FUNDAMENTALS VN 100/130 PRACTICE FUNDAMENTALS
QUESTIONS EXAM WITH COMPLETE ANSWERS
1. A Nurse is caring for a client in a long term care facility who is receiving
enteral feedings via an NG tube. Which of the following actions should the
nurse take prior to administering the tube feeding? - ANSWER TEST THE
PH OF GASTRIC ASPIRATE
A nurse is assisting with the care of a client who has fallen out of their
hospital bed. Nurses' Notes
1030:
Client admitted to the medical-surgical unit yesterday for syncope. Client
fell out of bed while trying to get up without assistance. Client is confused
to person and place. Requires frequent reorientation. Call light is within
reach; however, frequent reminders to use the call light is required. Client's
room is close to nurses' station for close monitoring. Client has bruising on
left knee. Skin is intact. Vitals signs obtained. Bed alarm applied to bed and
raised x2 side rails.Vital Signs
1030:
Blood pressure 132/68 mm Hg Heart rate 72/min Respiratory rate 22/min
Temperature 37.1° C (98.9F)Oxygen saturation 92% on room air
After the nurse has collected data from the client, which of the following
actions should the nurse take? - ANSWER Notify client's provider of the
incident is correct.
Notify the charge nurse before filing the incident report is correct.
Write factual statements in the incident report is correct.
A nurse is caring for an older adult client in a long-term care facility. Which
of the following measures should the nurse take first when assisting with
planning the client's care? - ANSWER DETERMINING THE CLIENT'S
MOBILITY
,A nurse is assisting with the care of a client who is postoperative.Vital
Signs
Postoperative day 1:
Blood pressure 108/68 mm Hg
Heart rate 86/min
Respiratory rate 16/min
Temperature 37° C (98.6° F)
Oxygen saturation 97%
Postoperative day 2:
Blood pressure 88/56 mm Hg
Heart rate 104/min
Respiratory rate 18/min
Temperature 36.6° C (97.9° F)
Oxygen saturation 96%
Diagnostic Results
Postoperative day 1:
WBC 8,600/mm3 (Reference range 5,000 to10,000/mm3)
Hgb 13 g/dL (Reference range 12 to 18 g/dL)
Hct 39% (Reference range 37% to 52%)
Platelet count 290,000/mm3 (Reference range 150,000 to 400,000/mm3)
Postoperative day 2:
WBC 7,800/mm3 (Reference range 5,000 to 10,000/mm3)
Hgb 11 g/dL (Reference range 12 to 18 g/dL)
Hct 35% (Reference range 37% to 52%)
Platelet count 260,000/mm3 (Reference range 150,000 to 400,000/mm3) -
ANSWER Blood pressure 86/52 mm Hg is correct
Heart rate 106/min is correct.
Hgb 11 g/dL is correct.
A nurse is assisting a client who has generalized weakness out of bed to a
wheelchair. Which of the following actions should the nurse take? -
ANSWER LOCK THE WHEELS OF THE BED AND THE WHEELCHAIR
A nurse delegates the application of wrist restraints for a client who is
confused to an assistive personnel (AP). The AP padded the wrist
restraints and secured the straps to the bed frame with a double knot.
Which of the following actions should the nurse take? - ANSWER RETIE
THE RESTRAINT STRAPS WITH A SLIPKNOT
, A nurse is preparing a client for ambulation. Which of the following actions
should the nurse take to determine the client's level of strength? -
ANSWER ASK THE CLIENT TO PUSH HER LEGS AND FEET AGAINST
THE NURSE'S PALMS.
A nurse is caring for an older adult client who has dementia and whose
family reports he gets up and wanders around at night. Which of the
following actions should the nurse take? - ANSWER KEEP THE CLIENT'S
PERSONAL ITEMS WITHIN REACH
A nurse is caring for a client.
Nurses' Notes
Day 1
Client is admitted with a 2 day history of headache, muscle aches, fever,
sore throat, and fatigue.Vital Signs
Day 1
1200:
Temperature: 39.5°C (103.1°F)
Blood pressure: 128/56 mm Hg
Heart rate: 112/min
Respiratory rate: 22/min
SaO2: 96% on room air
Day 1
1300:
Temperature: 39.9°C (103.8°F)
Blood pressure: 128/56 mm Hg
Heart rate: 112/min
Respiratory rate: 22/min
SaO2: 96% on room air
Diagnostic Results
Day 1
1300:
Hct 38% (37% to 47%)
Hgb 13 g/dL (12 to 16 g/dL)
WBC 4500/mm3 (5,000 to 10,000/mm3)
Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
Throat culture positive for influenza B
Which of the following actions should the nurse take? - ANSWER Wear a
mask when caring for the client is correct.
Place the client in a private room is correct.
QUESTIONS EXAM WITH COMPLETE ANSWERS
1. A Nurse is caring for a client in a long term care facility who is receiving
enteral feedings via an NG tube. Which of the following actions should the
nurse take prior to administering the tube feeding? - ANSWER TEST THE
PH OF GASTRIC ASPIRATE
A nurse is assisting with the care of a client who has fallen out of their
hospital bed. Nurses' Notes
1030:
Client admitted to the medical-surgical unit yesterday for syncope. Client
fell out of bed while trying to get up without assistance. Client is confused
to person and place. Requires frequent reorientation. Call light is within
reach; however, frequent reminders to use the call light is required. Client's
room is close to nurses' station for close monitoring. Client has bruising on
left knee. Skin is intact. Vitals signs obtained. Bed alarm applied to bed and
raised x2 side rails.Vital Signs
1030:
Blood pressure 132/68 mm Hg Heart rate 72/min Respiratory rate 22/min
Temperature 37.1° C (98.9F)Oxygen saturation 92% on room air
After the nurse has collected data from the client, which of the following
actions should the nurse take? - ANSWER Notify client's provider of the
incident is correct.
Notify the charge nurse before filing the incident report is correct.
Write factual statements in the incident report is correct.
A nurse is caring for an older adult client in a long-term care facility. Which
of the following measures should the nurse take first when assisting with
planning the client's care? - ANSWER DETERMINING THE CLIENT'S
MOBILITY
,A nurse is assisting with the care of a client who is postoperative.Vital
Signs
Postoperative day 1:
Blood pressure 108/68 mm Hg
Heart rate 86/min
Respiratory rate 16/min
Temperature 37° C (98.6° F)
Oxygen saturation 97%
Postoperative day 2:
Blood pressure 88/56 mm Hg
Heart rate 104/min
Respiratory rate 18/min
Temperature 36.6° C (97.9° F)
Oxygen saturation 96%
Diagnostic Results
Postoperative day 1:
WBC 8,600/mm3 (Reference range 5,000 to10,000/mm3)
Hgb 13 g/dL (Reference range 12 to 18 g/dL)
Hct 39% (Reference range 37% to 52%)
Platelet count 290,000/mm3 (Reference range 150,000 to 400,000/mm3)
Postoperative day 2:
WBC 7,800/mm3 (Reference range 5,000 to 10,000/mm3)
Hgb 11 g/dL (Reference range 12 to 18 g/dL)
Hct 35% (Reference range 37% to 52%)
Platelet count 260,000/mm3 (Reference range 150,000 to 400,000/mm3) -
ANSWER Blood pressure 86/52 mm Hg is correct
Heart rate 106/min is correct.
Hgb 11 g/dL is correct.
A nurse is assisting a client who has generalized weakness out of bed to a
wheelchair. Which of the following actions should the nurse take? -
ANSWER LOCK THE WHEELS OF THE BED AND THE WHEELCHAIR
A nurse delegates the application of wrist restraints for a client who is
confused to an assistive personnel (AP). The AP padded the wrist
restraints and secured the straps to the bed frame with a double knot.
Which of the following actions should the nurse take? - ANSWER RETIE
THE RESTRAINT STRAPS WITH A SLIPKNOT
, A nurse is preparing a client for ambulation. Which of the following actions
should the nurse take to determine the client's level of strength? -
ANSWER ASK THE CLIENT TO PUSH HER LEGS AND FEET AGAINST
THE NURSE'S PALMS.
A nurse is caring for an older adult client who has dementia and whose
family reports he gets up and wanders around at night. Which of the
following actions should the nurse take? - ANSWER KEEP THE CLIENT'S
PERSONAL ITEMS WITHIN REACH
A nurse is caring for a client.
Nurses' Notes
Day 1
Client is admitted with a 2 day history of headache, muscle aches, fever,
sore throat, and fatigue.Vital Signs
Day 1
1200:
Temperature: 39.5°C (103.1°F)
Blood pressure: 128/56 mm Hg
Heart rate: 112/min
Respiratory rate: 22/min
SaO2: 96% on room air
Day 1
1300:
Temperature: 39.9°C (103.8°F)
Blood pressure: 128/56 mm Hg
Heart rate: 112/min
Respiratory rate: 22/min
SaO2: 96% on room air
Diagnostic Results
Day 1
1300:
Hct 38% (37% to 47%)
Hgb 13 g/dL (12 to 16 g/dL)
WBC 4500/mm3 (5,000 to 10,000/mm3)
Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
Throat culture positive for influenza B
Which of the following actions should the nurse take? - ANSWER Wear a
mask when caring for the client is correct.
Place the client in a private room is correct.
