FUNDAMENTALS II 2026 ACTUAL EXAM
PAPER QUESTIONS WITH SOLUTIONS
GRADED A+
◉A nurse is creating a discharge plan. Which statement indicates the
nurse understands when discharge planning should be
implemented?
A. I will begin 48 hours before the client is discharged.
B. I will begin once the client's discharge order is written.
C. I will begin upon the client's admission to the facility.
D. I will begin once the client's insurance company approved the
discharge.. Answer: C. I will begin upon the client's admission to the
facility.
◉A nurse is preparing to administer a cleansing enema to a client.
Select the correct nursing action.
A. Keep the container of solution at a level to maintain client comfort
B. Hold the container of solution 30 cm (12 in) above the anus
,C. Hold the container of solution level with the client's upper hip.
D.Hold the container of solution 15 cm (6 in) above the anus then
lower it below the anus. Answer: B. Hold the container of solution 30
cm (12 in) above the anus
◉A nurse is instructing a young adult client about healthy sleep
habits. Select the client statement that indicates a need for further
instruction.
A. I don't take naps throughout the day.
B. I go to bed and get up routinely at the same time each day.
C. I have a small snack and take a bath before going to bed each day.
D. I watch television until I fall asleep at night.. Answer: D. I watch
television until I fall asleep at night.
◉A nurse is caring for a client who requests prescription pain
medication. Which action should the nurse perform first?
,A. Reposition the client
B. Administer the medication
c. Perform a pain assessment
d. Review the effects of the pain medication. Answer: c. Perform a
pain assessment
◉A nurse is caring for an older adult who is at risk for skin
breakdown. Choose the action that should be included in the plan of
care.
A. Reposition client every 3 hours
B. Massage bony prominences to promote circulation
C. Teach the client about a high protein diet
D. Apply cornstarch to keep the skin dry. Answer: C. Teach the client
about a high protein di
◉A nurse is prioritizing care for two clients at the start of the shift.
The first client is 1 day postop following a partial bowel resection,
requires a dressing change, total parenteral nutrition and has
reported pain of 6/10. The second client had a newly inserted
percutaneous gastrostomy tube, requires a tube feeding, dressing
change and daily weight. Select the nursing action that should be
completed first.
, A. Weight the second client
B. Obtain vital signs for both clients
C. Administer pain medication to the first client
D. Change the dressings of both clients. Answer: B. Obtain vital signs
for both clients
◉A nurse assesses a client who is 2 days postop and auscultates
bilateral breath sounds with absent breath sounds in the lung bases.
The nurse suspects this postoperative complication:
A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Arterial thrombus. Answer: A. Atelectasis
◉A nurse is caring for a client who had IV fluids initiated at 0330.
The fluids are infusing at 120 mL/hr. The nurse should record how
many mL of IV fluids on the intake record at 0600?
A. 100mL
B. 120mL
C. 200mL
D. 300mL. Answer: D. 300mL
PAPER QUESTIONS WITH SOLUTIONS
GRADED A+
◉A nurse is creating a discharge plan. Which statement indicates the
nurse understands when discharge planning should be
implemented?
A. I will begin 48 hours before the client is discharged.
B. I will begin once the client's discharge order is written.
C. I will begin upon the client's admission to the facility.
D. I will begin once the client's insurance company approved the
discharge.. Answer: C. I will begin upon the client's admission to the
facility.
◉A nurse is preparing to administer a cleansing enema to a client.
Select the correct nursing action.
A. Keep the container of solution at a level to maintain client comfort
B. Hold the container of solution 30 cm (12 in) above the anus
,C. Hold the container of solution level with the client's upper hip.
D.Hold the container of solution 15 cm (6 in) above the anus then
lower it below the anus. Answer: B. Hold the container of solution 30
cm (12 in) above the anus
◉A nurse is instructing a young adult client about healthy sleep
habits. Select the client statement that indicates a need for further
instruction.
A. I don't take naps throughout the day.
B. I go to bed and get up routinely at the same time each day.
C. I have a small snack and take a bath before going to bed each day.
D. I watch television until I fall asleep at night.. Answer: D. I watch
television until I fall asleep at night.
◉A nurse is caring for a client who requests prescription pain
medication. Which action should the nurse perform first?
,A. Reposition the client
B. Administer the medication
c. Perform a pain assessment
d. Review the effects of the pain medication. Answer: c. Perform a
pain assessment
◉A nurse is caring for an older adult who is at risk for skin
breakdown. Choose the action that should be included in the plan of
care.
A. Reposition client every 3 hours
B. Massage bony prominences to promote circulation
C. Teach the client about a high protein diet
D. Apply cornstarch to keep the skin dry. Answer: C. Teach the client
about a high protein di
◉A nurse is prioritizing care for two clients at the start of the shift.
The first client is 1 day postop following a partial bowel resection,
requires a dressing change, total parenteral nutrition and has
reported pain of 6/10. The second client had a newly inserted
percutaneous gastrostomy tube, requires a tube feeding, dressing
change and daily weight. Select the nursing action that should be
completed first.
, A. Weight the second client
B. Obtain vital signs for both clients
C. Administer pain medication to the first client
D. Change the dressings of both clients. Answer: B. Obtain vital signs
for both clients
◉A nurse assesses a client who is 2 days postop and auscultates
bilateral breath sounds with absent breath sounds in the lung bases.
The nurse suspects this postoperative complication:
A. Atelectasis
B. Pneumonia
C. Pulmonary embolism
D. Arterial thrombus. Answer: A. Atelectasis
◉A nurse is caring for a client who had IV fluids initiated at 0330.
The fluids are infusing at 120 mL/hr. The nurse should record how
many mL of IV fluids on the intake record at 0600?
A. 100mL
B. 120mL
C. 200mL
D. 300mL. Answer: D. 300mL
