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2025 NUR 100 NURSING FUNDAMENTALS
EXAM ACTUAL EXAM QUESTIONS AND
ANSWERS|UPDATED |ALREADY GRADED
A+|CHAMBERLAIN COLLEGE
1. A nurse is caring for a client who has a history of falls. Which of
the following actions is the nurse's
priority?
a. Complete a fall risk assessment
b. Educate the client and family about fall risks
c. Eliminate safety hazards from the client's environment
d. Make sure the client uses assistive aids in his possession
......answer.....a. Complete a fall risk assessment
you should position the patient's head of bed at ____ degrees
a. more than 40
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b. 90 angle
c. less than 30
d. any position ......answer.....c. less than 30
Fall prevention interventions ......answer.....•Bathtub with rails or
shower seat
• Raised toilet seats• Night lights
• Remove clutter
• Remove rugs
• Non-slip socks
• Fall risk band
• Bed locked and in lowest position
restrains padding goes on ......answer.....boney promient
for restrains you always need a ________ ......answer.....ORDER
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T/F: what a patient is confused, the nurse should do all he can
before placing the patient in restraints ......answer.....True
2. A nurse is caring for a client who fell at a nursing home. The
client is oriented to person, place, and
time, and can follow directions. Which of the following actions
should the nurse take to decrease
the risk of another fall? (Select all that apply)
a. Place a belt restraint on the client when he is sitting on the
bedside commode
b. Keep the bed in its lowest position with all side rails up
c. Make sure that the client's call light is within reach
d. Provide the client with nonskid footwear
e. Complete a fall risk assessment ......answer.....c. Make sure that
the client's call light is within reach
d. Provide the client with nonskid footwear
e. Complete a fall risk assessment
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THE FIVE P'S OF PURPOSEFUL ROUNDING ......answer.....•Pain
•Potty
•Possessions
•Path
•Plugs
To order a restraint: ......answer.....1) document- behavior
exhibited-- why you need the restraint
2) clients level of conciousness - disorented etc.
3) type of restraint
4) location
order a restraint limit ......answer.....24 hours new order, round 1-2
hours and every 4 hour check to see if they still need it
3. A nurse is caring for a client who is receiving enteral tube
feedings due to dysphagia. Which of the
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2025 NUR 100 NURSING FUNDAMENTALS
EXAM ACTUAL EXAM QUESTIONS AND
ANSWERS|UPDATED |ALREADY GRADED
A+|CHAMBERLAIN COLLEGE
1. A nurse is caring for a client who has a history of falls. Which of
the following actions is the nurse's
priority?
a. Complete a fall risk assessment
b. Educate the client and family about fall risks
c. Eliminate safety hazards from the client's environment
d. Make sure the client uses assistive aids in his possession
......answer.....a. Complete a fall risk assessment
you should position the patient's head of bed at ____ degrees
a. more than 40
1|Page
,2|Page
b. 90 angle
c. less than 30
d. any position ......answer.....c. less than 30
Fall prevention interventions ......answer.....•Bathtub with rails or
shower seat
• Raised toilet seats• Night lights
• Remove clutter
• Remove rugs
• Non-slip socks
• Fall risk band
• Bed locked and in lowest position
restrains padding goes on ......answer.....boney promient
for restrains you always need a ________ ......answer.....ORDER
2|Page
,3|Page
T/F: what a patient is confused, the nurse should do all he can
before placing the patient in restraints ......answer.....True
2. A nurse is caring for a client who fell at a nursing home. The
client is oriented to person, place, and
time, and can follow directions. Which of the following actions
should the nurse take to decrease
the risk of another fall? (Select all that apply)
a. Place a belt restraint on the client when he is sitting on the
bedside commode
b. Keep the bed in its lowest position with all side rails up
c. Make sure that the client's call light is within reach
d. Provide the client with nonskid footwear
e. Complete a fall risk assessment ......answer.....c. Make sure that
the client's call light is within reach
d. Provide the client with nonskid footwear
e. Complete a fall risk assessment
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, 4|Page
THE FIVE P'S OF PURPOSEFUL ROUNDING ......answer.....•Pain
•Potty
•Possessions
•Path
•Plugs
To order a restraint: ......answer.....1) document- behavior
exhibited-- why you need the restraint
2) clients level of conciousness - disorented etc.
3) type of restraint
4) location
order a restraint limit ......answer.....24 hours new order, round 1-2
hours and every 4 hour check to see if they still need it
3. A nurse is caring for a client who is receiving enteral tube
feedings due to dysphagia. Which of the
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