Evolve Fundamentals – Basics UPDATED
ACTUAL Questions and CORRECT
Answers
A client who has reached the stage of acceptance in the grieving process appears peaceful, but
demonstrates a lack of involvement with the environment. How should the nurse address this
behavior? - CORRECT ANSWER -Accept the behavior the client is exhibiting
A nurse is caring for a client who has paraplegia as a result of a spinal cord injury. Which
rehabilitation plan will be most effective for this client? - CORRECT ANSWER -The plan
is formulated and implemented early in the client's care
A client has been diagnosed as "brain dead". The nurse understands that this means that the client
has: - CORRECT ANSWER -no cortical functioning with some reflex breathing
Ceftriaxone (Rocephin) 2.5 g intravenous piggyback (IVPB) every 8 hours is prescribed for a
client with a severe infection. The pharmacy sends a vial labeled 5 g per 10 mL. What volume of
ceftriaxone should the nurse add to the IVPB solution? Record your answer using a whole
number. __________ mL - CORRECT ANSWER -5 ml
A postoperative client says to the nurse, "My neighbor—I mean the person in the next room—
sings all night and keeps me awake." The neighboring client has dementia and is awaiting
transfer to a nursing home. How can the nurse best handle this situation? - CORRECT
ANSWER -Move the post-operative client to a room at the end of the hall.
The nurse caring for a client with a systemic infection is aware that the assessment finding that is
most indicative of a systemic infection is: - CORRECT ANSWER -Oral temperature of
101.3º F
A client has a stage III pressure ulcer. Which nursing intervention can prevent further injury by
eliminating shearing force? - CORRECT ANSWER -With the help of another staff
member, use a drawsheet when lifting the client in bed
, The nurse is having difficulty understanding a client's decision to have hospice care rather than
an extensive surgical procedure. Which ethical principle does the client's behavior illustrate?
1
Justice - CORRECT ANSWER -Autonomy
A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers
that a hematoma is developing, edema is present and that the client reports tenderness when the
ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: -
CORRECT ANSWER -Ice bag
A hospital has threatened to refuse the discharge of a newborn until the parents pay part of the
hospital bill. The nurse is aware that the legal term that best describes this situation is: -
CORRECT ANSWER -False imprisonment
A senior high school student, whose immunization status is current, asks the school nurse which
immunizations will be included in the precollege physical. Which vaccine should the nurse tell
the student to expect to receive? - CORRECT ANSWER -Measles, mumps, rubella
(MMR)
A visitor says to the nurse, "Can I read my client's progress record? I am the sponsor from an
alcohol recovery program." How should the nurse respond? - CORRECT ANSWER -Do
not allow the sponsor to review the record
After several weeks of caring for clients who are in the terminal stage of illness, the nurse
becomes aware of feeling depressed when coming to work. What should the nurse do? -
CORRECT ANSWER -Talk with other nurses on the unit
A nurse considers that communication links people with their surroundings. What should the
nurse identify as the most important communication link? - CORRECT ANSWER -Social
When assessing an obese client, a nurse observes dehiscence of the abdominal surgical wound
with evisceration. The nurse places the client in the low-Fowler position with the knees slightly
ACTUAL Questions and CORRECT
Answers
A client who has reached the stage of acceptance in the grieving process appears peaceful, but
demonstrates a lack of involvement with the environment. How should the nurse address this
behavior? - CORRECT ANSWER -Accept the behavior the client is exhibiting
A nurse is caring for a client who has paraplegia as a result of a spinal cord injury. Which
rehabilitation plan will be most effective for this client? - CORRECT ANSWER -The plan
is formulated and implemented early in the client's care
A client has been diagnosed as "brain dead". The nurse understands that this means that the client
has: - CORRECT ANSWER -no cortical functioning with some reflex breathing
Ceftriaxone (Rocephin) 2.5 g intravenous piggyback (IVPB) every 8 hours is prescribed for a
client with a severe infection. The pharmacy sends a vial labeled 5 g per 10 mL. What volume of
ceftriaxone should the nurse add to the IVPB solution? Record your answer using a whole
number. __________ mL - CORRECT ANSWER -5 ml
A postoperative client says to the nurse, "My neighbor—I mean the person in the next room—
sings all night and keeps me awake." The neighboring client has dementia and is awaiting
transfer to a nursing home. How can the nurse best handle this situation? - CORRECT
ANSWER -Move the post-operative client to a room at the end of the hall.
The nurse caring for a client with a systemic infection is aware that the assessment finding that is
most indicative of a systemic infection is: - CORRECT ANSWER -Oral temperature of
101.3º F
A client has a stage III pressure ulcer. Which nursing intervention can prevent further injury by
eliminating shearing force? - CORRECT ANSWER -With the help of another staff
member, use a drawsheet when lifting the client in bed
, The nurse is having difficulty understanding a client's decision to have hospice care rather than
an extensive surgical procedure. Which ethical principle does the client's behavior illustrate?
1
Justice - CORRECT ANSWER -Autonomy
A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers
that a hematoma is developing, edema is present and that the client reports tenderness when the
ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: -
CORRECT ANSWER -Ice bag
A hospital has threatened to refuse the discharge of a newborn until the parents pay part of the
hospital bill. The nurse is aware that the legal term that best describes this situation is: -
CORRECT ANSWER -False imprisonment
A senior high school student, whose immunization status is current, asks the school nurse which
immunizations will be included in the precollege physical. Which vaccine should the nurse tell
the student to expect to receive? - CORRECT ANSWER -Measles, mumps, rubella
(MMR)
A visitor says to the nurse, "Can I read my client's progress record? I am the sponsor from an
alcohol recovery program." How should the nurse respond? - CORRECT ANSWER -Do
not allow the sponsor to review the record
After several weeks of caring for clients who are in the terminal stage of illness, the nurse
becomes aware of feeling depressed when coming to work. What should the nurse do? -
CORRECT ANSWER -Talk with other nurses on the unit
A nurse considers that communication links people with their surroundings. What should the
nurse identify as the most important communication link? - CORRECT ANSWER -Social
When assessing an obese client, a nurse observes dehiscence of the abdominal surgical wound
with evisceration. The nurse places the client in the low-Fowler position with the knees slightly
