Nursing Fundamentals Questions with Detailed
Verified Answers
A charge nurse is discussing the responsibility of nurses caring for clients who have
clostridium difficile. Which of the following information should the nurse include in the
teaching? Ans: Have family members wear a gown and gloves when visiting.
A nurse is caring for a postoperative adult who refuses to use an incentive spirometer
following major abdominal surgery. Which of the following is the nurse's priority
action? Ans: Determine the reasons why the client is refusing to use the incentive
spirometer.
A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV
fluid therapy. Which of the following interventions should the nurse implement to
prevent infection? Ans: Thread the IV catheter so that the hub rests at the insertion
site.
A nurse is preparing to administer Demerol 80 mg IM from a 100 mg prefilled syringe.
After the ingection, which of the following is an appropriate action by the nurse? Ans:
Have another nurse witness the disposal of the excess medication.
A nurse is preparing to administer ampicillin 40 mg/kg/day PO divided in equal doses
every 6 hour to a toddler who weighs 10 kg. Available is ampicillan oral suspension
125mg/5ml. How many mL should the nurse administer per dose. ( Round to the
nearest whole number). Ans: 4 mL per dose
A nurse is caring for a client who has tuberculosis. Which of the following actions
should the nurse take? Select all that apply Ans: Place the client in a negative pressure
room
Wear gloves when assisting the client with oral care
Use antimicrobial sanitizer for hand hygiene
A nurse is caring for a client who has dementia. Which of the following interventions
should the nurse take to minimize the risk for injury to this client? Ans: Use a bed exit
system alarm
, A charge nurse is observing a newly hired nurse who prepares a sterile field. Which of
the following indicates tot he charge nurse that the sterile filed is contaminated? Ans:
Sterile field is opened on a wet surface
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse
determines that the client had developed phlebitis and removes the IV catheter. Which
of the following actions should the nurse take next? Ans: Place a warm compress over
the IV site
A nurse is implementing a plan of care for an older adult client who is at risk for falls.
Which of the following is an appropriate nursing action? Ans: Implement a regular
toileting schedule
A nurse is providing teaching to a client about techniques to promote sleep. Which of
the following instructions should the nurse include in the teaching? Ans: Consume a
light snack of carbohydrates at bedtime
A nurse is caring for a client with an order for 5 units of Regular insulin and 10 units of
NPH insulin to be mixed together and administered subcutaneously. List the correct
order of steps for this procedure. Ans: Inject 10 units of air into the bottle of NPH
insulin
Inject 5 units of air into the bottle of Regular insulin
Withdraw the correct dose of Regular insulin from the bottle
Withdraw the correct dose of NPH insulin from the bottle
A nurse is completing and admission assessment of an older adult client. Which of the
following findings is a potential indication of abuse? Ans: Presence of bruises on the
arms in various stages of healing
A nurse is educating a family member of a client who is immobile about how to
prevent back injury associated with moving the client up in bed. Which of the following
statements by the family should indicate to the nurse that he understands the teaching?
Ans: "I will leverage my weight against my wife and shift as I move her."
© Get it right 2025 Getaway - Stuvia US All rights reserved
Verified Answers
A charge nurse is discussing the responsibility of nurses caring for clients who have
clostridium difficile. Which of the following information should the nurse include in the
teaching? Ans: Have family members wear a gown and gloves when visiting.
A nurse is caring for a postoperative adult who refuses to use an incentive spirometer
following major abdominal surgery. Which of the following is the nurse's priority
action? Ans: Determine the reasons why the client is refusing to use the incentive
spirometer.
A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV
fluid therapy. Which of the following interventions should the nurse implement to
prevent infection? Ans: Thread the IV catheter so that the hub rests at the insertion
site.
A nurse is preparing to administer Demerol 80 mg IM from a 100 mg prefilled syringe.
After the ingection, which of the following is an appropriate action by the nurse? Ans:
Have another nurse witness the disposal of the excess medication.
A nurse is preparing to administer ampicillin 40 mg/kg/day PO divided in equal doses
every 6 hour to a toddler who weighs 10 kg. Available is ampicillan oral suspension
125mg/5ml. How many mL should the nurse administer per dose. ( Round to the
nearest whole number). Ans: 4 mL per dose
A nurse is caring for a client who has tuberculosis. Which of the following actions
should the nurse take? Select all that apply Ans: Place the client in a negative pressure
room
Wear gloves when assisting the client with oral care
Use antimicrobial sanitizer for hand hygiene
A nurse is caring for a client who has dementia. Which of the following interventions
should the nurse take to minimize the risk for injury to this client? Ans: Use a bed exit
system alarm
, A charge nurse is observing a newly hired nurse who prepares a sterile field. Which of
the following indicates tot he charge nurse that the sterile filed is contaminated? Ans:
Sterile field is opened on a wet surface
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse
determines that the client had developed phlebitis and removes the IV catheter. Which
of the following actions should the nurse take next? Ans: Place a warm compress over
the IV site
A nurse is implementing a plan of care for an older adult client who is at risk for falls.
Which of the following is an appropriate nursing action? Ans: Implement a regular
toileting schedule
A nurse is providing teaching to a client about techniques to promote sleep. Which of
the following instructions should the nurse include in the teaching? Ans: Consume a
light snack of carbohydrates at bedtime
A nurse is caring for a client with an order for 5 units of Regular insulin and 10 units of
NPH insulin to be mixed together and administered subcutaneously. List the correct
order of steps for this procedure. Ans: Inject 10 units of air into the bottle of NPH
insulin
Inject 5 units of air into the bottle of Regular insulin
Withdraw the correct dose of Regular insulin from the bottle
Withdraw the correct dose of NPH insulin from the bottle
A nurse is completing and admission assessment of an older adult client. Which of the
following findings is a potential indication of abuse? Ans: Presence of bruises on the
arms in various stages of healing
A nurse is educating a family member of a client who is immobile about how to
prevent back injury associated with moving the client up in bed. Which of the following
statements by the family should indicate to the nurse that he understands the teaching?
Ans: "I will leverage my weight against my wife and shift as I move her."
© Get it right 2025 Getaway - Stuvia US All rights reserved
