Fundamentals of Nursing Nursing Test Bank (Fundamentals of Nursing NCLEX Practice Quiz (600 Questions) 2025

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Fundamentals of Nursing NCLEX Practice Quiz (600 Questions)


Fundamentals of Nursing Nursing Test Bank




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Fundamentals of Nursing NCLEX Challenge Exam (Quiz #1: 75 Questions)




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1.​ 1. Question




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1 point(s)




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A 72-year-old female patient with a history of type 2 diabetes and hypertension




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was admitted to the medical-surgical unit due to a minor stroke. On assessment,




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the nurse noted generalized skin dryness, particularly on the arms, legs, and




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face. The nurse understands the importance of skin integrity, especially

considering the patient’s age and comorbidities. Which of the following nursing




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interventions should the nurse consider when addressing the patient’s skin




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dryness? Select all that apply.


○​ A. Consult the dietitian about increasing the patient’s fat intake, and

take necessary measures to prevent infection.

○​ B. Use hypoallergenic soap when bathing the patient.

○​ C. Encourage the patient to drink at least 2 liters of water per day.

○​ D. Coordinate with the physician to refer the patient to a

dermatologist.

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○​ E. Replace hospital-issued gowns with home-laundered ones.

○​ F. Frequently apply a hydrating lotion to the patient's skin.

○​ G. Offer the patient warm tea thrice daily.


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Correct Answers: B, C, and F.




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Using hypoallergenic soap prevents further irritation and drying of the skin.




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Drinking adequate water assists in maintaining skin hydration and health.




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Applying a hydrating lotion helps seal in moisture, preventing further drying and

nourishing the skin. These interventions directly address the root cause of skin




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dryness and provide comprehensive care to promote skin integrity. While some of




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the other interventions may have benefits in certain contexts, B, C, and F are the

most directly applicable to the patient’s skin condition in this scenario.


Related topic:




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○​ Impaired Skin Integrity




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2.​ 2. Question




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1 point(s)


A 68-year-old male patient was admitted to the cardiac unit following a recent

myocardial infarction. The patient has a history of chronic venous insufficiency in

both lower extremities. The nurse is preparing to provide a bed bath to the

patient. The charge nurse advises the nurse to use long, firm strokes from the

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distal to the proximal areas when washing the patient’s extremities. The primary

reason for this technique is to:


○​ A. Facilitate thorough examination and skin assessment.

○​ B. Prevent musculoskeletal injuries for the nurse during the




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procedure.




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○​ C. Enhance venous blood return and reduce the risk of venous




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stasis.




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○​ D. Induce vasoconstriction, thereby augmenting peripheral




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circulation.

○​ E. Stimulate the lymphatic system and reduce potential edema.




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○​ F. Offer therapeutic touch, which can calm the patient.




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Correct Answer: C. Increases venous blood return.




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Massaging or washing the extremities from distal to proximal areas promotes




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venous blood return towards the heart, which is especially important for patients




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with venous insufficiency. This technique counteracts the effects of gravity and

can reduce the risk of venous stasis, which can be particularly beneficial in

patients with compromised circulation like the one in this scenario. While some

of the other choices have valid reasons within different contexts, the most direct

and primary reason for this technique in this clinical scenario is to enhance

venous return.

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3.​ 3. Question


1 point(s)


Vivid dreaming occurs in which stage of sleep?




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○​ A. Stage I non-REM




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○​ B. Rapid eye movement (REM) stage




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○​ C. Stage II non-REM




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○​ D. Delta stage




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Correct Answer: B. Rapid eye movement (REM) stage




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Other characteristics of rapid eye movement (REM) sleep are deep sleep (the




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patient cannot be awakened easily), depressed muscle tone, and possibly




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irregular heart and respiratory rates. This is the stage associated with dreaming.




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Interestingly, the EEG is similar to an awake individual, but the skeletal muscles




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are atonic and without movement. The exception is the eye and diaphragmatic




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breathing muscles, which remain active. The breathing rate is altered though,

being more erratic and irregular. This stage usually starts 90 minutes after falling

asleep, and each of the REM cycles gets longer throughout the night. The first

period typically lasts 10 minutes, and the final one can last up to an hour.


○​ Option A: Non-REM sleep is a deep, restful sleep without dreaming.

This is the lightest stage of sleep and starts when more than 50% of