Fundamentals Final Exam 181-24
Questions With Correct Answers
The nurse observes a patients return demonstration of IS. Which patient action
indicates that additional education is needed? - CORRECT ANSWER-Examining
expectorated sputum
Which is the best method for the nurse to prevent self-injury when assisting a patient to
a sitting position? - CORRECT ANSWER-Using correct body alignment
A nurse is teaching a nursing student how to prepare a swab wound culture specimen
for the laboratory. The nurse recognizes that the student needs further instruction when
the student makes which statement? - CORRECT ANSWER-"I will hold on to the
specimen and send it with other specimens at the end of the shift"
A patient is being assisted to a standing position and is asked to rock back and forth.
Which explanation best describes the benefits of using a rocking motion? - CORRECT
ANSWER-"A rocking motion gives the body momentum to stand"
The nurse has just completed a dressing change. Which entry is the most complete and
appropriate to write in the nurse's notes? - CORRECT ANSWER-"Wound is 3 cm in
diameter, no drainage noted."
Which patient would have the most difficulty using three-point, non-weight bearing
crutch walking? - CORRECT ANSWER-An 88-year-old patient with a history of heart
failure
A young parent of two toddlers was treated for a fracture of the left tibia and has just
been taught how to use crutches. The patient provided a safe return demonstration
using a three-point pattern on two crutches. Which statement indicates that this patient
understands the safety issues surrounding the non-weight bearing use of crutches? -
CORRECT ANSWER-"I need to check for any tripping hazards, such as throw rugs,
electrical cords, or toys, before I use my crutches in the house"
The charge nurse is providing education on deescalation techniques during a staff
meeting. Which statement by one of the staff members suggests that further education
is necessary? - CORRECT ANSWER-"If done right, the same de-escalation technique
can be applied to most patients"
The nurse has forgotten to document something. Going to the chart, the nurse finds that
several team members have added entries since the nurse's previous shift. Which
choice contains the correct instruction for late documentation? - CORRECT ANSWER-
, Draw one line through the nurse's previous entry and rewrite an entry with the additional
data and label entry as "out of sequence"
A patient comes in with complications from incorrectly bearing weight on crutches.
Which condition can be eliminated as a possible complication of this patient's incorrect
technique? - CORRECT ANSWER-Lumerus Fracture
A history of food allergies increases the risk of the patient having a reaction to latex.
Which food is related to an increase in latex sensitivities or allergies? - CORRECT
ANSWER-Avocado
An experienced nurse is teaching a new nurse about peristome skin care while
changing an ostomy appliance. Which statement by the new nurse demonstrates
understanding? - CORRECT ANSWER-"I should gently wash the area around the
stoma with warm tao water and pat it dry."
The nurse is finished teaching the patient for to perform IS. What is the nurse's next
action? - CORRECT ANSWER-Ask the patient to perform a return demonstration
A patient rolls down the anti embolic stockings to cool down because the stockings
make the legs hot and sweaty. What should the nurse tell the patient? - CORRECT
ANSWER-Antiembolic stockings may be removed for a short period of time.
The nurse is overseeing a group of children during lunch. The nurse observes that one
child, who usually refuses to follow instructions, is cooperating. The nurse considers
which responses as the most appropriate for a child in this situation? - CORRECT
ANSWER-Praise the child for following instructions.
Once a person receives a terminale diagnosis, the process of saying goodbye and
completing life affairs begins. What is this process called? - CORRECT ANSWER-
Anticipatory grief
Multimodal therapy is necessary to treat uncomfortable symptoms. Environmental
changes, anxiolytics, and opioids such as morphine are methods that can be used to
treat which symptom? - CORRECT ANSWER-Pain
Which instruction should be given to patient at home who needs to send a urine culture
to the local laboratory for testing? - CORRECT ANSWER-Keep the urine specimen on
ice until it reaches the laboratory for testing.
An older adult patient smiles and nods in every interaction with nurse. Which questions
is most helpful to prevent misunderstanding for care? - CORRECT ANSWER-"What are
your questions at this time?"
A patient who has diabetes and is in a coma needs to be turned every 2 hours. During
admission, the nurse notices that the patient's leg cyanotic and cool with two dime-size
Questions With Correct Answers
The nurse observes a patients return demonstration of IS. Which patient action
indicates that additional education is needed? - CORRECT ANSWER-Examining
expectorated sputum
Which is the best method for the nurse to prevent self-injury when assisting a patient to
a sitting position? - CORRECT ANSWER-Using correct body alignment
A nurse is teaching a nursing student how to prepare a swab wound culture specimen
for the laboratory. The nurse recognizes that the student needs further instruction when
the student makes which statement? - CORRECT ANSWER-"I will hold on to the
specimen and send it with other specimens at the end of the shift"
A patient is being assisted to a standing position and is asked to rock back and forth.
Which explanation best describes the benefits of using a rocking motion? - CORRECT
ANSWER-"A rocking motion gives the body momentum to stand"
The nurse has just completed a dressing change. Which entry is the most complete and
appropriate to write in the nurse's notes? - CORRECT ANSWER-"Wound is 3 cm in
diameter, no drainage noted."
Which patient would have the most difficulty using three-point, non-weight bearing
crutch walking? - CORRECT ANSWER-An 88-year-old patient with a history of heart
failure
A young parent of two toddlers was treated for a fracture of the left tibia and has just
been taught how to use crutches. The patient provided a safe return demonstration
using a three-point pattern on two crutches. Which statement indicates that this patient
understands the safety issues surrounding the non-weight bearing use of crutches? -
CORRECT ANSWER-"I need to check for any tripping hazards, such as throw rugs,
electrical cords, or toys, before I use my crutches in the house"
The charge nurse is providing education on deescalation techniques during a staff
meeting. Which statement by one of the staff members suggests that further education
is necessary? - CORRECT ANSWER-"If done right, the same de-escalation technique
can be applied to most patients"
The nurse has forgotten to document something. Going to the chart, the nurse finds that
several team members have added entries since the nurse's previous shift. Which
choice contains the correct instruction for late documentation? - CORRECT ANSWER-
, Draw one line through the nurse's previous entry and rewrite an entry with the additional
data and label entry as "out of sequence"
A patient comes in with complications from incorrectly bearing weight on crutches.
Which condition can be eliminated as a possible complication of this patient's incorrect
technique? - CORRECT ANSWER-Lumerus Fracture
A history of food allergies increases the risk of the patient having a reaction to latex.
Which food is related to an increase in latex sensitivities or allergies? - CORRECT
ANSWER-Avocado
An experienced nurse is teaching a new nurse about peristome skin care while
changing an ostomy appliance. Which statement by the new nurse demonstrates
understanding? - CORRECT ANSWER-"I should gently wash the area around the
stoma with warm tao water and pat it dry."
The nurse is finished teaching the patient for to perform IS. What is the nurse's next
action? - CORRECT ANSWER-Ask the patient to perform a return demonstration
A patient rolls down the anti embolic stockings to cool down because the stockings
make the legs hot and sweaty. What should the nurse tell the patient? - CORRECT
ANSWER-Antiembolic stockings may be removed for a short period of time.
The nurse is overseeing a group of children during lunch. The nurse observes that one
child, who usually refuses to follow instructions, is cooperating. The nurse considers
which responses as the most appropriate for a child in this situation? - CORRECT
ANSWER-Praise the child for following instructions.
Once a person receives a terminale diagnosis, the process of saying goodbye and
completing life affairs begins. What is this process called? - CORRECT ANSWER-
Anticipatory grief
Multimodal therapy is necessary to treat uncomfortable symptoms. Environmental
changes, anxiolytics, and opioids such as morphine are methods that can be used to
treat which symptom? - CORRECT ANSWER-Pain
Which instruction should be given to patient at home who needs to send a urine culture
to the local laboratory for testing? - CORRECT ANSWER-Keep the urine specimen on
ice until it reaches the laboratory for testing.
An older adult patient smiles and nods in every interaction with nurse. Which questions
is most helpful to prevent misunderstanding for care? - CORRECT ANSWER-"What are
your questions at this time?"
A patient who has diabetes and is in a coma needs to be turned every 2 hours. During
admission, the nurse notices that the patient's leg cyanotic and cool with two dime-size
