RN Fundamentals Quiz 2019 Form A
A charge nurse is teaching a newly hired nurse about the facility's computerized
documentation system. Which of the following actions should the nurse take?
Direct the newly hired nurse to wait until the end of the shift to document client
care.
Instruct the newly hired nurse to use direct quotes when recording client
statements.*
Perform documentation for the newly hired nurse until the orientation period is
complete.
Print records from previously discharged clients as examples for the newly hired
nurse to review.
*
A nurse is completing an informed consent document for a 16 y/o adolescent who
is married & is schedules for an emergency appendectomy. Which of the
following action should the nurse take?
Locate the adolescent's partner to sign the form prior to the appendectomy.
Document that consent is implied due to the urgency of the procedure.
Tell the client that a general consent to treatment covers the surgical procedure.
Ask the client if they understand the provider's plan for the appendectomy.*
*
A nurse is admitting a pt to an acute care facility. Which of the following actions
by the nurse promotes pt self-determination?
Reviewing the policy on safeguarding personal valuables with the client
Informing the client's family about the regulations for visiting hours
Providing the client with information about end-of-life decision-making*
Comparing the client's home medications to the admission prescriptions
*
A charge nurse is delegating tasks for 4 pts. Which of the following tasks should
the nurse delegate to the AP?
Prepare the room for a client who requires seizure precautions.*
Check a client's deep tendon reflexes.
Develop a plan of care for a client who is at risk for falling.
Obtain a wound culture on a client who has a small pressure injury.
*
A nurse is caring for a pt who is recovering from a stroke & tells the nurse he is
concerned about paying his medical bills. The nurse should refer the pt to which
of the following members of the interprofessional health care team?
Physical therapist
Occupational therapist
, Social worker*
Speech pathologist
*
A nurse is planning care for 4 pts. Which of the following pts should the nurse
see first?
A client who has diabetes mellitus and a fasting blood glucose of 68 mg/dL
A client who has moderate serosanguineous drainage on a surgical dressing
A client who has pneumonia and expiratory wheezing*
A client who has a PCA pump and reports pain as 7 on a scale of 0 to 10
*
A nurse is reviewing the medical record for a pt who is receiving continuous
enteral feedings. Which of the following findings should the nurse report to the
provider?
Gastric residual of 50 mL
Weight gain of 0.23 kg (0.5) lb in 24 hr
Blood glucose of 105 mg/dL
Gastric aspirate pH of 7*
*
A nurse is evaluating the developmental motor skills of a 4 month old infant.
Which of the following findings should the nurse expect?
Uses a spoon to feed herself
Sits up with support
Uses a pincher grasp*
Creeps on hands and knees
* ??? (4 mo infant- rolls from back to side & grasps objects with both hands)
Uses a spoon to feed herself
Sits up with support (7mo)
Uses a pincher grasp (8mo)
Creeps on hands and knees (9mo)
A nurse is teaching a pt about health promotion & secondary prevention
strategies. Which of the following recommendations should the nurse include?
Influenza immunization
Rehabilitation therapy
Genetic screening
Hypertension screening*
*
A nurse in a community health center is teaching a group of pts about the use of
aromatherapy. The nurse should include in the teaching that which of the
following essential oils is used to alleviate swollen joints?
Lavender*
A charge nurse is teaching a newly hired nurse about the facility's computerized
documentation system. Which of the following actions should the nurse take?
Direct the newly hired nurse to wait until the end of the shift to document client
care.
Instruct the newly hired nurse to use direct quotes when recording client
statements.*
Perform documentation for the newly hired nurse until the orientation period is
complete.
Print records from previously discharged clients as examples for the newly hired
nurse to review.
*
A nurse is completing an informed consent document for a 16 y/o adolescent who
is married & is schedules for an emergency appendectomy. Which of the
following action should the nurse take?
Locate the adolescent's partner to sign the form prior to the appendectomy.
Document that consent is implied due to the urgency of the procedure.
Tell the client that a general consent to treatment covers the surgical procedure.
Ask the client if they understand the provider's plan for the appendectomy.*
*
A nurse is admitting a pt to an acute care facility. Which of the following actions
by the nurse promotes pt self-determination?
Reviewing the policy on safeguarding personal valuables with the client
Informing the client's family about the regulations for visiting hours
Providing the client with information about end-of-life decision-making*
Comparing the client's home medications to the admission prescriptions
*
A charge nurse is delegating tasks for 4 pts. Which of the following tasks should
the nurse delegate to the AP?
Prepare the room for a client who requires seizure precautions.*
Check a client's deep tendon reflexes.
Develop a plan of care for a client who is at risk for falling.
Obtain a wound culture on a client who has a small pressure injury.
*
A nurse is caring for a pt who is recovering from a stroke & tells the nurse he is
concerned about paying his medical bills. The nurse should refer the pt to which
of the following members of the interprofessional health care team?
Physical therapist
Occupational therapist
, Social worker*
Speech pathologist
*
A nurse is planning care for 4 pts. Which of the following pts should the nurse
see first?
A client who has diabetes mellitus and a fasting blood glucose of 68 mg/dL
A client who has moderate serosanguineous drainage on a surgical dressing
A client who has pneumonia and expiratory wheezing*
A client who has a PCA pump and reports pain as 7 on a scale of 0 to 10
*
A nurse is reviewing the medical record for a pt who is receiving continuous
enteral feedings. Which of the following findings should the nurse report to the
provider?
Gastric residual of 50 mL
Weight gain of 0.23 kg (0.5) lb in 24 hr
Blood glucose of 105 mg/dL
Gastric aspirate pH of 7*
*
A nurse is evaluating the developmental motor skills of a 4 month old infant.
Which of the following findings should the nurse expect?
Uses a spoon to feed herself
Sits up with support
Uses a pincher grasp*
Creeps on hands and knees
* ??? (4 mo infant- rolls from back to side & grasps objects with both hands)
Uses a spoon to feed herself
Sits up with support (7mo)
Uses a pincher grasp (8mo)
Creeps on hands and knees (9mo)
A nurse is teaching a pt about health promotion & secondary prevention
strategies. Which of the following recommendations should the nurse include?
Influenza immunization
Rehabilitation therapy
Genetic screening
Hypertension screening*
*
A nurse in a community health center is teaching a group of pts about the use of
aromatherapy. The nurse should include in the teaching that which of the
following essential oils is used to alleviate swollen joints?
Lavender*
