COMPLETE 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ LATEST UPDATE
FUNDAMENTALS OF NURSING
1. A nurse is preparing to insert an indwelling urinary catheter. Which technique is
appropriate?
A) Clean glove insertion without drape
B) Sterile gloves, sterile field, sterile catheter
C) Non-sterile gloves with antiseptic solution only
D) Clean technique for home care only
Correct Answer: B
Rationale: Indwelling urinary catheter insertion requires sterile technique (sterile
gloves, field, lubricant, catheter) to prevent catheter-associated urinary tract
infection (CAUTI).
2. A patient on fall precautions asks to use the bathroom. What is the nurse's
priority?
A) Tell the patient to use a bedpan
B) Assist the patient to the bathroom with a gait belt
C) Let the patient go alone
D) Ask family to help
Correct Answer: B
Rationale: Fall precautions require direct assistance. A gait belt and steadying
reduce fall risk.
3. A nurse sees a small fire in a patient's trash can. What action should the nurse
take first?
A) Pull the fire alarm
B) Evacuate the patient
C) Use the nearest fire extinguisher
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,D) Run for help
Correct Answer: C
Rationale: RACE: Rescue patient, pull Alarm, Contain fire, Extinguish if small. Since
it is small and contained, the nurse should use the extinguisher first.
4. A nurse is applying wrist restraints to prevent a confused patient from pulling
out an IV. Which action is correct?
A) Tie restraints to the side rail
B) Tie restraints to the bed frame
C) Apply restraints tightly to prevent movement
D) Remove restraints every 4 hours
Correct Answer: B
Rationale: Restraints should be tied to the bed frame, not the side rail, to prevent
injury if the side rail is lowered. Restraints must be removed and skin checked
every 2 hours (not 4).
5. Which task can an RN delegate to an unlicensed assistive personnel (UAP)?
A) Initial admission assessment
B) Ambulation of a stable patient
C) Medication administration
D) Patient teaching about insulin
Correct Answer: B
Rationale: UAP can ambulate stable patients. Assessment, medication
administration, and patient teaching are within the RN scope of practice and
cannot be delegated.
6. A nurse is preparing to transfer a patient from bed to stretcher using a draw
sheet. The nurse should:
A) Use one person for a small patient
B) Use proper body mechanics and count of three with assistance
C) Pull from the head of bed only
D) Keep the bed in the lowest position
Correct Answer: B
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,Rationale: Count to coordinate, use legs to lift, avoid twisting, and have adequate
help.
7. A patient is placed on contact precautions for C. difficile. Which PPE is
required?
A) Mask only
B) Gown and gloves
C) N95 mask
D) Eye shield only
Correct Answer: B
Rationale: Contact precautions require gown and gloves. C. difficile requires soap
and water hand hygiene, not alcohol-based hand sanitizer.
8. A nurse enters a patient's room and finds the patient on the floor next to the
bed. What is the nurse's first action?
A) Call the provider
B) Check the patient for injury before moving
C) Call the family
D) Document the fall
Correct Answer: B
Rationale: The nurse should first check the patient for injury before moving them.
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9. A nurse inserts a nasogastric tube before an infant is to receive a tube feeding.
What action should the nurse take when the infant begins to cough and gag?
A) Auscultating for breath sounds
B) Removing the tube, then reinserting it
C) Administering the tube feeding slowly
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, D) Observing the infant for circumoral cyanosis
Correct Answer: B
Rationale: The infant's response indicates that the tube may be in the trachea
rather than the stomach. The tube should be removed, reinserted, and verified
for placement before feeding is started. Auscultating for breath sounds does not
provide information about tube placement. It is unsafe to assess for additional
signs of respiratory distress or administer the feeding until placement in the
stomach has been confirmed.
10. A client is being prepared for surgery to have placement of a percutaneous
endoscopic gastrostomy (PEG) tube. The client asks why the PEG tube is preferred
over the existing nasogastric tube that is being used for feedings. The nurse
explains that a PEG tube is preferred for administering a tube feeding because:
A) There is less chance of aspiration
B) This procedure does not require a pump
C) Self-administration of the feeding is possible
D) More tube feeding mixture can be given each time
Correct Answer: A
Rationale: When tube feedings are given via a PEG tube, they bypass the upper
gastrointestinal tract (oropharynx, esophagus, cardiac sphincter of the stomach),
which reduces the risk of tracheal aspiration.
11. The nurse is teaching hygiene practices to a 16-year-old patient who has
recently had her first menstrual flow. Under which phase of development does
the nurse classify the patient?
A) Prepubescence
B) Postpubescence
C) Late adolescence
D) Middle adolescence
Correct Answer: D
Rationale: Middle adolescence occurs between the ages of 15 and 17.
Prepubescence occurs 2 years before the onset of puberty. Postpubescence
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