NURSING FUNDAMENTALS COMPREHENSIVE Q & A
i. A nurse is providing teaching to a client who has left sided heart failure. Which of the
following manifestations should the nurse include in the teaching?
A. Hacking cough
B. neck vein distention
C. ankle edema
D. Anorexia
ii. A nurse in a providers office is caring for a client who has total vision loss and is the
handler of a service dog. Which of the following actions should the nurse take to show
consideration for the client in the service animal
A. command the dog to sit while talking to the client
B. pet the dog briefly to demonstrate
acceptance C. consult the client before
approaching the dog
D. offer the dog a bowl of water to demonstrate caring
iii. A nurse is reviewing laboratory results for 4 clients who are scheduled for surgery.
Which of the following laboratory values should the nurse report to the surgeon
a. HCT 42%
b. INR of 1.6
c. pallets 95.000/MM3
d. WBC count 8.000 /MM3
iv. A nurse is providing discharge teaching to a client who has impaired immune
system due to Chemotherapy. Which of the following information should the nurse
include in the teaching?
A. “wash your toothbrush in the dishwasher once each month”
B. “Wash your perineal area two times each day with antimicrobial soap”
C. “Change your pets litter box the daily”
D. “change the water in your drinking glass every 4 hours”
,NURSING FUNDAMENTALS COMPREHENSIVE Q & A
v. A nurse is assessing a client who has acute kidney failure. Which of the following
findings should the nurse report to the provider?
a. Urine specific gravity 1.045
b. Peripheral pulses 2 + bilaterally
c. Creatinine 0.8 mL/dL
d. Weight gain1.1 kg (2.4lb ) in 24 hr.
vi. A home health nurse is providing care to an older adult client during the winter.
During an in-home visit The nurse notes that the thermostat is set to 12.8
degrees Celsius (55 degrees Fahrenheit ) . The client tells the nurse I keep the
heat set low because I cannot afford to pay the bill. Which of the following
actions should the nurse take
A. contact the clients family members to tell them the client's financial status
B. Recommend staying at a local shelter until the client can afford the bill
C. Contact the local Department of Health and Human Services for the client
D. Provide the client with written information about the degrees of hypothermia
vii. a nurse is caring for a client following a bronchoscopy. Which of the following
actions should the nurse take first?
A. Inform the client they might experience a low grade fever
B. Check the clients gag reflex
C. Instruct the client to report bleeding
D. Provide the client with sips of water
viii. A nurse is teaching about measures to prevent urinary infections with a female client.
,NURSING FUNDAMENTALS COMPREHENSIVE Q & A
Which of the following information should the nurse include in the teaching (select all that
apply)
A. Void every 6hr during the day
B. Take a warm bubble bath daily
C. Drink low-Fructose cranberry juice
D. Wipe the perineal area from front to back after urinating
E. Drink 3 L of fluid daily
ix. A nurse is caring for a client who is experiencing an acute asthma attack
Which of the following should the nurse identify as a contributing factor to
the clients manifestations?
a. Decreased responsiveness of airways to allergens
b. Acute loss of alveolar elasticity
c. Suppressed Bronchiolar inflammatory
response D. Inability to exhale retained carbon
dioxide
x. A nurse is caring for a client who is scheduled for a mastectomy. The client tells the
nurse I’m not sure I want to have a mastectomy. Which of the following statements should
the nurse take
a. I can give you additional information about the procedure
b. You will be cancer free if you have the procedure
c. I can give you a list of other people who had the same procedure
d. You should get a second opinion regarding the procedure
, NURSING FUNDAMENTALS COMPREHENSIVE Q & A
1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect?
A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes
2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the
following manifestations indicates a hemolytic transfusion reaction?
A. Chills ? (think fever, you get cold when your body is hot)
B. Hypertension
C. Bradycardia
D. Back pain
3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions
should the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting
4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The
nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the
following substances
A. Povidone-iodine
B. Adhesive
tape C. Latex
D. Anesthetics
5 A nurse is teaching a client about the use of an incentive spirometer. Which of the
following instructions should the nurse include in the teaching?
i. A nurse is providing teaching to a client who has left sided heart failure. Which of the
following manifestations should the nurse include in the teaching?
A. Hacking cough
B. neck vein distention
C. ankle edema
D. Anorexia
ii. A nurse in a providers office is caring for a client who has total vision loss and is the
handler of a service dog. Which of the following actions should the nurse take to show
consideration for the client in the service animal
A. command the dog to sit while talking to the client
B. pet the dog briefly to demonstrate
acceptance C. consult the client before
approaching the dog
D. offer the dog a bowl of water to demonstrate caring
iii. A nurse is reviewing laboratory results for 4 clients who are scheduled for surgery.
Which of the following laboratory values should the nurse report to the surgeon
a. HCT 42%
b. INR of 1.6
c. pallets 95.000/MM3
d. WBC count 8.000 /MM3
iv. A nurse is providing discharge teaching to a client who has impaired immune
system due to Chemotherapy. Which of the following information should the nurse
include in the teaching?
A. “wash your toothbrush in the dishwasher once each month”
B. “Wash your perineal area two times each day with antimicrobial soap”
C. “Change your pets litter box the daily”
D. “change the water in your drinking glass every 4 hours”
,NURSING FUNDAMENTALS COMPREHENSIVE Q & A
v. A nurse is assessing a client who has acute kidney failure. Which of the following
findings should the nurse report to the provider?
a. Urine specific gravity 1.045
b. Peripheral pulses 2 + bilaterally
c. Creatinine 0.8 mL/dL
d. Weight gain1.1 kg (2.4lb ) in 24 hr.
vi. A home health nurse is providing care to an older adult client during the winter.
During an in-home visit The nurse notes that the thermostat is set to 12.8
degrees Celsius (55 degrees Fahrenheit ) . The client tells the nurse I keep the
heat set low because I cannot afford to pay the bill. Which of the following
actions should the nurse take
A. contact the clients family members to tell them the client's financial status
B. Recommend staying at a local shelter until the client can afford the bill
C. Contact the local Department of Health and Human Services for the client
D. Provide the client with written information about the degrees of hypothermia
vii. a nurse is caring for a client following a bronchoscopy. Which of the following
actions should the nurse take first?
A. Inform the client they might experience a low grade fever
B. Check the clients gag reflex
C. Instruct the client to report bleeding
D. Provide the client with sips of water
viii. A nurse is teaching about measures to prevent urinary infections with a female client.
,NURSING FUNDAMENTALS COMPREHENSIVE Q & A
Which of the following information should the nurse include in the teaching (select all that
apply)
A. Void every 6hr during the day
B. Take a warm bubble bath daily
C. Drink low-Fructose cranberry juice
D. Wipe the perineal area from front to back after urinating
E. Drink 3 L of fluid daily
ix. A nurse is caring for a client who is experiencing an acute asthma attack
Which of the following should the nurse identify as a contributing factor to
the clients manifestations?
a. Decreased responsiveness of airways to allergens
b. Acute loss of alveolar elasticity
c. Suppressed Bronchiolar inflammatory
response D. Inability to exhale retained carbon
dioxide
x. A nurse is caring for a client who is scheduled for a mastectomy. The client tells the
nurse I’m not sure I want to have a mastectomy. Which of the following statements should
the nurse take
a. I can give you additional information about the procedure
b. You will be cancer free if you have the procedure
c. I can give you a list of other people who had the same procedure
d. You should get a second opinion regarding the procedure
, NURSING FUNDAMENTALS COMPREHENSIVE Q & A
1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect?
A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes
2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the
following manifestations indicates a hemolytic transfusion reaction?
A. Chills ? (think fever, you get cold when your body is hot)
B. Hypertension
C. Bradycardia
D. Back pain
3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions
should the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting
4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The
nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the
following substances
A. Povidone-iodine
B. Adhesive
tape C. Latex
D. Anesthetics
5 A nurse is teaching a client about the use of an incentive spirometer. Which of the
following instructions should the nurse include in the teaching?
