with
serous drainage
,A nurse is caring for a postoperative patient who is
experiencing pain. Which
complementary and alternative therapy involves client
participation by the
patient and is appropriate for all levels of care? - ANSWER-
MEDICATION
Upon evaluation of the outcomes/goals set in the care plan for
your client, you determine that the client is unable to meet the
outcome/goal. What may you change in the original care plan?
(Select all that apply) - ANSWER-a. Modify the interventions.
b. Modify the outcome to be realistic.
c. Adjust time criteria in outcome
You are providing care for a client who is unable to move the
right side of their body due to a stroke. You create a plan of
care to include which types of passive and active range of
motion (ROM) - ANSWER-a. Right side PROM; left side AROM
. You are a nurse working in a sub-acute rehabilitation hospital.
Several of the clients have orders for straight catheterization
every 4 hours. You question whether frequent straight
catheterization can increase the risk for urinary tract infection
(UTI) compared to inserting an indwelling catheter. You began
by formulating a PICO question. Which of the following will the
"O" in your PICO question refer to? - ANSWER-b. Incidence of
UTI
, A nurse is reviewing a client's chief complaint and reads "urge
incontinence ".
Based on this information, the nurse will assess which
system? - ANSWER-b.
Genitourinary
(GU)
The client's white blood cell count (WBC) is 6,500/mm3. What
interpretation of the laboratory values by the nurse is most
accurate? - ANSWER-b. Client value is within normal range
You are interviewing a patient who is on continuous oxygen for
chronic lung disease. He stops speaking several times to catch
his breath. What statement by the patient is most concerning
and would require the nurse to intervene? - ANSWER-b. I
smoke in the house because it is too hard to breath outside in
the cold
what medical procedure removes devitalized tissue and foreign
material in a wound? Was reworded as - what medical
procedure removes necrotic tissue in a wound? - ANSWER-
Debridement
The nurse knows that communication can occur by verbal or
nonverbal methods. What are examples of non-verbal
communication the nurse may observe in a client? (Select all
that apply) - ANSWER-Posture
Silence
Eye contact
