N212 Final Foundations MSJC Exam Study
Guide With Complete Solutions
A client asks the nurse why expelled flatus is foul-smelling. What should the nurse
respond?
1. The actions of microorganisms within the gastrointestinal tract are responsible for
the odor.
2. The client's emotions are causing the gas formation.
3. The sensory nerves in the rectum are being stimulated.
4. The client has swallowed too much air while eating. - ANSWER 1
The nurse is preparing to write nursing diagnoses for a client. What should the nurse
recall about NANDA label?
1. Must contain 3 components
2. Describes the health problem for which the therapy is given.
3. Helps define medical diagnoses for nursing.
4. Promotes a taxonomy of nursing. - ANSWER 4
A client who has undergone a gastrointestinal surgery is permitted to have a clear liquid
diet on the second postoperative day. Which fluid should the nurse order from the diet
kitchen for this client?
1. Apricot nectar
2. Cranberry juice
3. Chicken broth
4. Cherry ice pop - ANSWER 3
The new nurse feels overwhelmed by the demands of working on a busy acute care unit
and maintaining a growing family. What strategy should this nurse employ to lessen this
stress?
,1. Spend the lunch hour completing documentation while eating a sandwich.
2. Set the alarm earlier in order to get to work early.
3. Focus on work instead of on family until more familiar with the environment.
4. Differentiate between "have to do" and "nice to do" at work. - ANSWER 4
A client has chosen to discontinue hemodialysis. His family is not supportive of his
decision. Which statement should the nurse make that demonstrates the theory of
principles-based reasoning?
1. "This client is of sound mine and is capable of making his own decisions regarding
health care. It really is his decision to make."
2. "I need to try and help the family understand the client's decision so they can work
through this situation together."
3. "This client's health is so deteriorated that the treatment is not saving his life. It is only
prolonging the ultimate outcome, which is his death."
4. "The client understands his decision and the advanced stage of his disease. If he
quits treatment, he will die." - ANSWER 1
A UAP is working on a rehabilitation unit. Which task would be appropriate for this
person to delegate?
1. Taking and recording vital signs
2. Assisting with bathing
3. Making a bed
4. A UAP may not delegate tasks - ANSWER 4
The nurse is practicing the concept of holism with a client. Which action is the nurse
most likely making?
1. Considering how the loss of a client's job will affect the regulation of the client's
diabetes
2. Making sure to do complete teaching regarding pharmaceutical interventions.
3. Following physician treatments on schedule.
4. Prioritizing the needs of the client according to Maslow's hierarchy - ANSWER 1
, A client being discharged from an acute care hospital requires IV antibiotics, is not able
to complete activities of daily living without assistance, and has no family available to
assist in the recovery phase. Which type of recommendation should the nurse make for
this client?
1. Stay in the hospital until the client is fully capable of self-care.
2. Remain in the hospital until the antibiotic course is completed.
3. Be discharged to an extended care facility.
4. Go to a nursing home. - ANSWER 3
The nurse is providing care to a group of clients. For which situation would the nurse's
use of critical thinking be priority?
1. Administering IV push meds to critically ill clients.
2. Educating a home health client about treatment options.
3. Teaching new parents car seat safety.
4. Assisting an orthopedic client with the proper use of crutches. - ANSWER 2
The nurse enters a client's room and finds that the telephone is lying in the client's lap,
tissues are wadded up on the bed, and the client's eyes are red and watery. What is the
best response by the nurse?
1. "Can I hang that phone up for you?"
2. "Well, it's a beautiful day outside. Let's open the blinds."
3. "Has your doctor been in to talk to you yet?"
4. "You look upset. Is there anything you'd like to talk about?" - ANSWER 4
A nurse in the ICU consults unit policy and administers a routinely used medication to a
client admitted to the unit with severe hypotension. What did the nurse implement in this
situation?
1. A STAT order
2. A one-time order
Guide With Complete Solutions
A client asks the nurse why expelled flatus is foul-smelling. What should the nurse
respond?
1. The actions of microorganisms within the gastrointestinal tract are responsible for
the odor.
2. The client's emotions are causing the gas formation.
3. The sensory nerves in the rectum are being stimulated.
4. The client has swallowed too much air while eating. - ANSWER 1
The nurse is preparing to write nursing diagnoses for a client. What should the nurse
recall about NANDA label?
1. Must contain 3 components
2. Describes the health problem for which the therapy is given.
3. Helps define medical diagnoses for nursing.
4. Promotes a taxonomy of nursing. - ANSWER 4
A client who has undergone a gastrointestinal surgery is permitted to have a clear liquid
diet on the second postoperative day. Which fluid should the nurse order from the diet
kitchen for this client?
1. Apricot nectar
2. Cranberry juice
3. Chicken broth
4. Cherry ice pop - ANSWER 3
The new nurse feels overwhelmed by the demands of working on a busy acute care unit
and maintaining a growing family. What strategy should this nurse employ to lessen this
stress?
,1. Spend the lunch hour completing documentation while eating a sandwich.
2. Set the alarm earlier in order to get to work early.
3. Focus on work instead of on family until more familiar with the environment.
4. Differentiate between "have to do" and "nice to do" at work. - ANSWER 4
A client has chosen to discontinue hemodialysis. His family is not supportive of his
decision. Which statement should the nurse make that demonstrates the theory of
principles-based reasoning?
1. "This client is of sound mine and is capable of making his own decisions regarding
health care. It really is his decision to make."
2. "I need to try and help the family understand the client's decision so they can work
through this situation together."
3. "This client's health is so deteriorated that the treatment is not saving his life. It is only
prolonging the ultimate outcome, which is his death."
4. "The client understands his decision and the advanced stage of his disease. If he
quits treatment, he will die." - ANSWER 1
A UAP is working on a rehabilitation unit. Which task would be appropriate for this
person to delegate?
1. Taking and recording vital signs
2. Assisting with bathing
3. Making a bed
4. A UAP may not delegate tasks - ANSWER 4
The nurse is practicing the concept of holism with a client. Which action is the nurse
most likely making?
1. Considering how the loss of a client's job will affect the regulation of the client's
diabetes
2. Making sure to do complete teaching regarding pharmaceutical interventions.
3. Following physician treatments on schedule.
4. Prioritizing the needs of the client according to Maslow's hierarchy - ANSWER 1
, A client being discharged from an acute care hospital requires IV antibiotics, is not able
to complete activities of daily living without assistance, and has no family available to
assist in the recovery phase. Which type of recommendation should the nurse make for
this client?
1. Stay in the hospital until the client is fully capable of self-care.
2. Remain in the hospital until the antibiotic course is completed.
3. Be discharged to an extended care facility.
4. Go to a nursing home. - ANSWER 3
The nurse is providing care to a group of clients. For which situation would the nurse's
use of critical thinking be priority?
1. Administering IV push meds to critically ill clients.
2. Educating a home health client about treatment options.
3. Teaching new parents car seat safety.
4. Assisting an orthopedic client with the proper use of crutches. - ANSWER 2
The nurse enters a client's room and finds that the telephone is lying in the client's lap,
tissues are wadded up on the bed, and the client's eyes are red and watery. What is the
best response by the nurse?
1. "Can I hang that phone up for you?"
2. "Well, it's a beautiful day outside. Let's open the blinds."
3. "Has your doctor been in to talk to you yet?"
4. "You look upset. Is there anything you'd like to talk about?" - ANSWER 4
A nurse in the ICU consults unit policy and administers a routinely used medication to a
client admitted to the unit with severe hypotension. What did the nurse implement in this
situation?
1. A STAT order
2. A one-time order
