FUNDAMENTALS EXAM WITH ACTUAL CORRECT
ANSWERS
A nurse at a rehabilitation facility is assisting with the admission of a client who has left hemiplegia
following a stroke. Which of the following actions should the nurse take first? - ANSWER-Determine the
client's mental status
A nurse is planning care for a client who practices Judaism. Which of the following questions should the
nurse ask the client to better understand how he practices Judaism? - ANSWER-"Do you observe the
Sabbath?"
A nurse is caring for a client who has a visual impairment. When setting up the client's meal tray, the
nurse should take which of the following actions? - ANSWER-Describe food placement using the
numbers on the face of a clock
A nurse is reinforcing teaching with a male client about clean intermittent self-catheterization. Which of
the following instructions should the nurse include? - ANSWER-Wash the catheter with soap and water
after use
A nurse is caring for a client who has a terminal illness. Which of the following is an expected response
by a family member during the anger stage of grieving? - ANSWER-The family member criticizes care
provided by the nurse
, A nurse is assisting with the plan of care for a client who is dying. Which of the following interventions
should the nurse include in the plan of care? - ANSWER-Allow family to assist the client with personal
hygiene
A nurse is preparing to collect blood samples from an older adult client. Which of the following actions
should the nurse take when performing venipuncture? - ANSWER-Apply the tourniquet over the client's
sleeve
A nurse is collecting data from a client who is receiving a continuous IV infusion of lactated Ringer's for
dehydration. Which of the following findings indicates infiltration of the solution into the subcutaneous
area? - ANSWER-The area around the infusion site is cool to the touch
A nurse is reinforcing teaching about home safety with a client who is at risk for falls. Which of the
following client statements indicates an understanding of the teaching? - ANSWER-I will secure all of my
electrical cords to the baseboard
A nurse is reinforcing teaching about sleep promotion with a client who reports having difficulty
sleeping. Which of the following client statements indicates an understanding of the teaching? -
ANSWER-I should play music that relaxes me before I go to bed
A nurse is reinforcing teaching with the partner of a client who has left-sided weakness about how to
safely move the client from a bed to a chair at home. which of the following statements by the partner
indicates an understanding of the teaching? - ANSWER-I'll bend at the knees when lifting to get better
leverage
A nurse is reinforcing teaching about health promotion with an older adult client. Which of the following
instructions to the client is an example of secondary prevention? - ANSWER-Participate in screenings for
tuberculosis
A nurse is monitoring an assistive personnel (AP) who is measuring a client's oxygen saturation using a
pulse oximeter. Which of the following observations by the nurse indicates that the AP is correctly
performing the task? - ANSWER-The AP chooses a site with a capillary refill of less than 2 seconds.