NURS 100 Fundamental Final Exam Test with Verified Answers
A nurse is teaching a client how to self-administer insulin.
Which of the following actions should the nurse take to
Have the client demonstrates the procedure
evaluate the clients understanding of the process within
the psychomotor domain of learning?
a nurse is preparing to administer a cleansing enema to
a client. Which of the following actions should the nurse Position the client on his left side
plan to take?
A client who reports shortness of breath requests her
nurse's help in changing positions. After repositioning the Observe the rate, depth, and character of the client's res-
client, which of the following actions should the nurse take pirations.
next?
A nurse is caring for a client who has bilateral casts on her
hands. Which of the following actions should the nurse Sit at the bedside while feeding the client.
take when assisting the client with feeding?
A nurse is caring for a client who, while sitting in a chair,
lower the client to the floor and place a pad under the
starts to experience a seizure. Which of the following ac-
client's head.
tions should the nurse take?
a home health nurse is planning to provide health pro-
motion activities for a group of clients in the community. Educating clients about the recommended immunization
Which of the following activities is an example of the nurse schedule for adults.
promoting primary prevention?
An assistive personnel (AP) is assisting a nurse with the
care of a female client who has an indwelling urinary
The AP hangs the collection bag at the level of the bladder.
catheter. Which of the following actions by the AP indicates
a need for further teaching?
5 mins for stat
timeframes for STAT, rountine, and now orders 30 before/after for rountine
90 minutes for now orders
, NURS 100 Fundamental Final Exam Test with Verified Answers
A nurse is providing discharge teaching to a client who
is recovering from lung cancer. The provider instructed
the client that he could resume lower-intensity activities washing dishes
of daily living. Which of the following activities should the
nurse recommend to the client?
A nurse is planning to perform passive range-of-mo-
tion exercises for a client. Which of the following actions repeat each joint motion five times during each session.
should the nurse take?
A nurse is planning care for a client who has a single-lu-
Provide oral hygiene frequently
men nasogastric (NG) tube for gastric decompression.
measure the drainage from the NG tube every shift
Which of the following actions should the nurse include
Secure the NG tube to the client's gown
in the plan of care?(select all that apply.)
unanticipated loss caused by external factor, and someone
An example of situational crisis and who is at highest risk
with mental health issues.
reports bleeding, ringing in ear, and not taking if 19
patient education for aspirin and acetaminophen is with viral infection (aspirin). avoid alcohol, do not exceed
3gm/day, and routnine blood pressure (acetaminophen)
Deltoid
vastus lateralis
Name and describe 4 landmarks for IM injections
ventrogluteal
dorsogluteal
Technique: BP & HR in supine then change to sit-
ting/standing (wait 1-3 mins) BP & HR if SBP dec. More
determining orthostatic hypotension
than 20 mm hg and/or DBP dec. more than 10 mm hg w/
a 10-20% inc. in hr=orthostatic hypotension
Diet should include this to help in wound healing Protein
What solution is used to clean wound before obtaining
0.9% sodium chloride (normal saline)
specimen?
A nurse is teaching a client how to self-administer insulin.
Which of the following actions should the nurse take to
Have the client demonstrates the procedure
evaluate the clients understanding of the process within
the psychomotor domain of learning?
a nurse is preparing to administer a cleansing enema to
a client. Which of the following actions should the nurse Position the client on his left side
plan to take?
A client who reports shortness of breath requests her
nurse's help in changing positions. After repositioning the Observe the rate, depth, and character of the client's res-
client, which of the following actions should the nurse take pirations.
next?
A nurse is caring for a client who has bilateral casts on her
hands. Which of the following actions should the nurse Sit at the bedside while feeding the client.
take when assisting the client with feeding?
A nurse is caring for a client who, while sitting in a chair,
lower the client to the floor and place a pad under the
starts to experience a seizure. Which of the following ac-
client's head.
tions should the nurse take?
a home health nurse is planning to provide health pro-
motion activities for a group of clients in the community. Educating clients about the recommended immunization
Which of the following activities is an example of the nurse schedule for adults.
promoting primary prevention?
An assistive personnel (AP) is assisting a nurse with the
care of a female client who has an indwelling urinary
The AP hangs the collection bag at the level of the bladder.
catheter. Which of the following actions by the AP indicates
a need for further teaching?
5 mins for stat
timeframes for STAT, rountine, and now orders 30 before/after for rountine
90 minutes for now orders
, NURS 100 Fundamental Final Exam Test with Verified Answers
A nurse is providing discharge teaching to a client who
is recovering from lung cancer. The provider instructed
the client that he could resume lower-intensity activities washing dishes
of daily living. Which of the following activities should the
nurse recommend to the client?
A nurse is planning to perform passive range-of-mo-
tion exercises for a client. Which of the following actions repeat each joint motion five times during each session.
should the nurse take?
A nurse is planning care for a client who has a single-lu-
Provide oral hygiene frequently
men nasogastric (NG) tube for gastric decompression.
measure the drainage from the NG tube every shift
Which of the following actions should the nurse include
Secure the NG tube to the client's gown
in the plan of care?(select all that apply.)
unanticipated loss caused by external factor, and someone
An example of situational crisis and who is at highest risk
with mental health issues.
reports bleeding, ringing in ear, and not taking if 19
patient education for aspirin and acetaminophen is with viral infection (aspirin). avoid alcohol, do not exceed
3gm/day, and routnine blood pressure (acetaminophen)
Deltoid
vastus lateralis
Name and describe 4 landmarks for IM injections
ventrogluteal
dorsogluteal
Technique: BP & HR in supine then change to sit-
ting/standing (wait 1-3 mins) BP & HR if SBP dec. More
determining orthostatic hypotension
than 20 mm hg and/or DBP dec. more than 10 mm hg w/
a 10-20% inc. in hr=orthostatic hypotension
Diet should include this to help in wound healing Protein
What solution is used to clean wound before obtaining
0.9% sodium chloride (normal saline)
specimen?
