FUNDAMENTALS FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ what action should a nurse take first for a patient who is being prepared for
the insertion of a NG tube?.
Answer: explain the proceudre-measure length of tubing to be inserted to
ensure proper tube placement-place pt in sitting position to more easily
insert NG tube and allow gravity to help facilitate passage of tube-provide
water to facilitate swallowing during insertion
◍ what action by an AP indicates the need for further teaching about care of a
female patient who has an indwelling urinary catheter?.
Answer: AP hands collection bag at level of bladder-place below bladder
level to ensure proper drainage by gravity-cleanse perianal area w/ warm
soap and water at least 3X/day to reduce risk of infection-should tape
catheter to inner thigh of F pt to prevent pulling on urethra and decrease risk
of infection-make sure there's no kinks to promote proper drainage by
gravity
◍ a nurse is admitting a patient to a med-surg floor. what should be charted in
the patient's medical record first?.
Answer: assessment-plan of care, nursing interventions, and evaluation of
progress should be charted but the assessment is the priority action
◍ F2what action should a nurse take when instilling eye drops to a patient
following an eye surgery?.
Answer: drop eye medication in the outer third of lower conjunctival sac, to
avoid putting drops on cornea and causing damage-apply gentle pp to
, nasolacrimal duct after instilling medication for 30-60sec to prevent
medication from running down duct or out of eye-hold dropper .4-.8 inch
away from lower conjunctival sac to protect cornea from injury-close eyes
gently after instilling medication to avoid expelling it
◍ after helping to reposition a patient who reports SOB what actions should
the nurse take next?.
Answer: observe rate, depth, character of pts respirations-priority: nurse
must first assess and collect further data before notifying the provider or
applying another nursing intervention-nurse can also encourage deep
breathing-nurse can administer O2 if pt is experiencing dyspnea-nurse can
give pt a back rub to promote relaxation to reduce dyspnea
◍ F2what action should a nurse take when administering a cleansing enema to
a patient who is scheduled for a diagnostic procedure?.
Answer: insert tip of tubing 8 cm (3.1 in)-Insert 7-10 cm (3-4in) along rectal
wall to prevent dislodging tube during procedure and injury to rectal
mucosa-Lubricate 2-3in of tip before inserting to decrease risk of irritation
and injury-Position pt on L side in Sims position to allow solution to flow
downward into sigmoid colon and rectum and promote retention of
enema-Hold container a max of 45 cm (18 in) above rectum to prevent
painful distention of colon
◍ what instructions should the nurse provide to that patient and family when
being discharged home with oxygen therapy via nasal cannula?.
Answer: wear cotton clothing to avoid static electricity-d/t combustion
potential around high concentrations of O2-electrical equipment that's in
good condition and w/out frayed wires is acceptable for personal care w/ use
of O2-use of oils/petroleum products is contraindicates w/ O2 use d/t risk of
combustion-no need to remove TV as long as it works properly
◍ what action should a nurse take to decrease risk of falls when assisting an
older adult patient in ambulating after being on bedrest for 3 days?.
Answer: use gait belt during ambulation-to keep pt center of gravity midline
and decrease fall risk-wear nonskid shoes for ambulation-dangle legs on
, edge of bed for 1 min before ambulaiton-walk beside pt to provide physical
support and decrease fall risk
◍ at what location should a nurse anchor the tubing of a urinary catheter for a
male patient?.
Answer: lower abdomen-or upper aspect of thigh to eliminate penosacral
angel and prevent tissue injury-can cause discomfort and tissue injury when
secured to lateral/ outside of thigh, mid-abdominal region-can cause
discomfort and pp on urethra at penosacral junction and lead to tissue injury
when secured at medial thigh
◍ a nurse is responding to a parent's questions about his infant's expected
physical development during the first year of life. what information should
the nurse include?.
Answer: 10-month old can pull up to standing position-can do this from
8-10 months-turn from back to abdomen by 5 months-6-8 months can sit up
w/out support-8-10 months can crawl
◍ what action should the nurse take after discovering the wounds of a patient
who is postoperative following an abdominal surgery has eviscerated?.
Answer: cover the incision w/ moist sterile dressing-open wound= increased
risk of peritonitis and exposed tissue can dry out and covering the wound is
highest priority-have pt also lie on back w/ knees flexed to reduce pp on
incision-notify surgeon also-also reassure the pt
◍ what action should the nurse take when a patient is performing passive
range-of-motion exercises?.
Answer: repeat each joint movement 5X during each session-repeat
3-5X-should move joint to point of slight-resistance-stand at side of bed
closely to joint being exercised-should exercise large joints 1st
◍ F2at what location should a nurse anchor the tubing of a urinary catheter for
a male patient?.
Answer: lower abdomen or upper aspect of thigh to eliminate penoscrotal
angle and prevent tissue injury-can cause discomfort and tissue injury when
secured to lateral/ outside of the thigh, mid-abdominal region-can cause
, discomfort and pressure on urethra at penosacral junction and lead to tissue
injury when secured at medial thigh
◍ A nurse is caring for a client who is being evaluated for obstructive sleep
apnea. Which of the following findings should the nurse identify as a risk
factor for OSA?a. Hypersomniab. Obesityc. Active glossal muscled. History
of tonsillectomy.
Answer: b. Obesity
◍ F2what action should a nurse take when changing the linens of a patient
who is on bed rest?.
Answer: hold linens away from body and clothes-prevent soiling and
transmission of microorganisms-place soiled linens in linen bag
immediately to prevent spread of microorganisms-shaking the linens can
spread dust and microorganisms in the air and increase risk of infection
◍ the provider instructed a patient recovering from lung cancer he could
resume lower-intensity activities of daily living. what activities should the
nurse recommend to the patient?.
Answer: washing dishes-cleaning windows and -sweeping is
moderate-intensity-shoveling snow is high-intensity
◍ correct sequence of steps for an abdominal assessment.
Answer: 1. inspection2. auscultation3. percussion4. palpation-prevents
alerting the bowel sounds and causing false results
◍ what action should the nurse direct the patient to take first when reviewing
the correct use of a fire extinguisher?.
Answer: P= pull the pin on fire extinguisherA=aim the extinguisher nozzle
at bas of fireS= squeeze or press handleS=sweep from side to side until fire
is put out
◍ an older adult is prescribed soft wrist restraints. what actions should the
nurse take while the patient is on restraints?.
Answer: remove restraints one at a time-for a pt who is violent/
noncompliant-do not tie restraints to side rails d/t risk of pt injury-remove