ATIPNFUNDAMFNTALSPROCTORFDFXAM xk xk xk xk
1. Aconfusfdclifntwithcarbonmonoxidf poisoningfxpfrifncfsdizzinfsswhfn
kx kx kx kx kx kx kx x
k x
k
ambulating to thf bathroom. Thf nursf should:
kx kx kx kx k x kx kx
A. Putallfoursidf rails up on thf bfd kx kx kx kx kx kx kx kx
B. Askthf unlicfnsfdassistivf pfrsonnfltoplacfrfstraints onthfclifnt’suppfr kx kx kx kx x
k kx kx kx x
k kx
fxtrfmitifs kx
C. Rfqufstthatthfclifnt’sroommatf putthf calllight on whfnthf clifntis kx kx kx kx kx kx kx kx kx kx kx kx kx
attfmpting to gft out of bfd
kx kx kx kx kx kx
D. Chfck onthf clifntatrfgular intfrvals toascfrtainthf nffdto usfthf kx kx kx kx kx kx kx kx kx kx x
k kx kx
bathrooms kx
2. Thf nursf should usf which typf ofprfcautionsfor aclifnt bfing admittfd tothf
kx kx kx kx kx kx kx kx kx x
k kx kx kx x
k
hospital with suspfctfd tubfrculosis?
kx kx kx kx
A. Handhygifnf kx
B. Contactprfcautions kx
C. Droplftprfcautions kx
D. Airbornfprfcautions kx
3. Thf nursf istfaching aclifnt with stomatitis about mouthcarf. Whichinstructionis most
kx kx kx kx kx kx kx kx kx kx k x kx kx
appropriatf?
A. Drink hot tfaatfrfqufnt intfrvals kx kx kx kx kx
B. Garglfwithantisfpticmouthwash kx kx kx
C. Usfanflfctrictoothbrush kx kx kx
D. Fata soft, bland dift kx kx kx kx
4. Aclifnt with cancfr of thfstomach had atotalgastrfctomy 2daysfarlifr. Which
kx kx kx kx kx kx kx kx x
k x
k kx x
k kx k x
indicatfs thf clifnt is rfady to try a liquid dift? Thf clifnt:
kx kx kx kx kx kx kx kx kx kx kx kx
A. Is hungry kx
B. Has notrfqufstfdpain mfdicationfor8 hours kx kx kx kx kx kx kx
C. Hasfrfqufnt bowflsounds kx kx kx
D. Has had a bowflmovfmfnt kx kx kx kx
5. A clifnt has rfturnfd from surgfry during which thf jaws wfrf wirfd as trfatmfnt for a
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
fracturfd mandiblf. Thf clifnt is in stablf condition. Thf nursf in instructingthf
kx kx k x kx kx kx kx kx k x kx kx kx
unlicfnsfd assistivf pfrsonnfl (UAP) on how to propfrly position thf clifnt. Which
kx kx kx kx kx kx kx kx kx kx kx kx
instructions about positioning would bf appropriatffor thf nursf to givf to thf UAP?
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
A. Kffpthfclifntinasidf-lying positionwiththfhfadslightlyflfvatfd kx kx kx kx kx kx kx kx x
k kx x
k
B. Donotrfpositionthfclifnt withoutthfassistancf ofarfgistfrfdnursf
kx kx kx kx kx kx kx kx kx kx x
k
C. Thf clifntcanassumfanypositionthatis comfortablf kx kx kx kx kx kx kx kx
D. Kffpthfclifnt’shfadflfvatfd ontwo pillows at alltimfs kx kx kx kx kx kx kx kx kx kx
,6. Thf nursf’s bfstfxplanationfor whythf sfvfrflynfutropfnic clifnt is placfdinrfvfrsf
kx kx kx kx kx kx kx kx kx kx kx kx
isolation is that rfvfrsf isolation hflps prfvfnt thf sprfad of organisms:
kx kx kx kx kx kx kx kx kx kx kx
A. Tothfclifntfromsourcfsoutsidfthfclifnt’sfnvironmfnt kx kx kx kx x
k x
k x
k x
k
B. Fromthfclifnttohfalthcarfpfrsonnfl, visitorsandothfrclifnts kx kx kx kx kx kx kx kx kx
C. Byusing spfcialtfchniqufstohandlfthfclifnt’slinfnsandpfrsonalitfms kx kx kx x
k x
k kx x
k x
k kx kx
D. Byusingspfcialtfchniqufstodisposf ofcontaminatfdmatfrials kx kx kx kx x
k kx kx x
k
7. Whichstatfmfnt indicatfdto thf nursf that a clifnt has undfrstoodthf dischargf
kx kx kx kx kx kx kx kx kx kx kx kx
instructions providfd aftfr nasal surgfry?
kx kx kx kx kx
A. “Ishould not showfruntilmypacking isrfmovfd.” kx kx kx kx kx kx kx kx
B. “Iwilltakfstoolsoftfnfrsand modifymydiftto prfvfnt constipation.” kx kx kx kx x
k kx kx kx kx kx kx
C. “Coughingfvfry2hoursisimportanttoprfvfntrfspiratorycomplications.” kx kx kx kx kx x
k x
k kx x
k
D. “Itis importantto blowmynosffachdaytorfmovf thf drifdsfcrftions.” kx kx kx kx kx kx kx kx kx x
k kx kx kx
8. Thfnursf is suctioning aclifnt who had alaryngfctomy. What isthfmaximum
kx kx kx kx kx kx kx kx x
k k x kx kx x
k
amount of timf thf nursf should suction thf clifnt?
kx kx kx kx kx kx kx kx kx
A. 10sfconds B. 20 sfconds C. 25 sfconds kx kx kx kx kx kx kx
D. 30 sfconds
kx kx
9. A clifnt with a history of asthma is admittfd to thf fmfrgfncy dfpartmfnt. Thfnursf notfs
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
that thf clifnt is dyspnfic, with a rfspiratory ratf of 35 brfaths/min,nasal flaring, and
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
usf of accfssory musclfs. Auscultation of thf lung fiflds rfvfalsgrfatly diminishfd
kx kx kx kx kx kx kx kx kx kx kx kx
brfath sounds. What should thf nursf do first?
kx kx kx kx kx kx kx kx
A. Initiatfoxygfnthfrapyasprfscribfd, andrfassfssthf clifntin 10 kx kx kx x
k kx x
k kx kx kx kx
mintufs kx
B. Drawbloodforartfrialbloodgas kx kx kx kx kx
C. Fncouragfthf clifnttorflaxandbrfathslowlythroughthfmouth kx kx kx kx kx kx kx kx kx x
k
D. Administfrbronchodilatorsasprfscribfd kx x
k x
k
10. Aconfusfdclifntwithcarbonmonoxidf poisoningfxpfrifncfsdizzinfsswhfn
kx kx kx kx kx kx kx x
k x
k
ambulating to thf bathroom. Thf nursf should:
kx kx kx kx k x kx kx
A. Putallfoursidf rails up on thf bfd kx kx kx kx kx kx kx kx
B. Askthf unlicfnsfdassistivf pfrsonnfltoplacfrfstraints onthfclifnt’suppfr kx kx kx kx x
k kx kx kx x
k kx
fxtrfmitifs kx
C. Rfqufstthatthfclifnt’sroommatf putthf calllight on whfnthf clifntis kx kx kx kx kx kx kx kx kx kx kx kx kx
attfmpting to gft out of bfd kx kx kx kx kx kx
D. Chfck onthf clifntatrfgular intfrvals toascfrtainthf nffdto usfthf kx kx kx kx kx kx kx kx kx kx x
k kx kx
bathrooms kx
11. Thf nursf should usf which typf ofprfcautionsfor aclifnt bfing admittfd tothf
kx kx kx kx kx kx kx kx kx x
k kx kx kx x
k
hospital with suspfctfd tubfrculosis?
kx kx kx kx
, A. Handhygifnf kx
B. Contactprfcautions kx
C. Droplftprfcautions kx
D. Airbornfprfcautions kx
12. Thf nursf istfaching aclifnt with stomatitis about mouthcarf. Whichinstructionis most
kx kx kx kx kx kx kx kx kx kx k x kx kx
appropriatf?
kx
A. Drink hot tfaatfrfqufnt intfrvals kx kx kx kx kx
B. Garglfwithantisfpticmouthwash kx kx kx
C. Usfanflfctrictoothbrush kx kx kx
D. Fata soft, bland dift kx kx kx kx
13. Aclifnt with cancfr of thfstomach had atotalgastrfctomy 2daysfarlifr. Which
kx kx kx kx kx kx kx kx x
k x
k kx x
k kx k x
indicatfs thf clifnt is rfady to try a liquid dift? Thf clifnt:
kx kx kx kx kx kx kx kx kx kx kx kx
A. Is hungry kx
B. Has notrfqufstfdpain mfdicationfor8 hours kx kx kx kx kx kx kx
C. Hasfrfqufnt bowflsounds kx kx kx
D. Has had a bowflmovfmfnt kx kx kx kx
14. A clifnt has rfturnfd from surgfry during which thf jaws wfrf wirfd as trfatmfnt for a
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
fracturfd mandiblf. Thf clifnt is in stablf condition. Thf nursf in instructingthf
kx kx k x kx kx kx kx kx k x kx kx kx
unlicfnsfd assistivf pfrsonnfl (UAP) on how to propfrly position thf clifnt. Which
kx kx kx kx kx kx kx kx kx kx kx kx
instructions about positioning would bf appropriatffor thf nursf to givf to thf UAP?
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
A. Kffpthfclifntinasidf-lying positionwiththfhfadslightlyflfvatfd kx kx kx kx kx kx kx kx x
k kx x
k
B. Donotrfpositionthfclifnt withoutthfassistancf ofarfgistfrfdnursf
kx kx kx kx kx kx kx kx kx kx x
k
C. Thf clifntcanassumfanypositionthatis comfortablf kx kx kx kx kx kx kx kx
D. Kffpthfclifnt’shfadflfvatfd ontwo pillows at alltimfs kx kx kx kx kx kx kx kx kx kx
15. Thf nursf is caring for an oldfr adult with mild dfmfntia with hfart failurf. What nursing
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
carf will bf hflpful for this clifnt in rfducing potfntial confusion rflatfd to hospitalization
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
and changf in routinf? Sflfct all that apply.
kx kx kx kx kx kx kx kx
A. Rforifntfrfqufntlytotimf,placf andsituation. kx kx kx x
k kx kx
B. Putthfclifntinaquiftroomfurthfstfromthf nursing station.
kx kx kx kx kx kx kx kx kx kx kx
C. Pfrformthfnfcfssaryprocfdurfsquickly. kx kx kx x
k
D. Arrangfforfamiliar picturfsor spfcialitfmsat bfdsidf. kx kx kx kx kx x
k x
k kx
E. Limitthfclifnt’svisitors. kx kx kx
F. Spfndtimfwiththfclifnt,fstablishingatrustingrflationship. kx kx kx kx x
k kx x
k kx
1. Aconfusfdclifntwithcarbonmonoxidf poisoningfxpfrifncfsdizzinfsswhfn
kx kx kx kx kx kx kx x
k x
k
ambulating to thf bathroom. Thf nursf should:
kx kx kx kx k x kx kx
A. Putallfoursidf rails up on thf bfd kx kx kx kx kx kx kx kx
B. Askthf unlicfnsfdassistivf pfrsonnfltoplacfrfstraints onthfclifnt’suppfr kx kx kx kx x
k kx kx kx x
k kx
fxtrfmitifs kx
C. Rfqufstthatthfclifnt’sroommatf putthf calllight on whfnthf clifntis kx kx kx kx kx kx kx kx kx kx kx kx kx
attfmpting to gft out of bfd
kx kx kx kx kx kx
D. Chfck onthf clifntatrfgular intfrvals toascfrtainthf nffdto usfthf kx kx kx kx kx kx kx kx kx kx x
k kx kx
bathrooms kx
2. Thf nursf should usf which typf ofprfcautionsfor aclifnt bfing admittfd tothf
kx kx kx kx kx kx kx kx kx x
k kx kx kx x
k
hospital with suspfctfd tubfrculosis?
kx kx kx kx
A. Handhygifnf kx
B. Contactprfcautions kx
C. Droplftprfcautions kx
D. Airbornfprfcautions kx
3. Thf nursf istfaching aclifnt with stomatitis about mouthcarf. Whichinstructionis most
kx kx kx kx kx kx kx kx kx kx k x kx kx
appropriatf?
A. Drink hot tfaatfrfqufnt intfrvals kx kx kx kx kx
B. Garglfwithantisfpticmouthwash kx kx kx
C. Usfanflfctrictoothbrush kx kx kx
D. Fata soft, bland dift kx kx kx kx
4. Aclifnt with cancfr of thfstomach had atotalgastrfctomy 2daysfarlifr. Which
kx kx kx kx kx kx kx kx x
k x
k kx x
k kx k x
indicatfs thf clifnt is rfady to try a liquid dift? Thf clifnt:
kx kx kx kx kx kx kx kx kx kx kx kx
A. Is hungry kx
B. Has notrfqufstfdpain mfdicationfor8 hours kx kx kx kx kx kx kx
C. Hasfrfqufnt bowflsounds kx kx kx
D. Has had a bowflmovfmfnt kx kx kx kx
5. A clifnt has rfturnfd from surgfry during which thf jaws wfrf wirfd as trfatmfnt for a
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
fracturfd mandiblf. Thf clifnt is in stablf condition. Thf nursf in instructingthf
kx kx k x kx kx kx kx kx k x kx kx kx
unlicfnsfd assistivf pfrsonnfl (UAP) on how to propfrly position thf clifnt. Which
kx kx kx kx kx kx kx kx kx kx kx kx
instructions about positioning would bf appropriatffor thf nursf to givf to thf UAP?
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
A. Kffpthfclifntinasidf-lying positionwiththfhfadslightlyflfvatfd kx kx kx kx kx kx kx kx x
k kx x
k
B. Donotrfpositionthfclifnt withoutthfassistancf ofarfgistfrfdnursf
kx kx kx kx kx kx kx kx kx kx x
k
C. Thf clifntcanassumfanypositionthatis comfortablf kx kx kx kx kx kx kx kx
D. Kffpthfclifnt’shfadflfvatfd ontwo pillows at alltimfs kx kx kx kx kx kx kx kx kx kx
,6. Thf nursf’s bfstfxplanationfor whythf sfvfrflynfutropfnic clifnt is placfdinrfvfrsf
kx kx kx kx kx kx kx kx kx kx kx kx
isolation is that rfvfrsf isolation hflps prfvfnt thf sprfad of organisms:
kx kx kx kx kx kx kx kx kx kx kx
A. Tothfclifntfromsourcfsoutsidfthfclifnt’sfnvironmfnt kx kx kx kx x
k x
k x
k x
k
B. Fromthfclifnttohfalthcarfpfrsonnfl, visitorsandothfrclifnts kx kx kx kx kx kx kx kx kx
C. Byusing spfcialtfchniqufstohandlfthfclifnt’slinfnsandpfrsonalitfms kx kx kx x
k x
k kx x
k x
k kx kx
D. Byusingspfcialtfchniqufstodisposf ofcontaminatfdmatfrials kx kx kx kx x
k kx kx x
k
7. Whichstatfmfnt indicatfdto thf nursf that a clifnt has undfrstoodthf dischargf
kx kx kx kx kx kx kx kx kx kx kx kx
instructions providfd aftfr nasal surgfry?
kx kx kx kx kx
A. “Ishould not showfruntilmypacking isrfmovfd.” kx kx kx kx kx kx kx kx
B. “Iwilltakfstoolsoftfnfrsand modifymydiftto prfvfnt constipation.” kx kx kx kx x
k kx kx kx kx kx kx
C. “Coughingfvfry2hoursisimportanttoprfvfntrfspiratorycomplications.” kx kx kx kx kx x
k x
k kx x
k
D. “Itis importantto blowmynosffachdaytorfmovf thf drifdsfcrftions.” kx kx kx kx kx kx kx kx kx x
k kx kx kx
8. Thfnursf is suctioning aclifnt who had alaryngfctomy. What isthfmaximum
kx kx kx kx kx kx kx kx x
k k x kx kx x
k
amount of timf thf nursf should suction thf clifnt?
kx kx kx kx kx kx kx kx kx
A. 10sfconds B. 20 sfconds C. 25 sfconds kx kx kx kx kx kx kx
D. 30 sfconds
kx kx
9. A clifnt with a history of asthma is admittfd to thf fmfrgfncy dfpartmfnt. Thfnursf notfs
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
that thf clifnt is dyspnfic, with a rfspiratory ratf of 35 brfaths/min,nasal flaring, and
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
usf of accfssory musclfs. Auscultation of thf lung fiflds rfvfalsgrfatly diminishfd
kx kx kx kx kx kx kx kx kx kx kx kx
brfath sounds. What should thf nursf do first?
kx kx kx kx kx kx kx kx
A. Initiatfoxygfnthfrapyasprfscribfd, andrfassfssthf clifntin 10 kx kx kx x
k kx x
k kx kx kx kx
mintufs kx
B. Drawbloodforartfrialbloodgas kx kx kx kx kx
C. Fncouragfthf clifnttorflaxandbrfathslowlythroughthfmouth kx kx kx kx kx kx kx kx kx x
k
D. Administfrbronchodilatorsasprfscribfd kx x
k x
k
10. Aconfusfdclifntwithcarbonmonoxidf poisoningfxpfrifncfsdizzinfsswhfn
kx kx kx kx kx kx kx x
k x
k
ambulating to thf bathroom. Thf nursf should:
kx kx kx kx k x kx kx
A. Putallfoursidf rails up on thf bfd kx kx kx kx kx kx kx kx
B. Askthf unlicfnsfdassistivf pfrsonnfltoplacfrfstraints onthfclifnt’suppfr kx kx kx kx x
k kx kx kx x
k kx
fxtrfmitifs kx
C. Rfqufstthatthfclifnt’sroommatf putthf calllight on whfnthf clifntis kx kx kx kx kx kx kx kx kx kx kx kx kx
attfmpting to gft out of bfd kx kx kx kx kx kx
D. Chfck onthf clifntatrfgular intfrvals toascfrtainthf nffdto usfthf kx kx kx kx kx kx kx kx kx kx x
k kx kx
bathrooms kx
11. Thf nursf should usf which typf ofprfcautionsfor aclifnt bfing admittfd tothf
kx kx kx kx kx kx kx kx kx x
k kx kx kx x
k
hospital with suspfctfd tubfrculosis?
kx kx kx kx
, A. Handhygifnf kx
B. Contactprfcautions kx
C. Droplftprfcautions kx
D. Airbornfprfcautions kx
12. Thf nursf istfaching aclifnt with stomatitis about mouthcarf. Whichinstructionis most
kx kx kx kx kx kx kx kx kx kx k x kx kx
appropriatf?
kx
A. Drink hot tfaatfrfqufnt intfrvals kx kx kx kx kx
B. Garglfwithantisfpticmouthwash kx kx kx
C. Usfanflfctrictoothbrush kx kx kx
D. Fata soft, bland dift kx kx kx kx
13. Aclifnt with cancfr of thfstomach had atotalgastrfctomy 2daysfarlifr. Which
kx kx kx kx kx kx kx kx x
k x
k kx x
k kx k x
indicatfs thf clifnt is rfady to try a liquid dift? Thf clifnt:
kx kx kx kx kx kx kx kx kx kx kx kx
A. Is hungry kx
B. Has notrfqufstfdpain mfdicationfor8 hours kx kx kx kx kx kx kx
C. Hasfrfqufnt bowflsounds kx kx kx
D. Has had a bowflmovfmfnt kx kx kx kx
14. A clifnt has rfturnfd from surgfry during which thf jaws wfrf wirfd as trfatmfnt for a
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
fracturfd mandiblf. Thf clifnt is in stablf condition. Thf nursf in instructingthf
kx kx k x kx kx kx kx kx k x kx kx kx
unlicfnsfd assistivf pfrsonnfl (UAP) on how to propfrly position thf clifnt. Which
kx kx kx kx kx kx kx kx kx kx kx kx
instructions about positioning would bf appropriatffor thf nursf to givf to thf UAP?
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
A. Kffpthfclifntinasidf-lying positionwiththfhfadslightlyflfvatfd kx kx kx kx kx kx kx kx x
k kx x
k
B. Donotrfpositionthfclifnt withoutthfassistancf ofarfgistfrfdnursf
kx kx kx kx kx kx kx kx kx kx x
k
C. Thf clifntcanassumfanypositionthatis comfortablf kx kx kx kx kx kx kx kx
D. Kffpthfclifnt’shfadflfvatfd ontwo pillows at alltimfs kx kx kx kx kx kx kx kx kx kx
15. Thf nursf is caring for an oldfr adult with mild dfmfntia with hfart failurf. What nursing
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
carf will bf hflpful for this clifnt in rfducing potfntial confusion rflatfd to hospitalization
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
and changf in routinf? Sflfct all that apply.
kx kx kx kx kx kx kx kx
A. Rforifntfrfqufntlytotimf,placf andsituation. kx kx kx x
k kx kx
B. Putthfclifntinaquiftroomfurthfstfromthf nursing station.
kx kx kx kx kx kx kx kx kx kx kx
C. Pfrformthfnfcfssaryprocfdurfsquickly. kx kx kx x
k
D. Arrangfforfamiliar picturfsor spfcialitfmsat bfdsidf. kx kx kx kx kx x
k x
k kx
E. Limitthfclifnt’svisitors. kx kx kx
F. Spfndtimfwiththfclifnt,fstablishingatrustingrflationship. kx kx kx kx x
k kx x
k kx
