Foundations of Nursing Exam Questions And 100%
Correct Verified Answers Grade A+ (GCU)
The nurse discovers smoke in a soiled utility room and remembers that
the initial step taken to protect the client in the event of a fire is:
A. Notify the fire department
B. Disconnect the oxygen supply
C. Use a fire extinguisher
D. Remove client from the area - VERIFIED ANSWER - D. Remove client
from the area
The nurse plans to give the patient a bed bath. When washing the
patient's face, the nurse will:
A. Only use sterile water
B. Ask the client their preference
C. Use soap in all areas except the eyes
D. Use a cleansing cream - VERIFIED ANSWER - B. Ask the client their
preference
-A nurse should always ask what hygiene preferences the patient has
,A nurse is caring for a client with a history of falls. Which action is the
nurses FIRST priority?
A. Complete a fall risk assessment
B. Educate the client and family about fall risks
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses an assistive aid as ordered - VERIFIED
ANSWER - A. Complete a fall risk assessment
-The other 3 are incorrect because they are all something a nurse
would do after assessing
The nurse is obtaining a history from a client who is experiencing pain.
The nurse understands that when assessing pain:
A. Some clients exaggerate pain
B. Pain is whatever the client says it is
C. Objective data is essential in assessing pain
D. Pain must have a source to justify the use of opioids - VERIFIED
ANSWER - B. Pain is whatever the client says it is
A nurse is caring for a client who fell in an acute-care facility. Which
actions should the nurse take to decrease the risk of another fall?
(Select all that apply)
,A. Place a belt restraint on the client when sitting on a bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily - VERIFIED ANSWER - C. Make
sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily
- A is incorrect because a RESTRAINT should never be used unless the
patient is acting up
- B is incorrect because with all side rails being up the patient may try
to climb over them and injure themselves.
A nurse is planning care for a client who is on bed rest. Which
intervention should the nurse plan to implement?
A. Encourage the client to perform anti-embolic exercises hourly
B. Instruct the client to cough and deep breathe every 4 hrs
C. Restrict the client's fluid intake
D. Reposition the client every 4 hrs - VERIFIED ANSWER - A. Encourage
the client to perform anti-embolic exercises hourly
, -B is incorrect because they should perform respiratory exercises
every 1-2hrs
-C is incorrect because you do not need to decrease fluids with bed
rest
-D is incorrect because you should reposition the patient at least every
2 hours
What are the consequences of bed rest the nurse will tell the patient
about? (Select all that apply)
A. Pneumonia
B. Muscle atrophy
C. Loose bowels
D. Thrombus formation
E. Pressure ulcers
F. Renal calculi
G. Contractures - VERIFIED ANSWER - A. Pneumonia
B. Muscle atrophy
D. Thrombus formation
E. Pressure ulcers
F. Renal calculi
G. Contractures (permanent joint stiffness)