Assessment: RN Fundamentals Online
Practice A and B/Latest Updated Version{
Completed}
Assessment: RN FundaStmuviae.conmt-aThlesMaOrkentpllacientoeBuPy arndaSceltl yiocureStuAdy
M
aatenriadl B
1. a nurse in a clinical is caring for a middle age adult who states, "the doctor
says that since I am at an average risk for colon cancer, I should have a
routine screening. what does that involve?" which of the following responses
should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every
year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50.
One option for screening is a fecal occult blood test annually.
2. a nurse is caring for a client who is having difficulty breathing. the client is
laying in bed with a nasal cannula delivering oxygen. which of the following
intervention should the nurse take first?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's
room D. assist the client to an upright
position
assist the client to an upright position
When providing client care, the nurse should first use the least invasive
intervention. Therefore, the nurse should elevate the head of the client's bed to
the semi-Fowler's or high Fowler's position to facilitate maximal chest
expansion. Sitting upright improves gas exchange and prevents pressure on
the diaphragm from abdominal organs.
3. a nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. which of the following actions should the nurse
take? A. gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
, C. place the client in a semi-fowlers position to medication administration
D. verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication
is mixed.
4. a nurse is planning care to improve self-feeding for a client who has vision
loss. which of the following interventions should the nurse include in the
plan of care?
, A. tell the client whStiucviha.cofmo-oTdhe MsahrkeetpslahceotouBludy anedaSetll fyoiurr sSttudy
Material
B. provide small-handle utensils for the client
C. thicken liquids on the client's tray
D. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate.MY
ANSWERDescribing the location of the food on the plate by using a clock
pattern allows the client to have greater independence during meals.
5. a nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. which of the following
types of activity should the nurse recommend?
A. walking briskly
B. riding a bicycle
C. performing isometric exercises
D. engaging in high-impact aerobics
walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps
to prevent osteoporosis. Walking engages older adult clients in this preventive
and therapeutic strategy.
6. a nurse is assessing a client's readiness to learn about insulin administration.
which of the following statements should the nurse identify as an indication
that the client is ready to learn?
A. "I can concentrate best in the morning."
B. "it is difficult to read the instructions because my glasses are at home."
C. "I'm wondering why I need to learn this."
D. "you will have to talk to my wife about this."
"I can concentrate best in the morning."
The client's statement indicates a readiness to learn because he is verbalizing
the best time for him to learn.
7. a nurse is giving discharge instructions to a client who will require oxygen
therapy at home. which of the following statements should the nurse
identify as an indication that the client understands how to manage this
therapy at home?
A. "I'll make sure that, when my friend comes by, she smokes at least 6
feet away from my oxygen tank."
B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen."
C. "I'll check the wires and cables on my TV to make sure they are in good
working order."
, D. "I'll lay my oxygSteuvnia.ctoam n- Tkhe dMaorkwetpnlaceotonButyhaned Sfellol yoourr Swtudhy
Meanteritalhe grandchildren visit
so they don't knock it over."
"I'll check the wires and cables on my TV to make sure they are in good working
order."
Oxygen is a highly flammable gas. The client should make sure any electrical
equipment in the room where she is using supplemental oxygen is
functioning properly so it does not create any electrical sparks.
8. a nurse is caring for a client who is reporting difficulty falling asleep. which
of the following measures should the nurse recommend?
A. drink a cup of hot cocoa before bedtime
B. exercise 1 hr before going to bed
C. use progressive relaxation techniques at bedtime
D. reflect on the day's activities before going to bed
Use progressive relaxation techniques at bedtime.
Progressive relaxation promotes sleep by decreasing stress and reducingmuscle
tension.
9. a nurse is assisting a client who is postoperative with the use of an incentive
spirometer. into which of the following positions should the nurse place the
client?
A. side-lying
B. supine
C. semi-fowlers
D. trendelenburg
Semi-Fowler's
Positioning the client in semi-Fowler's or high-Fowler's position allows
for maximum expansion of the lungs.
10. a nurse is assessing an adult client who has been immobile for the past 3
week. the nurse should identify that which of the following findingsrequires
further intervention?
A. erythema on pressure points
B. lower-extremity pulse strength on 2+
C. fluid intake of 3,000 mL per day
D. a bowel movement every other day
Erythema on pressure points
Erythema on pressure points requires prompt relief of pressure and additional
measures to protect the skin from further breakdown.
11. a nurse is caring for a client who requires a 24-hour urine collection. which
Practice A and B/Latest Updated Version{
Completed}
Assessment: RN FundaStmuviae.conmt-aThlesMaOrkentpllacientoeBuPy arndaSceltl yiocureStuAdy
M
aatenriadl B
1. a nurse in a clinical is caring for a middle age adult who states, "the doctor
says that since I am at an average risk for colon cancer, I should have a
routine screening. what does that involve?" which of the following responses
should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every
year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50.
One option for screening is a fecal occult blood test annually.
2. a nurse is caring for a client who is having difficulty breathing. the client is
laying in bed with a nasal cannula delivering oxygen. which of the following
intervention should the nurse take first?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's
room D. assist the client to an upright
position
assist the client to an upright position
When providing client care, the nurse should first use the least invasive
intervention. Therefore, the nurse should elevate the head of the client's bed to
the semi-Fowler's or high Fowler's position to facilitate maximal chest
expansion. Sitting upright improves gas exchange and prevents pressure on
the diaphragm from abdominal organs.
3. a nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. which of the following actions should the nurse
take? A. gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
, C. place the client in a semi-fowlers position to medication administration
D. verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication
is mixed.
4. a nurse is planning care to improve self-feeding for a client who has vision
loss. which of the following interventions should the nurse include in the
plan of care?
, A. tell the client whStiucviha.cofmo-oTdhe MsahrkeetpslahceotouBludy anedaSetll fyoiurr sSttudy
Material
B. provide small-handle utensils for the client
C. thicken liquids on the client's tray
D. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate.MY
ANSWERDescribing the location of the food on the plate by using a clock
pattern allows the client to have greater independence during meals.
5. a nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. which of the following
types of activity should the nurse recommend?
A. walking briskly
B. riding a bicycle
C. performing isometric exercises
D. engaging in high-impact aerobics
walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps
to prevent osteoporosis. Walking engages older adult clients in this preventive
and therapeutic strategy.
6. a nurse is assessing a client's readiness to learn about insulin administration.
which of the following statements should the nurse identify as an indication
that the client is ready to learn?
A. "I can concentrate best in the morning."
B. "it is difficult to read the instructions because my glasses are at home."
C. "I'm wondering why I need to learn this."
D. "you will have to talk to my wife about this."
"I can concentrate best in the morning."
The client's statement indicates a readiness to learn because he is verbalizing
the best time for him to learn.
7. a nurse is giving discharge instructions to a client who will require oxygen
therapy at home. which of the following statements should the nurse
identify as an indication that the client understands how to manage this
therapy at home?
A. "I'll make sure that, when my friend comes by, she smokes at least 6
feet away from my oxygen tank."
B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen."
C. "I'll check the wires and cables on my TV to make sure they are in good
working order."
, D. "I'll lay my oxygSteuvnia.ctoam n- Tkhe dMaorkwetpnlaceotonButyhaned Sfellol yoourr Swtudhy
Meanteritalhe grandchildren visit
so they don't knock it over."
"I'll check the wires and cables on my TV to make sure they are in good working
order."
Oxygen is a highly flammable gas. The client should make sure any electrical
equipment in the room where she is using supplemental oxygen is
functioning properly so it does not create any electrical sparks.
8. a nurse is caring for a client who is reporting difficulty falling asleep. which
of the following measures should the nurse recommend?
A. drink a cup of hot cocoa before bedtime
B. exercise 1 hr before going to bed
C. use progressive relaxation techniques at bedtime
D. reflect on the day's activities before going to bed
Use progressive relaxation techniques at bedtime.
Progressive relaxation promotes sleep by decreasing stress and reducingmuscle
tension.
9. a nurse is assisting a client who is postoperative with the use of an incentive
spirometer. into which of the following positions should the nurse place the
client?
A. side-lying
B. supine
C. semi-fowlers
D. trendelenburg
Semi-Fowler's
Positioning the client in semi-Fowler's or high-Fowler's position allows
for maximum expansion of the lungs.
10. a nurse is assessing an adult client who has been immobile for the past 3
week. the nurse should identify that which of the following findingsrequires
further intervention?
A. erythema on pressure points
B. lower-extremity pulse strength on 2+
C. fluid intake of 3,000 mL per day
D. a bowel movement every other day
Erythema on pressure points
Erythema on pressure points requires prompt relief of pressure and additional
measures to protect the skin from further breakdown.
11. a nurse is caring for a client who requires a 24-hour urine collection. which
