Evolve fundamentals UPDATED ACTUAL
Questions and CORRECT Answers
A nurse is caring for an older adult with a hearing loss secondary to aging. What can the nurse
expect to identify when assessing this client? (Select all that apply.)
1.Dry cerumen
2.Tears in the tympanic membrane
3.Difficulty hearing high-pitched voices
4.Decrease of hair in the auditory canal
5.Overgrowth of the epithelial auditory lining - CORRECT ANSWER -1.Dry cerumen
3.Difficulty hearing high-pitched voices
A nurse receives a shift report on four adult clients that are between the ages of 25-55. Which
client should the nurse assess first?
1.Male client with a hemoglobin of 15.9
2.Female client on warfarin (Coumadin) with an International Normalized Ratio (INR) of 7.5
3.Female client taking daily calcium supplements with a serum calcium level of 9.4
4.Male client with a blood urea nitrogen (BUN) of 20 and a creatinine of 1.1 - CORRECT
ANSWER -2.Female client on warfarin (Coumadin) with an International Normalized
Ratio (INR) of 7.5
A client comes to the clinic complaining of a productive cough with copious yellow sputum,
fever, and chills for the past two days. The first thing the nurse should do when caring for this
client is to:
1.Encourage fluids
2.Administer oxygen
3.Take the temperature
, 4.Collect a sputum specimen - CORRECT ANSWER -3.Take the temperature
What should the nurse do initially when obtaining consent for surgery?
1.Describe the risks involved in the surgery.
2.Explain that obtaining the signature is routine for any surgery.
3.Witness the client's signature, which the nurse's signature will document.
4.Determine whether the client's knowledge level is sufficient to give consent - CORRECT
ANSWER -4.Determine whether the client's knowledge level is sufficient to give consent
Considering Erikson's developmental theories, a 21-year-old male client who has sustained a
spinal injury below the level of T6 will most likely have difficulty with:
1.Mastering his environment
2.Identifying with the male role
3.Developing meaningful relationships
4.Differentiating himself from the environment - CORRECT ANSWER -3.Developing
meaningful relationships
A nurse is hired to work in a health care facility that has a complete computer-based client
information system. The nurse in charge knows that the newly hired nurse is knowledgeable
about this system when the nurse says:
1."More medication errors are made when this system is used."
2."It is disappointing that nurses are not allowed to use this system."
3."Client information is immediately available when this system is used."
4."I will have less time to provide direct care to my clients with this system." - CORRECT
ANSWER -3."Client information is immediately available when this system is used."
Questions and CORRECT Answers
A nurse is caring for an older adult with a hearing loss secondary to aging. What can the nurse
expect to identify when assessing this client? (Select all that apply.)
1.Dry cerumen
2.Tears in the tympanic membrane
3.Difficulty hearing high-pitched voices
4.Decrease of hair in the auditory canal
5.Overgrowth of the epithelial auditory lining - CORRECT ANSWER -1.Dry cerumen
3.Difficulty hearing high-pitched voices
A nurse receives a shift report on four adult clients that are between the ages of 25-55. Which
client should the nurse assess first?
1.Male client with a hemoglobin of 15.9
2.Female client on warfarin (Coumadin) with an International Normalized Ratio (INR) of 7.5
3.Female client taking daily calcium supplements with a serum calcium level of 9.4
4.Male client with a blood urea nitrogen (BUN) of 20 and a creatinine of 1.1 - CORRECT
ANSWER -2.Female client on warfarin (Coumadin) with an International Normalized
Ratio (INR) of 7.5
A client comes to the clinic complaining of a productive cough with copious yellow sputum,
fever, and chills for the past two days. The first thing the nurse should do when caring for this
client is to:
1.Encourage fluids
2.Administer oxygen
3.Take the temperature
, 4.Collect a sputum specimen - CORRECT ANSWER -3.Take the temperature
What should the nurse do initially when obtaining consent for surgery?
1.Describe the risks involved in the surgery.
2.Explain that obtaining the signature is routine for any surgery.
3.Witness the client's signature, which the nurse's signature will document.
4.Determine whether the client's knowledge level is sufficient to give consent - CORRECT
ANSWER -4.Determine whether the client's knowledge level is sufficient to give consent
Considering Erikson's developmental theories, a 21-year-old male client who has sustained a
spinal injury below the level of T6 will most likely have difficulty with:
1.Mastering his environment
2.Identifying with the male role
3.Developing meaningful relationships
4.Differentiating himself from the environment - CORRECT ANSWER -3.Developing
meaningful relationships
A nurse is hired to work in a health care facility that has a complete computer-based client
information system. The nurse in charge knows that the newly hired nurse is knowledgeable
about this system when the nurse says:
1."More medication errors are made when this system is used."
2."It is disappointing that nurses are not allowed to use this system."
3."Client information is immediately available when this system is used."
4."I will have less time to provide direct care to my clients with this system." - CORRECT
ANSWER -3."Client information is immediately available when this system is used."
