ANSWERS UPDATED 2026/2027 ALL ANSWERS CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
clients 3 & 4
Drop Down 1:
Client 1 is incorrect. The nurse should assess this client because the client's C-
reactive protein is greater than the expected reference range, which is an
indication of inflammation. However, there is another client the nurse should
assess first.
Client 2 is incorrect. The nurse should assess this client because the client's
cholesterol level is greater than the expected reference range, which places
them at risk for coronary heart disease. However, there is another client the
nurse should assess first.
Client 3 is correct. When using the airway, breathing, circulation approach to
client care, the nurse should determine that this client is the priority client to
assess. The client has an oxygen saturation that is less than the expected
reference range, which is an indication of hypoxia.
Drop Down 2:
Client 4 is correct. When using the airway, breathing, circulation approach to
client care - CORRECT ANSWERS A nurse in a medical-surgical unit is caring
for six clients. which 2 should she see first?
1. rheumatoid arthritis, C-reactive protein 3.2 mg/dL
2. history of hyperlipidemia, Cholesterol 250 mg/dL
3. 1 day postoperative. Reports pain as 8 on a scale of 0 to 10, Oxygen
saturation 88%
4. new diagnosis of heart failure, Potassium 3.2 mEq/L
5. stage 2 pressure injury, Prealbumin 14 mg/dL
6. new diagnosis of diabetes mellitus, Glycosylated hemoglobin 8%
c, d, e
Stop the IV infusion is correct. The client has manifestations of IV infiltration.
The nurse should stop the IV infusion and remove the IV catheter to reduce the
risk for tissue damage.
Elevate the client's left arm is correct. The nurse should elevate the client's left
hand to decrease swelling and reduce the risk for tissue damage.
,RN FUNDAMENTALS ONLINE PRACTICE 2023 B EXAM QUESTIONS AND
ANSWERS UPDATED 2026/2027 ALL ANSWERS CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
Apply heat to the client's left hand is correct. The nurse should apply heat to
the client's left hand to reduce swelling and promote comfort.
Place a pressure dressing over the IV site is incorrect. The nurse should not
apply pressure to the IV site, because this can cause tissue damage.
Start a new IV in the client's left hand is incorrect. The nurse should start a new
IV in a different extremity to reduce the risk of tissue damage. - CORRECT
ANSWERS A nurse is caring for a client who has a peripheral IV inserted for
fluid replacement.
Nurses' Notes
Day 1:
Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV catheter in left hand.
IV dressing dry and intact. IV site without redness or swelling. IV fluid infusing
well. Day 2:
IV site edematous. Skin surrounding catheter site taut, blanched, and cool to
touch. IV fluid not infusing.
select all that apply
a. Start a new IV in the client's left hand.
b. Place a pressure dressing over the IV site.
c. Apply heat to the client's left hand.
d. Elevate the client's left arm.
e. Stop the IV infusion.
b
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. - CORRECT ANSWERS A nurse is giving a
change-of-shift report about a client 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
, RN FUNDAMENTALS ONLINE PRACTICE 2023 B EXAM QUESTIONS AND
ANSWERS UPDATED 2026/2027 ALL ANSWERS CORRECT VERIFIED BEST
GRADED A+ FOR SUCCESS
c. Body temperature
d. Diagnostic test results
c
The first action the nurse should take when using the nursing process is to
assess the client. The nurse should determine the client's risk for falling or
fainting during the transfer by assisting the client to sit and dangle the feet on
the side of the bed. The nurse should assess for dizziness and a significant drop
in blood pressure before assisting the client to stand and transfer into the chair.
- CORRECT ANSWERS A nurse is preparing to transfer a client who can bear
weight on one leg from the bed to a chair. After securing a safe environment,
which of the following actions should the nurse take next?
a. Rock the client up to a standing position.
b. Pivot on the foot that is the farthest from the chair.
c. Assess the client for orthostatic hypotension.
d. Apply a gait belt to the client.
a
Weight-bearing exercises are essential for maintaining bone mass, which helps
to prevent osteoporosis. Walking engages older adult clients in this preventive
and therapeutic strategy. - CORRECT ANSWERS A nurse is teaching an older
adult client who is at risk for osteoporosis about beginning a program of
regular physical activity. Which of the following types of activity should the
nurse recommend?
a. Walking briskly
b. Riding a bicycle
c. Performing isometric exercises
d. Engaging in high-impact aerobics
a