NURSING FUNDAMENTAL EXAM WEEK 10 QUESTIONS
WITH ANSWERS 2023
Question 1
After discussing the use of restraints with a client and family, a physician has written a prescription for wrist restraints to be applied to a client. The nurse instructs
the nursing assistant to apply the restraints. Which of the following observations by the nurse indicates that the nursing assistant is using the restraints safely and
correctly? Select all that apply.
Response: The restraints are being released every 2 hours.
Response: A safety knot has been used to secure the restraints.
Response: The call light has been placed within reach of the client.
Correct answer: The restraints are being released every 2 hours. , A safety knot has been used to secure the restraints. , The call light has been placed within
reach of the client.
Score: 1 out of 1 Yes
Question 2
Which characteristic of a well-written goal statement is not met in the goal statement: "Patient will understand how to use a sliding scale to administer insulin
coverage to manage blood sugar levels by discharge to home"?
Response: Uses a measurable verb
Correct answer: Uses a measurable verb
Score: 1 out of 1 Yes
Question 3
The parent of a child treated for injuries consistent with suspected child abuse has been told that a report will be made to Child Protective Services (CPS). The parent
says angrily to the nurse, "I don't know why this is being reported. I told the health care provider (HCP) that it was an accident." What is the best response by the
nurse?
Response: "Reporting your child's injuries is required by law. It is for your child's safety and protection."
Correct answer: "Reporting your child's injuries is required by law. It is for your child's safety and protection."
Score: 1 out of 1 Yes
Question 4
A nurse is attempting to interview a patient who speaks a different language, but an interpreter is not available. The family member is the only person in the clinic
who can translate. In an effort to collect the needed data, which strategy would the nurse use?
Response: Have the patient point to pictures that describe signs and symptoms
Correct answer: Use the family member as the translator while conducting the interview
Score: 0 out of 1 No
Question 5
A client receives a prescription for a 5-mg dose of a drug. The oral preparation of this drug is only available as 3 mg/capsule. Which intervention should the
practical nurse (PN) implement?
Response: Call the health care provider about the prescribed dose.
Correct answer: Call the health care provider about the prescribed dose.
Score: 1 out of 1 Yes
Question 6
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, NURSING FUNDAMENTAL EXAM WEEK 10 QUESTIONS
WITH ANSWERS 2023
You are preparing to leave the room after performing oral suctioning on a client who is on contact and airborne precautions. In which order will you perform the
following actions?
1. Remove N95 respirator
2. Take off goggles
3. Remove gloves
4. Take off the gown.
5. Perform hand hygiene
Response: 3, 2, 4, 1, 5
Correct answer: 3, 2, 4, 1, 5
Score: 1 out of 1 Yes
Question 7
A registered nurse (RN) and a licensed practical nurse (LPN) assess the patients on the unit. Which duties are the RN's responsibilities? Select all that apply.
Response: Write the admission assessment and care plan
Response: Organize and implement the plan for patient discharge
Correct answer: Write the admission assessment and care plan , Check the accuracy of actual transcription of orders , Organize and implement the plan for
patient discharge
Score: 0.67 out of 1
Question 8
A nurse on the evening shift reviews a chart and finds that the patient did not receive a morning dose of insulin as prescribed. After notifying the charge nurse,
which nursing action is a priority?
Response: Administer the medication and check the glucose level.
Correct answer: Complete an incident report according to hospital policy
Score: 0 out of 1 No
Question 9
You are caring for an obese postoperative client who underwent surgery for bowel resection. As the client is moving in bed, he comments, "Something popped open."
Upon examination you note wound evisceration. Place in order the steps for handling this complication.
1. Cover the intestine with sterile moistened gauze.
2. Stay calm and stay with the client.
3. Check the vital signs, especially blood pressure and pulse.
4. Have a colleague gather sterile supplies and contact the physician.
5. Put the client into a semi-Fowler position with knees slightly flexed.
6. Prepare the client for surgery as ordered.
Response: 2, 5, 3, 4, 1, 6
Feedback: Stay calm and stay with the client. Any increase in intra-abdominal pressure will worsen the evisceration; placement of the client in a semi-Fowler
position with knees flexed will decrease the strain on the wound site. (Note: If shock develops, the client's head should be lowered.) Continuously monitor vital
signs, particularly for a decrease in blood pressure or increase in pulse rate, while your colleague gathers supplies and notifies the physician. Covering the site
protects tissue. Ultimately, the client will need emergency surgery.
Correct answer: 2, 5, 3, 4, 1, 6
Score: 1 out of 1 Yes
Question 10
During a full body admission assessment, you note the patient has a stage III pressure ulcer. How would you document the appearance of the wound?*
Response: . Full-thickness skin loss to dermis and subcutaneous tissues.
Correct answer: . Full-thickness skin loss to dermis and subcutaneous tissues.
Score: 1 out of 1 Yes
Question 11
2/16
, NURSING FUNDAMENTAL EXAM WEEK 10 QUESTIONS
WITH ANSWERS 2023
A Jewish patient dies unexpectedly. The family is requesting that postmortem care be carried out by an orthodox jew, such as a family member or a member of the
Jewish Burial Society. To respect the traditions of the patient's religion, which nursing action would be best?
Response: Secure the needed supplies and allow a family member to perform the care
Correct answer: Secure the needed supplies and allow a family member to perform the care
Score: 1 out of 1 Yes
Question 12
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). What action should the nurse take?
Response: Notify the physician that the patient is threatening to leave AMA.
Correct answer: Notify the physician that the patient is threatening to leave AMA.
Score: 1 out of 1 Yes
Question 13
For a patient with a wound that is bleeding profusely, which nursing intervention could result in an increase damage to the patient?
Response: Applying a heat pack
Correct answer: Applying a heat pack
Score: 1 out of 1 Yes
Question 14
When performing sterile wound care in the acute care setting, the practical nurse (PN) obtains a bottle of normal saline from the bedside table that is labeled opened
and is dated 48 hours before the current date. What is the best action for the PN to take?
Response: Discard the saline solution and obtain a new and unopened bottle.
Correct answer: Discard the saline solution and obtain a new and unopened bottle.
Score: 1 out of 1 Yes
Question 15
The nurse prepares a client for scheduled surgery. Which actions are the nurse's legal responsibility with regard to informed consent? Select all that apply.
Response: Acting as a witness that the client signed the consent form voluntarily
Response: Documenting in the medical record the date and time the signature was obtained
Response: Verifying that the client is competent to provide informed consent
Correct answer: Acting as a witness that the client signed the consent form voluntarily , Documenting in the medical record the date and time the signature
was obtained , Verifying that the client is competent to provide informed consent
Score: 1 out of 1 Yes
Question 16
A licensed practical nurse is explaining the appropriate methods for measuring an accurate temperature to an unlicensed assistive personnel (UAP). Which method, if
noted by the UAP as being an appropriate method, indicates the need for further teaching?
Response: Taking an oral temperature for a client with a cough and nasal congestion
Correct answer: Taking an oral temperature for a client with a cough and nasal congestion
Score: 1 out of 1 Yes
Question 17
The nurse should institute which type of precaution for a client diagnosed with Clostridium difficile?
Response: Contact
Correct answer: Contact
3/16
WITH ANSWERS 2023
Question 1
After discussing the use of restraints with a client and family, a physician has written a prescription for wrist restraints to be applied to a client. The nurse instructs
the nursing assistant to apply the restraints. Which of the following observations by the nurse indicates that the nursing assistant is using the restraints safely and
correctly? Select all that apply.
Response: The restraints are being released every 2 hours.
Response: A safety knot has been used to secure the restraints.
Response: The call light has been placed within reach of the client.
Correct answer: The restraints are being released every 2 hours. , A safety knot has been used to secure the restraints. , The call light has been placed within
reach of the client.
Score: 1 out of 1 Yes
Question 2
Which characteristic of a well-written goal statement is not met in the goal statement: "Patient will understand how to use a sliding scale to administer insulin
coverage to manage blood sugar levels by discharge to home"?
Response: Uses a measurable verb
Correct answer: Uses a measurable verb
Score: 1 out of 1 Yes
Question 3
The parent of a child treated for injuries consistent with suspected child abuse has been told that a report will be made to Child Protective Services (CPS). The parent
says angrily to the nurse, "I don't know why this is being reported. I told the health care provider (HCP) that it was an accident." What is the best response by the
nurse?
Response: "Reporting your child's injuries is required by law. It is for your child's safety and protection."
Correct answer: "Reporting your child's injuries is required by law. It is for your child's safety and protection."
Score: 1 out of 1 Yes
Question 4
A nurse is attempting to interview a patient who speaks a different language, but an interpreter is not available. The family member is the only person in the clinic
who can translate. In an effort to collect the needed data, which strategy would the nurse use?
Response: Have the patient point to pictures that describe signs and symptoms
Correct answer: Use the family member as the translator while conducting the interview
Score: 0 out of 1 No
Question 5
A client receives a prescription for a 5-mg dose of a drug. The oral preparation of this drug is only available as 3 mg/capsule. Which intervention should the
practical nurse (PN) implement?
Response: Call the health care provider about the prescribed dose.
Correct answer: Call the health care provider about the prescribed dose.
Score: 1 out of 1 Yes
Question 6
1/16
, NURSING FUNDAMENTAL EXAM WEEK 10 QUESTIONS
WITH ANSWERS 2023
You are preparing to leave the room after performing oral suctioning on a client who is on contact and airborne precautions. In which order will you perform the
following actions?
1. Remove N95 respirator
2. Take off goggles
3. Remove gloves
4. Take off the gown.
5. Perform hand hygiene
Response: 3, 2, 4, 1, 5
Correct answer: 3, 2, 4, 1, 5
Score: 1 out of 1 Yes
Question 7
A registered nurse (RN) and a licensed practical nurse (LPN) assess the patients on the unit. Which duties are the RN's responsibilities? Select all that apply.
Response: Write the admission assessment and care plan
Response: Organize and implement the plan for patient discharge
Correct answer: Write the admission assessment and care plan , Check the accuracy of actual transcription of orders , Organize and implement the plan for
patient discharge
Score: 0.67 out of 1
Question 8
A nurse on the evening shift reviews a chart and finds that the patient did not receive a morning dose of insulin as prescribed. After notifying the charge nurse,
which nursing action is a priority?
Response: Administer the medication and check the glucose level.
Correct answer: Complete an incident report according to hospital policy
Score: 0 out of 1 No
Question 9
You are caring for an obese postoperative client who underwent surgery for bowel resection. As the client is moving in bed, he comments, "Something popped open."
Upon examination you note wound evisceration. Place in order the steps for handling this complication.
1. Cover the intestine with sterile moistened gauze.
2. Stay calm and stay with the client.
3. Check the vital signs, especially blood pressure and pulse.
4. Have a colleague gather sterile supplies and contact the physician.
5. Put the client into a semi-Fowler position with knees slightly flexed.
6. Prepare the client for surgery as ordered.
Response: 2, 5, 3, 4, 1, 6
Feedback: Stay calm and stay with the client. Any increase in intra-abdominal pressure will worsen the evisceration; placement of the client in a semi-Fowler
position with knees flexed will decrease the strain on the wound site. (Note: If shock develops, the client's head should be lowered.) Continuously monitor vital
signs, particularly for a decrease in blood pressure or increase in pulse rate, while your colleague gathers supplies and notifies the physician. Covering the site
protects tissue. Ultimately, the client will need emergency surgery.
Correct answer: 2, 5, 3, 4, 1, 6
Score: 1 out of 1 Yes
Question 10
During a full body admission assessment, you note the patient has a stage III pressure ulcer. How would you document the appearance of the wound?*
Response: . Full-thickness skin loss to dermis and subcutaneous tissues.
Correct answer: . Full-thickness skin loss to dermis and subcutaneous tissues.
Score: 1 out of 1 Yes
Question 11
2/16
, NURSING FUNDAMENTAL EXAM WEEK 10 QUESTIONS
WITH ANSWERS 2023
A Jewish patient dies unexpectedly. The family is requesting that postmortem care be carried out by an orthodox jew, such as a family member or a member of the
Jewish Burial Society. To respect the traditions of the patient's religion, which nursing action would be best?
Response: Secure the needed supplies and allow a family member to perform the care
Correct answer: Secure the needed supplies and allow a family member to perform the care
Score: 1 out of 1 Yes
Question 12
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). What action should the nurse take?
Response: Notify the physician that the patient is threatening to leave AMA.
Correct answer: Notify the physician that the patient is threatening to leave AMA.
Score: 1 out of 1 Yes
Question 13
For a patient with a wound that is bleeding profusely, which nursing intervention could result in an increase damage to the patient?
Response: Applying a heat pack
Correct answer: Applying a heat pack
Score: 1 out of 1 Yes
Question 14
When performing sterile wound care in the acute care setting, the practical nurse (PN) obtains a bottle of normal saline from the bedside table that is labeled opened
and is dated 48 hours before the current date. What is the best action for the PN to take?
Response: Discard the saline solution and obtain a new and unopened bottle.
Correct answer: Discard the saline solution and obtain a new and unopened bottle.
Score: 1 out of 1 Yes
Question 15
The nurse prepares a client for scheduled surgery. Which actions are the nurse's legal responsibility with regard to informed consent? Select all that apply.
Response: Acting as a witness that the client signed the consent form voluntarily
Response: Documenting in the medical record the date and time the signature was obtained
Response: Verifying that the client is competent to provide informed consent
Correct answer: Acting as a witness that the client signed the consent form voluntarily , Documenting in the medical record the date and time the signature
was obtained , Verifying that the client is competent to provide informed consent
Score: 1 out of 1 Yes
Question 16
A licensed practical nurse is explaining the appropriate methods for measuring an accurate temperature to an unlicensed assistive personnel (UAP). Which method, if
noted by the UAP as being an appropriate method, indicates the need for further teaching?
Response: Taking an oral temperature for a client with a cough and nasal congestion
Correct answer: Taking an oral temperature for a client with a cough and nasal congestion
Score: 1 out of 1 Yes
Question 17
The nurse should institute which type of precaution for a client diagnosed with Clostridium difficile?
Response: Contact
Correct answer: Contact
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