FUNDAMENTALS OF NURSING

MULTIPLE CHOICE 1. The nurse is aware that there are medications that are taken that alter the clients taste and may influence the dietary intake. In reviewing the medications taken by the clients on the unit, the nurse will consult with the nutritionist to develop a palatable meal plan for the client taking: A. Ampicillin B. Morphine C. Furosemide D. Acetaminophen ANS: A Ampicillin may cause an alteration in taste. Opiates, such as morphine, cause decreased peristalsis and may resu...

MULTIPLE CHOICE 1. The nurse is completing a physical examination for a client who is anemic. In assessing the clients eyes, a sign assessed by the nurse that is consistent with the diagnosis is: A. Xanthelasma B. Petechiae C. Corneal arcus D. Pale conjunctiva ANS: D Pale conjunctiva is an assessment finding consistent with the diagnosis of anemia. Xanthelasma is caused by hyperlipidemia. Petechiae appear on the skin in clients with platelet deficiency (thrombocytopenia). Petechiae ...

MULTIPLE CHOICE 1. Which of the following statements made by a nurse caring for a client reporting severe pain expresses the most insight into how pain impacts a clients energy reserves? A. If I can’t get his pain under control, his recovery will take a lot longer. B. Pain certainly interferes with the clients ability to rest and recuperate. C. I’m going to call for another pain prescription so he can get some rest. D. Trying to cope with pain is using up the energy that his recovery ...

MULTIPLE CHOICE 1. A client is discussing his recent restlessness and increased irritability. Which of the following assessment questions is likely to be most helping in determining the cause of these complaints? A. When did you start noticing these changes? B. Has anything caused you to change your usual routine lately? C. Do you have any idea what might be causing these problems? D. What makes you think that you are more irritable than is normal for you? ANS: B When the sleep-wake...

MULTIPLE CHOICE 1. A client is prescribed 0.9% sodium chloride (normal saline), which is an isotonic solution. The nurse recognizes the primary goal of such intravenous therapy is to: A. Expand the volume of fluid in the vascular system B. Pull fluid from the cells C. Keep protein levels normal D. Move fluid into the cells ANS: A Isotonic solutions such as normal saline, 0.9% sodium chloride, expand the bodys fluid volume without causing a fluid shift from one compartment to another...

MULTIPLE CHOICE 1. It appears to the nurse the client is experiencing a crisis. The nurse plans to: A. Allow the client to work through independent problem-solving B. Complete an in-depth evaluation of stressors and responses C. Focus on immediate stress reduction D. Recommend ongoing therapy ANS: C The nurses focus for a client experiencing a crisis is immediate stress reduction. The client experiencing a crisis is unable to work through independent problem solving. Completing an ...

MULTIPLE CHOICE 1. The nurse should expect that which of the following clients is most likely to have difficulty performing personal hygiene tasks? A. The 54-year-old with osteoarthritis in his upper extremity joints B. The 26-year-old new mother experiencing postpartum depression C. The 15-year-old client who fractured his left clavicle while skateboarding D. The 36-year-old client who just learned that her lung cancer is inoperable ANS: A Any condition that interferes with movemen...

MULTIPLE CHOICE 1. Which of the following statements regarding physical activity and its effect on activity tolerance made by a client shows the most informed knowledge regarding the connection between the two? A. I know I need to walk more if I want to get stronger. B. I don’t like walking, but I do it because I know it will make me stronger. C. I try to walk a little farther each afternoon so I can dance at my grandsons wedding. D. I walk with my son three evenings a week because its ...

MULTIPLE CHOICE 1. Which of the following statements made by an older adult reflects the best understanding of the need to exercise no matter ones age? A. You are never too old to start exercising. B. My grandson and I walk together around the park 3 times a week. C. I got my granddaughter a subscription to a runners magazine for her birthday. D. Kids today just dont seem to get the exercise we did when I was growing up. ANS: B Strategies for physical activity incorporated early int...

Comprehensive Fundamentals of Nursing study guide featuring verified practice questions and answers covering nursing process, patient safety, infection control, pharmacology basics, nutrition, communication, documentation, ethics, clinical skills, and foundational nursing concepts. Includes complete review of priority nursing interventions, NCLEX-style questions, and evidence-based patient care principles to prepare for the latest 2026/2027 Fundamentals Proctored Exam.

Prepare for your nursing exams with the Test Bank for OpenStax: Fundamentals of Nursing by Bowen et al. This comprehensive study resource covers Chapters 1–43 and includes the latest multiple-choice questions (MCQs) with accurate answers to help students succeed in quizzes, assignments, midterm exams, final exams, ATI, NCLEX-style practice, and overall course preparation. Designed to strengthen your understanding of fundamental nursing concepts, patient-centered care, health assessment, nursin...

MULTIPLE CHOICE 1. A 73-year-old client who is no longer working as a cabinetmaker begins to make statements that suggest negative self-concept. This is most likely related to: A. The prospect of limited financial and health care resources B. The loss of family members and friends to death and illness C. The physical changes the aging process has had on his health and body D. The perceived loss of respect others once had for his woodworking abilities ANS: C Evidence suggests that se...

MULTIPLE CHOICE 1. A terminally ill client shares with the nurse that he, needs to tell someone what I want when the end comes. The nurses most therapeutic response is: A. We can talk about that now if you want to. Let me close the door and pull up a chair. B. I imagine you would like to discuss matters with your primary care provider. I’ll let him know you want to talk. C. Let me finish with my client care, I’ll be back in 10 minutes, and we can talk as long as you need to. D. If you...

MULTIPLE CHOICE 1. The nurse is working in the labor and delivery area with parents who are members of the Shinto and Buddhist religions. The nurse expects that after the birth of the child: A. Baptism will be performed immediately B. Special prayers will be said over the child C. Special preparations will be made for the umbilical cord and placenta D. No particular rituals will usually be performed in the postpartum period ANS: D No special rituals are usually performed in the imme...

MULTIPLE CHOICE 1. Teenagers tend to engage in risky sexual behavior primarily because they: A. Feel invincible B. Lack factual information C. Emulate poor social models D. Possess immature decision-making skills ANS: A Adolescents tend to think they are invincible and do not expect bad things to happen to them. While the other options can be factors in some teens decisions to engage in unprotected sex, the age-group generally lacks the insight that they are not invincible and that ...

MULTIPLE CHOICE 1. The nurse is working in the newborn nursery. In planning for temperature measurement, the nurse will obtain the reading on the infants by using the: A. Oral site B. Rectal site C. Axillary site D. Tympanic site ANS: C The axillary site can be used with newborns and uncooperative clients. The oral site should not be used with infants. The rectal site should not be used for routine vital signs in newborns. The tympanic site is questioned as being accurate in newborn...

MULTIPLE CHOICE 1. A client is dealing with chronic pain. The nurse suggests implementation of relaxation techniques. The nurses most informed response to the clients question How is relaxing going to help my pain? would be: A. What have you got to lose? It could certainly help. B. It will increase the effectiveness of the pain medication youre taking. C. Relaxing has been very helpful for people, especially those in severe pain. D. Relaxing your muscles is a better way for your body to r...

MULTIPLE CHOICE 1. The client is to receive heparin by injection. The nurse prepares to inject this medication in the clients: A. Scapular region B. Vastus lateralis C. Posterior gluteal D. Abdomen ANS: D The abdomen is the site most frequently recommended for heparin injections is the abdomen. The scapular areas may be used for subcutaneous injections, but it is not recommended site for heparin injections. The vastus lateralis is used for intramuscular injections, not subcutaneous ...

MULTIPLE CHOICE 1. The school-aged child is taken to the school nurse after experiencing a nosebleed during a softball game. The appropriate intervention is for the nurse to: A. Have the child lean backward B. Apply pressure to the anterior nose C. Apply a warm cloth to the area D. Have the child close his mouth and blow his nose ANS: B The nurse should have the child who is experiencing a nosebleed sit up and lean forward to avoid aspiration of blood, apply pressure to the anterior...

MULTIPLE CHOICE 1. There are a variety of teaching methodologies that may be utilized to meet the clients needs. Which teaching method is best applied to a cognitive learning need? A. Modeling of behavior B. Discussion of feelings C. Computer-assisted instruction D. Demonstration of a procedure ANS: C An independent project such as computer-assisted instruction is an appropriate teaching method for cognitive learning. Modeling of behavior is an appropriate teaching method for psycho...