Fundamentals 2 Quiz Test with 100% Verified Answers
A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of
the following actions should the nurse take? - -Don clean gloves to remove the old
dressing
A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage
evacuator in place. Which of the following actions should the nurse take to ensure proper
operation of the device? - -Collapse the device of air after emptying
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a
urinary tract infection. The client has an indwelling urinary catheter in place. Which of the
following actions should the nurse take? - -Clamp the tubing below the collection
port
A nurse is providing teaching to a group of unit nurses about wound healing by secondary
intention. Which of the following information should the nurse include in the teaching? -
-Granulation tissue fills the wound during healing
A nurse is providing teaching to a client who has a new colostomy about proper care.
Which of the following information should the nurse include in the teaching? - -
Cleanse the skin around the stoma with warm water
A nurse is helping a client change his hospital gown. The client has an IV infusion on an
infusion pump. Which of the following actions should the nurse take first? - -Remove
the sleeve of the gown from the arm without the IV line
A nurse is changing the dressings for a client who has two Penrose drains near an
abdominal incision. Which of the following adhering devices is the best choice for the
nurse to use to decrease skin irritation? - -Montgomery straps
, Fundamentals 2 Quiz Test with 100% Verified Answers
A nurse is preparing to administer an intramuscular injection to a client who is overweight.
Which of the following sites should the nurse select for the injection? - -The side hip
between the iliac crest and anterior iliac spine
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of
the following actions should the nurse take? - -Elevate the clients head of the bed 45
degrees before the feeding
A nurse is changing the dressings for a client recovering from an appendectomy following a
ruptured appendix. The client's surgical wound is healing by secondary intention. Which of
the following observations should the nurse report to the provider? - -A halo of
erythema on the surrounding skin
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which
of the following actions should the nurse take? - -Exert pressure on the bony
prominences when holding the eyelids open
A nurse is assessing a client who has an onset of severe back pain of unknown origin.
Which of the following questions should the nurse ask to encourage discussions with the
client? - -"What do you think caused the onset of your pain?"
A nurse is planning care for a group of clients who are receiving oxygen therapy. Which of
the following clients should the nurse plan to see first? - -A client who has heart
failure and is receiving 100% oxygen via a partial rebreather mask
A nurse is caring for an older adult client who has dysphagia following a cerebrovascular
accident. Which of the following actions should the nurse take when assisting the client at
mealtime? - -Offer the client tart or sour foods first (to stimulate saliva production)
A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of
the following actions should the nurse take? - -Don clean gloves to remove the old
dressing
A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage
evacuator in place. Which of the following actions should the nurse take to ensure proper
operation of the device? - -Collapse the device of air after emptying
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a
urinary tract infection. The client has an indwelling urinary catheter in place. Which of the
following actions should the nurse take? - -Clamp the tubing below the collection
port
A nurse is providing teaching to a group of unit nurses about wound healing by secondary
intention. Which of the following information should the nurse include in the teaching? -
-Granulation tissue fills the wound during healing
A nurse is providing teaching to a client who has a new colostomy about proper care.
Which of the following information should the nurse include in the teaching? - -
Cleanse the skin around the stoma with warm water
A nurse is helping a client change his hospital gown. The client has an IV infusion on an
infusion pump. Which of the following actions should the nurse take first? - -Remove
the sleeve of the gown from the arm without the IV line
A nurse is changing the dressings for a client who has two Penrose drains near an
abdominal incision. Which of the following adhering devices is the best choice for the
nurse to use to decrease skin irritation? - -Montgomery straps
, Fundamentals 2 Quiz Test with 100% Verified Answers
A nurse is preparing to administer an intramuscular injection to a client who is overweight.
Which of the following sites should the nurse select for the injection? - -The side hip
between the iliac crest and anterior iliac spine
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of
the following actions should the nurse take? - -Elevate the clients head of the bed 45
degrees before the feeding
A nurse is changing the dressings for a client recovering from an appendectomy following a
ruptured appendix. The client's surgical wound is healing by secondary intention. Which of
the following observations should the nurse report to the provider? - -A halo of
erythema on the surrounding skin
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which
of the following actions should the nurse take? - -Exert pressure on the bony
prominences when holding the eyelids open
A nurse is assessing a client who has an onset of severe back pain of unknown origin.
Which of the following questions should the nurse ask to encourage discussions with the
client? - -"What do you think caused the onset of your pain?"
A nurse is planning care for a group of clients who are receiving oxygen therapy. Which of
the following clients should the nurse plan to see first? - -A client who has heart
failure and is receiving 100% oxygen via a partial rebreather mask
A nurse is caring for an older adult client who has dysphagia following a cerebrovascular
accident. Which of the following actions should the nurse take when assisting the client at
mealtime? - -Offer the client tart or sour foods first (to stimulate saliva production)
