FUNDAMENTALS BENCHMARK I (43
Questions & Answers 2023)
1. Listen attentively when the client talks about the past - Correct answer A nurse is
caring for an older adult client who expresses feelings of grief for his earlier lie.
Which of the following actions should the nurse take to help the client cope
w/feelings of loss?
2. Erythema - Correct answer A nurse is observing the IV catheter insertion site of a
client who is receiving continuous IV therapy. Which of the following
manifestations should the nurse identify as an indication that the client has
developed phlebitis?
3. Asking if the client took his meds this morning - Correct answer A nurse is
assisting in interviewing a client who is being admitted from a long-term care
facility. In which of the following situations should the nurse ask a close-ended
question?
4. "I will wear gloves & a gown when bathing a client who has open skin lesions." -
Correct answer A nurse is reinforcing teaching w/assistive-personnel about using
PPE while caring for clients. Which of the following statements should the nurse
identify as an indication that the AP understands the instructions?
5. Clean gloves - Correct answer A nurse is caring for a client who has MRSA in an
abdominal wound. The nurse enters the room to check the client's pulse. Which
of the following items should the nurse wear?
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, 6. Provide the client w/diet-high in protein - Correct answer A nurse is caring for an
older adult client who is at risk for skin breakdown. Which of the following
interventions should the nurse use to help maintain the client's skin integrity?
7. Determine the location of the pain - Correct answer A nurse is caring for a client
who requests pain medication. Which of the following actions should the nurse
perform first?
8. Ventricular gallop - Correct answer A nurse is collecting data about a client's
cardiac functioning. The nurse auscultates an S3 sound. Which of the following
causes should the nurse suspect?
9. Hypertension - Correct answer A nurse is caring for a client who is in the early
stages of hypoxia & is receiving O2 therapy. When collecting data from this
client, the nurse should expect to find which of the following early indications of
hypoxia?
10. Denial - Correct answer A nurse in a dialysis center is caring for a client who has
a new diagnosis of ESRD, client says, "I decided to come today, but I'm not sure
if I will need to come back again this week. I'm feeling much better since my
discharge from the hospital & I think my kidneys are working again." What is the
Kübler-Ross stage?
11. Bend at the knees when picking up an object - Correct answer A nurse is
reinforcing teaching with a client who has strained her back muscles while
preparing to move to a new apartment. Which of the following instructions should
the nurse include?
12. Do not schedule diagnostic tests for Saturday - Correct answer A nurse is
contributing to the plan of care for a client who is a Seventh-Day Adventist. To
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Questions & Answers 2023)
1. Listen attentively when the client talks about the past - Correct answer A nurse is
caring for an older adult client who expresses feelings of grief for his earlier lie.
Which of the following actions should the nurse take to help the client cope
w/feelings of loss?
2. Erythema - Correct answer A nurse is observing the IV catheter insertion site of a
client who is receiving continuous IV therapy. Which of the following
manifestations should the nurse identify as an indication that the client has
developed phlebitis?
3. Asking if the client took his meds this morning - Correct answer A nurse is
assisting in interviewing a client who is being admitted from a long-term care
facility. In which of the following situations should the nurse ask a close-ended
question?
4. "I will wear gloves & a gown when bathing a client who has open skin lesions." -
Correct answer A nurse is reinforcing teaching w/assistive-personnel about using
PPE while caring for clients. Which of the following statements should the nurse
identify as an indication that the AP understands the instructions?
5. Clean gloves - Correct answer A nurse is caring for a client who has MRSA in an
abdominal wound. The nurse enters the room to check the client's pulse. Which
of the following items should the nurse wear?
Page 1|7
, 6. Provide the client w/diet-high in protein - Correct answer A nurse is caring for an
older adult client who is at risk for skin breakdown. Which of the following
interventions should the nurse use to help maintain the client's skin integrity?
7. Determine the location of the pain - Correct answer A nurse is caring for a client
who requests pain medication. Which of the following actions should the nurse
perform first?
8. Ventricular gallop - Correct answer A nurse is collecting data about a client's
cardiac functioning. The nurse auscultates an S3 sound. Which of the following
causes should the nurse suspect?
9. Hypertension - Correct answer A nurse is caring for a client who is in the early
stages of hypoxia & is receiving O2 therapy. When collecting data from this
client, the nurse should expect to find which of the following early indications of
hypoxia?
10. Denial - Correct answer A nurse in a dialysis center is caring for a client who has
a new diagnosis of ESRD, client says, "I decided to come today, but I'm not sure
if I will need to come back again this week. I'm feeling much better since my
discharge from the hospital & I think my kidneys are working again." What is the
Kübler-Ross stage?
11. Bend at the knees when picking up an object - Correct answer A nurse is
reinforcing teaching with a client who has strained her back muscles while
preparing to move to a new apartment. Which of the following instructions should
the nurse include?
12. Do not schedule diagnostic tests for Saturday - Correct answer A nurse is
contributing to the plan of care for a client who is a Seventh-Day Adventist. To
Page 2|7
