Nursing 101 Fundamentals of Nursing Practice Exam 1, Part
1 (Carolinas College of Health Sciences NCLEX Questions
that relate to Exam 1 in Fundamentals of Nursing. Collected
from FoN NCLEX prep books, Fundamentals Success,
Potter and Perry, and FoN NCLEX prep) Questions With
Complete Solutions
A client is receiving 115 ml/hr of continuous IVF. The nurse
notices that the venipuncture site is red and swollen. Which of
the following interventions would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site Correct Answers A. Stop the
infusion
The sign and symptoms indicate extravasation so the IVF should
be stopped immediately and put warm not cold towel on the
affected site.
A patient states that he has difficulty sleeping in the hospital
because of noise. Which of the following would be an
appropriate nursing action?
A. Administer a sedative at bedtime, as ordered by the physician
B. Ambulate the patient for 5 minutes before he retires
C. Give the patient a glass of warm milk before bedtime
D. Close the patient's door from 9pm to 7am Correct Answers
C. Give the patient a glass of warm milk before bedtime
Warm milk will relax the patient because it contains tryptophan,
a natural sedative.
,A skin lesion which is fluid-filled, less than 1 cm in size is
called:
A. Papule
B. Vesicle
C. Bulla
D. Macule Correct Answers B. Vesicle
Vesicle is a circumscribed circulation containing serous fluid or
blood and less than 1 cm (ex. Blister, chicken pox).
A sudden redness of the skin is known as:
A. Flush
B. Cyanosis
C. Jaundice
D. Pallor Correct Answers A. Flush
Flush is a sudden redness of the skin. Cyanosis is a slightly
bluish, grayish skin discoloration caused by abnormal amounts
or reduced hemoglobin in the blood. Jaundice is a yellow
discoloration of the skin, mucous membranes and sclera caused
by excessive amounts of bilirubin in the blood. Pallor is an
unnatural paleness or absence of color in the skin indicating
insufficient oxygen and excessive carbon dioxide in the blood.
According to Maslow's hierarchy of needs, which of the
following is a basic physiologic need after oxygen?
A. Safety
B. Activity
C. Love
D. Self esteem Correct Answers B. Activity
, According to Maslow, activity is one of the man's most basic
physiologic needs, along with oxygen, shelter, food, water,
thirst, sleep and temperature maintenance.
Becky is on NPO since midnight as preparation for blood test.
Adreno-cortical response is activated. Which of the following is
an expected response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output Correct Answers D. Decreased
urine output
Adreno-cortical response involves release of aldosterone that
leads to retention of sodium and water. This results to decreased
urine output.
Claire is admitted with a diagnosis of chronic shoulder pain. By
definition, the nurse understands that the patient has had pain for
more than:
A. 3 months
B. 6 months
C. 9 months
D. 1 year Correct Answers B. 6 months
Chronic pain is usually defined as pain lasting longer than 6
months.
Constipation is a common problem for immobilized patients
because of:
1 (Carolinas College of Health Sciences NCLEX Questions
that relate to Exam 1 in Fundamentals of Nursing. Collected
from FoN NCLEX prep books, Fundamentals Success,
Potter and Perry, and FoN NCLEX prep) Questions With
Complete Solutions
A client is receiving 115 ml/hr of continuous IVF. The nurse
notices that the venipuncture site is red and swollen. Which of
the following interventions would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site Correct Answers A. Stop the
infusion
The sign and symptoms indicate extravasation so the IVF should
be stopped immediately and put warm not cold towel on the
affected site.
A patient states that he has difficulty sleeping in the hospital
because of noise. Which of the following would be an
appropriate nursing action?
A. Administer a sedative at bedtime, as ordered by the physician
B. Ambulate the patient for 5 minutes before he retires
C. Give the patient a glass of warm milk before bedtime
D. Close the patient's door from 9pm to 7am Correct Answers
C. Give the patient a glass of warm milk before bedtime
Warm milk will relax the patient because it contains tryptophan,
a natural sedative.
,A skin lesion which is fluid-filled, less than 1 cm in size is
called:
A. Papule
B. Vesicle
C. Bulla
D. Macule Correct Answers B. Vesicle
Vesicle is a circumscribed circulation containing serous fluid or
blood and less than 1 cm (ex. Blister, chicken pox).
A sudden redness of the skin is known as:
A. Flush
B. Cyanosis
C. Jaundice
D. Pallor Correct Answers A. Flush
Flush is a sudden redness of the skin. Cyanosis is a slightly
bluish, grayish skin discoloration caused by abnormal amounts
or reduced hemoglobin in the blood. Jaundice is a yellow
discoloration of the skin, mucous membranes and sclera caused
by excessive amounts of bilirubin in the blood. Pallor is an
unnatural paleness or absence of color in the skin indicating
insufficient oxygen and excessive carbon dioxide in the blood.
According to Maslow's hierarchy of needs, which of the
following is a basic physiologic need after oxygen?
A. Safety
B. Activity
C. Love
D. Self esteem Correct Answers B. Activity
, According to Maslow, activity is one of the man's most basic
physiologic needs, along with oxygen, shelter, food, water,
thirst, sleep and temperature maintenance.
Becky is on NPO since midnight as preparation for blood test.
Adreno-cortical response is activated. Which of the following is
an expected response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output Correct Answers D. Decreased
urine output
Adreno-cortical response involves release of aldosterone that
leads to retention of sodium and water. This results to decreased
urine output.
Claire is admitted with a diagnosis of chronic shoulder pain. By
definition, the nurse understands that the patient has had pain for
more than:
A. 3 months
B. 6 months
C. 9 months
D. 1 year Correct Answers B. 6 months
Chronic pain is usually defined as pain lasting longer than 6
months.
Constipation is a common problem for immobilized patients
because of:
