FUNDAMENTALS FOR NURSING EXAM 2: LIPPINCOTT
QUIZ PRACTICE NEWEST 2026 EXAM QUESTIONS LATEST
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For healing by secondary intention, a client's wound has been packed with
medicated dressings. The nurse assesses the wound. Which finding indicates
wound healing?
A. The skin around the wound is edematous.
B. The wound drainage is serous.
C. The tissue surrounding the wound is red and hot.
D. The granulation tissue is at the wound edges.
D. The granulation tissue is at the wound edges.
A nurse is developing a care plan for a client with disseminated intravascular
coagulation (DIC). Which nursing intervention should the nurse include?
A. Provide mouth care every 4 hours with lemon-glycerin swabs.
B. Administer meperidine (Demerol) I.M. as needed for pain.
C. Place a pressure-reducing mattress on the client's bed.
D. Administer aspirin daily as ordered.
C. Place a pressure-reducing mattress on the client's bed.
When teaching the diabetic client about foot care, what should the nurse
instruct the client to do?
A. Cut toenails at angles.
B. Buy shoes a half size larger.
C. Avoid going barefoot.
D. Use heating pads for sore feet.
C. Avoid going barefoot.
The nurse is documenting care of a client who is restrained in bed with
bilateral wrist restraints. Following assessment of the restraints, what should
the nurse’s documentation include? Select all that apply.
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A. capillary refill
B. skin integrity
C. need for medication
D. nutrition and hydration needs
E. continued need for restraints
A, B, D, E
The nurse is assessing a group of older adults. Which client is at greatest risk
for skin breakdown?
A person who has:
A. impaired hearing ability.
B. reduced sensation of pressure.
C. altered balance.
D. impaired visual acuity.
B. reduced sensation of pressure.
The toddler with nephrotic syndrome exhibits generalized edema. Which
measure should the nurse institute for this child with impaired skin integrity
related to edema?
A. Apply powder to skinfolds.
B. Apply lotion on opposing skin surfaces.
C. Ambulate every shift while awake.
D. Separate opposing skin surfaces with soft cloth.
D. Separate opposing skin surfaces with soft cloth.
A client has had a cast applied to the arm. When discharging the client, the
nurse should tell the client to:
A. smell the cast for foul odors.
B. use powder on the skin around the cast.
C. apply a heating pad to the arm for 24 hours after the injury.
D. use a padded ruler to reach inside and rub under the cast.
A. smell the cast for foul odors.
A nursing instructor is instructing a group of new nursing students. The
instructor reviews that surgical asepsis will be used for which procedure?
A. nasogastric tube irrigation
B. colostomy irrigation
C. IV catheter insertion
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D. instilling eye drops
C. IV catheter insertion
What is the primary goal of nursing care during the emergent phase after a
burn injury?
Replace lost fluids
A client with jaundice has pruritus and areas of irritation from scratching.
What measures can the nurse suggest the client use to prevent skin
breakdown? Select all that apply.
A. Avoid lotions containing calamine.
B. Rub the skin when it itches with knuckles instead of nails.
C. Add baking soda to the water in a tub bath.
D. Increase sodium intake in diet.
E. Massage skin with alcohol.
F. Keep nails short and clean.
B, C, F
A client who was transferred from a long-term care facility is admitted with
dehydration and pneumonia. Which nursing interventions can help prevent
pressure ulcer formation in this client? Select all that apply.
A. Perform range-of-motion exercises.
B. Use commercial soaps to keep the skin dry.
C. Tuck bed covers tightly into the foot of the bed.
D. Reposition the client every 2 hours.
E. Encourage the client to eat a well-balanced diet.
A, D, E
When planning care for a group of clients, the nurse notes that which client is
most susceptible to infection?
A. an 18-year-old with diabetes mellitus
B. a 6-year-old with a simple fracture of the femur
C. an 86-year-old with burns from using a heating pad
D. a 42-year-old with a recent, uncomplicated appendectomy
C. an 86-year-old with burns from using a heating pad
A client’s burn wounds are being cleaned twice a day in a hydrotherapy tub.
Which intervention should be included in the plan of care before a
hydrotherapy treatment is initiated?
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A. Limit food and fluids 45 minutes before therapy to prevent nausea and
vomiting.
B. Apply a topical antibiotic cream to burns to prevent infection.
C. Administer pain medication 30 minutes before therapy to help manage pain.
D. Increase the IV flow rate to offset fluids lost through the therapy.
C. Administer pain medication 30 minutes before therapy to help manage pain.
A client has a wound with a drain. When performing wound cleansing around
the drain, the nurse should cleanse in which direction?
A. in a widening circle around the drain, outward from the center
B. from the superior portion of the wound to the inferior
C. laterally, from the distal area to the center
D. laterally, from one side of the wound to the opposite side
A. in a widening circle around the drain, outward from the center
A nurse is changing a client's dressing. Which observation of the wound
warrants immediate physician notification?
A. Sutures in place
B. Yellow, purulent drainage
C. Pink granulation tissue
D. Approximated wound edges
B. Yellow, purulent drainage
Which intervention is essential when performing dressing changes on a client
with a diabetic foot ulcer?
A. applying a heating pad
B. using sterile technique during the dressing change
C. cleaning the wound with a povidone-iodine solution
D. debriding the wound three times per day
B. using sterile technique during the dressing change
A nurse is performing a baseline assessment of a client's skin risk
assessment. Which finding will most impact the goal of the plan of care?
A. Family history of pressure ulcers
B. Potential areas of pressure ulcer development
C. Overall potential of developing pressure ulcers
D. Presence of pressure ulcers on the client
C. Overall potential of developing pressure ulcers