FUNDAMENTALS OF NURSING EXAM 1 WITH
140 ACTUAL QUESTIONS & ANSWERS
A 3-year-old child is being admitted to a medical division for vomiting,
diarrhea, and dehydration. During the admission interview, the nurse
should implement which communication techniques to elicit the most
information from the parents?
a. The use of reflective questions
b. The use of closed questions
c. The use of assertive questions
d. The use of clarifying questions - correct answer- d. The use of the
clarifying question or comment allows the nurse to gain an
understanding of a patient's comment. When used properly, this
technique can avert possible misconceptions that could lead to an
inappropriate nursing diagnosis. The reflective question technique
involves repeating what the person has said or describing the person's
feelings. Open-ended questions encourage free verbalization and
expression of what the parents believe to be true. Assertive behavior is
the ability to stand up for yourself and others using open, honest, and
direct communication
A 55-year-old client has just undergone surgery for a knee replacement.
He asks the nurse if he can shave because his face is itching from the
stubble. What information is a priority for the nurse to verify prior to
shaving the client?
,client's allergies to soap since shaving cream is contraindicated in the
hospital
the last time shaving was performed because clients can only shave
twice weekly in the hospital medications listed on the client's medication
administration record (MAR)
cultural views and attitudes toward facial hair and grooming - correct
answer- medications listed on the client's medication administration
record (MAR)
A client 80 years of age experienced dysphagia (impaired swallowing) in
the weeks following a recent stroke, but his care team wishes to now
begin introducing minced and pureed food. How should the nurse best
position the client?
A)
Fowler's
B)
Low-Fowler's
C)
,Protective supine
D)
Semi-Fowler's - correct answer- Ans:
A
Feedback:
Fowler's position optimizes cardiac function and respiratory function in
addition to being the best position for eating. The client's risk of
aspiration would be extreme in a supine position. Low-Fowler's and
semi-Fowler's are synonymous, and this position does not aid
swallowing as much as a high-Fowler's position.
A client age 50 years reports to a primary care unit with an open wound
due to a fall in the bathroom. Which of the following nursing actions
represents caring skills?
A)
The nurse cleans the wound and applies a dressing to it.
, B)
The nurse inspects and examines the wound for swelling.
C)
The nurse tells the client to use caution while on slippery surfaces.
D)
The nurse informs the client that the wound is small and will heal easily.
- correct answer- Ans:
A
A client has undergone foot surgery and will use crutches in the short
term. Which teaching point should the nurse provide to the client?
"When your crutches fit right, most of your body weight will be
supported by your armpits."
"We'll have the nursing assistant watch you while you walk around the
unit the first time."
"Your elbows will be slightly bent when you are using your crutches."
140 ACTUAL QUESTIONS & ANSWERS
A 3-year-old child is being admitted to a medical division for vomiting,
diarrhea, and dehydration. During the admission interview, the nurse
should implement which communication techniques to elicit the most
information from the parents?
a. The use of reflective questions
b. The use of closed questions
c. The use of assertive questions
d. The use of clarifying questions - correct answer- d. The use of the
clarifying question or comment allows the nurse to gain an
understanding of a patient's comment. When used properly, this
technique can avert possible misconceptions that could lead to an
inappropriate nursing diagnosis. The reflective question technique
involves repeating what the person has said or describing the person's
feelings. Open-ended questions encourage free verbalization and
expression of what the parents believe to be true. Assertive behavior is
the ability to stand up for yourself and others using open, honest, and
direct communication
A 55-year-old client has just undergone surgery for a knee replacement.
He asks the nurse if he can shave because his face is itching from the
stubble. What information is a priority for the nurse to verify prior to
shaving the client?
,client's allergies to soap since shaving cream is contraindicated in the
hospital
the last time shaving was performed because clients can only shave
twice weekly in the hospital medications listed on the client's medication
administration record (MAR)
cultural views and attitudes toward facial hair and grooming - correct
answer- medications listed on the client's medication administration
record (MAR)
A client 80 years of age experienced dysphagia (impaired swallowing) in
the weeks following a recent stroke, but his care team wishes to now
begin introducing minced and pureed food. How should the nurse best
position the client?
A)
Fowler's
B)
Low-Fowler's
C)
,Protective supine
D)
Semi-Fowler's - correct answer- Ans:
A
Feedback:
Fowler's position optimizes cardiac function and respiratory function in
addition to being the best position for eating. The client's risk of
aspiration would be extreme in a supine position. Low-Fowler's and
semi-Fowler's are synonymous, and this position does not aid
swallowing as much as a high-Fowler's position.
A client age 50 years reports to a primary care unit with an open wound
due to a fall in the bathroom. Which of the following nursing actions
represents caring skills?
A)
The nurse cleans the wound and applies a dressing to it.
, B)
The nurse inspects and examines the wound for swelling.
C)
The nurse tells the client to use caution while on slippery surfaces.
D)
The nurse informs the client that the wound is small and will heal easily.
- correct answer- Ans:
A
A client has undergone foot surgery and will use crutches in the short
term. Which teaching point should the nurse provide to the client?
"When your crutches fit right, most of your body weight will be
supported by your armpits."
"We'll have the nursing assistant watch you while you walk around the
unit the first time."
"Your elbows will be slightly bent when you are using your crutches."
