Fundamentals Practice Test, UNIT 1: Foundations of
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Nursing Practice questions with correct answers
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Which ,,assessment ,,data ,,would ,,provide ,,the ,,most ,,accurate ,,determination ,,of ,,proper
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,,placement ,,of ,,a ,,nasogastric ,,tube? ,,
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A) ,,Aspirating ,,gastric ,,contents ,,to ,,assure ,,a ,,pH ,,value ,,of ,,4 ,,or ,,less.
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B) ,,Hearing ,,air ,,pass ,,in ,,the ,,stomach ,,after ,,injecting ,,air ,,into ,,the ,,tubing.
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C) ,,Examining ,,a ,,chest ,,x-ray ,,obtained ,,after ,,the ,,tubing ,,was ,,inserted.
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D) ,,Checking ,,the ,,remaining ,,length ,,of ,,tubing ,,to ,,ensure ,,that ,,the ,,correct ,,length ,,was
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,,inserted. ,,- ,,correct ,,answers-C) ,,Examining ,,a ,,chest ,,x-ray ,,obtained ,,after ,,the ,,tubing ,,was
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,,inserted
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Both ,,(A ,,and ,,B) ,,are ,,methods ,,used ,,to ,,determine ,,proper ,,placement ,,of ,,the ,,NG ,,tubing.
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,,However, ,,the ,,best ,,indicator ,,that ,,the ,,tubing ,,is ,,properly ,,placed ,,is ,,(C). ,,(D) ,,is ,,not ,,an
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,,indicator ,,of ,,proper ,,placement
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When ,,assisting ,,an ,,82-year-old ,,client ,,to ,,ambulate, ,,it ,,is ,,important ,,for ,,the ,,nurse ,,to ,,realize
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,,that ,,the ,,center ,,of ,,gravity ,,for ,,an ,,elderly ,,person ,,is ,,the ,,
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A) ,,Arms.
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B) ,,Upper ,,torso.
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C) ,,Head.
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D) ,,Feet ,,- ,,correct ,,answers-B) ,,Upper ,,torso
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,The ,,center ,,of ,,gravity ,,for ,,adults ,,is ,,the ,,hips. ,,However, ,,as ,,the ,,person ,,grows ,,older, ,,a
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,,stooped ,,posture ,,is ,,common ,,because ,,of ,,the ,,changes ,,from ,,osteoporosis ,,and ,,normal ,,bone
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,,degeneration, ,,and ,,the ,,knees, ,,hips, ,,and ,,elbows ,,flex. ,,This ,,stooped ,,posture ,,results ,,in ,,the
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,,upper ,,torso ,,(B) ,,becoming ,,the ,,center ,,of ,,gravity ,,for ,,older ,,persons. ,,Although ,,(A) ,,is ,,a
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,,part, ,,or ,,an ,,extension ,,of ,,the ,,upper ,,torso, ,,this ,,is ,,not ,,the ,,best ,,and ,,most ,,complete
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,,answer.
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Which ,,action ,,is ,,most ,,important ,,for ,,the ,,nurse ,,to ,,implement ,,when ,,donning ,,sterile ,,gloves?
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A) ,,Maintain ,,thumb ,,at ,,a ,,ninety ,,degree ,,angle.
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B) ,,Hold ,,hands ,,with ,,fingers ,,down ,,while ,,gloving.
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C) ,,Keep ,,gloved ,,hands ,,above ,,the ,,elbows.
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D) ,,Put ,,the ,,glove ,,on ,,the ,,dominant ,,hand ,,first. ,,- ,,correct ,,answers-C) ,,Keep ,,gloved ,,hands
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,,above ,,the ,,elbows
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Gloved ,,hands ,,held ,,below ,,waist ,,level ,,are ,,considered ,,unsterile ,,(C). ,,(A ,,and ,,B) ,,are ,,not
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,,essential ,,to ,,maintaining ,,asepsis. ,,While ,,it ,,may ,,be ,,helpful ,,to ,,put ,,the ,,glove ,,on ,,the
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,,dominant ,,hand ,,first, ,,it ,,is ,,not ,,necessary ,,to ,,ensure ,,asepsis ,,(D).
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An ,,adult ,,male ,,client ,,with ,,a ,,history ,,of ,,hypertension ,,tells ,,the ,,nurse ,,that ,,he ,,is ,,tired ,,of
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,,taking ,,antihypertensive ,,medications ,,and ,,is ,,going ,,to ,,try ,,spiritual ,,meditation ,,instead. ,,What
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,,should ,,be ,,the ,,nurse's ,,first ,,response? ,,
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A) ,,It ,,is ,,important ,,that ,,you ,,continue ,,your ,,medication ,,while ,,learning ,,to ,,meditate.
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B) ,,Spiritual ,,meditation ,,requires ,,a ,,time ,,commitment ,,of ,,15 ,,to ,,20 ,,minutes ,,daily.
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C) ,,Obtain ,,your ,,healthcare ,,provider's ,,permission ,,before ,,starting ,,meditation.
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D) ,,Complementary ,,therapy ,,and ,,western ,,medicine ,,can ,,be ,,effective ,,for ,,you. ,,- ,,correct
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,,answers-A) ,,It ,,is ,,important ,,that ,,you ,,continue ,,your ,,medication ,,while ,,learning ,,to ,,meditate
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The ,,prolonged ,,practice ,,of ,,meditation ,,may ,,lead ,,to ,,a ,,reduced ,,need ,,for ,,antihypertensive
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,,medications. ,,However, ,,the ,,medications ,,must ,,be ,,continued ,,(A) ,,while ,,the ,,physiologic
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,,response ,,to ,,meditation ,,is ,,monitored. ,,(B) ,,is ,,not ,,as ,,important ,,as ,,continuing ,,the
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,,medication. ,,The ,,healthcare ,,provider ,,should ,,be ,,informed, ,,but ,,permission ,,is ,,not ,,required
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,uu to ,,meditate ,,(C). ,,Although ,,it ,,is ,,true ,,that ,,this ,,complimentary ,,therapy ,,might ,,be ,,effective
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(D), ,,it ,,is ,,essential ,,that ,,the ,,client ,,continue ,,with ,,antihypertensive ,,medications ,,until ,,the
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,,effect ,,of ,,meditation ,,can ,,be ,,measured
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The ,,nurse ,,plans ,,to ,,obtain ,,health ,,assessment ,,information ,,from ,,a ,,primary ,,source. ,,Which
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,,option ,,is ,,a ,,primary ,,source ,,for ,,the ,,completion ,,of ,,the ,,health ,,assessment? ,,
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A) ,,Client. uu uu ,,
B) ,,Healthcare ,,provider.
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C) ,,A ,,family ,,member.
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D) ,,Previous ,,medical ,,records ,,- ,,correct ,,answers-A) ,,Client
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A ,,primary ,,source ,,of ,,information ,,for ,,a ,,health ,,assessment ,,is ,,the ,,client ,,(A). ,,(B, ,,C, ,,and ,,D)
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,,are ,,considered ,,secondary ,,sources ,,about ,,the ,,client's ,,health ,,history, ,,but ,,other ,,details, ,,such
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,,as ,,subjective ,,data, ,,can ,,only ,,be ,,provided ,,directly ,,from ,,the ,,client.
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The ,,nurse ,,is ,,instructing ,,a ,,client ,,with ,,high ,,cholesterol ,,about ,,diet ,,and ,,life ,,style
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,,modification. ,,What ,,comment ,,from ,,the ,,client ,,indicates ,,that ,,the ,,teaching ,,has ,,been
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,,effective? ,,
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A) ,,If ,,I ,,exercise ,,at ,,least ,,two ,,times ,,weekly ,,for ,,one ,,hour, ,,I ,,will ,,lower ,,my ,,cholesterol.
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B) ,,I ,,need ,,to ,,avoid ,,eating ,,proteins, ,,including ,,red ,,meat.
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C) ,,I ,,will ,,limit ,,my ,,intake ,,of ,,beef ,,to ,,4 ,,ounces ,,per ,,week.
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D) ,,My ,,blood ,,level ,,of ,,low ,,density ,,lipoproteins ,,needs ,,to ,,increase. ,,- ,,correct ,,answers-C) ,,I
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,,will ,,limit ,,my ,,intake ,,of ,,beef ,,to ,,4 ,,ounces ,,per ,,week
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Limiting ,,saturated ,,fat ,,from ,,animal ,,food ,,sources ,,to ,,no ,,more ,,than ,,4 ,,ounces ,,per ,,week ,,(C)
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,,is ,,an ,,important ,,diet ,,modification ,,for ,,lowering ,,cholesterol. ,,To ,,be ,,effective ,,in ,,reducing
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,,cholesterol, ,,the ,,client ,,should ,,exercise ,,30 ,,minutes ,,per ,,day, ,,or ,,at ,,least ,,4 ,,to ,,6 ,,times ,,per
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,,week ,,(A). ,,Red ,,meat ,,and ,,all ,,proteins ,,do ,,not ,,need ,,to ,,be ,,eliminated ,,(B) ,,to ,,lower
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,,cholesterol, ,,but ,,should ,,be ,,restricted ,,to ,,lean ,,cuts ,,of ,,red ,,meat ,,and ,,smaller ,,portions ,,(2-
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ounce ,,servings). ,,The ,,low ,,density ,,lipoproteins ,,(D) ,,need ,,to ,,decrease ,,rather ,,than ,,increase
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, Examination ,,of ,,a ,,client ,,complaining ,,of ,,itching ,,on ,,his ,,right ,,arm ,,reveals ,,a ,,rash ,,made ,,up
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,,of ,,multiple ,,flat ,,areas ,,of ,,redness ,,ranging ,,from ,,pinpoint ,,to ,,0.5 ,,cm ,,in ,,diameter. ,,How
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,,should ,,the ,,nurse ,,record ,,this ,,finding? ,,
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A) ,,Multiple ,,vesicular ,,areas ,,surrounded ,,by ,,redness, ,,ranging ,,in ,,size ,,from ,,1 ,,mm ,,to ,,0.5 ,,cm.
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B) ,,Localized ,,red ,,rash ,,comprised ,,of ,,flat ,,areas, ,,pinpoint ,,to ,,0.5 ,,cm ,,in ,,diameter.
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C) ,,Several ,,areas ,,of ,,red, ,,papular ,,lesions ,,from ,,pinpoint ,,to ,,0.5 ,,cm ,,in ,,size.
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D) ,,Localized ,,petechial ,,areas, ,,ranging ,,in ,,size ,,from ,,pinpoint ,,to ,,0.5 ,,cm ,,in ,,diameter. ,,-
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,,correct ,,answers-B) ,,Localized ,,red ,,rash ,,comprised ,,of ,,flat ,,areas, ,,pinpoint ,,to ,,0.5 ,,cm ,,in
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,,diameter
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Macules ,,are ,,localized ,,flat ,,skin ,,discolorations ,,less ,,than ,,1 ,,cm ,,in ,,diameter. ,,However, ,,when
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,,recording ,,such ,,a ,,finding ,,the ,,nurse ,,should ,,describe ,,the ,,appearance ,,(B) ,,rather ,,than ,,simply
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,,naming ,,the ,,condition. ,,(A) ,,identifies ,,vesicles ,,-- ,,fluid ,,filled ,,blisters ,,-- ,,an ,,incorrect
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,,description ,,given ,,the ,,symptoms ,,listed. ,,(C) ,,identifies ,,papules ,,-- ,,solid ,,elevated ,,lesions,
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,,again ,,not ,,correctly ,,identifying ,,the ,,symptoms. ,,(D) ,,identifies ,,petechiae ,,-- ,,pinpoint ,,red ,,to
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,,purple ,,skin ,,discolorations ,,that ,,do ,,not ,,itch, ,,again ,,an ,,incorrect ,,identification
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A ,,client ,,who ,,is ,,5' ,,5" ,,tall ,,and ,,weighs ,,200 ,,pounds ,,is ,,scheduled ,,for ,,surgery ,,the ,,next ,,day.
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,,What ,,question ,,is ,,most ,,important ,,for ,,the ,,nurse ,,to ,,include ,,during ,,the ,,preoperative
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,,assessment? ,,
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A) ,,What ,,is ,,your ,,daily ,,calorie ,,consumption?
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B) ,,What ,,vitamin ,,and ,,mineral ,,supplements ,,do ,,you ,,take?
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C) ,,Do ,,you ,,feel ,,that ,,you ,,are ,,overweight?
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D) ,,Will ,,a ,,clear ,,liquid ,,diet ,,be ,,okay ,,after ,,surgery? ,,- ,,correct ,,answers-A) ,,What ,,is ,,your ,,daily
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,,calorie ,,consumption?
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Vitamin ,,and ,,mineral ,,supplements ,,(B) ,,may ,,impact ,,medications ,,used ,,during ,,the ,,operative
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,,period. ,,(A ,,and ,,C) ,,are ,,appropriate ,,questions ,,for ,,long-term ,,dietary ,,counseling. ,,The ,,nature
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,,of ,,the ,,surgery ,,and ,,anesthesia ,,will ,,determine ,,the ,,need ,,for ,,a ,,clear ,,liquid ,,diet ,,(D), ,,rather
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,,than ,,the ,,client's ,,preference
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