Fundamentals 2023 Proctor
1. A nurse is assisting with the care of a client who has a prescription for IV
therapy. The client tells the nurse that he has numerous allergies. Which of the
following allergies should the nurse bring to the attention of the charge nurse
prior to the initiation of the therapy?
eggs
latex
seafood
bee stings: latex
2. A nurse is caring for a client who has a prescription for a high-protein
diet to promote wound healing following surgery. The client's religion prohibits
eating meat on particular days. Which of the following actions should the nurse
take? a. encourage the client to eat meat during this time to promote healing b.
advise the client to eat everything on the tray except the meat c. suggest the
client receive high-protein enteral feedings d. ask the dietitian to recommend
alternative food choices for the client: ask the dietitian to recommend alternative
food choices for the client
3. A nurse is caring for a client who has prescription for a high-protein diet
to promote wound healing following surgery. The client's religion prohibits
eating meat on particular days. Which of the following actions should the
nurse take?
Encourage the client to eat meat during this time to promote healing
Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
,Ask the dietitian to recommend alternative food choices for the clie: Ask the
dietitian to recommend alternative food choices for the client
4. A nurse is collecting data from a client who is 2 days postoperative following
a colostomy. Which of the following findings should the nurse report to
the provider?
a purple-colored stoma protrusion of the stoma a small amount of bleeding
from the stoma intestinal gas in the pouch: a purple-colored stoma
5. A nurse is reinforcing teaching with a client about self-administration of ophthalmic
drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball." "You should
cleanse your eye from the inner to the outer edge prior to putting in the
drops." "You should avoid pressing on your tear duct after putting the drops
in your eye.": "You should cleanse your eye from the inner to the outer edge prior
to putting inthe drops."
6. A nurse is reinforcing teaching about carbohydrate counting with a client
who has a new diagnosis of diabetes mellitus. Which of the following actions
should the nurse take first? a. use pictures of different food groups to help the
client plan a daily menu b. ask the client what he already knows about meal
planning c. give the client a brochure with sample menus for all meals d. involve
the family in the discussion of the client's meal plan: ask the client what he
already knows about meal planning
7. A nurse is assisting with the admission of an adult client to a medical-surgical
unit. Which of the following findings should the nurse identify as an
indication that the client is malnourished?
, heart rate 89/min pink mucous membranes pale, scaly skin body mass index
23: pale, scaly skin
8. A nurse is reinforcing teaching about advance directives with a client
who has end- stage renal disease. Which of the following client statements
indicates an understanding of the teaching? a. "I know that i can change my
advance directives if I need to in the future." b. "My health care proxy will make
my health care decisions as soon as I have signed the power of attorney." c.
"My family can overrule the decisions made by my health care proxy." d.
"Advance directives from one state are valid in any other state.": "I know that i
can change my advance directives if I need to in the future."
9. A nurse is preparing a client for a Romberg test. Which of the following
statements should the nurse make?
"Stand with your feet together and your arms at your sides." "After I place the
tuning fork, tell me when you no longer hear the sound" "I'm going to stroke
the lateral side of the bottom of your foot." "Touch each fingertip as quickly as
possible with your thumb.": "Stand with your feet together and your arms at your
sides."
10. A nurse is contributing to the plan of care for a client who is dying. Which
of the following interventions should the nurse recommend to include the
client's family in the plan of care? (Select all that apply.)
keep the family updated about the client's status Suggest the family members
return home at night to allow the client to rest encourage the family to comb
the clients hair tell the client's family what to expect as the client's death nears
ask the family to encourage the client to eat: keep the family updated about the
client's status
1. A nurse is assisting with the care of a client who has a prescription for IV
therapy. The client tells the nurse that he has numerous allergies. Which of the
following allergies should the nurse bring to the attention of the charge nurse
prior to the initiation of the therapy?
eggs
latex
seafood
bee stings: latex
2. A nurse is caring for a client who has a prescription for a high-protein
diet to promote wound healing following surgery. The client's religion prohibits
eating meat on particular days. Which of the following actions should the nurse
take? a. encourage the client to eat meat during this time to promote healing b.
advise the client to eat everything on the tray except the meat c. suggest the
client receive high-protein enteral feedings d. ask the dietitian to recommend
alternative food choices for the client: ask the dietitian to recommend alternative
food choices for the client
3. A nurse is caring for a client who has prescription for a high-protein diet
to promote wound healing following surgery. The client's religion prohibits
eating meat on particular days. Which of the following actions should the
nurse take?
Encourage the client to eat meat during this time to promote healing
Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
,Ask the dietitian to recommend alternative food choices for the clie: Ask the
dietitian to recommend alternative food choices for the client
4. A nurse is collecting data from a client who is 2 days postoperative following
a colostomy. Which of the following findings should the nurse report to
the provider?
a purple-colored stoma protrusion of the stoma a small amount of bleeding
from the stoma intestinal gas in the pouch: a purple-colored stoma
5. A nurse is reinforcing teaching with a client about self-administration of ophthalmic
drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball." "You should
cleanse your eye from the inner to the outer edge prior to putting in the
drops." "You should avoid pressing on your tear duct after putting the drops
in your eye.": "You should cleanse your eye from the inner to the outer edge prior
to putting inthe drops."
6. A nurse is reinforcing teaching about carbohydrate counting with a client
who has a new diagnosis of diabetes mellitus. Which of the following actions
should the nurse take first? a. use pictures of different food groups to help the
client plan a daily menu b. ask the client what he already knows about meal
planning c. give the client a brochure with sample menus for all meals d. involve
the family in the discussion of the client's meal plan: ask the client what he
already knows about meal planning
7. A nurse is assisting with the admission of an adult client to a medical-surgical
unit. Which of the following findings should the nurse identify as an
indication that the client is malnourished?
, heart rate 89/min pink mucous membranes pale, scaly skin body mass index
23: pale, scaly skin
8. A nurse is reinforcing teaching about advance directives with a client
who has end- stage renal disease. Which of the following client statements
indicates an understanding of the teaching? a. "I know that i can change my
advance directives if I need to in the future." b. "My health care proxy will make
my health care decisions as soon as I have signed the power of attorney." c.
"My family can overrule the decisions made by my health care proxy." d.
"Advance directives from one state are valid in any other state.": "I know that i
can change my advance directives if I need to in the future."
9. A nurse is preparing a client for a Romberg test. Which of the following
statements should the nurse make?
"Stand with your feet together and your arms at your sides." "After I place the
tuning fork, tell me when you no longer hear the sound" "I'm going to stroke
the lateral side of the bottom of your foot." "Touch each fingertip as quickly as
possible with your thumb.": "Stand with your feet together and your arms at your
sides."
10. A nurse is contributing to the plan of care for a client who is dying. Which
of the following interventions should the nurse recommend to include the
client's family in the plan of care? (Select all that apply.)
keep the family updated about the client's status Suggest the family members
return home at night to allow the client to rest encourage the family to comb
the clients hair tell the client's family what to expect as the client's death nears
ask the family to encourage the client to eat: keep the family updated about the
client's status
