RN FUNDAMENTALS 2025 UPDATE WITH VERIFIED SOLUTIONS
1. A nurse is planning care for a client who has acute A. Loosen the
pain as a result of a pressure injury to the sacrum. client's bed linens.
Which of the following nonpharmacological Interven-
tions should the nurse include in the plan?
A. Loosen the client's bed linens.
B. Provide bright lights in the client's room.
C. Massage the client's sacrum.
D. Offer to play music in the client's room.
2. A nurse is caring for a client who has a terminal ill- B. "I will contact
ness. The client states, "I am not giving up. I want as your provider to
much treatment as possible." Which of the following discuss your op-
responses should the nurse make? tions"
A. "You need to understand that you have very little
time left."
B. "I will contact your provider to discuss your op-
tions."
C. "Enjoy the time you have and do the things you
want to do."
D. "Hospice care is the best thing for you at this time."
3. A nurse is assessing a client who received an IM D. A sharp de-
antibiotic injection 15 min ago. Which of the following crease in blood
findings should the nurse identify as an indication of pressure
a possible anaphylactic reaction to the medication?
A. A feeling of swelling in the feet
B. Pain at the injection site
C. A sudden decrease in heart rate
D. A sharp decrease in blood pressure
4. A nurse is planning care for a client who is scheduled A. Assist the
for an intravenous pyelogram. Which of the following client with a bowel
actions is appropriate for the nurse to include? cleansing.
A. Assist the client with a bowel cleansing.
B. Ensure the client is free of metal objects.
C. Monitor the client for pain in the suprapubic region.
D. Administer 240 mL. (8 oz) of oral contrast before the
procedure
, RN FUNDAMENTALS 2025 UPDATE WITH VERIFIED SOLUTIONS
5. A nurse is performing an eye assessment for a newly A. Eyelashes that
admitted client. Which of the following findings should curl slightly out-
the nurse expect? ward
A. Eyelashes that curl slightly outward.
B. Eyelids that blink involuntarily 30 to 35 times per
minute
C. Corneas with an opaque appearance
D. Pupils that are 8 to 9 mm in diameter
6. A nurse is caring for a client who is postoperative A. Ensure the
and is on bed rest. Which of the following actions client's heels are
should the nurse take to decrease the client's risk of not touching the
developing a pressure injury? mattress.
A. Ensure the client's heels are not touching the mat-
tress.
B. Massage the client's bony prominences.
C. Raise the head of the client's bed to a 60° angle.
D. Reposition the client every 4 hr.
7. A nurse is caring for a client who has dysphagia. C. The client
When assisting the client during breakfast, which of drinks their thick-
the following actions by the client indicates the nurse ened juice with a
should intervene? straw
A. The client tucks their chin when they swallow.
B. The client adjusts the head of their bed to 90°.
C. The client drinks their thickened juice with a straw.
D. The client takes frequent breaks while eating.
8. A nurse enters the room of a client who has a seizure B. Help the client
disorder. The client is sitting in a chair and begins to lie on the floor
experience a seizure. Which of the following actions
should the nurse take first?
A. Loosen the client's clothing.
B. Help the client lie on the floor.
C. Turn the client onto their side.
D. Move items in the room away from the client.
9. A home health nurse is teaching a client about home B. "I will use the
safety. Which of the following statements by the client grab bars when
indicates an understanding of the teaching? (Select getting in and out
1. A nurse is planning care for a client who has acute A. Loosen the
pain as a result of a pressure injury to the sacrum. client's bed linens.
Which of the following nonpharmacological Interven-
tions should the nurse include in the plan?
A. Loosen the client's bed linens.
B. Provide bright lights in the client's room.
C. Massage the client's sacrum.
D. Offer to play music in the client's room.
2. A nurse is caring for a client who has a terminal ill- B. "I will contact
ness. The client states, "I am not giving up. I want as your provider to
much treatment as possible." Which of the following discuss your op-
responses should the nurse make? tions"
A. "You need to understand that you have very little
time left."
B. "I will contact your provider to discuss your op-
tions."
C. "Enjoy the time you have and do the things you
want to do."
D. "Hospice care is the best thing for you at this time."
3. A nurse is assessing a client who received an IM D. A sharp de-
antibiotic injection 15 min ago. Which of the following crease in blood
findings should the nurse identify as an indication of pressure
a possible anaphylactic reaction to the medication?
A. A feeling of swelling in the feet
B. Pain at the injection site
C. A sudden decrease in heart rate
D. A sharp decrease in blood pressure
4. A nurse is planning care for a client who is scheduled A. Assist the
for an intravenous pyelogram. Which of the following client with a bowel
actions is appropriate for the nurse to include? cleansing.
A. Assist the client with a bowel cleansing.
B. Ensure the client is free of metal objects.
C. Monitor the client for pain in the suprapubic region.
D. Administer 240 mL. (8 oz) of oral contrast before the
procedure
, RN FUNDAMENTALS 2025 UPDATE WITH VERIFIED SOLUTIONS
5. A nurse is performing an eye assessment for a newly A. Eyelashes that
admitted client. Which of the following findings should curl slightly out-
the nurse expect? ward
A. Eyelashes that curl slightly outward.
B. Eyelids that blink involuntarily 30 to 35 times per
minute
C. Corneas with an opaque appearance
D. Pupils that are 8 to 9 mm in diameter
6. A nurse is caring for a client who is postoperative A. Ensure the
and is on bed rest. Which of the following actions client's heels are
should the nurse take to decrease the client's risk of not touching the
developing a pressure injury? mattress.
A. Ensure the client's heels are not touching the mat-
tress.
B. Massage the client's bony prominences.
C. Raise the head of the client's bed to a 60° angle.
D. Reposition the client every 4 hr.
7. A nurse is caring for a client who has dysphagia. C. The client
When assisting the client during breakfast, which of drinks their thick-
the following actions by the client indicates the nurse ened juice with a
should intervene? straw
A. The client tucks their chin when they swallow.
B. The client adjusts the head of their bed to 90°.
C. The client drinks their thickened juice with a straw.
D. The client takes frequent breaks while eating.
8. A nurse enters the room of a client who has a seizure B. Help the client
disorder. The client is sitting in a chair and begins to lie on the floor
experience a seizure. Which of the following actions
should the nurse take first?
A. Loosen the client's clothing.
B. Help the client lie on the floor.
C. Turn the client onto their side.
D. Move items in the room away from the client.
9. A home health nurse is teaching a client about home B. "I will use the
safety. Which of the following statements by the client grab bars when
indicates an understanding of the teaching? (Select getting in and out
