EXAM 2026/2027 WITH 430
QUESTIONS AND EXPERT-VERIFIED
CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS |
RN FUNDAMENTALS EXAM
A nurse is assessing a client for signs of hypoxia. Which finding is an early
manifestation?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension - ANSWER-C. Restlessness
Rationale: Early signs of hypoxia include restlessness, anxiety, confusion, and
tachycardia. Cyanosis is a late sign.
A nurse is preparing to administer eye drops. Which action is appropriate?
A. Apply drops directly to the cornea.
,B. Instill the drops into the conjunctival sac.
C. Touch the dropper tip to the eyelid.
D. Ask the client to blink rapidly during administration. - ANSWER-B. Instill the
drops into the conjunctival sac.
Rationale: Eye drops should be placed in the conjunctival sac to reduce discomfort
and prevent corneal injury.
A nurse is caring for a client with heart failure. Which assessment finding suggests
fluid overload?
A. Weight loss of 2 lb overnight
B. Crackles at the lung bases
C. Dry mucous membranes
D. Decreased jugular venous pressure - ANSWER-B. Crackles at the lung bases
Rationale: Crackles indicate pulmonary fluid accumulation and are a common sign
of fluid volume excess.
A nurse is caring for a client who is NPO before surgery. Which action is
appropriate?
A. Allow chewing gum before surgery.
B. Confirm the client understands the NPO order.
C. Encourage clear liquids until transport arrives.
D. Offer hard candy for dry mouth. - ANSWER-B. Confirm the client understands
the NPO order.
Rationale: NPO status reduces aspiration risk during anesthesia. The nurse should
verify understanding and adherence.
A nurse is assessing a client's peripheral circulation. Which finding requires
immediate follow-up?
,A. Capillary refill of 2 seconds
B. Warm extremities
C. Absent pedal pulse
D. Pink nail beds - ANSWER-C. Absent pedal pulse
Rationale: An absent peripheral pulse may indicate impaired arterial circulation
and requires immediate assessment.
A nurse is teaching a client about preventing constipation. Which statement
demonstrates understanding?
A. "I'll ignore the urge to have a bowel movement."
B. "I'll increase my fiber and fluid intake."
C. "I'll limit physical activity."
D. "I'll take laxatives every day." - ANSWER-B. "I'll increase my fiber and fluid
intake."
Rationale: Adequate fiber, hydration, and exercise help prevent constipation
without promoting laxative dependence.
A nurse is preparing to remove a client's indwelling urinary catheter. Which action
should the nurse perform first?
A. Deflate the balloon completely.
B. Pull the catheter out quickly.
C. Clamp the tubing.
D. Irrigate the catheter. - ANSWER-A. Deflate the balloon completely.
Rationale: The retention balloon must be completely deflated before catheter
removal to prevent urethral trauma.
A nurse is caring for a client who reports calf pain and swelling. Which action
should the nurse take first?
, A. Massage the calf.
B. Encourage ambulation.
C. Assess the affected extremity.
D. Apply heat immediately. - ANSWER-C. Assess the affected extremity.
Rationale: Assessment comes first. Calf pain and swelling may indicate DVT, and
massaging the leg could dislodge a clot.
A nurse is reinforcing teaching about infection prevention. Which statement
indicates understanding?
A. "I'll stop taking antibiotics when I feel better."
B. "I'll wash my hands before touching my wound."
C. "I'll reuse old dressings if they look clean."
D. "I'll share my antibiotics with family members." - ANSWER-B. "I'll wash my
hands before touching my wound."
Rationale: Proper hand hygiene is the most effective method for preventing
infection. Antibiotics should always be taken as prescribed.
A nurse is assessing a client who reports severe abdominal pain. Which assessment
technique should the nurse perform last?
A. Inspection
B. Auscultation
C. Percussion
D. Palpation - ANSWER-D. Palpation
Rationale: The correct abdominal assessment sequence is Inspection →
Auscultation → Percussion → Palpation (IAPP). Palpation is performed last
because it can alter bowel sounds and increase discomfort.
A nurse is preparing to administer insulin. Which action is appropriate?