1
Fundamentals Final
A nurse is using the I-SBAR communication tool to provide the client's provider
with information about the client. The nurse should convey the client's pain status
in which portion of the report?
A. Assessment
B. Background
C. Situation
D. Recommendation - -CORRECT ANSWER--✔️A
A nurse is providing discharge to a client who is recovering from lung cancer. The
provider instructed the client that he could resume lower-intensity activities of
daily living. Which of the following activities should the nurse recommend to the
client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - -CORRECT ANSWER--✔️D
A nurse in the emergency department is caring for a client who has abdominal
trauma. Which of the following assessment findings should the nurse identify as
an indication of hypovolemic shock?
A. Warm, dry skin
B. Increase urinary output
C. Tachycardia
D. Bradypnea - -CORRECT ANSWER--✔️C
1
, 2
Rationale: Due to the decrease in circulating blood volume that occurs with
internal bleeding, the oxygen carrying capacity of the blood is reduced. The body
attempts to relieve the hypoxia by increasing the heart rate and cardiac output,
along with increasing the respiratory rate.
A nurse is planning to assess the abdomen of a client who reports feeling bloated
for several weeks. Which of the following methods of assessment should the
nurse first?
A. Inspection
B. Auscultation
C. Percussion
D. Palpation - -CORRECT ANSWER--✔️A
A nurse is responding to a parents question about his infants expected physical
development during the first year of life. Which of the following information should
the nurse include?
A. A 2 month old infant can turn from his abdomen to his back
B. A 10 month old infant can pull up to a standing position
C. A 4 month old infant can sit up without support
D. A 6month old infant can crawl on his hands and knees - -CORRECT ANSWER--
✔️B
A client who reports shortness of breath requests her nurse's help in changing
positions. After repositioning the client, which of the following actions should the
nurse take next?
A. Encourage the client to take deep breaths
B. Observe the rate, depth, and character of the clients respirations
C. Prepare to administer oxygen
D. Give the client a back rub to help her relax - -CORRECT ANSWER--✔️B
2
, 3
A nurse is planning to insert a NG tube for a client after explaining the procedure.
The client states, "you are not putting that hose down my throat". Which of the
following statements should the nurse make?
A. I would try to get it over with because you won't get better without this tube
B. You should talk to your provider about it
C. Why dont you want the tube inserted?
D. I can see that this is upsetting you - -CORRECT ANSWER--✔️D
An assistive personnel is assisting a nurse with the care of a female client who
has a indwelling urinary catheter. Which of the following actions by the AP
indicates a need for further teaching?
A. The AP uses soap and water to clean the perineal area
B. The AP tapes the catheter to the clients inner thigh
C. The AP hangs the collection bag at the level of the bladder
D. The AP ensures that there are no kinks in the drainage tubing - -CORRECT
ANSWER--✔️C
A nurse is explaining the use of written consent forms to a newly licensed nurse.
The nurse should ensure that a written consent form that has been signed by
which of the following clients?
A. A client who has a prescription for a transfusion of packed red blood cells
B. A client who is being transported for a radiography of the kidneys, ureters, and
bladder
C. A client who has a prescription for a TB test
D. A client who has a distended bladder and needs urinary catherization - -
CORRECT ANSWER--✔️A
3
Fundamentals Final
A nurse is using the I-SBAR communication tool to provide the client's provider
with information about the client. The nurse should convey the client's pain status
in which portion of the report?
A. Assessment
B. Background
C. Situation
D. Recommendation - -CORRECT ANSWER--✔️A
A nurse is providing discharge to a client who is recovering from lung cancer. The
provider instructed the client that he could resume lower-intensity activities of
daily living. Which of the following activities should the nurse recommend to the
client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - -CORRECT ANSWER--✔️D
A nurse in the emergency department is caring for a client who has abdominal
trauma. Which of the following assessment findings should the nurse identify as
an indication of hypovolemic shock?
A. Warm, dry skin
B. Increase urinary output
C. Tachycardia
D. Bradypnea - -CORRECT ANSWER--✔️C
1
, 2
Rationale: Due to the decrease in circulating blood volume that occurs with
internal bleeding, the oxygen carrying capacity of the blood is reduced. The body
attempts to relieve the hypoxia by increasing the heart rate and cardiac output,
along with increasing the respiratory rate.
A nurse is planning to assess the abdomen of a client who reports feeling bloated
for several weeks. Which of the following methods of assessment should the
nurse first?
A. Inspection
B. Auscultation
C. Percussion
D. Palpation - -CORRECT ANSWER--✔️A
A nurse is responding to a parents question about his infants expected physical
development during the first year of life. Which of the following information should
the nurse include?
A. A 2 month old infant can turn from his abdomen to his back
B. A 10 month old infant can pull up to a standing position
C. A 4 month old infant can sit up without support
D. A 6month old infant can crawl on his hands and knees - -CORRECT ANSWER--
✔️B
A client who reports shortness of breath requests her nurse's help in changing
positions. After repositioning the client, which of the following actions should the
nurse take next?
A. Encourage the client to take deep breaths
B. Observe the rate, depth, and character of the clients respirations
C. Prepare to administer oxygen
D. Give the client a back rub to help her relax - -CORRECT ANSWER--✔️B
2
, 3
A nurse is planning to insert a NG tube for a client after explaining the procedure.
The client states, "you are not putting that hose down my throat". Which of the
following statements should the nurse make?
A. I would try to get it over with because you won't get better without this tube
B. You should talk to your provider about it
C. Why dont you want the tube inserted?
D. I can see that this is upsetting you - -CORRECT ANSWER--✔️D
An assistive personnel is assisting a nurse with the care of a female client who
has a indwelling urinary catheter. Which of the following actions by the AP
indicates a need for further teaching?
A. The AP uses soap and water to clean the perineal area
B. The AP tapes the catheter to the clients inner thigh
C. The AP hangs the collection bag at the level of the bladder
D. The AP ensures that there are no kinks in the drainage tubing - -CORRECT
ANSWER--✔️C
A nurse is explaining the use of written consent forms to a newly licensed nurse.
The nurse should ensure that a written consent form that has been signed by
which of the following clients?
A. A client who has a prescription for a transfusion of packed red blood cells
B. A client who is being transported for a radiography of the kidneys, ureters, and
bladder
C. A client who has a prescription for a TB test
D. A client who has a distended bladder and needs urinary catherization - -
CORRECT ANSWER--✔️A
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