NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
An elderly client with a fractured left hip is on strict bedrest.
Which nursing measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be
lifted gently across a surface (D). Reddened areas should not be
massaged (A) since this may increase the damage to already
traumatized skin. To control pain and muscle spasms, active
range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a
fractured left hip.
Correct Answer: D
The nurse is administering medications through a nasogastric
tube (NGT) which is connected to suction. After ensuring
correct tube placement, what action should the nurse take
next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
, NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
D. Crush the tablets and dissolve in sterile water.
The NGT should be flushed before, after and in between each
medication administered (B). Once all medications are
administered, the NGT should be clamped for 20 minutes (A). (C
and D) may be implemented only after the tubing has been
flushed.
Correct Answer: B
A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an
analgesic every four hours as needed. Which action should the
nurse implement?
A. Give an around-the-clock schedule for administration
of analgesics.
B. Administer analgesic medication as needed when the pain
is severe.
C. Provide medication to keep the client sedated and
unaware of stimuli.
D. Offer a medication-free period so that the client can do
daily activities.
The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic
, NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
medications
, NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
on a regular basis (A) and in a timely manner. Analgesics are
less effective if pain persists until it is severe, so an analgesic
medication should be administered before the client's pain
peaks (B). Providing comfort is a priority for the client who is
dying, but sedation that impairs the client's ability to interact
and experience the time before life ends should be minimized
(C).
Offering a medication-free period allows the serum drug level to
fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
When assessing a client with wrist restraints, the nurse
observes that the fingers on the right hand are blue. What
action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
The priority nursing action is to restore circulation by loosening
the restraint (A), because blue fingers (cyanosis) indicates
decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry
(B) measures the saturation of hemoglobin with oxygen and is
WITH CORRECT ANSWERS A+ 2023 UPDATE
An elderly client with a fractured left hip is on strict bedrest.
Which nursing measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be
lifted gently across a surface (D). Reddened areas should not be
massaged (A) since this may increase the damage to already
traumatized skin. To control pain and muscle spasms, active
range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a
fractured left hip.
Correct Answer: D
The nurse is administering medications through a nasogastric
tube (NGT) which is connected to suction. After ensuring
correct tube placement, what action should the nurse take
next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
, NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
D. Crush the tablets and dissolve in sterile water.
The NGT should be flushed before, after and in between each
medication administered (B). Once all medications are
administered, the NGT should be clamped for 20 minutes (A). (C
and D) may be implemented only after the tubing has been
flushed.
Correct Answer: B
A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an
analgesic every four hours as needed. Which action should the
nurse implement?
A. Give an around-the-clock schedule for administration
of analgesics.
B. Administer analgesic medication as needed when the pain
is severe.
C. Provide medication to keep the client sedated and
unaware of stimuli.
D. Offer a medication-free period so that the client can do
daily activities.
The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic
, NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
medications
, NURS FUNDAMENTALS I EXAM QUESTIONS
WITH CORRECT ANSWERS A+ 2023 UPDATE
on a regular basis (A) and in a timely manner. Analgesics are
less effective if pain persists until it is severe, so an analgesic
medication should be administered before the client's pain
peaks (B). Providing comfort is a priority for the client who is
dying, but sedation that impairs the client's ability to interact
and experience the time before life ends should be minimized
(C).
Offering a medication-free period allows the serum drug level to
fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
When assessing a client with wrist restraints, the nurse
observes that the fingers on the right hand are blue. What
action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
The priority nursing action is to restore circulation by loosening
the restraint (A), because blue fingers (cyanosis) indicates
decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry
(B) measures the saturation of hemoglobin with oxygen and is
