FUNDAMENTALS PRACTICE QUIZ 2 EXAM STUDY GUIDE LATEST 2026
UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
A nurse is changing the dressings for a client recovering from an appendectomy following the
ruptured appendix.
The client's surgical wound is healing by secondary intention. Which of the following
observations should the nurse report to the provider?
Tenderness when touched
Pink, shiny tissue with a granular appearance
Serosanguineous drainage
A halo of erythema on the surrounding skin - Answers -A halo of erythema on the surrounding
skin
The nurse should report to the provider when the client has a ring of erythema (redness) on the
surrounding skin, which might indicate underlying infection. This and any other manifestation of
infection, such as purulent drainage, swelling, warmth, or a strong odor, should be reported to
the provider.
A nurse is caring for a client who had a mastectomy and has a self-suction drainage system in
place. Which action should the nurse take to ensure proper operation of the device?
Irrigate the tubing with sterile normal water once each shift
Cleanse the opening with soap and water after emptying
Maintain the tubing above the level of the surgical incision
Collapse the device of air after emptying - Answers -Collapse the device of air after emptying
1|Page
,A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion
pump. Which action should the nurse take first?
Remove sleeve of gown from arm without IV line.
Slow the infusion using the roller clamp
Disconnect the IV line from the pump.
Bring the IV solution and tubing from the outside to the end side of the sleeve of the gown. -
Answers -Remove sleeve of gown from arm without IV line.
According to evidence-based practice, the nurse should first remove the gown from the client's
arm without the IV line. Beginning this process will enable the nurse to move the gown fully off
the client and last stop the system to remove the gown off the line, resulting in minimal
interruption of the IV flow.
*WITHOUT
A nurse is caring for a client who is postoperative and who has an indwelling urinary catheter to
gravity drainage. The nurse notes no urine output in the past 2 hours. Which action should the
nurse take first?
Check to determine if the catheter tubing is kinked
Palpate the bladder
Obtain a prescription to irrigate the catheter with 0.9% sodium chloride.
Encourage the client to drink more fluids. - Answers -Check to determine if the catheter tubing
is kinked
The nurse should apply the least invasive priority-setting framework when caring for this client.
This framework assigns priority to nursing interventions that are least invasive to the client, as
2|Page
, long as those interventions do not jeopardize client safety. The nurse should take interventions
that are not invasive to the client before interventions that are invasive. This reduces the
number of organisms introduced into the body, decreasing the number of facility-acquired
infections. The first action the nurse should take is to inspect the tubing carefully, straightening
out any kinks, and make certain that there are no dependent loops. A common reason a tube is
not draining is that there is a kink in the tubing or that the client is lying on it.
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which action
should the nurse take?
Auscultate for bowel sounds after each feeding
Ensure the formula is cold before administering
Elevate client's head of bed 45 degrees before feeding
Flush the tubing with 15 mL of water after the enteral feeding - Answers -Elevate client's head
of bed 45 degrees before feeding
The nurse should elevate the client's head of bed between 30° to 45° to prevent aspiration.
A nurse is planning care for a client who is confused and requires a prescription for wrist
restraints. Which of the following interventions should the nurse include in the care plan?
Renew prescription for restraints within 24 hours
Secure restraints with buckle side next to client's skin
Ensure 4 fingers can be inserted under secured restraint
Remove the restraint every 3 hr. - Answers -Renew prescription or restraints within 24 hours
3|Page
UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
A nurse is changing the dressings for a client recovering from an appendectomy following the
ruptured appendix.
The client's surgical wound is healing by secondary intention. Which of the following
observations should the nurse report to the provider?
Tenderness when touched
Pink, shiny tissue with a granular appearance
Serosanguineous drainage
A halo of erythema on the surrounding skin - Answers -A halo of erythema on the surrounding
skin
The nurse should report to the provider when the client has a ring of erythema (redness) on the
surrounding skin, which might indicate underlying infection. This and any other manifestation of
infection, such as purulent drainage, swelling, warmth, or a strong odor, should be reported to
the provider.
A nurse is caring for a client who had a mastectomy and has a self-suction drainage system in
place. Which action should the nurse take to ensure proper operation of the device?
Irrigate the tubing with sterile normal water once each shift
Cleanse the opening with soap and water after emptying
Maintain the tubing above the level of the surgical incision
Collapse the device of air after emptying - Answers -Collapse the device of air after emptying
1|Page
,A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion
pump. Which action should the nurse take first?
Remove sleeve of gown from arm without IV line.
Slow the infusion using the roller clamp
Disconnect the IV line from the pump.
Bring the IV solution and tubing from the outside to the end side of the sleeve of the gown. -
Answers -Remove sleeve of gown from arm without IV line.
According to evidence-based practice, the nurse should first remove the gown from the client's
arm without the IV line. Beginning this process will enable the nurse to move the gown fully off
the client and last stop the system to remove the gown off the line, resulting in minimal
interruption of the IV flow.
*WITHOUT
A nurse is caring for a client who is postoperative and who has an indwelling urinary catheter to
gravity drainage. The nurse notes no urine output in the past 2 hours. Which action should the
nurse take first?
Check to determine if the catheter tubing is kinked
Palpate the bladder
Obtain a prescription to irrigate the catheter with 0.9% sodium chloride.
Encourage the client to drink more fluids. - Answers -Check to determine if the catheter tubing
is kinked
The nurse should apply the least invasive priority-setting framework when caring for this client.
This framework assigns priority to nursing interventions that are least invasive to the client, as
2|Page
, long as those interventions do not jeopardize client safety. The nurse should take interventions
that are not invasive to the client before interventions that are invasive. This reduces the
number of organisms introduced into the body, decreasing the number of facility-acquired
infections. The first action the nurse should take is to inspect the tubing carefully, straightening
out any kinks, and make certain that there are no dependent loops. A common reason a tube is
not draining is that there is a kink in the tubing or that the client is lying on it.
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which action
should the nurse take?
Auscultate for bowel sounds after each feeding
Ensure the formula is cold before administering
Elevate client's head of bed 45 degrees before feeding
Flush the tubing with 15 mL of water after the enteral feeding - Answers -Elevate client's head
of bed 45 degrees before feeding
The nurse should elevate the client's head of bed between 30° to 45° to prevent aspiration.
A nurse is planning care for a client who is confused and requires a prescription for wrist
restraints. Which of the following interventions should the nurse include in the care plan?
Renew prescription for restraints within 24 hours
Secure restraints with buckle side next to client's skin
Ensure 4 fingers can be inserted under secured restraint
Remove the restraint every 3 hr. - Answers -Renew prescription or restraints within 24 hours
3|Page
