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Fundamentals Practice Exam A Terms in this set (60) A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? Use tracheostomy covers when outdoors Explanation: The cover protects the client's airway from air, dust, and airborne particles A home health nurse is performing a follow up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea ? The client's caregiver washes out the feeding bag with warm water every 24 hrs. Explanation: Feeding bags should be washed out after every feeding to prevent bacterial contamination Fundamentals Practice Exam A Study contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure if I want to retire." Which of the following responses should the nurse make? Explanation: This response is therapeutic because the nurse is encouraging the client to verbalize feelings about the life transition of retirement A nurse is assessing a client Is your pain sharp or dull who reports increased pain following physical therapy. Explanation: This helps determine the quality of the Which of the following pain. QRSTU questions should the nurse ask when assessing the quality of the client's pain. Reassure the client that this is an expected A nurse is caring for a client response. who is expressing anger about his diagnosis of colorectal Explanation: During the anger stage of the cancer. Which of the following psychosocial adaptation to illness, the nurse should actions should the nurse take? support the client and explain that this is an expected reaction to a cancer diagnosis A nurse on a medical surgical Pad the client's wrist before applying the restraints unit is caring for a client who has a new prescription for wrist Explanation: The use of restraints without padding restraints. Which of the can abrade the client's skin resulting in client injury following actions should the nurse take? Fundamentals Practice Exam A Study who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper protocol. Explanation: The client should use non-flammable materials The nurse is caring for a client apply intermittent suction when withdrawing the with a respiratory infection. catheter Which of the following techniques should the nurse explanation: This is to prevent injury to the mucosa. use when performing However, suctioning continuously for more than 10 nasotracheal suctioning for the seconds can cause cardiopulmonary compromise. client A nurse is preparing to administer the medication with the needle at a 45º administer enoxaparin angle subcutaneously to a client. Which of the following actions should the nurse take? A nurse is preparing an Advocacy ensures clients' safety, health, and rights. education program for staff about advocacy. Which of the Explanation: As a client advocate, the nurse ensures following should the nurse clients' safety, health, and rights, including the right include? to privacy, confidentiality, and refusal of care. A nurse is administering an otic Press gently on the tragus of the client's ear. medication to an older adult client. Which of the following Explanation: Pressing gently on the tragus of the ear actions should the nurse take will help the medication get into the inner ear. to ensure that the medication reaches the inner ear? Fundamentals Practice Exam A Study A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? Explanation: The nurse should identify that a client who has dementia requires assistance when exiting their bed and might be unable to remember to ask for help. The client's condition places them at a risk for falling. A bed alarm system can alert staff members that the client is trying to get out of bed and requires assistance. Make sure the client wears a mask when outside her A nurse is initiating a protective room if there is construction in the area. environment for a client who has had an allogeneic stem cell explanation: An allogeneic stem cell transplant transplant. Which of the compromises the client's immune system, greatly following precautions should increasing the risk for infection. The client will need the nurse plan for this client? protection from breathing in any pathogens in the ..............................................continued................................................

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2023, 8:10 AM Fundamentals Practice Exam A Flashcards | t



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Fundamentals Practice Exam A

Terms in this set (60)


A nurse is teaching a client Use tracheostomy covers when outdoors
and his family how to care for
the client's tracheostomy at Explanation: The cover protects the client's
home. airway from air, dust, and airborne particles
Which of the following
instructions should the nurse
include in the teaching?


A home health nurse is
The client's caregiver washes out the feeding
performing a follow up visit for
bag with warm water every 24 hrs.
a client who has a
gastrostomy tube through
Explanation: Feeding bags should be washed out
which they receive
after every feeding to prevent bacterial
intermittent feedings
contamination
and medications. The client
has recently developed
diarrhea.
Which of the following findings
should the nurse identify as a
possible cause of the diarrhea
?




/ 1/1

,2023, 8:10 AM Fundamentals Practice Exam A Flashcards |
Quizlet


Fundamentals
A nurse is talking with Practice
an older Exam
Let's A
talk about how the change in your job Study
status
adult client whoretirement.
contemplating is The will affect you
client states, "I keep thinking Explanation: This response is therapeutic because
about how much I enjoy my the nurse is encouraging the client to verbalize
job. I'm not sure if I want to feelings about the life transition of retirement
retire." Which of the following
responses should the nurse
make?




A nurse is assessing a client Is your pain sharp or
dull who reports increased pain
following physical therapy. Explanation: This helps determine the quality of
the Which of the following pain. QRSTU
questions should the nurse ask
when assessing the quality of
the client's pain.


Reassure the client that this is an expected
response.
A nurse is caring for a client
who is expressing anger about
his diagnosis of colorectal
Explanation: During the anger stage of the
cancer. Which of the following
psychosocial adaptation to illness, the nurse
actions should the nurse take?
should support the client and explain that this is an
expected reaction to a cancer diagnosis


A nurse on a medical surgical Pad the client's wrist before applying the
restraints unit is caring for a client who
has a new prescription for wrist Explanation: The use of restraints without
padding restraints. Which of the can abrade the client's skin resulting in client
injury following actions should the
nurse take?


/ 2/1

, Fundamentals Practice Exam A Flashcards



Fundamentals
A nurse is performing aPractice
home Exam A uses non-acetone nail polish removerStudy
the client
safety assessment for a client
who is receiving supplemental Explanation: The client should use non-flammable
oxygen. Which of the following materials
observations should the nurse
identify as proper protocol.



The nurse is caring for a client apply intermittent suction when withdrawing
the with a respiratory infection. catheter
Which of the following
techniques should the nurse explanation: This is to prevent injury to the mucosa.
use when performing However, suctioning continuously for more than
10 nasotracheal suctioning for the seconds can cause cardiopulmonary compromise.
client


A nurse is preparing to administer the medication with the needle at a
45º administer enoxaparin angle
subcutaneously to a client.
Which of the following actions
should the nurse take?


A nurse is preparing an Advocacy ensures clients' safety, health, and
rights. education program for staff
about advocacy. Which of the Explanation: As a client advocate, the nurse
ensures following should the nurse clients' safety, health, and rights, including the right
include? to privacy, confidentiality, and refusal of care.


A nurse is administering an otic Press gently on the tragus of the client's
ear. medication to an older adult
client. Which of the following Explanation: Pressing gently on the tragus of the
ear actions should the nurse take will help the medication get into the inner ear.
to ensure that the medication
reaches the inner ear?




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