Fundamentals 2026 Proctor with
actual exam and revised
solutions
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which
of the following actions should the nurse plan to take to prevent the transmission of this infection to
others?
Clean hands with an alcohol-based hand rub immediately after removing gloves.
Remove the cover gown in the client's room after providing care. Place the client in a room with
negative-pressure airflow
Wear a mask when administering oral medications to the client. - CORRECT ANSWERS-Remove the cover
gown in the client's room after providing care.
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client - CORRECT ANSWERS-ask the
dietitian to recommend alternative food choices for the client
A nurse is caring for a client who has prescription for a high-protein diet to promote wound healing
following surgery. The client's religion prohibits eating meat on particular days. Which of the following
actions should the nurse take?
Encourage the client to eat meat during this time to promote healing
,Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie - CORRECT ANSWERS-Ask the
dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the
provider?
a purple-colored stoma
protrusion of the stoma
a small amount of bleeding from the stoma
intestinal gas in the pouch - CORRECT ANSWERS-a purple-colored stoma
A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the drops in your eye." - CORRECT ANSWERS-
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
A nurse is reinforcing teaching about carbohydrate counting with a client who has
, a new diagnosis of diabetes mellitus. Which of the following actions should the
nurse take first?
a. use pictures of different food groups to help the client plan a daily menu
b. ask the client what he already knows about meal planning
c. give the client a brochure with sample menus for all meals
d. involve the family in the discussion of the client's meal plan - CORRECT ANSWERS-ask the client what
he already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which of the
following findings should the nurse identify as an indication that the client is malnourished?
heart rate 89/min
pink mucous membranes
pale, scaly skin
body mass index 23 - CORRECT ANSWERS-pale, scaly skin
A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that i can change my advance directives if I need to in the future."
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
c. "My family can overrule the decisions made by my health care proxy."
d. "Advance directives from one state are valid in any other state." - CORRECT ANSWERS-"I know that i
can change my advance directives if I need to in the future."
actual exam and revised
solutions
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which
of the following actions should the nurse plan to take to prevent the transmission of this infection to
others?
Clean hands with an alcohol-based hand rub immediately after removing gloves.
Remove the cover gown in the client's room after providing care. Place the client in a room with
negative-pressure airflow
Wear a mask when administering oral medications to the client. - CORRECT ANSWERS-Remove the cover
gown in the client's room after providing care.
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client - CORRECT ANSWERS-ask the
dietitian to recommend alternative food choices for the client
A nurse is caring for a client who has prescription for a high-protein diet to promote wound healing
following surgery. The client's religion prohibits eating meat on particular days. Which of the following
actions should the nurse take?
Encourage the client to eat meat during this time to promote healing
,Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the clie - CORRECT ANSWERS-Ask the
dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the
provider?
a purple-colored stoma
protrusion of the stoma
a small amount of bleeding from the stoma
intestinal gas in the pouch - CORRECT ANSWERS-a purple-colored stoma
A nurse is reinforcing teaching with a client about self-administration of
ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the drops in your eye." - CORRECT ANSWERS-
"You should cleanse your eye from the inner to the outer edge prior to putting in
the drops."
A nurse is reinforcing teaching about carbohydrate counting with a client who has
, a new diagnosis of diabetes mellitus. Which of the following actions should the
nurse take first?
a. use pictures of different food groups to help the client plan a daily menu
b. ask the client what he already knows about meal planning
c. give the client a brochure with sample menus for all meals
d. involve the family in the discussion of the client's meal plan - CORRECT ANSWERS-ask the client what
he already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which of the
following findings should the nurse identify as an indication that the client is malnourished?
heart rate 89/min
pink mucous membranes
pale, scaly skin
body mass index 23 - CORRECT ANSWERS-pale, scaly skin
A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an
understanding of the teaching?
a. "I know that i can change my advance directives if I need to in the future."
b. "My health care proxy will make my health care decisions as soon as I have
signed the power of attorney."
c. "My family can overrule the decisions made by my health care proxy."
d. "Advance directives from one state are valid in any other state." - CORRECT ANSWERS-"I know that i
can change my advance directives if I need to in the future."
