RN Fundamentals Proctored Practice Exam with 100
Questions And Correct Answers with Rationales / RN
Fundamentals Latest Practice Test
An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER-D. Replacing
the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation?
Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - ANSWER-B, C, E
A and D are rights of medication administration
1
,A nurse manager of a med-surg unit is assigning care responsibilities for the
oncoming shift. A client is awaiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign to this
client?
A. Charge nurse
B. RN
C. LPN
D. AP - ANSWER-B. RN
A client returning from surgery requires assessment and establishment of a plan of
care. RNs are responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly.
The AP tells him she will put a diaper on him if he does not use the urinal more
carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - ANSWER-A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about leaving
the hospital against medical advice. The nurse believes that this is not in the client's
best interest, so she administers a PRN sedative med that the client has not
2
,requested along w/his usual meds. Which of the following tort has the nurse
committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - ANSWER-B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client from leaving the
facility against medical advice. The client did not consent.
A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the
hospital. Which of the following statements by the client indicates to the nurse that
he understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my
wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the
hospital." - ANSWER-C.
The client has the right to decide and specify which medical procedures he wants
when a life-threatening situation arrives
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing preop care regarding
informed consent? Select all.
3
, A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - ANSWER-A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A nurse has noticed several occasions in the past week when another nurse on the
unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
nurse asleep in a chair in the break room when she was not on break. Which of the
following actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve - ANSWER-C.
Any nurse who notices behavior that could possibly jeopardize client care or
indicate a substance abuse problem has a duty to report the situation immediately
to the nurse manager
A nurse is preparing info for a change-of-shift report. Which of the following info
should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record - ANSWER-C. A bone
scan that is scheduled for today
4
Questions And Correct Answers with Rationales / RN
Fundamentals Latest Practice Test
An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER-D. Replacing
the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation?
Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - ANSWER-B, C, E
A and D are rights of medication administration
1
,A nurse manager of a med-surg unit is assigning care responsibilities for the
oncoming shift. A client is awaiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign to this
client?
A. Charge nurse
B. RN
C. LPN
D. AP - ANSWER-B. RN
A client returning from surgery requires assessment and establishment of a plan of
care. RNs are responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly.
The AP tells him she will put a diaper on him if he does not use the urinal more
carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - ANSWER-A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about leaving
the hospital against medical advice. The nurse believes that this is not in the client's
best interest, so she administers a PRN sedative med that the client has not
2
,requested along w/his usual meds. Which of the following tort has the nurse
committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - ANSWER-B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client from leaving the
facility against medical advice. The client did not consent.
A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the
hospital. Which of the following statements by the client indicates to the nurse that
he understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my
wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the
hospital." - ANSWER-C.
The client has the right to decide and specify which medical procedures he wants
when a life-threatening situation arrives
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing preop care regarding
informed consent? Select all.
3
, A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - ANSWER-A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A nurse has noticed several occasions in the past week when another nurse on the
unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
nurse asleep in a chair in the break room when she was not on break. Which of the
following actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve - ANSWER-C.
Any nurse who notices behavior that could possibly jeopardize client care or
indicate a substance abuse problem has a duty to report the situation immediately
to the nurse manager
A nurse is preparing info for a change-of-shift report. Which of the following info
should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record - ANSWER-C. A bone
scan that is scheduled for today
4
