NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
As the nurse obtains informed consent, the client asks, “Now what exactly are they going to
do to me?” What is the nurse’s response?
A. Contact the
anesthesiologist. B. Contact the
surgeon.
C. Explain the procedure.
D. Have the client sign the form.
At 8:00 a.m., the registered nurse is admitting a client scheduled for sinus surgery to the
outpatient surgery department. Which information given by the client is of most
immediate concern to the nurse?
A. An allergy to iodine and shellfish
B. Being nauseated after a previous
surgery C. Having a small glass of juice at
7:00 a.m.
D. Expressing anxiety about the surgery
An unidentified client from the emergency department requires immediate surgery, but he is
not conscious and no one is with him. What must the nurse, who is verifying the informed
consent, do?
A. Ensure written consultation of two noninvolved physicians.
,NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
B. Read the surgeon’s consult to determine whether the client’s condition is life-threatening.
C. Sign the operative permit.
D. Withhold surgery until the next of kin is notified.
Which electrolyte laboratory result does the nurse report immediately to the
anesthesiologist? A. Creatinine, 1.9 mg/dL (168 mcmol/L)
B. Fasting glucose, 80 mg/dL (4.4 mmol/L)
C. Potassium, 3.9 mEq/L (3.9 mmol/L)
D. Sodium, 140 mEq/L (140 mmol/L)
The nurse is providing preoperative care for a client who will have an arthroscopy of the left
knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the
nurse be required to do?
A. Ensure that the correct procedure is noted in the client’s history.
B. Remind the surgeon that the client will have a left knee arthroscopy.
C. Verify with the client that a left knee arthroscopy will be performed.
D. Mark the lef t knee site with the client awake and the surgeon present.
During a preoperative assessment, which statement by a client requires further investigation
by the nurse to assess surgical risks?
A. “I am taking vitamins.”
B. “I drink a glass of wine a night.”
C. “I had a heart attack 4 months ago.”
,NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
D. “I quit smoking 10 years ago.”
A diabetic client who is scheduled for vascular surgery is admitted on the day of surgery
with several orders. Which order does the nurse accomplish first?
A. Use electric clippers to cut hair at the surgical site.
B. Start an infusion of lactated Ringer’s solution at 75 mL/hr.
C. Administer one-half of the client’s usual lispro insulin dose.
D. Draw blood for glucose, electrolyte, and complete blood count values.
An older client’s adult child tells the nurse that the client does not want life support. What
does the nurse do first?
A. Call the legal department to draft the paperwork.
B. Document this in the chart.
C. Thank the person and do nothing
else. D. Talk to the client.
During surgery, who is most responsible for monitoring for possible breaks in sterile
technique? A. Circulating nurse
B. Holding nurse
C. Anesthesiologist
, NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
D. Surgeon
A client is having an arthroscopy of the left knee and has just been moved to the surgical
holding area. Which statement by the nurse properly identifies the client while the nurse
checks the identification label?
A. “Are you Mr. Smith?”
B. “Good morning, Mr. Smith.”
C. “What is your name, and when were you born?”
D. “What surgery are you having today?”
Which intervention does the nurse implement for an older adult client to minimize
skin breakdown related to surgical positioning?
A. Apply elastic stockings to lower extremities.
B. Monitor for excessive blood loss.
C. Pad bony prominences.
D. Secure joints on a board in anatomic positions.
Who is the most likely person to administer blood products in an operating suite?
A. Circulating nurse
B. Holding area nurse
C. Scrub nurse
D. Specialty nurse
SUCCESS ASSUARED
As the nurse obtains informed consent, the client asks, “Now what exactly are they going to
do to me?” What is the nurse’s response?
A. Contact the
anesthesiologist. B. Contact the
surgeon.
C. Explain the procedure.
D. Have the client sign the form.
At 8:00 a.m., the registered nurse is admitting a client scheduled for sinus surgery to the
outpatient surgery department. Which information given by the client is of most
immediate concern to the nurse?
A. An allergy to iodine and shellfish
B. Being nauseated after a previous
surgery C. Having a small glass of juice at
7:00 a.m.
D. Expressing anxiety about the surgery
An unidentified client from the emergency department requires immediate surgery, but he is
not conscious and no one is with him. What must the nurse, who is verifying the informed
consent, do?
A. Ensure written consultation of two noninvolved physicians.
,NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
B. Read the surgeon’s consult to determine whether the client’s condition is life-threatening.
C. Sign the operative permit.
D. Withhold surgery until the next of kin is notified.
Which electrolyte laboratory result does the nurse report immediately to the
anesthesiologist? A. Creatinine, 1.9 mg/dL (168 mcmol/L)
B. Fasting glucose, 80 mg/dL (4.4 mmol/L)
C. Potassium, 3.9 mEq/L (3.9 mmol/L)
D. Sodium, 140 mEq/L (140 mmol/L)
The nurse is providing preoperative care for a client who will have an arthroscopy of the left
knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the
nurse be required to do?
A. Ensure that the correct procedure is noted in the client’s history.
B. Remind the surgeon that the client will have a left knee arthroscopy.
C. Verify with the client that a left knee arthroscopy will be performed.
D. Mark the lef t knee site with the client awake and the surgeon present.
During a preoperative assessment, which statement by a client requires further investigation
by the nurse to assess surgical risks?
A. “I am taking vitamins.”
B. “I drink a glass of wine a night.”
C. “I had a heart attack 4 months ago.”
,NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
D. “I quit smoking 10 years ago.”
A diabetic client who is scheduled for vascular surgery is admitted on the day of surgery
with several orders. Which order does the nurse accomplish first?
A. Use electric clippers to cut hair at the surgical site.
B. Start an infusion of lactated Ringer’s solution at 75 mL/hr.
C. Administer one-half of the client’s usual lispro insulin dose.
D. Draw blood for glucose, electrolyte, and complete blood count values.
An older client’s adult child tells the nurse that the client does not want life support. What
does the nurse do first?
A. Call the legal department to draft the paperwork.
B. Document this in the chart.
C. Thank the person and do nothing
else. D. Talk to the client.
During surgery, who is most responsible for monitoring for possible breaks in sterile
technique? A. Circulating nurse
B. Holding nurse
C. Anesthesiologist
, NURS FUNDAMENTALS EXAM QUESTIONS GRADED A+ 2023
SUCCESS ASSUARED
D. Surgeon
A client is having an arthroscopy of the left knee and has just been moved to the surgical
holding area. Which statement by the nurse properly identifies the client while the nurse
checks the identification label?
A. “Are you Mr. Smith?”
B. “Good morning, Mr. Smith.”
C. “What is your name, and when were you born?”
D. “What surgery are you having today?”
Which intervention does the nurse implement for an older adult client to minimize
skin breakdown related to surgical positioning?
A. Apply elastic stockings to lower extremities.
B. Monitor for excessive blood loss.
C. Pad bony prominences.
D. Secure joints on a board in anatomic positions.
Who is the most likely person to administer blood products in an operating suite?
A. Circulating nurse
B. Holding area nurse
C. Scrub nurse
D. Specialty nurse
