RN Fundamentals content mastery
practice test
A charge nurse is discussing the responsibility of nurses caring for clients who have a
clostridium difficile infection. Which of the following information should the nurse include in the
teaching?
-assign the client to a room with a negative airflow system.
-use alcohol-based hand sanitizer when leaving the client's room.
-clean contaminated surfaces in the clients room with a phenol solution.
-have family members wear a gown and gloves when visiting. - ANS-- Have family members
wear a gown and gloves when visiting.
A charge nurse is observing a Newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention by the
charge nurse?
- the newly licensed nurse placed the cap of a bottle of sterile saline solution on the sterile field.
- the Newly licensed nurse places sterile objects 2.5cm (1 inch) within the border of the field.
-the Newly licensed nurse holds the bottle of sterile saline outside the edge of the field when
pouring.
-The sterile field is positioned at the level of the Newly licensed nurses waist. - ANS--the Newly
licensed nurse placed the cap of the bottle of sterile saline solution on the sterile field.
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take next?
- activate the emergency fire alarm.
-extinguish fire
- evacuate the client
- confine the fire - ANS--evacuate the client
A client who is postoperative is verbalizing pain as a 2 on a pain scale 0-10. Which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching she received about pain management?
-"I think I should take my pain medication more often, since it is not controlling my pain"
-"breathing faster will help me keep my mind of the pain"
-" it might help me to listen to music while I'm lying in bed"
-" I don't want to walk today because I have some back pain" - ANS--" it might help me to listen
to music while I'm lying in bed"
,A community health nurse is checking blood pressures for a group of clients at a community
health screening. Which of the following clients is at risk for hypertension?
- a client who is 52 years old
- a client who smoked one pack of cigarettes each day
- a client who walks for 30 min everyday
- a client who drinks one glass of wine three times per week. - ANS-- client who smoked one
pack of cigarettes each day
A home health nurse is completing an admission assessment of an older adult client who has
their caregiver present. Which of the following finding should the nurse identify as a potential
indication of elder abuse?
-the caregiver is the clients financial power of attorney
- the client is in a wheelchair with the wheels locked
-the client reports receiving a full bath twice each week.
-the caregiver insists on remaining in the room. - ANS--the caregiver insists on remaining in the
room
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 diarrhea?
-the client is receiving formula at room temperature
-the feedings infuse at a slow, continuous drip over 8 hr each night.
-the client's caregiver washed out the feeding bag with warm water once every 24hrs
-the clients caregiver flushed the tube with water before and after administering medications -
ANS--the client's caregiver washes out the feeding bag with warm water every 24 hr. (Needs to
be washed after each feeding)
A middle adult client tells the nurse, "I feel so useless now that my children don't need me
anymore". Which of the following responses should the nurse make?
- "most people are happy when their children grow up and leave home"
- " you should be proud that your children are becoming independent"
- " maybe you should consider why you are feeling useless "
- " people in middle adulthood often find satisfaction in nurturing and guiding young people" -
ANS--"people in middle adulthood often find satisfaction in nurturing and guiding young people"
A nurse enters a clients room and finds her on the floor. The client's roommate reports that the
client was trying to get out of bed and fell over the side rail onto the floor. Which of the following
statements should the nurse document about this incident ?
-"incident report completed"
-"client climbed over the side rails"
-"client found lying on floor"
-"client was trying to get out of bed" - ANS--"Client found lying on floor"
, A nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine IV
stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the clients medical record?
- .3 mg
- 0.3 mg
- 0.30 mg
- 3/10 mg - ANS-"0.3 mg"
A nurse has just inserted an NG tube for a client. Which of the following finding should the nurse
expect to confirm correct tube placement?
-the tube aspirate has a ph of 7
-an X-ray shows the end of the tube above the pylorus
-bowel sounds are presents on auscultation
-the client reports relief of nausea - ANS--an X-ray shows the end of the tube above the pylorus
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify
the sequence in which the nurse should perform the following steps.
-obtain the pronouncement of death from the provider
-ask the clients family members if they would like to view the body.
-remove tubes and indwelling lines.
-place a name tag on the body.
-wash the clients body. - ANS-1) obtain the pronouncement of death from the provider
2) remove tubes and indwelling lines
3) wash the clients body
4) ask the family members if they would like to view body.
5) place a name tag on the body.
A nurse in a provider's office is assessing the deep tendon reflexes of a client. Which of the
following images should the nurse identify as indicating correct technique for eliciting the clients
patellar reflex? - ANS-(Pick image showing assessing patellar reflex. On the knee )
A nurse in a surgical suite notes documentation on a clients medical record that he has a latex
allergy. In preparation for the clients procedure, which of the following precautions should the
nurse take?
-ensure the sterilization of non disposable items with ethylene oxide.
-wrap monitoring cords with stockinette and tape them in place
-cleanse latex ports on IV tubing with chlorhexidine before injecting medication
- wear hypoallergenic latex gloves that contain powder - ANS-- wrap monitoring cords with
stockinette and tape them in place.
A nurse in an Acute care facility is preparing a discharge Summary for a client who is
transferring to a long term care facility. Which of the following documentation should the nurse
include?
-client flow sheet
practice test
A charge nurse is discussing the responsibility of nurses caring for clients who have a
clostridium difficile infection. Which of the following information should the nurse include in the
teaching?
-assign the client to a room with a negative airflow system.
-use alcohol-based hand sanitizer when leaving the client's room.
-clean contaminated surfaces in the clients room with a phenol solution.
-have family members wear a gown and gloves when visiting. - ANS-- Have family members
wear a gown and gloves when visiting.
A charge nurse is observing a Newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention by the
charge nurse?
- the newly licensed nurse placed the cap of a bottle of sterile saline solution on the sterile field.
- the Newly licensed nurse places sterile objects 2.5cm (1 inch) within the border of the field.
-the Newly licensed nurse holds the bottle of sterile saline outside the edge of the field when
pouring.
-The sterile field is positioned at the level of the Newly licensed nurses waist. - ANS--the Newly
licensed nurse placed the cap of the bottle of sterile saline solution on the sterile field.
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take next?
- activate the emergency fire alarm.
-extinguish fire
- evacuate the client
- confine the fire - ANS--evacuate the client
A client who is postoperative is verbalizing pain as a 2 on a pain scale 0-10. Which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching she received about pain management?
-"I think I should take my pain medication more often, since it is not controlling my pain"
-"breathing faster will help me keep my mind of the pain"
-" it might help me to listen to music while I'm lying in bed"
-" I don't want to walk today because I have some back pain" - ANS--" it might help me to listen
to music while I'm lying in bed"
,A community health nurse is checking blood pressures for a group of clients at a community
health screening. Which of the following clients is at risk for hypertension?
- a client who is 52 years old
- a client who smoked one pack of cigarettes each day
- a client who walks for 30 min everyday
- a client who drinks one glass of wine three times per week. - ANS-- client who smoked one
pack of cigarettes each day
A home health nurse is completing an admission assessment of an older adult client who has
their caregiver present. Which of the following finding should the nurse identify as a potential
indication of elder abuse?
-the caregiver is the clients financial power of attorney
- the client is in a wheelchair with the wheels locked
-the client reports receiving a full bath twice each week.
-the caregiver insists on remaining in the room. - ANS--the caregiver insists on remaining in the
room
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 diarrhea?
-the client is receiving formula at room temperature
-the feedings infuse at a slow, continuous drip over 8 hr each night.
-the client's caregiver washed out the feeding bag with warm water once every 24hrs
-the clients caregiver flushed the tube with water before and after administering medications -
ANS--the client's caregiver washes out the feeding bag with warm water every 24 hr. (Needs to
be washed after each feeding)
A middle adult client tells the nurse, "I feel so useless now that my children don't need me
anymore". Which of the following responses should the nurse make?
- "most people are happy when their children grow up and leave home"
- " you should be proud that your children are becoming independent"
- " maybe you should consider why you are feeling useless "
- " people in middle adulthood often find satisfaction in nurturing and guiding young people" -
ANS--"people in middle adulthood often find satisfaction in nurturing and guiding young people"
A nurse enters a clients room and finds her on the floor. The client's roommate reports that the
client was trying to get out of bed and fell over the side rail onto the floor. Which of the following
statements should the nurse document about this incident ?
-"incident report completed"
-"client climbed over the side rails"
-"client found lying on floor"
-"client was trying to get out of bed" - ANS--"Client found lying on floor"
, A nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine IV
stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the clients medical record?
- .3 mg
- 0.3 mg
- 0.30 mg
- 3/10 mg - ANS-"0.3 mg"
A nurse has just inserted an NG tube for a client. Which of the following finding should the nurse
expect to confirm correct tube placement?
-the tube aspirate has a ph of 7
-an X-ray shows the end of the tube above the pylorus
-bowel sounds are presents on auscultation
-the client reports relief of nausea - ANS--an X-ray shows the end of the tube above the pylorus
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify
the sequence in which the nurse should perform the following steps.
-obtain the pronouncement of death from the provider
-ask the clients family members if they would like to view the body.
-remove tubes and indwelling lines.
-place a name tag on the body.
-wash the clients body. - ANS-1) obtain the pronouncement of death from the provider
2) remove tubes and indwelling lines
3) wash the clients body
4) ask the family members if they would like to view body.
5) place a name tag on the body.
A nurse in a provider's office is assessing the deep tendon reflexes of a client. Which of the
following images should the nurse identify as indicating correct technique for eliciting the clients
patellar reflex? - ANS-(Pick image showing assessing patellar reflex. On the knee )
A nurse in a surgical suite notes documentation on a clients medical record that he has a latex
allergy. In preparation for the clients procedure, which of the following precautions should the
nurse take?
-ensure the sterilization of non disposable items with ethylene oxide.
-wrap monitoring cords with stockinette and tape them in place
-cleanse latex ports on IV tubing with chlorhexidine before injecting medication
- wear hypoallergenic latex gloves that contain powder - ANS-- wrap monitoring cords with
stockinette and tape them in place.
A nurse in an Acute care facility is preparing a discharge Summary for a client who is
transferring to a long term care facility. Which of the following documentation should the nurse
include?
-client flow sheet
