Fundamentals 2023 Proctor Questions & Answers

A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy? eggs latex seafood bee stings - ANSWERSlatex A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take? a. encourage the client to eat meat during this time to promote healing b. advise the client to eat everything on the tray except the meat c. suggest the client receive high-protein enteral feedings d. ask the dietitian to recommend alternative food choices for the client - ANSWERSask the dietitian to recommend alternative food choices for the client A nurse is caring for a client who has prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take? Encourage the client to eat meat during this time to promote healing Advise the client to eat everything on the tray except the meat Suggest the client receive high-protein enteral feedings Ask the dietitian to recommend alternative food choices for the clie - ANSWERSAsk the dietitian to recommend alternative food choices for the client A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the following findings should the nurse report to the provider? a purple-colored stoma protrusion of the stoma a small amount of bleeding from the stoma intestinal gas in the pouch - ANSWERSa purple-colored stoma A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops. Which of the following instructions should the nurse include? "You will need to look to the side when you put the drops in your eye." "You should put the drops directly in the center of your eyeball." "You should cleanse your eye from the inner to the outer edge prior to putting in the drops." "You should avoid pressing on your tear duct after putting the drops in your eye." - ANSWERS"You should cleanse your eye from the inner to the outer edge prior to putting in the drops." A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? a. use pictures of different food groups to help the client plan a daily menu b. ask the client what he already knows about meal planning c. give the client a brochure with sample menus for all meals d. involve the family in the discussion of the client's meal plan - ANSWERSask the client what he already knows about meal planning A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished? heart rate 89/min pink mucous membranes pale, scaly skin body mass index 23 - ANSWERSpale, scaly skin A nurse is reinforcing teaching about advance directives with a client who has end- stage renal disease. Which of the following client statements indicates an understanding of the teaching? a. "I know that i can change my advance directives if I need to in the future." b. "My health care proxy will make my health care decisions as soon as I have signed the power of attorney." c. "My family can overrule the decisions made by my health care proxy." d. "Advance directives from one state are valid in any other state." - ANSWERS"I know that i can change my advance directives if I need to in the future." A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make? "Stand with your feet together and your arms at your sides." "After I place the tuning fork, tell me when you no longer hear the sound" "I'm going to stroke the lateral side of the bottom of your foot." "Touch each fingertip as quickly as possible with your thumb." - ANSWERS"Stand with your feet together and your arms at your sides." A nurse is contributing to the plan of care for a client who is dying. Which of the following interventions should the nurse recommend to include the client's family in the plan of care? (Select all that apply.) keep the family updated about the client's status Suggest the family members return home at night to allow the client to rest encourage the family to comb the clients hair tell the client's family what to expect as the client's death nears ask the family to encourage the client to eat - ANSWERSkeep the family updated about the client's status A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take? count the client's radial and apical pulses simultaneously with another nurse. calculate the client's pulse for 30 seconds and multiply by 2 assist the client to a side-lying position auscultate the area of the client's chest over the Erb's point - ANSWERScount the client's radial and apical pulses simultaneously with another nurse.