Fundamentals of Nursing Exam 1 Practice Questions with
100% correct
Terms in this set (116)
C) Wash hands The nurse is planning care for a client. Which
intervention would be appropriate to reduce the risk
of infection?
A) Assess vital signs only once daily.
B) Raise the temperature in the clients room.
C) Wash hands.
D) Wear a mask for all client care.
A) Cover the mouth and nose when The nurse wants to protect a client from developing an
sneezing infection. Which action should the nurse take to break a link
in the chain of infection?
A) Cover the mouth and nose when sneezing.
B) Place contaminated linens in a paper bag.
C) Use personal protective equipment (PPE) sparingly.
D) Wear gloves at all times.
,D) Use approximately a teaspoon of soap. The nurse is caring for a client with hepatitis A. Which
technique should the nurse use to promote proper hand-
washing technique with this client?
A) Allow the water to splatter forcibly when turned on.
B)Clean the faucet after use.
C) Hold the hands upward under the faucet.
D) Use approximately a teaspoon of soap.
A) assist the client with hand washing. A client in isolation ambulates with assistance to the
bathroom. After toileting, what should the unlicensed assistive
personnel do?
A) Assist the client with hand washing.
B)Assist the client back to bed.
C) Change the clients bed.
D) Leave the clients room.
D) Stimulate Circulation The nurse is preparing to provide morning care to a client.
What should the nurse explain to the client as the reason for a
daily bath?
A) Assess skin integrity
B) Develop a nurse/client relationship
C) Moisturize the skin
D) Stimulate circulation
C) Raise side rails when gathering supplies. The nurse is preparing to bath a client on the first
postoperative day. Which nursing intervention should
take priority?
A) Apply lotion to the extremities.
B)Change the water when it becomes cold.
C) Raise side rails when gathering supplies.
D) Remove the soiled dressing during the bath.
A, B, D, E A client who is ambulatory is able to get out of bed for
morning care. What should the nurse assess before assisting
the client out of the bed to change the linen?Select all
that apply.
A) Pulse
B) Respirations
C) Urine output
D) Blood pressure
E) Mobility status
C) Smooth texture and not oily or dry. The nurse is shampooing a clients hair. Which assessment
finding should the nurse consider as expected?
A) Dry, dark, thin
B) Smooth, taut, shiny
C) Smooth texture and not oily or dry
D)Tender, warm scalp
, C) The client, with supervision, will brush her The nurse identifies the diagnosis Self-Care Deficit
related to teeth. cognitive impairment as appropriate for a client. What
should
the nurse select as an expected outcome for this client?
A) The client will be able to name the staff that works on
the day shift.
B)The client will eliminate safety hazards in her environment.
C) The client, with supervision, will brush her teeth.
D)The nurse will stress the importance of adequate
fluid intake.
A) A client has a newly formed ileostomy. The nurse is reviewing assigned clients for morning care
needs. Which situation could pose a threat to one clients
personal hygiene?
A) A client has a newly formed ileostomy.
B)A client performs meticulous foot care.
C) A German client refuses to bathe everyday.
D)The room temperature is set at 72F.
C) Hair The nurse is preparing to provide hygienic care to a client.
On what will the nurse focus this care?
A) Clothes
B) Family
C) Hair
D) Nutritional
A) gently pinch the lens and lift it out. A client needs to have soft contact lenses removed. What
should the nurse do when removing the lenses?
A) Gently pinch the lens and lift it out.
B) Have the client look up.
C) Pull the lower eyelid upward.
D) Use the pad of the ring finger.
B) Dry toes thoroughly. The nurse is caring for a client with diabetes. What should
the nurse include as foot care for this client?
A) Cut toenails in a rounded shape and file.
B) Dry toes thoroughly.
C) Wash feet with water at a temperature of 90F to 98.6F.
D) Inspect feet thoroughly once a week.
B) Keep linens dry and wrinkle-free. A client has the nursing diagnosis Risk for Impaired Skin
Integrity related to immobility. Which nursing intervention
should be identified for this clients problem?
A) Encourage the client to eat at least 40% of meals.
B) Keep linens dry and wrinkle-free.
C) Restrict fluid intake.
D)Turn client every 3 hours.
D) Presence of any drainage. Unlicensed assistive personnel are caring for a clients ears.
What information should be reported to the nurse?
A) Excessive earwax
B) Loud talking
C) Presence of a hearing aid
D) Presence of any drainage
100% correct
Terms in this set (116)
C) Wash hands The nurse is planning care for a client. Which
intervention would be appropriate to reduce the risk
of infection?
A) Assess vital signs only once daily.
B) Raise the temperature in the clients room.
C) Wash hands.
D) Wear a mask for all client care.
A) Cover the mouth and nose when The nurse wants to protect a client from developing an
sneezing infection. Which action should the nurse take to break a link
in the chain of infection?
A) Cover the mouth and nose when sneezing.
B) Place contaminated linens in a paper bag.
C) Use personal protective equipment (PPE) sparingly.
D) Wear gloves at all times.
,D) Use approximately a teaspoon of soap. The nurse is caring for a client with hepatitis A. Which
technique should the nurse use to promote proper hand-
washing technique with this client?
A) Allow the water to splatter forcibly when turned on.
B)Clean the faucet after use.
C) Hold the hands upward under the faucet.
D) Use approximately a teaspoon of soap.
A) assist the client with hand washing. A client in isolation ambulates with assistance to the
bathroom. After toileting, what should the unlicensed assistive
personnel do?
A) Assist the client with hand washing.
B)Assist the client back to bed.
C) Change the clients bed.
D) Leave the clients room.
D) Stimulate Circulation The nurse is preparing to provide morning care to a client.
What should the nurse explain to the client as the reason for a
daily bath?
A) Assess skin integrity
B) Develop a nurse/client relationship
C) Moisturize the skin
D) Stimulate circulation
C) Raise side rails when gathering supplies. The nurse is preparing to bath a client on the first
postoperative day. Which nursing intervention should
take priority?
A) Apply lotion to the extremities.
B)Change the water when it becomes cold.
C) Raise side rails when gathering supplies.
D) Remove the soiled dressing during the bath.
A, B, D, E A client who is ambulatory is able to get out of bed for
morning care. What should the nurse assess before assisting
the client out of the bed to change the linen?Select all
that apply.
A) Pulse
B) Respirations
C) Urine output
D) Blood pressure
E) Mobility status
C) Smooth texture and not oily or dry. The nurse is shampooing a clients hair. Which assessment
finding should the nurse consider as expected?
A) Dry, dark, thin
B) Smooth, taut, shiny
C) Smooth texture and not oily or dry
D)Tender, warm scalp
, C) The client, with supervision, will brush her The nurse identifies the diagnosis Self-Care Deficit
related to teeth. cognitive impairment as appropriate for a client. What
should
the nurse select as an expected outcome for this client?
A) The client will be able to name the staff that works on
the day shift.
B)The client will eliminate safety hazards in her environment.
C) The client, with supervision, will brush her teeth.
D)The nurse will stress the importance of adequate
fluid intake.
A) A client has a newly formed ileostomy. The nurse is reviewing assigned clients for morning care
needs. Which situation could pose a threat to one clients
personal hygiene?
A) A client has a newly formed ileostomy.
B)A client performs meticulous foot care.
C) A German client refuses to bathe everyday.
D)The room temperature is set at 72F.
C) Hair The nurse is preparing to provide hygienic care to a client.
On what will the nurse focus this care?
A) Clothes
B) Family
C) Hair
D) Nutritional
A) gently pinch the lens and lift it out. A client needs to have soft contact lenses removed. What
should the nurse do when removing the lenses?
A) Gently pinch the lens and lift it out.
B) Have the client look up.
C) Pull the lower eyelid upward.
D) Use the pad of the ring finger.
B) Dry toes thoroughly. The nurse is caring for a client with diabetes. What should
the nurse include as foot care for this client?
A) Cut toenails in a rounded shape and file.
B) Dry toes thoroughly.
C) Wash feet with water at a temperature of 90F to 98.6F.
D) Inspect feet thoroughly once a week.
B) Keep linens dry and wrinkle-free. A client has the nursing diagnosis Risk for Impaired Skin
Integrity related to immobility. Which nursing intervention
should be identified for this clients problem?
A) Encourage the client to eat at least 40% of meals.
B) Keep linens dry and wrinkle-free.
C) Restrict fluid intake.
D)Turn client every 3 hours.
D) Presence of any drainage. Unlicensed assistive personnel are caring for a clients ears.
What information should be reported to the nurse?
A) Excessive earwax
B) Loud talking
C) Presence of a hearing aid
D) Presence of any drainage