NU136 Exam 1 – Fundamentals of Nursing
Review Questions and Answers
Question 1
How many inches from the edge of the sterile field is considered non-sterile
Correct Answer
1 inch
Question 2
if the stage of resistance is prolonged, what happens?
Correct Answer
The response becomes maladaptive
Question 3
when ambulating a client and they begin to fall, what should you do
Correct Answer
assist them to the floor
Question 4
A student who does not study for a test blames his "F" on the teacher's poor lecturing
ability; this is an example of...
Correct Answer
Rationalization
Question 5
Dry, rattling lung sounds are also known as....
Correct Answer
rhonchi
Page 1 of 133
,Question 6
In an older adult the base temperature is what
Correct Answer
97.2 degrees fahrenheit
Question 7
use of this is the most accurate noninvasive way to measure body temperature
Correct Answer
The temporal artery thermometer
Question 8
A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do
next?
Correct Answer
shift the position
Question 9
When working 3 feet of the client a regular face mask is required for this type of
precaution
Correct Answer
droplet
Question 10
Which of these sets of vital signs are abnormal
Correct Answer
BP 190/90, Pulse 98, Respirations 20
Page 2 of 133
,Question 11
The best way to break the chain of infection is by
Correct Answer
implementing standard precautions
Question 12
A written order is needed to trim the nails of a diabetic patient
Correct Answer
True
Question 13
When assessing respiratory rate, which of the following is the most appropriate
intervention for the nurse to do?
Correct Answer
Take the client's pulse and watch for the rise and fall of the client's chest
Question 14
The nurse notes crowing sounds on inspiration. The nurse properly documents this as
Correct Answer
strider
Question 15
If the immobile client refuses their morning bed bath which of the following is an
appropriate response by the nurse
Correct Answer
Give the client an option to shower later in the day
Page 3 of 133
, Question 16
A complete bed bath would be appropriate for which type of client
Correct Answer
A patient with unsteady gait and poor balance
Question 17
which of these is considered a use of protective devices (restraints)
Correct Answer
raising all 4 side rails (full side rails)
Question 18
Decreased subcutaneous fat and thinner skin put the elderly patients at risk for...
Correct Answer
impaired skin integrity
Question 19
in an older adult an elevation of how many degrees fahrenheit will occur if a fever is
present
Correct Answer
2 degrees fahrenheit
Question 20
Proper lifting methods of heavy objects includes jerking or sudden pulling
movements to allow momentum to aid you
Correct Answer
false
Page 4 of 133
Review Questions and Answers
Question 1
How many inches from the edge of the sterile field is considered non-sterile
Correct Answer
1 inch
Question 2
if the stage of resistance is prolonged, what happens?
Correct Answer
The response becomes maladaptive
Question 3
when ambulating a client and they begin to fall, what should you do
Correct Answer
assist them to the floor
Question 4
A student who does not study for a test blames his "F" on the teacher's poor lecturing
ability; this is an example of...
Correct Answer
Rationalization
Question 5
Dry, rattling lung sounds are also known as....
Correct Answer
rhonchi
Page 1 of 133
,Question 6
In an older adult the base temperature is what
Correct Answer
97.2 degrees fahrenheit
Question 7
use of this is the most accurate noninvasive way to measure body temperature
Correct Answer
The temporal artery thermometer
Question 8
A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do
next?
Correct Answer
shift the position
Question 9
When working 3 feet of the client a regular face mask is required for this type of
precaution
Correct Answer
droplet
Question 10
Which of these sets of vital signs are abnormal
Correct Answer
BP 190/90, Pulse 98, Respirations 20
Page 2 of 133
,Question 11
The best way to break the chain of infection is by
Correct Answer
implementing standard precautions
Question 12
A written order is needed to trim the nails of a diabetic patient
Correct Answer
True
Question 13
When assessing respiratory rate, which of the following is the most appropriate
intervention for the nurse to do?
Correct Answer
Take the client's pulse and watch for the rise and fall of the client's chest
Question 14
The nurse notes crowing sounds on inspiration. The nurse properly documents this as
Correct Answer
strider
Question 15
If the immobile client refuses their morning bed bath which of the following is an
appropriate response by the nurse
Correct Answer
Give the client an option to shower later in the day
Page 3 of 133
, Question 16
A complete bed bath would be appropriate for which type of client
Correct Answer
A patient with unsteady gait and poor balance
Question 17
which of these is considered a use of protective devices (restraints)
Correct Answer
raising all 4 side rails (full side rails)
Question 18
Decreased subcutaneous fat and thinner skin put the elderly patients at risk for...
Correct Answer
impaired skin integrity
Question 19
in an older adult an elevation of how many degrees fahrenheit will occur if a fever is
present
Correct Answer
2 degrees fahrenheit
Question 20
Proper lifting methods of heavy objects includes jerking or sudden pulling
movements to allow momentum to aid you
Correct Answer
false
Page 4 of 133
