2025 RN Nursing Fundamentals Online
Practice Questions with Answers –
Latest Updated Edition | 100%
Verified | Guaranteed High Score Pass
| Rated A+
A nurse is preparing to administer an injection of an opioid medication to a
client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which
of the following actions should the nurse take?
Answer: Ask another nurse to observe the medication wastage.
Rationale: A second nurse must witness the disposal of any portion of
a dose of a controlled substance.
1. A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. the nurse should set the infusion pump to deliver how
many mL/hr? (Round to nearest whole number.) Answer: 107 mL/hr
Rationale: X mL/hr = 107.14 mL/hr
2. A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, “What would happen if I arrived
at the emergency department and I had difficulty breathing?” Which of the
following responses should the nurse make? My answer: "We would consult
the person appointed by your health care proxy to make decisions."
Answer: “We would give you oxygen through a tube in your nose.”
Rationale: Oxygen can provide comfort and is not considered a resuscitative
measure when the nurse delivers it via nasal cannula. The staff must honor the
client's wishes as stated in their living will; therefore, it would not be
necessary to consult the person appointed by the client's health care proxy to
make decisions about the client's care. Clients determine advance directives
ahead of time to guide decision-making at the time of an emergency event. If
the client initiates a change, the staff must honor it. Otherwise, staff must
honor the decisions the client has documented in the advance directives.
Intubation is a resuscitative measure. The staff should
, not implement this intervention for a client who declines resuscitation
in their living will.
3. A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following actions is the nurse’s priority?
Answer: Determine the reasons why the client is refusing to use the
incentive spirometer. Rationale: The first action the nurse should take when
using the nursing process is to assess the client; therefore, the priority action
for the nurse to take is to determine why the client is refusing the treatment.
4. A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take?
Answer: Pad the client's wrist before applying the restraints.
Rationale: The use of restraints without padding can abrade the client's
skin, resulting in client injury. The nurse should evaluate the client's
circulation, range of motion, vital signs, and overall status every 15 min
after initial application of restraints. The nurse should remove the restraints
at least every 2 hr to reposition the client and assess needs for hygiene and
toileting. The nurse should secure the restraint ties to a part of the bed frame
that moves with the client to reduce the risk of injury.
5. A nurse is talking with an older adult client who is contemplating retirement.
The client states, “I keep thinking about how much I enjoy my job. I’m not
sure I want to retire.” Which of the following responses should the nurse
make?
Answer: "Let's talk about how the change in your job status will affect you."
Rationale: This response is therapeutic because the nurse is encouraging
the client to verbalize feelings about the life transition of retirement.
6. A nurse is caring for a client who has pharyngeal diphtheria. Which of
the following types of transmission precautions should the nurse initiate?
My answer: Airborne
Answer: Droplet
Rationale: Droplet precautions are a requirement for clients who have
infections that spread via droplet nuclei that are larger than 5 microns in
diameter, including rubella, meningococcal pneumonia, and streptococcal
pharyngitis. The nurse should wear a mask when providing care or when
within 1 m (3 feet) of the client who has a disorder requiring droplet
Practice Questions with Answers –
Latest Updated Edition | 100%
Verified | Guaranteed High Score Pass
| Rated A+
A nurse is preparing to administer an injection of an opioid medication to a
client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which
of the following actions should the nurse take?
Answer: Ask another nurse to observe the medication wastage.
Rationale: A second nurse must witness the disposal of any portion of
a dose of a controlled substance.
1. A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. the nurse should set the infusion pump to deliver how
many mL/hr? (Round to nearest whole number.) Answer: 107 mL/hr
Rationale: X mL/hr = 107.14 mL/hr
2. A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, “What would happen if I arrived
at the emergency department and I had difficulty breathing?” Which of the
following responses should the nurse make? My answer: "We would consult
the person appointed by your health care proxy to make decisions."
Answer: “We would give you oxygen through a tube in your nose.”
Rationale: Oxygen can provide comfort and is not considered a resuscitative
measure when the nurse delivers it via nasal cannula. The staff must honor the
client's wishes as stated in their living will; therefore, it would not be
necessary to consult the person appointed by the client's health care proxy to
make decisions about the client's care. Clients determine advance directives
ahead of time to guide decision-making at the time of an emergency event. If
the client initiates a change, the staff must honor it. Otherwise, staff must
honor the decisions the client has documented in the advance directives.
Intubation is a resuscitative measure. The staff should
, not implement this intervention for a client who declines resuscitation
in their living will.
3. A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following actions is the nurse’s priority?
Answer: Determine the reasons why the client is refusing to use the
incentive spirometer. Rationale: The first action the nurse should take when
using the nursing process is to assess the client; therefore, the priority action
for the nurse to take is to determine why the client is refusing the treatment.
4. A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take?
Answer: Pad the client's wrist before applying the restraints.
Rationale: The use of restraints without padding can abrade the client's
skin, resulting in client injury. The nurse should evaluate the client's
circulation, range of motion, vital signs, and overall status every 15 min
after initial application of restraints. The nurse should remove the restraints
at least every 2 hr to reposition the client and assess needs for hygiene and
toileting. The nurse should secure the restraint ties to a part of the bed frame
that moves with the client to reduce the risk of injury.
5. A nurse is talking with an older adult client who is contemplating retirement.
The client states, “I keep thinking about how much I enjoy my job. I’m not
sure I want to retire.” Which of the following responses should the nurse
make?
Answer: "Let's talk about how the change in your job status will affect you."
Rationale: This response is therapeutic because the nurse is encouraging
the client to verbalize feelings about the life transition of retirement.
6. A nurse is caring for a client who has pharyngeal diphtheria. Which of
the following types of transmission precautions should the nurse initiate?
My answer: Airborne
Answer: Droplet
Rationale: Droplet precautions are a requirement for clients who have
infections that spread via droplet nuclei that are larger than 5 microns in
diameter, including rubella, meningococcal pneumonia, and streptococcal
pharyngitis. The nurse should wear a mask when providing care or when
within 1 m (3 feet) of the client who has a disorder requiring droplet
