FUNDAMENTALS OF NURSING FINAL EXAM\
LATEST OF NURSING ACTUAL FINAL EXAM 2024-
2025
During a routine vital sign assessment, the nurse notes the client's blood pressure is
212/110. Why is this finding particularly significant? - ANSWER-It deviates from
normal and is significant.
The normal adult temperature obtained through the oral route ranges from: -
ANSWER-97.6°F to 99.6°F (36.4°C to 37.6°C).
To assess the client's pulse, the nurse knows the normal range for pulse rate of a
healthy adult is: - ANSWER-60 to 100 beats per minute.
Infants and children's pulses vary most with: - ANSWER-Respirations
An ultrasonic Doppler is used for: - ANSWER-Auscultating a pulse that is difficult to
palpate.
An adult pulse greater than 100 beats per minute is: - ANSWER-Tachycardia
A client has smoked most of his life and has labored respirations. He is experiencing:
- ANSWER-Dyspnea
Which outcome best reflects achievement of the goal, "The client will demonstrate
correct steps in taking his own pulse rate"? - ANSWER-Palpation of the radial pulse
on the thumb side of the inner aspect of the wrist.
What is the most common reason people contact healthcare providers? - ANSWER-
infectious disease
The nurse performs hand hygiene with soap and water before caring for a client.
What is the primary rationale for this action? - ANSWER-To eliminate disease-
producing organisms from the nurse's skin
A nursing student presents to the university health center reporting a sore throat,
malaise, and loss of appetite. The nurse assesses the student and determines he or
she has large, white-yellow exudates in the back of the throat and a fever. The
student is presenting with: - ANSWER-An infectious disease
,When a nurse picks up a client's contaminated tissue without gloves and fails to
wash the hands sufficiently, the nurse provides for the client's organisms to be
spread by which type of transmission? - ANSWER-Contact
What is the most common client site for development of healthcare-associated
infections (HAl)? - ANSWER-UTI
When the client who has been diagnosed with hepatitis B has been hospitalized, the
type of isolation the nursing staff should observe is: - ANSWER-Droplet precautions.
A client has an inguinal hernia repair and later develops a methicillin-resistant
Staphylococcus aureus (MRSA) infection at the surgical site. What is the most
important factor to prevent this infection? - ANSWER-Surgical asepsis
The nurse explains to the client that the first line of defense against infection is: -
ANSWER-Intact skin and mucous membranes.
When a female African American adolescent client asks the nurse how to care for
her long hair, which is braided into small braids, the nurse should instruct the client
that: - ANSWER-Hair should be washed as often as necessary
A new mother has brought her infant into the pediatric clinic. The infant has an
excoriation on the buttocks. What should the nurse instruct the mother? - ANSWER-
Keep the diaper and buttocks clean and dry and apply zinc oxide.
The nurse is caring for a woman who informs the nurse that she needs assistance to
remove and clean her glass eye. What actions by the nurse are most appropriate to
accomplish the task? - ANSWER-Pull down on the lower lid and exert slight pressure
below the lid.
A parent reports that their water is not fluoridated and questions the nurse whether
her 9-year-old child needs fluoride supplements. Which response by the nurse is
most appropriate? - ANSWER-In the absence of fluoridated water supplies,
supplementation is recommended
What is the primary goal of the planning phase of the nursing process? - ANSWER-
The third step of the nursing process; the nurse prioritizes diagnoses, formulates
desired goals, and selects nursing interventions.
A nurse is conducting an assessment of a client. Which information would the nurse
identify as a primary source? - ANSWER-The client is the primary source of
information
A nursing student is developing interpersonal skills. Which method would best
facilitate this type of learning? - ANSWER-Participating in communication courses.
In order to implement the most effective care for clients what is the most appropriate
action for the student to take? - ANSWER-Apply theoretical knowledge to present
clinical situations.
, A client has been discharged from an acute care facility. The first task a home health
nurse must accomplish is: - ANSWER-Coordinating future care for the client
The nurse observes the client while walking into the room. What information will this
provide the nurse? - ANSWER-Information regarding the client's gait
Which cultural group may interpret touch by another as an invasion of privacy? -
ANSWER-Chinese
The home care nurse is preparing to perform a nursing history on a newly assigned
adult client with a venous stasis ulcer. Which statement by the nurse is most
accurate? - ANSWER-"I would like to schedule a time for me to perform a nursing
history. It will take around 30 to 60 minutes."
While performing the nursing history, the nurse notes that the client reports having
very little pain but is occasionally grimacing and rubbing one shoulder throughout the
interview. The nurse acknowledges this behavior, questions the client, and then
proceeds with other phases of the interview. This action takes place during which
phase of the nursing interview? - ANSWER-Maintenance
When making an inference from the cues obtained during an assessment, it is
important for the nurse to keep what in mind? - ANSWER-Validate inferences with
the patient
Upon admission to the hospital, the client states, "I am having surgery to correct my
back. I have pain in the lower back and the doctor is going to do a lumbar
laminectomy." This statement reflects the client's: - ANSWER-Chief complaint
To gather subjective data on a client's nutrition and metabolic pattern, the nurse
should: - ANSWER-Ask the client for a 24-hour diet recall
An intensive care unit nurse reports the client's condition to the nurse on the medical
unit. This is a(an): - ANSWER-Secondary source
A client had a cerebrovascular accident yesterday and is currently comatose. What
type of scale should the nurse use to weigh the client? - ANSWER-Bed Scale
To obtain data about an adult client's sexuality and reproductive pattern, the nurse
should ask the client: - ANSWER-Has anything changed your sexual performance?
During a health assessment, the nurse uses deep palpation to assess a client's: -
ANSWER-Liver
When percussing the liver, the sound should be: - ANSWER-Dull sound
When performing a cranial nerve assessment on an adult client, the nurse assesses
the trigeminal nerve by: - ANSWER-Palpating the masseter muscles while the
patient clenches the teeth, and by asking the patient to open the mouth against
resistance.
LATEST OF NURSING ACTUAL FINAL EXAM 2024-
2025
During a routine vital sign assessment, the nurse notes the client's blood pressure is
212/110. Why is this finding particularly significant? - ANSWER-It deviates from
normal and is significant.
The normal adult temperature obtained through the oral route ranges from: -
ANSWER-97.6°F to 99.6°F (36.4°C to 37.6°C).
To assess the client's pulse, the nurse knows the normal range for pulse rate of a
healthy adult is: - ANSWER-60 to 100 beats per minute.
Infants and children's pulses vary most with: - ANSWER-Respirations
An ultrasonic Doppler is used for: - ANSWER-Auscultating a pulse that is difficult to
palpate.
An adult pulse greater than 100 beats per minute is: - ANSWER-Tachycardia
A client has smoked most of his life and has labored respirations. He is experiencing:
- ANSWER-Dyspnea
Which outcome best reflects achievement of the goal, "The client will demonstrate
correct steps in taking his own pulse rate"? - ANSWER-Palpation of the radial pulse
on the thumb side of the inner aspect of the wrist.
What is the most common reason people contact healthcare providers? - ANSWER-
infectious disease
The nurse performs hand hygiene with soap and water before caring for a client.
What is the primary rationale for this action? - ANSWER-To eliminate disease-
producing organisms from the nurse's skin
A nursing student presents to the university health center reporting a sore throat,
malaise, and loss of appetite. The nurse assesses the student and determines he or
she has large, white-yellow exudates in the back of the throat and a fever. The
student is presenting with: - ANSWER-An infectious disease
,When a nurse picks up a client's contaminated tissue without gloves and fails to
wash the hands sufficiently, the nurse provides for the client's organisms to be
spread by which type of transmission? - ANSWER-Contact
What is the most common client site for development of healthcare-associated
infections (HAl)? - ANSWER-UTI
When the client who has been diagnosed with hepatitis B has been hospitalized, the
type of isolation the nursing staff should observe is: - ANSWER-Droplet precautions.
A client has an inguinal hernia repair and later develops a methicillin-resistant
Staphylococcus aureus (MRSA) infection at the surgical site. What is the most
important factor to prevent this infection? - ANSWER-Surgical asepsis
The nurse explains to the client that the first line of defense against infection is: -
ANSWER-Intact skin and mucous membranes.
When a female African American adolescent client asks the nurse how to care for
her long hair, which is braided into small braids, the nurse should instruct the client
that: - ANSWER-Hair should be washed as often as necessary
A new mother has brought her infant into the pediatric clinic. The infant has an
excoriation on the buttocks. What should the nurse instruct the mother? - ANSWER-
Keep the diaper and buttocks clean and dry and apply zinc oxide.
The nurse is caring for a woman who informs the nurse that she needs assistance to
remove and clean her glass eye. What actions by the nurse are most appropriate to
accomplish the task? - ANSWER-Pull down on the lower lid and exert slight pressure
below the lid.
A parent reports that their water is not fluoridated and questions the nurse whether
her 9-year-old child needs fluoride supplements. Which response by the nurse is
most appropriate? - ANSWER-In the absence of fluoridated water supplies,
supplementation is recommended
What is the primary goal of the planning phase of the nursing process? - ANSWER-
The third step of the nursing process; the nurse prioritizes diagnoses, formulates
desired goals, and selects nursing interventions.
A nurse is conducting an assessment of a client. Which information would the nurse
identify as a primary source? - ANSWER-The client is the primary source of
information
A nursing student is developing interpersonal skills. Which method would best
facilitate this type of learning? - ANSWER-Participating in communication courses.
In order to implement the most effective care for clients what is the most appropriate
action for the student to take? - ANSWER-Apply theoretical knowledge to present
clinical situations.
, A client has been discharged from an acute care facility. The first task a home health
nurse must accomplish is: - ANSWER-Coordinating future care for the client
The nurse observes the client while walking into the room. What information will this
provide the nurse? - ANSWER-Information regarding the client's gait
Which cultural group may interpret touch by another as an invasion of privacy? -
ANSWER-Chinese
The home care nurse is preparing to perform a nursing history on a newly assigned
adult client with a venous stasis ulcer. Which statement by the nurse is most
accurate? - ANSWER-"I would like to schedule a time for me to perform a nursing
history. It will take around 30 to 60 minutes."
While performing the nursing history, the nurse notes that the client reports having
very little pain but is occasionally grimacing and rubbing one shoulder throughout the
interview. The nurse acknowledges this behavior, questions the client, and then
proceeds with other phases of the interview. This action takes place during which
phase of the nursing interview? - ANSWER-Maintenance
When making an inference from the cues obtained during an assessment, it is
important for the nurse to keep what in mind? - ANSWER-Validate inferences with
the patient
Upon admission to the hospital, the client states, "I am having surgery to correct my
back. I have pain in the lower back and the doctor is going to do a lumbar
laminectomy." This statement reflects the client's: - ANSWER-Chief complaint
To gather subjective data on a client's nutrition and metabolic pattern, the nurse
should: - ANSWER-Ask the client for a 24-hour diet recall
An intensive care unit nurse reports the client's condition to the nurse on the medical
unit. This is a(an): - ANSWER-Secondary source
A client had a cerebrovascular accident yesterday and is currently comatose. What
type of scale should the nurse use to weigh the client? - ANSWER-Bed Scale
To obtain data about an adult client's sexuality and reproductive pattern, the nurse
should ask the client: - ANSWER-Has anything changed your sexual performance?
During a health assessment, the nurse uses deep palpation to assess a client's: -
ANSWER-Liver
When percussing the liver, the sound should be: - ANSWER-Dull sound
When performing a cranial nerve assessment on an adult client, the nurse assesses
the trigeminal nerve by: - ANSWER-Palpating the masseter muscles while the
patient clenches the teeth, and by asking the patient to open the mouth against
resistance.
