NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
1- An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent
is always angry at me." The nurse's best initial response is "Your parent is:
Working through acceptance of the situation."
2- During the beginning phase of a therapeutic relationship, a clear understanding of participants' roles
is important because the client:
Needs to know what to expect from the relationship
3- The nurse is assessing a group of older adults. Which should the nurse consider to be least likely to
be affected by aging?
Strategies to handle stress
4- What is the primary purpose of evidence-based nursing (EBP)?
Using results from research to improve the outcome of nursing care
5- A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that
the rationale for a high-protein diet is to
Promote cell growth and bone union
6- Nursing actions for the older adult should include health education and promotion of self-care. Which is
most important when working with the older adult client?
Reinforcing the client's strengths and promoting reminiscing
7- A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling breath sounds that are more
obvious on inspiration. This assessment should be documented as:
Crackles
8- A nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One
of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that
"home medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate?
You are right because they may have a negative impact on people's health.
9- During a newborn assessment the nurse identifies that the temperature, pulse, respirations, and other
physical characteristics are within the expected range. The nurse records these findings on the clinical
record. Legally, how should the nurse's action be interpreted?
The nurse met the requirements set forth in the Nurse Practice Act.
,NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
10- Which of the following legal defenses is the most important for a nurse to develop?
Accountability
11- A nurse applies a heating pad to a client's buttocks. Upon removal of the heating pad, the nurse discovers
that the client has received burns due to incorrect settings when the heating pad was initiated. Which principle
would legally apply?
The nurse could be held liable for the injury that occurred
12- The plan of care for the client was to lose 7 pounds by the end of the month. The client only lost 3 pounds.
The nurse should:
Reevaluate the plan of care for appropriateness.
13- When caring for a client with venous insufficiency, the nurse would implement which nursing measure?
Elevate the client's legs above heart level.
14- A nurse is teaching a client about gentamycin (Garamycin) that has been prescribed for a severe infection.
Which statement indicates to the nurse that the client needs further teaching?
It is okay for me to stop taking this medication after a few days."\
15- A nurse is assigned to change a central line dressing. The agency policy is to clean the site with
Betadine and then cleanse with alcohol. The nurse recently attended a conference that presented information that
alcohol should precede Betadine in a dressing change. In addition, an article in a nursing journal stated that a new
product was a more effective antibacterial than alcohol and Betadine. The nurse has a sample of the new product.
How should the nurse proceed?
Follow the agency's policy unless it is contradicted by a health care provider's prescription.
16- While the nurse moves a client from a lying to standing position, the client experiences a rapid drop
in blood pressure. The nurse would report this finding as:
Orthostatic hypotension
17- A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a
hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated.
The nurse anticipates that the plan of care will include the application of a(n):
Ice bag
,NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
18- The professional obligation of a nurse to assume responsibility for actions is referred to
as: Accountability
19- The nurse prepares to give a prescribed capsule of hydroxyzine (Vistaril) to a client. The client begins
to vomit so the nurse holds the oral medication. The nurse has not opened the medication package. Proper and
safe disposal of the capsule of hydroxyzine requires the nurse to:
Return the capsule to the pharmacy
20- When providing care for a client with a nasogastric (NG) tube, the nurse should take measures to prevent
what serious complication?
Aspiration pneumonia
21- The nurse is caring for a client admitted with chronic obstructive pulmonary disease (COPD). The
nurse should monitor the results of which laboratory test to evaluate the client for hypoxia?
Arterial blood gas
22- A client with a leg prosthesis and a history of syncopal episodes is being admitted to the hospital.
When formulating the plan of care for this client, the nurse should include that the client is at risk for:
Falls
23- A 50-year-old client being seen for a routine physical asks why a stool specimen for occult blood testing
has been prescribed when there is no history of health problems. What is an appropriate nursing response?
"It is performed routinely starting at your age as part of an assessment for colon cancer
24- An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent
is always angry at me." The nurse's best initial response is "Your parent is:
working through acceptance of the situation."
25- A health care provider tells a client about the diagnosis of inoperable cancer and that the client does not
have long to live. After the health care provider leaves, the client says to the nurse, "I feel fine. I probably only have
the flu." The nurse determines that the client is in the denial stage of grief. What should the nurse do to help meet
the client's emotional needs?
Allow the denial and be available to discuss the situation with the client.
26- The nurse has provided instructions about back safety to a client. Which client statement
indicates understanding of the instructions?
, NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
"I should carry objects close to my body."
27- The nurse teaching a health awareness class identifies which situation as being the highest risk factor for
the development of a deep vein thrombosis (DVT)?
Inactivity
28- A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. The nurse
should assign the client to which type of room?
Negative airflow room
29- A nurse is reviewing a client's plan of care. What is the determining factor in the revision of the plan?
Effectiveness of the interventions
30- A nurse who promotes freedom of choice for clients in decision-making best supports which principle?
Autonomy
31- The nurse is monitoring a client's hemoglobin level. The nurse recalls that the amount of hemoglobin in
the blood has what effect on oxygenation status?
A low hemoglobin level causes reduced oxygen-carrying capacity.
32- A client with hypothermia is brought to the emergency department. What treatment does the
nurse anticipate?
Core rewarming with warm fluids
33- A visitor says to the nurse, "Can I read my client's progress record? I am the sponsor from an
alcohol recovery program." How should the nurse respond?
Do not allow the sponsor to review the record.
34- Two nurses are planning to help a client with one-sided weakness to move up in bed. What should
the nurses do to conform to a basic principle of body mechanics?
Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward
the head of the bed, and then move the client.
35- In all states of the United States, what is the professional nurse's legal responsibility regarding child abuse?
Report any suspected abuse to local law enforcement authorities.
36- The hospital's policy requires two nurses to supervise the wasting of excess opioid solutions. The nurse
draws up the prescribed dose and then requests that another nurse witness wasting of the remaining medication.
The
QUESTIONS WITH ANSWERS A+ 2022/2023
1- An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent
is always angry at me." The nurse's best initial response is "Your parent is:
Working through acceptance of the situation."
2- During the beginning phase of a therapeutic relationship, a clear understanding of participants' roles
is important because the client:
Needs to know what to expect from the relationship
3- The nurse is assessing a group of older adults. Which should the nurse consider to be least likely to
be affected by aging?
Strategies to handle stress
4- What is the primary purpose of evidence-based nursing (EBP)?
Using results from research to improve the outcome of nursing care
5- A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that
the rationale for a high-protein diet is to
Promote cell growth and bone union
6- Nursing actions for the older adult should include health education and promotion of self-care. Which is
most important when working with the older adult client?
Reinforcing the client's strengths and promoting reminiscing
7- A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling breath sounds that are more
obvious on inspiration. This assessment should be documented as:
Crackles
8- A nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One
of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that
"home medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate?
You are right because they may have a negative impact on people's health.
9- During a newborn assessment the nurse identifies that the temperature, pulse, respirations, and other
physical characteristics are within the expected range. The nurse records these findings on the clinical
record. Legally, how should the nurse's action be interpreted?
The nurse met the requirements set forth in the Nurse Practice Act.
,NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
10- Which of the following legal defenses is the most important for a nurse to develop?
Accountability
11- A nurse applies a heating pad to a client's buttocks. Upon removal of the heating pad, the nurse discovers
that the client has received burns due to incorrect settings when the heating pad was initiated. Which principle
would legally apply?
The nurse could be held liable for the injury that occurred
12- The plan of care for the client was to lose 7 pounds by the end of the month. The client only lost 3 pounds.
The nurse should:
Reevaluate the plan of care for appropriateness.
13- When caring for a client with venous insufficiency, the nurse would implement which nursing measure?
Elevate the client's legs above heart level.
14- A nurse is teaching a client about gentamycin (Garamycin) that has been prescribed for a severe infection.
Which statement indicates to the nurse that the client needs further teaching?
It is okay for me to stop taking this medication after a few days."\
15- A nurse is assigned to change a central line dressing. The agency policy is to clean the site with
Betadine and then cleanse with alcohol. The nurse recently attended a conference that presented information that
alcohol should precede Betadine in a dressing change. In addition, an article in a nursing journal stated that a new
product was a more effective antibacterial than alcohol and Betadine. The nurse has a sample of the new product.
How should the nurse proceed?
Follow the agency's policy unless it is contradicted by a health care provider's prescription.
16- While the nurse moves a client from a lying to standing position, the client experiences a rapid drop
in blood pressure. The nurse would report this finding as:
Orthostatic hypotension
17- A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a
hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated.
The nurse anticipates that the plan of care will include the application of a(n):
Ice bag
,NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
18- The professional obligation of a nurse to assume responsibility for actions is referred to
as: Accountability
19- The nurse prepares to give a prescribed capsule of hydroxyzine (Vistaril) to a client. The client begins
to vomit so the nurse holds the oral medication. The nurse has not opened the medication package. Proper and
safe disposal of the capsule of hydroxyzine requires the nurse to:
Return the capsule to the pharmacy
20- When providing care for a client with a nasogastric (NG) tube, the nurse should take measures to prevent
what serious complication?
Aspiration pneumonia
21- The nurse is caring for a client admitted with chronic obstructive pulmonary disease (COPD). The
nurse should monitor the results of which laboratory test to evaluate the client for hypoxia?
Arterial blood gas
22- A client with a leg prosthesis and a history of syncopal episodes is being admitted to the hospital.
When formulating the plan of care for this client, the nurse should include that the client is at risk for:
Falls
23- A 50-year-old client being seen for a routine physical asks why a stool specimen for occult blood testing
has been prescribed when there is no history of health problems. What is an appropriate nursing response?
"It is performed routinely starting at your age as part of an assessment for colon cancer
24- An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent
is always angry at me." The nurse's best initial response is "Your parent is:
working through acceptance of the situation."
25- A health care provider tells a client about the diagnosis of inoperable cancer and that the client does not
have long to live. After the health care provider leaves, the client says to the nurse, "I feel fine. I probably only have
the flu." The nurse determines that the client is in the denial stage of grief. What should the nurse do to help meet
the client's emotional needs?
Allow the denial and be available to discuss the situation with the client.
26- The nurse has provided instructions about back safety to a client. Which client statement
indicates understanding of the instructions?
, NURS FUNDAMENTALS OF NURSING EXAM REVIEW
QUESTIONS WITH ANSWERS A+ 2022/2023
"I should carry objects close to my body."
27- The nurse teaching a health awareness class identifies which situation as being the highest risk factor for
the development of a deep vein thrombosis (DVT)?
Inactivity
28- A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. The nurse
should assign the client to which type of room?
Negative airflow room
29- A nurse is reviewing a client's plan of care. What is the determining factor in the revision of the plan?
Effectiveness of the interventions
30- A nurse who promotes freedom of choice for clients in decision-making best supports which principle?
Autonomy
31- The nurse is monitoring a client's hemoglobin level. The nurse recalls that the amount of hemoglobin in
the blood has what effect on oxygenation status?
A low hemoglobin level causes reduced oxygen-carrying capacity.
32- A client with hypothermia is brought to the emergency department. What treatment does the
nurse anticipate?
Core rewarming with warm fluids
33- A visitor says to the nurse, "Can I read my client's progress record? I am the sponsor from an
alcohol recovery program." How should the nurse respond?
Do not allow the sponsor to review the record.
34- Two nurses are planning to help a client with one-sided weakness to move up in bed. What should
the nurses do to conform to a basic principle of body mechanics?
Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward
the head of the bed, and then move the client.
35- In all states of the United States, what is the professional nurse's legal responsibility regarding child abuse?
Report any suspected abuse to local law enforcement authorities.
36- The hospital's policy requires two nurses to supervise the wasting of excess opioid solutions. The nurse
draws up the prescribed dose and then requests that another nurse witness wasting of the remaining medication.
The
