RN Fundamentals Online Practice 2019 Test B
Latest update Exam with correct Answers
A nurse is administering IV fluid to an older adult client. The nurse should perform
which priority assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - correct answer-auscultate lung sounds
**The priority assessment the nurse should make when using the airway,
breathing, circulation approach to client care is auscultating lung sounds to
monitor for fluid volume excess, a complication of IV therapy. Manifestations of
fluid volume excess include moist crackles in lung fields, dyspnea, and shortness
of breath.
A charge nurse is discussing the responsibility of nurses caring for clients who
have a Clostridium difficile infection. Which of the following information should
the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. - correct answer-
have family members wear a gown and gloves when visiting
,a nurse is giving change-of-shift report about a client they admitted earlier that
day who has pneumonia. which of the following pieces of information is the
priority for the nurse to provide?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - correct answer-breath sounds
**When using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority information to provide is the current status of
the client's breath sounds.
A nurse is planning teaching for a group of adolescents who each recently had
surgical placement of an ostomy. Which of the following methods should the
nurse use as a psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-answer meetings
D) Practice sessions - correct answer-practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the
following recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - correct answer-
maintain a consistent time to wake up each day
, **The client should maintain a consistent time for waking up and going to sleep.
This helps to establish an internal sense of sleep and waking on a daily basis and
helps to maintain it over time. This will help promote sleep for the client.
a nurse is admitting a client who has rubella. which of the following types of
transmission-based precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - correct answer-droplet
a nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower - correct
answer-I will be sure to remove my hearing aid before taking a shower
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first?A) Rinse the feeding bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - correct answer-tell the client to
keep the head of the bed elevated at least 30°
Latest update Exam with correct Answers
A nurse is administering IV fluid to an older adult client. The nurse should perform
which priority assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - correct answer-auscultate lung sounds
**The priority assessment the nurse should make when using the airway,
breathing, circulation approach to client care is auscultating lung sounds to
monitor for fluid volume excess, a complication of IV therapy. Manifestations of
fluid volume excess include moist crackles in lung fields, dyspnea, and shortness
of breath.
A charge nurse is discussing the responsibility of nurses caring for clients who
have a Clostridium difficile infection. Which of the following information should
the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. - correct answer-
have family members wear a gown and gloves when visiting
,a nurse is giving change-of-shift report about a client they admitted earlier that
day who has pneumonia. which of the following pieces of information is the
priority for the nurse to provide?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - correct answer-breath sounds
**When using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority information to provide is the current status of
the client's breath sounds.
A nurse is planning teaching for a group of adolescents who each recently had
surgical placement of an ostomy. Which of the following methods should the
nurse use as a psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-answer meetings
D) Practice sessions - correct answer-practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the
following recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - correct answer-
maintain a consistent time to wake up each day
, **The client should maintain a consistent time for waking up and going to sleep.
This helps to establish an internal sense of sleep and waking on a daily basis and
helps to maintain it over time. This will help promote sleep for the client.
a nurse is admitting a client who has rubella. which of the following types of
transmission-based precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - correct answer-droplet
a nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower - correct
answer-I will be sure to remove my hearing aid before taking a shower
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first?A) Rinse the feeding bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - correct answer-tell the client to
keep the head of the bed elevated at least 30°
