FUNDAMENTALS RETAKE 2019 EXAM
ELLABORATIONS LATEST
UPDATES(A+)
A staff nurse is teaching a newly hired nurse how to complete an informed
consent document for a client. the stop should include that the nurse signature
on the form confirms which of the following requirements? -
CORRECT_ANSWER_a. The client was not coerced.
b. The client does not have a mental health condition.
c. The client Signed in the nurse's presence.
e. The client has legal authority to do so.
A nurse is caring for a client who has a chest tube following thoracic surgery.
Which of the following tasks should the nurse delegate to an assistive personnel?
- CORRECT_ANSWER_Assist the client to select food choices from the menu.
,. A community health nurse is caring for a group of families. The nurse should
identify that which of the following families is experiencing a maturational loss? -
CORRECT_ANSWER_A family whose oldest child is moving away for college
A nurse on a medical-surgical unit is dividing care for four clients. The nurse
should identify which of the following situations as an ethical dilemma? -
CORRECT_ANSWER_The family of a client who has a terminal illness has the
provider not to tell the client the diagnosis.
A nurse is caring for a client who has chronic back pain and asked about receiving
acupuncture for relief. Which of the following findings should the nurse identify
as a contraindication to receiving this shipment? - CORRECT_ANSWER_. Cellulitis
Contraindicated in people who have bleeding disorders and skin infections
A nurse is auscultating a client's abdomen. The nurse hears a blowing sound over
the aorta. The nurse should identify this sound as which of the following? -
CORRECT_ANSWER_Bruit
. A nurse is providing teaching to a client who has diabetes mellitus about
performing a capillary blood glucose test. Which of the following instructions
,should the nurse include in the teaching? - CORRECT_ANSWER_Gently squeeze
the puncture site until a large droplet of blood forms
A nurse is providing teaching to a client about reducing the adverse effects of
immobility. Which of the following statements by the client indicates an
understanding of the teaching? - CORRECT_ANSWER_I will perform ankle and
knee exercises every hour- ROM is needed to prevent contractures .
A nurse is monitoring a client who is receiving continuous IV fluid therapy via a
peripheral vein in the left forearm. Which of the following findings indicates that
the client has developed phelbitis at the IV site? - CORRECT_ANSWER_Erythema
along the path of the vein
A nurse is planning care for a client who reports insomnia. Which of the following
actions should the nurse perform shortly before bedtime? -
CORRECT_ANSWER_Offer a wet washcloth for the client to wash her face
. A nurse is providing teaching to a newly licensed nurse about the care of a client
who has MRSA. Which of the following statements by the newly licensed nurse
indicates an understanding of teaching? - CORRECT_ANSWER_I will place the
client in a private room
, A nurse is teaching a client who requires maximal support about how to use a two
wheeled walker. Which of the following actions by the client indicates an
understanding of teaching - CORRECT_ANSWER_The client moves the walker
ahead 25.4cm with each step
A nurse in a provider's office is caring for a client who states "I always have
trouble sleeping". Which of the following actions should the nurse take first? -
CORRECT_ANSWER_Identify the client typical bedtime routine
A nurse is teaching about home safety with a client. Which of the following
instructions should the nurse include? - CORRECT_ANSWER_Use electrical tape to
secure extension cords next to baseboards on the floor
A nurse is caring for a client who is 6 hr postoperative following abdominal
surgery and is having difficulty voiding. Which of the following actions should the
nurse take? - CORRECT_ANSWER_Allow the client to hear running water while
attempting to void
A nurse on a medical surgical unit is receiving a change-of-shift report for four
clients. Which of the following clients should the nurse see first? -