FUNDAMENTALS PROCTOR EXAM
QUESTIONS AND ANSWERS
AplnurseplisplusingpltheplI-
SBARplcommunicationpltoolpltoplprovidepltheplclient'splproviderplwithplinformationplaboutpltheplc
lient.plTheplnurseplshouldplconveypltheplclient'splpainplstatusplinplwhichplportionplofpltheplreport?
pl-plANS--Assessment
Rationale:
Theplnurseplprovidesplinformationplaboutplassessmentplfindingsplinplthisplportionplofpltheplrepor
t.plThisplincludesplvitalplsigns,plpainplassessment,plandplchangesplinplassessmentplfindings.
Aplnurseplisplprovidingpldischargeplteachingpltoplaplclientplwhoplisplrecoveringplfrompllungplcanc
er.plTheplproviderplinstructedpltheplclientplthatplheplcouldplresumepllower-
intensityplactivitiesplofpldailyplliving.plWhichplofpltheplfollowingplactivitiesplshouldpltheplnurseplrec
ommendpltopltheplclient?pl-plANS--Washingpldishes
Rationale:
Washingpldishesplrequiresplapllowpllevelplofplactivityplandplisplappropriateplforplthisplclient.
Aplnurseplinpltheplemergencypldepartmentplisplcaringplforplaplclientplwhoplhasplabdominalpltraum
a.plWhichplofpltheplfollowingplassessmentplfindingsplshouldpltheplnurseplidentifyplasplanplindicati
onplofplhypovolemicplshock?pl-plANS--Tachycardia
Rationale:
Duepltoplthepldecreaseplinplcirculatingplbloodplvolumeplthatploccursplwithplinternalplbleeding,plth
eploxygen-
carryingplcapacityplofpltheplbloodplisplreduced.plTheplbodyplattemptspltoplrelievepltheplhypoxiaplb
yplincreasingpltheplheartplrateplandplcardiacploutput,plalongplwithplincreasingpltheplrespiratoryplr
ate.
Aplnurseplisplplanningpltoplassesspltheplabdomenplofplaplclientplwhoplreportsplfeelingplbloatedplfo
rplseveralplweeks.plWhichplofpltheplfollowingplmethodsplofplassessmentplshouldpltheplnurseplus
eplfirst?pl-plANS--Inspection
Rationale:
Accordingpltoplevidence-
basedplpractice,pltheplnurseplshouldplinspectpltheplabdomenplfirstplbyplobservingpltheplcontourpl
ofpltheplabdomen,pltheplconditionplofpltheplskin,plandpltheplpositionplofpltheplumbilicus.plFindings
plfromplthisplstepplofplassessmentplareplusedplbypltheplnurseplinpltheplsubsequentplsteps.
, Aplnurseplisplrespondingpltoplaplparent'splquestionplaboutplhisplinfant'splexpectedplphysicalpldev
elopmentplduringpltheplfirstplyearplofpllife.plWhichplofpltheplfollowingplinformationplshouldpltheplnu
rseplinclude?pl-plANS--Apl10-month-oldplinfantplcanplpullpluppltoplaplstandingplposition.
Rationale:
Anpl8pltopl10-month-oldplinfantplcanplpullplhimselfpltoplaplstandingplposition.
Aplclientplwhoplreportsplshortnessplofplbreathplrequestsplherplnurse'splhelpplinplchangingplpositi
ons.plAfterplrepositioningpltheplclient,plwhichplofpltheplfollowingplactionsplshouldpltheplnursepltak
eplnext?pl-plANS--Observepltheplrate,pldepth,plandplcharacterplofpltheplclient'splrespirations.
Rationale:
Theplnurseplshouldplapplypltheplnursingplprocessplpriority-
settingplframeworkplwhenplcaringplforplthisplclient.plTheplnurseplcanplusepltheplnursingplprocess
pltoplplanplclientplcareplandplprioritizeplnursingplactions.plEachplstepplofpltheplnursingplprocessplb
uildsplonpltheplpreviousplstep,plbeginningplwithplassessmentplorpldataplcollection.plBeforeplthepl
nurseplcanplformulateplaplplanplofplaction,plimplementplaplnursingplintervention,plorplnotifyplaplpr
oviderplofplaplchangeplinpltheplclient'splstatus,pltheplnurseplmustplfirstplcollectpladequatepldataplfr
ompltheplclient.plAssessingplorplcollectingpladditionalpldataplwillplprovidepltheplnurseplwithplknow
ledgepltoplmakeplanplappropriatepldecision;pltherefore,pltheplfirstplactionpltheplnurseplshouldplta
keplispltoplassesspltheplclient'splrespiratoryplstatus.
Aplnurseplisplplanningpltoplinsertplaplnasogastricpltubeplforplaplclientplafterplexplainingpltheplproce
dure.plTheplclientplstates,pl"Youplareplnotplputtingplthatplhosepldownplmyplthroat."plWhichplofplthe
plfollowingplstatementsplshouldpltheplnurseplmake?pl-
plANS--"Iplcanplseeplthatplthisplisplupsettingplyou."
Rationale:
Theplnurseplisplusingplthepltherapeuticplcommunicationpltechniquesplofplreflectingplandplrestati
ng,plwhichplencouragesplcommunicationplbypltheplclient.
Anplassistiveplpersonnelpl(AP)plisplassistingplaplnurseplwithpltheplcareplofplaplfemaleplclientplwhop
lhasplanplindwellingplurinaryplcatheter.plWhichplofpltheplfollowingplactionsplbypltheplAPplindicate
splaplneedplforplfurtherplteaching?pl-plANS--
TheplAPplhangspltheplcollectionplbagplatplthepllevelplofpltheplbladder.
Rationale:
TheplAPplshouldplplaceplthepldrainageplbagplbelowplthepllevelplofpltheplbladderpltoplensureplprop
erpldrainageplbyplgravity.
Aplnurseplisplexplainingplthepluseplofplwrittenplconsentplformspltoplaplnewly-
licensedplnurse.plTheplnurseplshouldplensureplthatplaplwrittenplconsentplformplhasplbeenplsigne
dplbyplwhichplofpltheplfollowingplclients?pl-plANS--
Aplclientplwhoplhasplaplprescriptionplforplapltransfusionplofplpackedplredplbloodplcells
Rationale:
QUESTIONS AND ANSWERS
AplnurseplisplusingpltheplI-
SBARplcommunicationpltoolpltoplprovidepltheplclient'splproviderplwithplinformationplaboutpltheplc
lient.plTheplnurseplshouldplconveypltheplclient'splpainplstatusplinplwhichplportionplofpltheplreport?
pl-plANS--Assessment
Rationale:
Theplnurseplprovidesplinformationplaboutplassessmentplfindingsplinplthisplportionplofpltheplrepor
t.plThisplincludesplvitalplsigns,plpainplassessment,plandplchangesplinplassessmentplfindings.
Aplnurseplisplprovidingpldischargeplteachingpltoplaplclientplwhoplisplrecoveringplfrompllungplcanc
er.plTheplproviderplinstructedpltheplclientplthatplheplcouldplresumepllower-
intensityplactivitiesplofpldailyplliving.plWhichplofpltheplfollowingplactivitiesplshouldpltheplnurseplrec
ommendpltopltheplclient?pl-plANS--Washingpldishes
Rationale:
Washingpldishesplrequiresplapllowpllevelplofplactivityplandplisplappropriateplforplthisplclient.
Aplnurseplinpltheplemergencypldepartmentplisplcaringplforplaplclientplwhoplhasplabdominalpltraum
a.plWhichplofpltheplfollowingplassessmentplfindingsplshouldpltheplnurseplidentifyplasplanplindicati
onplofplhypovolemicplshock?pl-plANS--Tachycardia
Rationale:
Duepltoplthepldecreaseplinplcirculatingplbloodplvolumeplthatploccursplwithplinternalplbleeding,plth
eploxygen-
carryingplcapacityplofpltheplbloodplisplreduced.plTheplbodyplattemptspltoplrelievepltheplhypoxiaplb
yplincreasingpltheplheartplrateplandplcardiacploutput,plalongplwithplincreasingpltheplrespiratoryplr
ate.
Aplnurseplisplplanningpltoplassesspltheplabdomenplofplaplclientplwhoplreportsplfeelingplbloatedplfo
rplseveralplweeks.plWhichplofpltheplfollowingplmethodsplofplassessmentplshouldpltheplnurseplus
eplfirst?pl-plANS--Inspection
Rationale:
Accordingpltoplevidence-
basedplpractice,pltheplnurseplshouldplinspectpltheplabdomenplfirstplbyplobservingpltheplcontourpl
ofpltheplabdomen,pltheplconditionplofpltheplskin,plandpltheplpositionplofpltheplumbilicus.plFindings
plfromplthisplstepplofplassessmentplareplusedplbypltheplnurseplinpltheplsubsequentplsteps.
, Aplnurseplisplrespondingpltoplaplparent'splquestionplaboutplhisplinfant'splexpectedplphysicalpldev
elopmentplduringpltheplfirstplyearplofpllife.plWhichplofpltheplfollowingplinformationplshouldpltheplnu
rseplinclude?pl-plANS--Apl10-month-oldplinfantplcanplpullpluppltoplaplstandingplposition.
Rationale:
Anpl8pltopl10-month-oldplinfantplcanplpullplhimselfpltoplaplstandingplposition.
Aplclientplwhoplreportsplshortnessplofplbreathplrequestsplherplnurse'splhelpplinplchangingplpositi
ons.plAfterplrepositioningpltheplclient,plwhichplofpltheplfollowingplactionsplshouldpltheplnursepltak
eplnext?pl-plANS--Observepltheplrate,pldepth,plandplcharacterplofpltheplclient'splrespirations.
Rationale:
Theplnurseplshouldplapplypltheplnursingplprocessplpriority-
settingplframeworkplwhenplcaringplforplthisplclient.plTheplnurseplcanplusepltheplnursingplprocess
pltoplplanplclientplcareplandplprioritizeplnursingplactions.plEachplstepplofpltheplnursingplprocessplb
uildsplonpltheplpreviousplstep,plbeginningplwithplassessmentplorpldataplcollection.plBeforeplthepl
nurseplcanplformulateplaplplanplofplaction,plimplementplaplnursingplintervention,plorplnotifyplaplpr
oviderplofplaplchangeplinpltheplclient'splstatus,pltheplnurseplmustplfirstplcollectpladequatepldataplfr
ompltheplclient.plAssessingplorplcollectingpladditionalpldataplwillplprovidepltheplnurseplwithplknow
ledgepltoplmakeplanplappropriatepldecision;pltherefore,pltheplfirstplactionpltheplnurseplshouldplta
keplispltoplassesspltheplclient'splrespiratoryplstatus.
Aplnurseplisplplanningpltoplinsertplaplnasogastricpltubeplforplaplclientplafterplexplainingpltheplproce
dure.plTheplclientplstates,pl"Youplareplnotplputtingplthatplhosepldownplmyplthroat."plWhichplofplthe
plfollowingplstatementsplshouldpltheplnurseplmake?pl-
plANS--"Iplcanplseeplthatplthisplisplupsettingplyou."
Rationale:
Theplnurseplisplusingplthepltherapeuticplcommunicationpltechniquesplofplreflectingplandplrestati
ng,plwhichplencouragesplcommunicationplbypltheplclient.
Anplassistiveplpersonnelpl(AP)plisplassistingplaplnurseplwithpltheplcareplofplaplfemaleplclientplwhop
lhasplanplindwellingplurinaryplcatheter.plWhichplofpltheplfollowingplactionsplbypltheplAPplindicate
splaplneedplforplfurtherplteaching?pl-plANS--
TheplAPplhangspltheplcollectionplbagplatplthepllevelplofpltheplbladder.
Rationale:
TheplAPplshouldplplaceplthepldrainageplbagplbelowplthepllevelplofpltheplbladderpltoplensureplprop
erpldrainageplbyplgravity.
Aplnurseplisplexplainingplthepluseplofplwrittenplconsentplformspltoplaplnewly-
licensedplnurse.plTheplnurseplshouldplensureplthatplaplwrittenplconsentplformplhasplbeenplsigne
dplbyplwhichplofpltheplfollowingplclients?pl-plANS--
Aplclientplwhoplhasplaplprescriptionplforplapltransfusionplofplpackedplredplbloodplcells
Rationale:
