LATEST UPDATE 2026/2027 WITH
FOUNDATIONAL NURSING CONCEPTS
SUCH AS THE NURSING PROCESS,
CRITICAL THINKING, PATIENT SAFETY,
COMMUNICATION
Before transferring a patient from the bed to a stretcher, which
assessment data does the nurse need to gather? (Select all that apply)
a. Patient's weight
b. Patient's activity tolerance
c. Patient's level of mobility
d. Recent laboratory values
e. Nutritional intake - CORRECT ANSWER✔✔Answer: a, b, & c
A nurse is instructing a patient who has decreased leg strength on the left
side on how to use a cane. Which actions indicate proper cane use by the
patient?
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,a. The patient keeps the cane on the left side of the body.
b. The patient slightly leans to one side while walking.
c. The patient keeps two points of support on the floor at all times.
d. After the patient places the cane forward, he or she then moves the
right leg forward to the cane. - CORRECT ANSWER✔✔Answer: c
A patient has been on bed rest for over 5 days. Which of these findings
during the nurse's assessment may indicate a complication of immobility?
a. Decreased peristalsis
b. Decreased heart rate
c. Increased blood pressure
d. Increased urinary output - CORRECT ANSWER✔✔Answer: a
An older adult patient has been bedridden for 2 weeks. Which of these
complaints by the patient indicates to the nurse that he or she is
developing a complication of immobility?
a. Increase of appetite
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,b. Gum soreness
c. Difficulty in swallowing
d. Left ankle joint stiffness - CORRECT ANSWER✔✔Answer: d
A nurse is helping a patient perform active assisted range of motion in the
right elbow. Which statement describes the correct technique?
a. Support elbow by holding distal part of extremity.
b. Grasp joint with fingers to provide support.
c. Have patient move joint independently.
d. Move the joint past the point of resistance.
e. Perform the exercise a few times only, and gradually build up to more.
-
CORRECT ANSWER✔✔Answer: a
What is the proper position to use for an unresponsive patient during oral
care to prevent aspiration?
a. Prone position
b. Trendelenburg position
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, c. Semi-Fowler's position with head to side
d. Supine position - CORRECT ANSWER✔✔Answer: c
A nurse is assigned to care for the following patients. Which patient is
most at risk for developing skin problems and thus requiring thorough
bathing and skin care?
a. A 44-year-old female patient who has had removal of a breast
lesion and is having her menstrual period
b. A 56-year-old male patient who is homeless and admitted to the
emergency department with malnutrition and dehydration and who has
an intravenous line
c. A 60-year-old female patient who experienced a stroke with right-
sided paralysis and has an orthopedic brace applied to the left leg
d. A 70-year-old patient who has diabetes and dementia and has been
incontinent of stool - CORRECT ANSWER✔✔Answer: d
What is the removal of devitalized tissue from a wound called?
a. Debridement
b. Pressure distribution
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