Fundamentals Final Test Bank Exam
Questions with Correct Answers
A nurse is assessing a client who is 3 days postoperative following abdominal
surgery and notes the absence of bowel sounds, abdominal distention, and the client
passing no flatus. Which of the following conditions should the nurse suspect?
A. Ulcerative colitis
B. Cholecystitis
C. Paralytic ileus
D. Wound dehiscence - Answer-C. Paralytic ileus
A nurse is assessing a client who is 48 hr postoperative following abdominal surgery.
Which of the following findings should the nurse report to the provider?
A. Blood pressure 102/66 mmHg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-green drainage on the surgical incision
D. Respiratory rate 18/min - Answer-C. Yellow-green drainage on the surgical
incision
A nurse is assessing a client who is experiencing chronic stress. Which of the
following findings should the nurse expect?
A. Hypotension
B. Viral infection
C. Increased energy
D. Increased cognitive awareness - Answer-B. Viral infection
A nurse is assessing a client who is postoperative and finds the client's abdominal
incision has eviscerated. Which of the following actions should the nurse take?
A. Cover the wound with a sterile-saline dressing.
B. Place the client in high-Fowler's position.
C. Auscultate all quadrants of the abdomen for bowel sounds.
D. Gently reinsert the protruding tissue. - Answer-A. Cover the wound with a sterile-
saline dressing.
A nurse is assessing a client who is postoperative and has anemia due to excess
blood loss following surgery. Which of the following findings should the nurse
expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - Answer-A. Fatigue
,A nurse is assessing a client's wound dressing, and observes a watery red drainage.
The nurse should document this drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serosanguineous - Answer-D. Serosanguineous
A nurse is assessing the respiratory pattern of an older adult who is receiving end-of-
life care. Which of the following assessment findings should the nurse identify as
Cheyne-Stokes respirations?
A. Breathing ranging from very deep to very shallow with periods of apnea.
B. Shallow to normal breaths alternating with periods of apnea.
C. Rapid respirations that are unusually deep and regular.
D. An inability to breathe without dyspnea unless sitting upright. - Answer-A.
Breathing ranging from very deep to very shallow with periods of apnea.
A nurse is calculating the output of a client at the end of the shift. The nurse notes
the following: client voided 400 mL at 1100 and 350 mL at 1430. The closed chest
drainage was previously marked at 155 mL and is now at 175 mL. The NG tube has
575 mL in drainage container, and 25 mL is emptied out of the Jackson-Pratt
drainage tube. Now many mL should the nurse record in the medical record as the
client's output?
CALCULATION - Answer-1,370 mL
A nurse is caring for a client who has a new diagnosis of chronic kidney disease.
Which of the following statements should the nurse identify as an indication of
anticipatory grieving?
A. "I know that I will get a kidney transplant. I am a good candidate."
B. "I can now eat whatever I want. The dialysis will remove it from my system."
C. "I just can't believe that this dialysis is going to ruin my whole life."
D. "I know that kidney disease runs in my family, but I can prevent it." - Answer-C. "I
just can't believe that this dialysis is going to ruin my whole life."
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To
focus on affective learning with this client, which of the following interventions should
the nurse use?
A. Ask the client to perform a return demonstration of insulin injection.
B. Review the action of insulin therapy.
C. Explore the client's feelings about dietary modifications.
D. Have the client practice blood-glucose monitoring using a glucometer. - Answer-
C. Explore the client's feelings about dietary modifications.
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20
mEq PO daily. The nurse reviews the client's most recent laboratory results and finds
, the client's potassium level is 5.2 mEq/L. Which of the following actions should the
nurse take?
A. Give the ordered KCL as prescribed.
B. Omit the KCL dose and document that it was not given.
C. Call the prescribing physician and inform her of the client's serum potassium level
results.
D. Call the lab to verify the client's results. - Answer-C. Call the prescribing physician
and inform her of the client's serum potassium level results.
A nurse is caring for a client who has a stage 1 pressure ulcer. Which of the
following should the nurse plan to apply?
A. Transparent dressing
B. Wet-to-dry dressing
C. Hydrogel dressing
D. Alginate dressing - Answer-A. Transparent dressing
A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following is an indication the client is in the denial phase of the grief
process?
A. "The doctor has been so good to me. I know he has tried everything he can. It is
just my time."
B. "I can't believe the doctor graduated from medical school. He doesn't know a thing
about treating cancer!"
C. "The doctor says I only have a few months to live, but I know he is exaggerating
to get me to take my medication."
D. "Even though I am not hurting right now, I don't feel like I have the energy to get
out of bed." - Answer-C. "The doctor says I only have a few months to live, but I
know he is exaggerating to get me to take my medication."
A nurse is caring for a client who has cancer and is receiving palliative care. Which
of the following statements by the client indicates they understand this type of
treatment?
A. "I am thinking of getting a second opinion."
B. "I am hoping this will limit my discomfort."
C. "This treatment should help me live a little longer."
D. "This is not working and I plan to stop my treatment." - Answer-B. "I am hoping
this will limit my discomfort."
A nurse is caring for a client who has metastatic bone cancer. The client states, "I
want to go home to die." The family is concerned about meeting the client's care
needs at home. Which of the following actions should the nurse take?
A. Discuss initiating hospice care with the client and family.
B. Write a referral to place the client in a nursing home.
C. Talk with the provider about extending the client's hospital stay.
Questions with Correct Answers
A nurse is assessing a client who is 3 days postoperative following abdominal
surgery and notes the absence of bowel sounds, abdominal distention, and the client
passing no flatus. Which of the following conditions should the nurse suspect?
A. Ulcerative colitis
B. Cholecystitis
C. Paralytic ileus
D. Wound dehiscence - Answer-C. Paralytic ileus
A nurse is assessing a client who is 48 hr postoperative following abdominal surgery.
Which of the following findings should the nurse report to the provider?
A. Blood pressure 102/66 mmHg
B. Straw-colored urine from an indwelling urinary catheter
C. Yellow-green drainage on the surgical incision
D. Respiratory rate 18/min - Answer-C. Yellow-green drainage on the surgical
incision
A nurse is assessing a client who is experiencing chronic stress. Which of the
following findings should the nurse expect?
A. Hypotension
B. Viral infection
C. Increased energy
D. Increased cognitive awareness - Answer-B. Viral infection
A nurse is assessing a client who is postoperative and finds the client's abdominal
incision has eviscerated. Which of the following actions should the nurse take?
A. Cover the wound with a sterile-saline dressing.
B. Place the client in high-Fowler's position.
C. Auscultate all quadrants of the abdomen for bowel sounds.
D. Gently reinsert the protruding tissue. - Answer-A. Cover the wound with a sterile-
saline dressing.
A nurse is assessing a client who is postoperative and has anemia due to excess
blood loss following surgery. Which of the following findings should the nurse
expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - Answer-A. Fatigue
,A nurse is assessing a client's wound dressing, and observes a watery red drainage.
The nurse should document this drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serosanguineous - Answer-D. Serosanguineous
A nurse is assessing the respiratory pattern of an older adult who is receiving end-of-
life care. Which of the following assessment findings should the nurse identify as
Cheyne-Stokes respirations?
A. Breathing ranging from very deep to very shallow with periods of apnea.
B. Shallow to normal breaths alternating with periods of apnea.
C. Rapid respirations that are unusually deep and regular.
D. An inability to breathe without dyspnea unless sitting upright. - Answer-A.
Breathing ranging from very deep to very shallow with periods of apnea.
A nurse is calculating the output of a client at the end of the shift. The nurse notes
the following: client voided 400 mL at 1100 and 350 mL at 1430. The closed chest
drainage was previously marked at 155 mL and is now at 175 mL. The NG tube has
575 mL in drainage container, and 25 mL is emptied out of the Jackson-Pratt
drainage tube. Now many mL should the nurse record in the medical record as the
client's output?
CALCULATION - Answer-1,370 mL
A nurse is caring for a client who has a new diagnosis of chronic kidney disease.
Which of the following statements should the nurse identify as an indication of
anticipatory grieving?
A. "I know that I will get a kidney transplant. I am a good candidate."
B. "I can now eat whatever I want. The dialysis will remove it from my system."
C. "I just can't believe that this dialysis is going to ruin my whole life."
D. "I know that kidney disease runs in my family, but I can prevent it." - Answer-C. "I
just can't believe that this dialysis is going to ruin my whole life."
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To
focus on affective learning with this client, which of the following interventions should
the nurse use?
A. Ask the client to perform a return demonstration of insulin injection.
B. Review the action of insulin therapy.
C. Explore the client's feelings about dietary modifications.
D. Have the client practice blood-glucose monitoring using a glucometer. - Answer-
C. Explore the client's feelings about dietary modifications.
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20
mEq PO daily. The nurse reviews the client's most recent laboratory results and finds
, the client's potassium level is 5.2 mEq/L. Which of the following actions should the
nurse take?
A. Give the ordered KCL as prescribed.
B. Omit the KCL dose and document that it was not given.
C. Call the prescribing physician and inform her of the client's serum potassium level
results.
D. Call the lab to verify the client's results. - Answer-C. Call the prescribing physician
and inform her of the client's serum potassium level results.
A nurse is caring for a client who has a stage 1 pressure ulcer. Which of the
following should the nurse plan to apply?
A. Transparent dressing
B. Wet-to-dry dressing
C. Hydrogel dressing
D. Alginate dressing - Answer-A. Transparent dressing
A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following is an indication the client is in the denial phase of the grief
process?
A. "The doctor has been so good to me. I know he has tried everything he can. It is
just my time."
B. "I can't believe the doctor graduated from medical school. He doesn't know a thing
about treating cancer!"
C. "The doctor says I only have a few months to live, but I know he is exaggerating
to get me to take my medication."
D. "Even though I am not hurting right now, I don't feel like I have the energy to get
out of bed." - Answer-C. "The doctor says I only have a few months to live, but I
know he is exaggerating to get me to take my medication."
A nurse is caring for a client who has cancer and is receiving palliative care. Which
of the following statements by the client indicates they understand this type of
treatment?
A. "I am thinking of getting a second opinion."
B. "I am hoping this will limit my discomfort."
C. "This treatment should help me live a little longer."
D. "This is not working and I plan to stop my treatment." - Answer-B. "I am hoping
this will limit my discomfort."
A nurse is caring for a client who has metastatic bone cancer. The client states, "I
want to go home to die." The family is concerned about meeting the client's care
needs at home. Which of the following actions should the nurse take?
A. Discuss initiating hospice care with the client and family.
B. Write a referral to place the client in a nursing home.
C. Talk with the provider about extending the client's hospital stay.
