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Fundamentals Pre-Assessment
Verified Q&A with Rationales |
Nursing Fundamentals Exam Prep
Grade A Guaranteed
Exam Structure:
Subject: Fundamentals Pre-Assessment
Source: Fundamentals Pre-Assessment (Verified Q&A)
Format: Exam-Style Questions with Bolded Questions and Italicized Vertical
Rationales
1. A nurse is caring for a client with a stage 2 pressure ulcer. Define
the characteristics of the ulcer.
Correct Answer: Partial-thickness skin loss involving the epidermis
and the dermis. The ulcer is visible and superficial and may appear as
an abrasion, blister, or shallow crater. Edema persists, and the ulcer
may become infected, possibly with pain and scant drainage.
Rationale:
1. Stage 2 pressure ulcers involve partial-thickness loss of epidermis and
dermis.
2. The ulcer appears as an abrasion, blister, or shallow crater.
3. Edema and possible infection may be present.
4. Pain and scant drainage may also occur.
2. A nurse is caring for a client receiving chemotherapy that is
experiencing neutropenia. Which of the following should the nurse
include in this client's education?
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Correct Answer: Avoid crowded events
Rationale:
1. Neutropenia means low circulating neutrophils, increasing infection risk.
2. Crowded events expose the client to viruses and bacteria.
3. Clients should avoid large gatherings, public transportation, and sick
individuals.
4. Hand hygiene and avoiding raw foods are also important.
3. A nurse is caring for a client who is admitted for observation and
has full range of motion. Which is the best manner to encourage this
client to void?
Correct Answer: Client bathroom
Rationale:
1. Clients with full function should be encouraged to use the bathroom for
independence.
2. Using the bathroom provides more privacy than a bedpan or commode.
3. Maintaining independence promotes dignity and preserves function.
4. Assist only as needed for safety.
4. A client with hearing loss has been fitted for a hearing aid. Which of
the following teaching points are important for the nurse to discuss
with the client?
Correct Answer: Use mild soap and water to clean the ear mold.
Rationale:
1. The ear mold should be cleaned regularly with mild soap and water.
2. Avoid alcohol or harsh chemicals that can damage the mold.
3. Keep the hearing aid dry and remove before bathing or swimming.
4. Batteries should be changed regularly and stored properly.
5. A nurse is caring for an older adult client with delirium. Which
intervention will most effectively reduce the client's risk for falls?
Correct Answer: Hourly rounding by the nurse
Rationale:
1. Hourly rounding allows nurses to anticipate and meet client needs.
2. Reduces call light usage and prevents unsafe attempts to get up alone.
3. Increases client satisfaction and safety.
Fundamentals Pre-Assessment
Verified Q&A with Rationales |
Nursing Fundamentals Exam Prep
Grade A Guaranteed
Exam Structure:
Subject: Fundamentals Pre-Assessment
Source: Fundamentals Pre-Assessment (Verified Q&A)
Format: Exam-Style Questions with Bolded Questions and Italicized Vertical
Rationales
1. A nurse is caring for a client with a stage 2 pressure ulcer. Define
the characteristics of the ulcer.
Correct Answer: Partial-thickness skin loss involving the epidermis
and the dermis. The ulcer is visible and superficial and may appear as
an abrasion, blister, or shallow crater. Edema persists, and the ulcer
may become infected, possibly with pain and scant drainage.
Rationale:
1. Stage 2 pressure ulcers involve partial-thickness loss of epidermis and
dermis.
2. The ulcer appears as an abrasion, blister, or shallow crater.
3. Edema and possible infection may be present.
4. Pain and scant drainage may also occur.
2. A nurse is caring for a client receiving chemotherapy that is
experiencing neutropenia. Which of the following should the nurse
include in this client's education?
, 2|Page
Correct Answer: Avoid crowded events
Rationale:
1. Neutropenia means low circulating neutrophils, increasing infection risk.
2. Crowded events expose the client to viruses and bacteria.
3. Clients should avoid large gatherings, public transportation, and sick
individuals.
4. Hand hygiene and avoiding raw foods are also important.
3. A nurse is caring for a client who is admitted for observation and
has full range of motion. Which is the best manner to encourage this
client to void?
Correct Answer: Client bathroom
Rationale:
1. Clients with full function should be encouraged to use the bathroom for
independence.
2. Using the bathroom provides more privacy than a bedpan or commode.
3. Maintaining independence promotes dignity and preserves function.
4. Assist only as needed for safety.
4. A client with hearing loss has been fitted for a hearing aid. Which of
the following teaching points are important for the nurse to discuss
with the client?
Correct Answer: Use mild soap and water to clean the ear mold.
Rationale:
1. The ear mold should be cleaned regularly with mild soap and water.
2. Avoid alcohol or harsh chemicals that can damage the mold.
3. Keep the hearing aid dry and remove before bathing or swimming.
4. Batteries should be changed regularly and stored properly.
5. A nurse is caring for an older adult client with delirium. Which
intervention will most effectively reduce the client's risk for falls?
Correct Answer: Hourly rounding by the nurse
Rationale:
1. Hourly rounding allows nurses to anticipate and meet client needs.
2. Reduces call light usage and prevents unsafe attempts to get up alone.
3. Increases client satisfaction and safety.
