Fundamentals Final Test Bank REAL EXAM QUESTIONS & VERIFIED ANSWERS - PASS FIRST ATTEMPT GUARANTEED UPDATED QUESTIONS AND 100% ACCURATE ANSWERS | HIGH-LEVEL EXIT EXAM

A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints. Which of the following statements by the AP indicates an understanding of the teaching? A. "I will tie restraints in double knots." B. "I will tie a restraint to the portion of the bed that moves when the head of the bed is moved." C. "I will ensure that restraints fit tightly against the client." D. "I will put four side rails up if a client is confused." - best ans-B. "I will tie a restraint to the portion of the bed that moves when the head of the bed is moved." A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include? A. "If you wear gloves, you do not have to wash your hands." B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." C. "Use an alcohol rub when your hands are visibly soiled." D. "If you don't have an infection, your hands won't infect others." - best ans-B. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." A nurse is planning postoperative care for a client who is scheduled for an ileal conduit (urinary diversion) procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply). Notify the provider immediately if mucus is present in the urine. Maintain the client on a fluid restriction. Apply skin barrier around the stoma site. Educate the client that hematuria is expected following the procedure. Monitor hourly urine output. – best ans-Apply skin barrier around the stoma site. Educate the client that hematuria is expected following the procedure. Monitor hourly urine output. A nurse is admitting a client who has tuberculosis and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client? A. Contact B. Droplet C. Protective D. Airborne - best ans-D. Airborne A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities? A. Assuring the current health status of the client. B. Explaining the operative procedure, risks, and benefits. C. Reviewing preoperative laboratory test results. D. Ensuring that a signed surgical consent was completed. - best ans-B. Explaining the operative procedure, risks, and benefits. A nurse is caring for a client who is postoperative. The nurse should base her pain management interventions primarily on which of the following methods of determining the intensity of the client's pan? A. Vital sign management B. The client's self-report of pain intensity. C. Visual observation for nonverbal signs of pain. D. The nature and invasiveness of the surgical procedure. - best ans-B. The client's self-report of pain intensity. A nurse is working with an assistive personnel (AP) while caring for a surgical client who is 1 day postoperative. Which task should the nurse take responsibility for completing? A. Measuring vital signs. B. Removing the abdominal dressing. C. Helping the client into the shower. D. Ambulating the client in the hallway. - best ans-B. Removing the abdominal dressing. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mmHg, and temperature 36.8ºC (98.2ºF). Which of the following actions should the nurse perform? A. Complete a neurological check. B. Administer the prescribed PRN antihypertensive medication. C. Increase the client's fluid intake. D. Hold the client's evening dose of digoxin. - best ans-A. Complete a neurological check. A nurse is preparing to teach a client who has a low literacy level. Which of the following methods should the nurse plan to include? A. Emphasize four important points at each session. B. Use a passive voice to explain the information. C. Refer to the client in the third person during the session. D. Have short teaching sessions. - best ans-D. Have short teaching sessions. A nurse is reviewing the medical record for a client who has a health care-associated infection (HAI). The nurse should identify which of the following findings as a risk factor for acquiring an HAI? A. The client had an appendectomy 6 months ago. B. The client has bipolar disorder. C. The client is a male. D. The client is 71 years old. - best ans-D. The client is 71 years old. A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material? A. Discard the dressing in the bedside trash receptacle. B. Dispose of the dressing in a biohazardous waste container. C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle. - best ans-B. Dispose of the dressing in a biohazardous waste container. A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements should the nurse report to the provider? A. "I drink at least 2 quarts of fluid every day." B. "The last time I voided it was painful and red-tinged." C. "My period ended 2 days ago." D. "I don't eat shellfish because it gives me hives." - best ans-D. "I don't eat shellfish because it gives me hives." A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) CALCULATION - best ans-125 mL/hr A nurse working for a home agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address? A. Swollen gums B. Pruritus C. Urinary Hesitancy D. Dysphagia - best ans-D. Dysphagia