FNDMNTLS FNL 501 EXAM QUESTIONS
WITH CORRECT ANSWERS
1. A client who reports shortness of breath requests her nurse's help in changing
positions. After repositioning the client, which of the following actions should the nurse
take next? - ANSWER Observe the rate, depth, and character of the client's
respirations.
Rationale:
The nurse should apply the nursing process priority-setting framework when caring for
this client. The nurse can use the nursing process to plan client care and prioritize
nursing actions. Each step of the nursing process builds on the previous step, beginning
with assessment or data collection. Before the nurse can formulate a plan of action,
implement a nursing intervention, or notify a provider of a change in the client's status,
the nurse must first collect adequate data from the client. Assessing or collecting
additional data will provide the nurse with knowledge to make an appropriate decision;
therefore, the first action the nurse should take is to assess the client's respiratory
status.
2. A nurse is caring for a client who, while sitting in a chair, starts to experience a
seizure. Which of the following actions should the nurse take? - ANSWER Lower the
client to the floor and place a pad under the client's head.
Rationale:
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or other soft object under the client's head.
3. A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention? - ANSWER Educating clients about the recommended
immunization schedule for adults
Rationale:
Primary prevention includes health education about disease prevention.
, 4. A nurse is using the I-SBAR communication tool to provide the client's provider with
information about the client. The nurse should convey the client's pain status in which
portion of the report? - ANSWER Assessment
Rationale:
The nurse provides information about assessment findings in this portion of the report.
This includes vital signs, pain assessment, and changes in assessment findings.
5. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The
nurse should identify that which of the following findings is an indication of infiltration? -
ANSWER Edema at the infusion site
Rationale:
Edema due to fluid entering subcutaneous tissue is an indication of infiltration.
6. A nurse is providing discharge teaching to a client who is recovering from lung
cancer. The provider instructed the client that he could resume lower-intensity activities
of daily living. Which of the following activities should the nurse recommend to the
client? - ANSWER Washing dishes
Rationale:
Washing dishes requires a low level of activity and is appropriate for this client.
7. A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status? -
ANSWER Daily weight
Rationale:
According to the evidence-based priority-setting framework, daily weight provides
important information about the client's fluid status. A gain or loss of 1 kg (2.2 lb)
indicates a gain or loss of 1 liter of fluid; therefore, weighing the client daily will provide
the nurse with the most accurate fluid status measurement.
8. A nurse is planning to assess the abdomen of a client who reports feeling bloated for
several weeks. Which of the following methods of assessment should the nurse use
first? - ANSWER Inspection
Rationale:
According to evidence-based practice, the nurse should inspect the abdomen first by
observing the contour of the abdomen, the condition of the skin, and the position of the
umbilicus. Findings from this step of assessment are used by the nurse in the
subsequent steps.
9. A nurse is explaining the use of written consent forms to a newly-licensed nurse. The
nurse should ensure that a written consent form has been signed by which of the
WITH CORRECT ANSWERS
1. A client who reports shortness of breath requests her nurse's help in changing
positions. After repositioning the client, which of the following actions should the nurse
take next? - ANSWER Observe the rate, depth, and character of the client's
respirations.
Rationale:
The nurse should apply the nursing process priority-setting framework when caring for
this client. The nurse can use the nursing process to plan client care and prioritize
nursing actions. Each step of the nursing process builds on the previous step, beginning
with assessment or data collection. Before the nurse can formulate a plan of action,
implement a nursing intervention, or notify a provider of a change in the client's status,
the nurse must first collect adequate data from the client. Assessing or collecting
additional data will provide the nurse with knowledge to make an appropriate decision;
therefore, the first action the nurse should take is to assess the client's respiratory
status.
2. A nurse is caring for a client who, while sitting in a chair, starts to experience a
seizure. Which of the following actions should the nurse take? - ANSWER Lower the
client to the floor and place a pad under the client's head.
Rationale:
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or other soft object under the client's head.
3. A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention? - ANSWER Educating clients about the recommended
immunization schedule for adults
Rationale:
Primary prevention includes health education about disease prevention.
, 4. A nurse is using the I-SBAR communication tool to provide the client's provider with
information about the client. The nurse should convey the client's pain status in which
portion of the report? - ANSWER Assessment
Rationale:
The nurse provides information about assessment findings in this portion of the report.
This includes vital signs, pain assessment, and changes in assessment findings.
5. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The
nurse should identify that which of the following findings is an indication of infiltration? -
ANSWER Edema at the infusion site
Rationale:
Edema due to fluid entering subcutaneous tissue is an indication of infiltration.
6. A nurse is providing discharge teaching to a client who is recovering from lung
cancer. The provider instructed the client that he could resume lower-intensity activities
of daily living. Which of the following activities should the nurse recommend to the
client? - ANSWER Washing dishes
Rationale:
Washing dishes requires a low level of activity and is appropriate for this client.
7. A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status? -
ANSWER Daily weight
Rationale:
According to the evidence-based priority-setting framework, daily weight provides
important information about the client's fluid status. A gain or loss of 1 kg (2.2 lb)
indicates a gain or loss of 1 liter of fluid; therefore, weighing the client daily will provide
the nurse with the most accurate fluid status measurement.
8. A nurse is planning to assess the abdomen of a client who reports feeling bloated for
several weeks. Which of the following methods of assessment should the nurse use
first? - ANSWER Inspection
Rationale:
According to evidence-based practice, the nurse should inspect the abdomen first by
observing the contour of the abdomen, the condition of the skin, and the position of the
umbilicus. Findings from this step of assessment are used by the nurse in the
subsequent steps.
9. A nurse is explaining the use of written consent forms to a newly-licensed nurse. The
nurse should ensure that a written consent form has been signed by which of the
