Fundamentals pre-assessment quiz with
Answers Guaranteed A+.
A nurse is caring for a client with a stage 2 pressure ulcer. Define the
characteristics of the ulcer. - Correct answer Partial-thickness skin loss
involving the epidermis and the dermis. The ulcer is visible and superficial
and may appear as an abrasion, blister, or shallow crater. Edema persists,
and the ulcer may become infected, possibly with pain and scant drainage.
A nurse is caring for a client receiving chemotherapy that is experiencing
neutropenia. Which of the following should the nurse include in this client's
education? - Correct answer Avoid crowded events
Clients with neutropenia do not have enough circulating neutrophils to fight
off infections. This client should avoid crowds to prevent exposure to
colds/viruses.
A nurse is caring for a client who is admitted for observation and has full
range of motion. Which is the best manner to encourage this client to void?
- Correct answer client bathroom
The goal is to encourage clients to maintain independence and privacy if
the client has full function and is able to safely complete ADLs.
A client with hearing loss has been fitted for a hearing aid. Which of the
following teaching points are important for the nurse to discuss with the
client? - Correct answer Use a mild soap and water to clean the ear mold.
A nurse is caring for an older adult client with delirium. Which intervention
will most effectively reduce the client's risk for falls? - Correct answer
hourly rounding by the nurse
In the health care environment, hourly rounding by nurses significantly
reduces the occurrence of client falls, as well as reducing call light usage
and increasing client satisfaction.
A nurse is providing teaching about the Mediterranean diet to a client who
has a new diagnosis of hypertension. Which of the following statements by
, the client indicates a need for further teaching? - Correct answer "I will
limit my intake of red meat to twice weekly"
This statement by the client indicates a need for further teaching. Following
the Mediterranean diet, red meat should be limited to two times monthly.
A nurse is admitting a client who has tuberculosis and a productive cough.
Which of the following types of isolation precautions should the nurse
initiate for the client? - Correct answer Airborne
The nurse should initiate airborne precautions when a client has an
infection that spreads through small droplets that remain airborne for longer
periods, such as tuberculosis and measles. The client requires a negative-
pressure airflow room, and staff should wear an N95 respirator when in
contact with the client.
A nurse is assessing a client who has Parkinson's disease. Which of the
following manifestations should the nurse expect? - Correct answer
Bradykinesia
The nurse should expect to find bradykinesia or difficulty moving in a client
who has Parkinson's disease
A nurse is caring for a client with celiac disease. Which foods should be
removed from the meal tray? - Correct answer tortillas
A nurse is caring for a client with a closed head injury. When pressure is
applied to the client's nail beds, the client's eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. The client also moans
with stimulation. What is the client's Glasgow Coma Score? - Correct
answer 7
The GCS is calculated by using appropriate stimuli (a painful stimulus may
be necessary such as pressure to the nail beds) and then assessing the
client's response in three areas.
Eye opening (E)- the best eye response, with responses ranging from 4 to
1
4= Eye opening occurs spontaneously
Answers Guaranteed A+.
A nurse is caring for a client with a stage 2 pressure ulcer. Define the
characteristics of the ulcer. - Correct answer Partial-thickness skin loss
involving the epidermis and the dermis. The ulcer is visible and superficial
and may appear as an abrasion, blister, or shallow crater. Edema persists,
and the ulcer may become infected, possibly with pain and scant drainage.
A nurse is caring for a client receiving chemotherapy that is experiencing
neutropenia. Which of the following should the nurse include in this client's
education? - Correct answer Avoid crowded events
Clients with neutropenia do not have enough circulating neutrophils to fight
off infections. This client should avoid crowds to prevent exposure to
colds/viruses.
A nurse is caring for a client who is admitted for observation and has full
range of motion. Which is the best manner to encourage this client to void?
- Correct answer client bathroom
The goal is to encourage clients to maintain independence and privacy if
the client has full function and is able to safely complete ADLs.
A client with hearing loss has been fitted for a hearing aid. Which of the
following teaching points are important for the nurse to discuss with the
client? - Correct answer Use a mild soap and water to clean the ear mold.
A nurse is caring for an older adult client with delirium. Which intervention
will most effectively reduce the client's risk for falls? - Correct answer
hourly rounding by the nurse
In the health care environment, hourly rounding by nurses significantly
reduces the occurrence of client falls, as well as reducing call light usage
and increasing client satisfaction.
A nurse is providing teaching about the Mediterranean diet to a client who
has a new diagnosis of hypertension. Which of the following statements by
, the client indicates a need for further teaching? - Correct answer "I will
limit my intake of red meat to twice weekly"
This statement by the client indicates a need for further teaching. Following
the Mediterranean diet, red meat should be limited to two times monthly.
A nurse is admitting a client who has tuberculosis and a productive cough.
Which of the following types of isolation precautions should the nurse
initiate for the client? - Correct answer Airborne
The nurse should initiate airborne precautions when a client has an
infection that spreads through small droplets that remain airborne for longer
periods, such as tuberculosis and measles. The client requires a negative-
pressure airflow room, and staff should wear an N95 respirator when in
contact with the client.
A nurse is assessing a client who has Parkinson's disease. Which of the
following manifestations should the nurse expect? - Correct answer
Bradykinesia
The nurse should expect to find bradykinesia or difficulty moving in a client
who has Parkinson's disease
A nurse is caring for a client with celiac disease. Which foods should be
removed from the meal tray? - Correct answer tortillas
A nurse is caring for a client with a closed head injury. When pressure is
applied to the client's nail beds, the client's eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. The client also moans
with stimulation. What is the client's Glasgow Coma Score? - Correct
answer 7
The GCS is calculated by using appropriate stimuli (a painful stimulus may
be necessary such as pressure to the nail beds) and then assessing the
client's response in three areas.
Eye opening (E)- the best eye response, with responses ranging from 4 to
1
4= Eye opening occurs spontaneously
