Foundations Final Exam - Practice Questions
with Correct Answers
Which of the following breath sounds is heard when a patient's upper airway is severely obstructed?
- Correct Answer stridor
Which of the following does not follow the principle of maintaining proper body mechanics?
a. Keep objects close to your center of gravity.
b. Lift with your arms.
c. Squat to pick up objects or empty foley bags.
d. Use a wide base of support. - Correct Answer B. lift with your arms
Which patient has a naturally acquired active immunity?
a. The adult who received immunizations
b. The infant whose immunity was transferred from the mother to the infant.
c. The child is recovering from a childhood disease that conferred immunity.
d. The adult who received gamma globulin after exposure to Hepatitis. - Correct Answer c. The child
is recovering from a childhood disease that conferred immunity.
A nurse is performing an admission assessment for an older client. After gathering the assessment
data and performing the review of systems, which of the following actions is a priority for the nurse?
a. Orient client to the room
b. Conduct a client care conference
c. Review the client's medical orders
d. Develop a plan of care - Correct Answer a. Orient client to the room
A nurse is preparing the following information about the client should the nurse include in the
discharge summary? (Select all that apply)
a. Advance directive status
,b. Where to go for follow-up care
c. Instructions for diet and medications
d. Most recent vital sign data
e. Contact information for the home health agency - Correct Answer b. Where to go for follow-up
care
c. Instructions for diet and medications
e. Contact information for the home health agency
A nurse has removed a sterile pack from its outside cover and placed it on a clean surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
a. The flap closest to the body
b. The right side flap
c. The left side flap
d. The flap furthest from the body - Correct Answer d. The flap furthest from the body
A nurse observes smoke coming from under the door of the staff lounge. Which of the following is
the priority action by the nurse?
a. Extinguish the fire
b. Pull the fire alarm
c. Evacuate the clients
d. Close all open doors on the unit - Correct Answer c. Evacuate the clients
A nurse is caring for a newly admitted client who has a documented history of falls. Which of the
following is the priority action by the nurse?
a. Complete a fall-risk assessment
b. Educate the client and family on fall risks
c. Complete a physical assessment
d. Survey the client's belongings - Correct Answer a. Complete a fall-risk assessment
, A nurse is caring for a client receiving enteral tube feedings due to dysphagia. Which bed position is
appropriate for safe care of the client? - Correct Answer semi-fowlers
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following
is the priority action for the nurse to take at this time?
a. Obtain a walker for the client to use to transfer back to bed
b. Call for additional personnel to assist with the transfer
c. Use a transfer belt and assist the client to bed
d. Assess the client's ability to help with the transfer - Correct Answer d. Assess the client's ability to
help with the transfer
A nurse is completing discharge teaching to a client who has COPD. The client verbalizes
understanding of the orthopneic position when he states, "When I have difficulty breathing at night, I
will...
a. Lie on my back with my head and shoulders elevated on a pillow
b. Lie flat on my stomach with my head to one side
c. Sit on the side of my bed and rest my arms over pillows on top of my raised bedside table
d. Lie on my side with my weight on my hips and shoulder with my arms flexed in front of me -
Correct Answer c. Sit on the side of my bed and rest my arms over pillows on top of my raised
bedside table
A nurse is talking with an older adult client about improving her nutritional status. Which of the
following interventions should the nurse recommend? (Select all that apply)
a. Increase in iron intake to prevent anemia
b. Decrease fluid intake to prevent urinary incontinence
c. Increase calcium intake to prevent osteoporosis
d. Limit sodium to prevent edema
e. Increase fiber to prevent constipation - Correct Answer c. Increase calcium intake to prevent
osteoporosis
d. Limit sodium to prevent edema
e. Increase fiber to prevent constipation
with Correct Answers
Which of the following breath sounds is heard when a patient's upper airway is severely obstructed?
- Correct Answer stridor
Which of the following does not follow the principle of maintaining proper body mechanics?
a. Keep objects close to your center of gravity.
b. Lift with your arms.
c. Squat to pick up objects or empty foley bags.
d. Use a wide base of support. - Correct Answer B. lift with your arms
Which patient has a naturally acquired active immunity?
a. The adult who received immunizations
b. The infant whose immunity was transferred from the mother to the infant.
c. The child is recovering from a childhood disease that conferred immunity.
d. The adult who received gamma globulin after exposure to Hepatitis. - Correct Answer c. The child
is recovering from a childhood disease that conferred immunity.
A nurse is performing an admission assessment for an older client. After gathering the assessment
data and performing the review of systems, which of the following actions is a priority for the nurse?
a. Orient client to the room
b. Conduct a client care conference
c. Review the client's medical orders
d. Develop a plan of care - Correct Answer a. Orient client to the room
A nurse is preparing the following information about the client should the nurse include in the
discharge summary? (Select all that apply)
a. Advance directive status
,b. Where to go for follow-up care
c. Instructions for diet and medications
d. Most recent vital sign data
e. Contact information for the home health agency - Correct Answer b. Where to go for follow-up
care
c. Instructions for diet and medications
e. Contact information for the home health agency
A nurse has removed a sterile pack from its outside cover and placed it on a clean surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
a. The flap closest to the body
b. The right side flap
c. The left side flap
d. The flap furthest from the body - Correct Answer d. The flap furthest from the body
A nurse observes smoke coming from under the door of the staff lounge. Which of the following is
the priority action by the nurse?
a. Extinguish the fire
b. Pull the fire alarm
c. Evacuate the clients
d. Close all open doors on the unit - Correct Answer c. Evacuate the clients
A nurse is caring for a newly admitted client who has a documented history of falls. Which of the
following is the priority action by the nurse?
a. Complete a fall-risk assessment
b. Educate the client and family on fall risks
c. Complete a physical assessment
d. Survey the client's belongings - Correct Answer a. Complete a fall-risk assessment
, A nurse is caring for a client receiving enteral tube feedings due to dysphagia. Which bed position is
appropriate for safe care of the client? - Correct Answer semi-fowlers
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following
is the priority action for the nurse to take at this time?
a. Obtain a walker for the client to use to transfer back to bed
b. Call for additional personnel to assist with the transfer
c. Use a transfer belt and assist the client to bed
d. Assess the client's ability to help with the transfer - Correct Answer d. Assess the client's ability to
help with the transfer
A nurse is completing discharge teaching to a client who has COPD. The client verbalizes
understanding of the orthopneic position when he states, "When I have difficulty breathing at night, I
will...
a. Lie on my back with my head and shoulders elevated on a pillow
b. Lie flat on my stomach with my head to one side
c. Sit on the side of my bed and rest my arms over pillows on top of my raised bedside table
d. Lie on my side with my weight on my hips and shoulder with my arms flexed in front of me -
Correct Answer c. Sit on the side of my bed and rest my arms over pillows on top of my raised
bedside table
A nurse is talking with an older adult client about improving her nutritional status. Which of the
following interventions should the nurse recommend? (Select all that apply)
a. Increase in iron intake to prevent anemia
b. Decrease fluid intake to prevent urinary incontinence
c. Increase calcium intake to prevent osteoporosis
d. Limit sodium to prevent edema
e. Increase fiber to prevent constipation - Correct Answer c. Increase calcium intake to prevent
osteoporosis
d. Limit sodium to prevent edema
e. Increase fiber to prevent constipation
