NURSING FUNDAMENTALS EXIT EXAM Q & A
Which of the following solutions should the nurse use to perform hand
hygiene?
a. Isopropyl alcohol
b. Providone-iodine
c. Bleach
d. Chlorhexidine
Methods to promote nighttime sleep. Which of the following instructions should
the nurse include?
a. Perform exercises prior to bedtime
b. Take a 1 hr. nap during the day
c. Eat a light snack before bedtime
d. Stay in bed at least 1 hr. if unable to fall asleep
Which of the following actions by the LPN indicates the need for intervention by
the charge nurse?
a. Inserts an NG tube for a client using clean technique
b. Stabilizes a client’s indwelling urinary catheter with the nondominant
prior to inflation of the balloon
c. Uses an IV infusion pump to administer TPN nutrition to a client
d. Crushes an SL tablet to administer into a client’s feeding tube
A 3-day old newborn that has a congenital heart defect. Which of the following
interventions should the nurse include to decrease cardiac demands for the
newborn?
a. Feed the infant when she is awake and crying
b. Maintain the infant’s temperature at 37° C (98.6° F)
c. Encourage the infant’s parents to limit visitation and physical touch
,NURSING FUNDAMENTALS EXIT EXAM Q & A
d. Keep the infant’s bed in a flat position
A nurse is teaching a parent about absence seizures. Which of the following
information should the nurse include?
a. “The child usually has an aura prior to onset.”
b. “This type of seizure can be mistaken for daydreaming.”
c. “This type of seizure has a gradual onset.”
d. “This type of seizure lasts 30-60 seconds.”
A nurse on a medical-surgical unit is delegating tasks to an AP. Which of the
following client care tasks is within the scope of practice for the AP?
a. Explaining the steps for a 24-hr urine collection
b. Assisting with low-carbohydrate diet selections
c. Interpreting blood glucose values
d. Performing postmortem care
1. A nurse is caring for a client who has given informed consent for ECT. Just before
the procedure, the client tells the nurse she is considering not going forward with
the treatment. Which of the following statements by the nurse is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was necessary.”
2. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client’s CPM device. Which of the following actions should the nurse
take first?
,NURSING FUNDAMENTALS EXIT EXAM Q & A
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
3. A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
a. Document administration of the medication upon removal from the
medication dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication
dispensing system
d. Withhold the medication if the client has a fever
4. A nurse performing a change-of-shift assessment. Which of the following
clients has the priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min
5. A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking
, NURSING FUNDAMENTALS EXIT EXAM Q & A
lithium with food will help decrease GI distress)
6. A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
[View Exhibit]
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client’s weight
7. A nurse is completing an admission assessment for a client who ahs narcissistic
personality disorder. Which of the following should the nurse expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client’s dietary plan?
9. A nurse is planning care for a group of clients and is working with one LPN and
one AP. Which of the following actions should the nurse take first to manage her
time effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP
Which of the following solutions should the nurse use to perform hand
hygiene?
a. Isopropyl alcohol
b. Providone-iodine
c. Bleach
d. Chlorhexidine
Methods to promote nighttime sleep. Which of the following instructions should
the nurse include?
a. Perform exercises prior to bedtime
b. Take a 1 hr. nap during the day
c. Eat a light snack before bedtime
d. Stay in bed at least 1 hr. if unable to fall asleep
Which of the following actions by the LPN indicates the need for intervention by
the charge nurse?
a. Inserts an NG tube for a client using clean technique
b. Stabilizes a client’s indwelling urinary catheter with the nondominant
prior to inflation of the balloon
c. Uses an IV infusion pump to administer TPN nutrition to a client
d. Crushes an SL tablet to administer into a client’s feeding tube
A 3-day old newborn that has a congenital heart defect. Which of the following
interventions should the nurse include to decrease cardiac demands for the
newborn?
a. Feed the infant when she is awake and crying
b. Maintain the infant’s temperature at 37° C (98.6° F)
c. Encourage the infant’s parents to limit visitation and physical touch
,NURSING FUNDAMENTALS EXIT EXAM Q & A
d. Keep the infant’s bed in a flat position
A nurse is teaching a parent about absence seizures. Which of the following
information should the nurse include?
a. “The child usually has an aura prior to onset.”
b. “This type of seizure can be mistaken for daydreaming.”
c. “This type of seizure has a gradual onset.”
d. “This type of seizure lasts 30-60 seconds.”
A nurse on a medical-surgical unit is delegating tasks to an AP. Which of the
following client care tasks is within the scope of practice for the AP?
a. Explaining the steps for a 24-hr urine collection
b. Assisting with low-carbohydrate diet selections
c. Interpreting blood glucose values
d. Performing postmortem care
1. A nurse is caring for a client who has given informed consent for ECT. Just before
the procedure, the client tells the nurse she is considering not going forward with
the treatment. Which of the following statements by the nurse is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was necessary.”
2. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client’s CPM device. Which of the following actions should the nurse
take first?
,NURSING FUNDAMENTALS EXIT EXAM Q & A
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
3. A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
a. Document administration of the medication upon removal from the
medication dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication
dispensing system
d. Withhold the medication if the client has a fever
4. A nurse performing a change-of-shift assessment. Which of the following
clients has the priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min
5. A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking
, NURSING FUNDAMENTALS EXIT EXAM Q & A
lithium with food will help decrease GI distress)
6. A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
[View Exhibit]
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client’s weight
7. A nurse is completing an admission assessment for a client who ahs narcissistic
personality disorder. Which of the following should the nurse expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client’s dietary plan?
9. A nurse is planning care for a group of clients and is working with one LPN and
one AP. Which of the following actions should the nurse take first to manage her
time effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP
