Fundamentals Practice Exam
A seventy three-yr-antique female client had a hemiarthroplasty of the left hip the day before
today because of a fracture attributable to a fall. In reviewing hip precautions with the
consumer, which education should the nurse include in this purchaser's teaching plan? -
ANSB. "Place a pillow among your knees while mendacity in bed to prevent hip dislocation."
A patron is in the radiology branch at 0900 while the prescription levofloxacin (Levaquin) 500
mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is
the first-class intervention for the nurse to implement?
A. Contact the healthcare provider and complete a remedy variance shape.
B. Administer the Levaquin at 1300 and resume the 0900 agenda within the morning.
C. Notify the charge nurse and complete an incident report to explain the neglected dose.
D. Give the missed dose at 1300 and alternate the schedule to manage day by day at 1300.
- ANSD. Give the neglected dose at 1300 and alternate the time table to administer each
day at 1300
A patron is receiving a cephalosporin antibiotic IV and complains of pain and inflammation at
the infusion website. The nurse observes erythema, swelling, and a red streak alongside the
vessel above the IV get right of entry to web page. Which motion have to the nurse take at
this time?
A. Administer the medication more hastily the usage of the same IV site.
B. Initiate an alternate website for the IV infusion of the medication.
C. Notify the healthcare issuer earlier than administering the next dose.
D. Give the client a PRN dose of aspirin whilst the medicine infuses. - ANSB. Initiate an
change website online for the IV infusion of the medicine
A customer is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At
what rate must the nurse set the patron's IV infusion pump? - ANSB. 63 ml/hr
A customer who has been NPO for three days is receiving an infusion of D5W 0.45 - ANSC.
Document within the clinical report that those ordinary findings are expected consequences
A purchaser who's five'five tall and weighs 200 pounds is scheduled for surgical operation
tomorrow. What question is maximum important for the nurse to consist of in the course of
the preoperative evaluation? - ANSB. "What nutrition and mineral supplements do you
take?"
A patron who's a Jehovah's Witness is admitted to the nursing unit. Which problem ought to
the nurse have for making plans care in terms of the customer's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any shape isn't allowed.
D. A vegetarian diet should be accompanied. - ANSB. Blood tranfusion are forbidden
, A purchaser who is in hospice care complains of increasing amounts of ache. The
healthcare provider prescribes an analgesic every 4 hours as wished. Which motion need to
the nurse implement?
A. Give an round-the-clock time table for management of analgesics.
B. Administer analgesic remedy as needed whilst the ache is intense.
C. Provide medication to keep the client sedated and ignorant of stimuli.
D. Offer a medication-unfastened period in order that the client can do daily sports. - ANSA.
Give an round-the-clock time table for management of analgesics
A patron with acute hemorrhagic anemia is to receive 4 gadgets of packed RBCs (pink blood
cells) as hastily as possible. Which intervention is most crucial for the nurse to put into
effect? - ANSD. Ensure the accuracy of the blood type suit
A client with continual kidney disease (CKD) selects a scrambled egg for his breakfast. What
motion have to the nurse take? - ANSA. Commend the customer for deciding on a high
biologic fee protein
A client with pneumonia has a lower in oxygen saturation from ninety four-88% whilst
ambulating. Base on those findings, which intervention have to the nurse put into effect. -
ANSA. Assist the ambulating client again to the bed
A customer's infusion of everyday saline infiltrated earlier nowadays, and about 500 ml of
saline infused into the subcutaneous tissue. The consumer is now complaining of
excruciating arm pain and demanding "more potent ache medicinal drugs." What initial
action is most vital for the nurse to take?
A. Ask approximately any beyond records of drug abuse or addiction.
B. Measure the pulse quantity and capillary replenish distal to the infiltration.
C. Compress the infiltrated tissue to degree the diploma of edema.
D. Evaluate the extent of ecchymosis over the forearm location. - ANSB. Measure the pulse
quantity and capillary top off distal to the infiltration
A lady purchaser asks the nurse to find a person who can translate into her native language
her concerns about a treatment. Which action should the nurse take?
A. Explain that absolutely everyone who speaks her language can answer her questions.
B. Provide a translator simplest in an emergency situation.
C. Ask a member of the family or buddy of the client to translate.
D. Request and record the name of the certified translator. - ANSD. Request and document
the name of the certified translator
A girl purchaser with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assesses that there has been no drainage thru the nasogastric tube inside the
remaining hours. What action have to the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the purchaser on her aspect.
C. Advance the nasogastric tube an extra five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - ANSB. Reposition the
patron on her aspect
A seventy three-yr-antique female client had a hemiarthroplasty of the left hip the day before
today because of a fracture attributable to a fall. In reviewing hip precautions with the
consumer, which education should the nurse include in this purchaser's teaching plan? -
ANSB. "Place a pillow among your knees while mendacity in bed to prevent hip dislocation."
A patron is in the radiology branch at 0900 while the prescription levofloxacin (Levaquin) 500
mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is
the first-class intervention for the nurse to implement?
A. Contact the healthcare provider and complete a remedy variance shape.
B. Administer the Levaquin at 1300 and resume the 0900 agenda within the morning.
C. Notify the charge nurse and complete an incident report to explain the neglected dose.
D. Give the missed dose at 1300 and alternate the schedule to manage day by day at 1300.
- ANSD. Give the neglected dose at 1300 and alternate the time table to administer each
day at 1300
A patron is receiving a cephalosporin antibiotic IV and complains of pain and inflammation at
the infusion website. The nurse observes erythema, swelling, and a red streak alongside the
vessel above the IV get right of entry to web page. Which motion have to the nurse take at
this time?
A. Administer the medication more hastily the usage of the same IV site.
B. Initiate an alternate website for the IV infusion of the medication.
C. Notify the healthcare issuer earlier than administering the next dose.
D. Give the client a PRN dose of aspirin whilst the medicine infuses. - ANSB. Initiate an
change website online for the IV infusion of the medicine
A customer is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At
what rate must the nurse set the patron's IV infusion pump? - ANSB. 63 ml/hr
A customer who has been NPO for three days is receiving an infusion of D5W 0.45 - ANSC.
Document within the clinical report that those ordinary findings are expected consequences
A purchaser who's five'five tall and weighs 200 pounds is scheduled for surgical operation
tomorrow. What question is maximum important for the nurse to consist of in the course of
the preoperative evaluation? - ANSB. "What nutrition and mineral supplements do you
take?"
A patron who's a Jehovah's Witness is admitted to the nursing unit. Which problem ought to
the nurse have for making plans care in terms of the customer's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any shape isn't allowed.
D. A vegetarian diet should be accompanied. - ANSB. Blood tranfusion are forbidden
, A purchaser who is in hospice care complains of increasing amounts of ache. The
healthcare provider prescribes an analgesic every 4 hours as wished. Which motion need to
the nurse implement?
A. Give an round-the-clock time table for management of analgesics.
B. Administer analgesic remedy as needed whilst the ache is intense.
C. Provide medication to keep the client sedated and ignorant of stimuli.
D. Offer a medication-unfastened period in order that the client can do daily sports. - ANSA.
Give an round-the-clock time table for management of analgesics
A patron with acute hemorrhagic anemia is to receive 4 gadgets of packed RBCs (pink blood
cells) as hastily as possible. Which intervention is most crucial for the nurse to put into
effect? - ANSD. Ensure the accuracy of the blood type suit
A client with continual kidney disease (CKD) selects a scrambled egg for his breakfast. What
motion have to the nurse take? - ANSA. Commend the customer for deciding on a high
biologic fee protein
A client with pneumonia has a lower in oxygen saturation from ninety four-88% whilst
ambulating. Base on those findings, which intervention have to the nurse put into effect. -
ANSA. Assist the ambulating client again to the bed
A customer's infusion of everyday saline infiltrated earlier nowadays, and about 500 ml of
saline infused into the subcutaneous tissue. The consumer is now complaining of
excruciating arm pain and demanding "more potent ache medicinal drugs." What initial
action is most vital for the nurse to take?
A. Ask approximately any beyond records of drug abuse or addiction.
B. Measure the pulse quantity and capillary replenish distal to the infiltration.
C. Compress the infiltrated tissue to degree the diploma of edema.
D. Evaluate the extent of ecchymosis over the forearm location. - ANSB. Measure the pulse
quantity and capillary top off distal to the infiltration
A lady purchaser asks the nurse to find a person who can translate into her native language
her concerns about a treatment. Which action should the nurse take?
A. Explain that absolutely everyone who speaks her language can answer her questions.
B. Provide a translator simplest in an emergency situation.
C. Ask a member of the family or buddy of the client to translate.
D. Request and record the name of the certified translator. - ANSD. Request and document
the name of the certified translator
A girl purchaser with a nasogastric tube attached to low suction states that she is nauseated.
The nurse assesses that there has been no drainage thru the nasogastric tube inside the
remaining hours. What action have to the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the purchaser on her aspect.
C. Advance the nasogastric tube an extra five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - ANSB. Reposition the
patron on her aspect
