NR 224 Fundamentals Final Test Bank Exam
Practice Questions With Verified Answers
(100% correct verified solutions) Brand new
Version. Graded A+
A nurse is assessing a client 1-day postoperative following abdominal surgery.
Suddenly the client reports a pulling sensation and pain in his surgical incision.
Which of the following actions should the nurse take?
A. Have the client lie flat in bed.
B. Use sterile gauze to place gentle pressure on the exposed organs.
,C. Cover the area with saline-soaked sterile dressings.
D. Apply an abdominal binder. - {✔✔ANSWER✔✔}-C. Cover the area with
saline-soaked sterile dressings.
A nurse is assessing a client's wound dressing, and observes a watery red
drainage. The nurse should document this drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serosanguineous - {✔✔ANSWER✔✔}-D. Serosanguineous
A nurse is caring for a client who is postoperative following abdominal surgery.
Which of the following findings should indicate to the nurse the client's peristalsis
is returning?
A. Hypoactive bowel sounds in two quadrants
B. Request for a cup of tea and some toast
C. Passage of flatus
D. Abdominal distention - {✔✔ANSWER✔✔}-C. Passage of flatus
A nurse is assessing a client who is 48 hr postoperative following abdominal
surgery. Which of the following findings should the nurse report to the provider?
A. Blood pressure 102/66 mmHg
B. Straw-colored urine from an indwelling urinary catheter
,C. Yellow-green drainage on the surgical incision
D. Respiratory rate 18/min - {✔✔ANSWER✔✔}-C. Yellow-green drainage on
the surgical incision
The nurse is caring for a new diabetic client who is being taught how to
administer insulin. The nurse knows that the patient care objectives have been
met when the patient is able to?
A. Verbalize the method of insulin administration and how insulin works
B. Teach back what precautions are to take when taking insulin
C. State the value and importance self insulin injection for diabetics
D. Demonstrate how fill insulin syringe and give insulin injection -
{✔✔ANSWER✔✔}-D. Demonstrate how fill insulin syringe and give insulin
injection
A nurse is teaching a client about foods that are included on a clear liquid diet.
Which of the following food choices made by the client indicates the need for
further teaching?
A. Yogurt
B. Popsicle
C. Gelatin
D. Broth - {✔✔ANSWER✔✔}-A. Yogurt
, 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. - {✔✔ANSWER✔✔}-B. Dispose of the dressing in a
biohazardous waste container.
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. - {✔✔ANSWER✔✔}-Provide
skin care with a moisture barrier cream.
Administer artificial tear PRN.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula.
Practice Questions With Verified Answers
(100% correct verified solutions) Brand new
Version. Graded A+
A nurse is assessing a client 1-day postoperative following abdominal surgery.
Suddenly the client reports a pulling sensation and pain in his surgical incision.
Which of the following actions should the nurse take?
A. Have the client lie flat in bed.
B. Use sterile gauze to place gentle pressure on the exposed organs.
,C. Cover the area with saline-soaked sterile dressings.
D. Apply an abdominal binder. - {✔✔ANSWER✔✔}-C. Cover the area with
saline-soaked sterile dressings.
A nurse is assessing a client's wound dressing, and observes a watery red
drainage. The nurse should document this drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serosanguineous - {✔✔ANSWER✔✔}-D. Serosanguineous
A nurse is caring for a client who is postoperative following abdominal surgery.
Which of the following findings should indicate to the nurse the client's peristalsis
is returning?
A. Hypoactive bowel sounds in two quadrants
B. Request for a cup of tea and some toast
C. Passage of flatus
D. Abdominal distention - {✔✔ANSWER✔✔}-C. Passage of flatus
A nurse is assessing a client who is 48 hr postoperative following abdominal
surgery. Which of the following findings should the nurse report to the provider?
A. Blood pressure 102/66 mmHg
B. Straw-colored urine from an indwelling urinary catheter
,C. Yellow-green drainage on the surgical incision
D. Respiratory rate 18/min - {✔✔ANSWER✔✔}-C. Yellow-green drainage on
the surgical incision
The nurse is caring for a new diabetic client who is being taught how to
administer insulin. The nurse knows that the patient care objectives have been
met when the patient is able to?
A. Verbalize the method of insulin administration and how insulin works
B. Teach back what precautions are to take when taking insulin
C. State the value and importance self insulin injection for diabetics
D. Demonstrate how fill insulin syringe and give insulin injection -
{✔✔ANSWER✔✔}-D. Demonstrate how fill insulin syringe and give insulin
injection
A nurse is teaching a client about foods that are included on a clear liquid diet.
Which of the following food choices made by the client indicates the need for
further teaching?
A. Yogurt
B. Popsicle
C. Gelatin
D. Broth - {✔✔ANSWER✔✔}-A. Yogurt
, 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. - {✔✔ANSWER✔✔}-B. Dispose of the dressing in a
biohazardous waste container.
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. - {✔✔ANSWER✔✔}-Provide
skin care with a moisture barrier cream.
Administer artificial tear PRN.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula.
