FUNDAMENTALS FINAL TEST BANK
EXAM QUESTIONS WITH CORRECT
ANSWERS
A nurse is caring for a client who has cancer and is receiving palliative care. Which
of the following statements by the client indicates they understand this type of
treatment?
A. "I am thinking of getting a second opinion."
B. "I am hoping this will limit my discomfort."
C. "This treatment should help me live a little longer."
D. "This is not working and I plan to stop my treatment." - Answer-B. "I am hoping
this will limit my discomfort."
A nurse is caring for a client who has metastatic bone cancer. The client states, "I
want to go home to die." The family is concerned about meeting the client's care
needs at home. Which of the following actions should the nurse take?
A. Discuss initiating hospice care with the client and family.
B. Write a referral to place the client in a nursing home.
C. Talk with the provider about extending the client's hospital stay.
D. Inform the client's family that they are responsible for providing palliative care. -
Answer-A. Discuss initiating hospice care with the client and family.
A nurse is caring for a client who is 2 days postoperative following abdominal
surgery and observes that the client's wound has eviscerated. After calling for help,
which of the following actions should the nurse take first?
A. Raise the head of the client's bed 15º to 20º.
B. Place the client supine with knees bent.
C. Assess the client for manifestations of shock.
D. Cover the area with a sterile dressing, moistened with 0.9% sodium chloride
irrigation. - Answer-D. Cover the area with a sterile dressing, moistened with 0.9%
sodium chloride irrigation.
A nurse is caring for a client who is postoperative following abdominal surgery.
Which of the following findings should indicate to the nurse the client's peristalsis is
returning?
A. Hypoactive bowel sounds in two quadrants
B. Request for a cup of tea and some toast
C. Passage of flatus
D. Abdominal distention - Answer-C. Passage of flatus
,A nurse is caring for a client who is postoperative. The nurse should base her pain
management interventions primarily on which of the following methods of
determining the intensity of the client's pan?
A. Vital sign management
B. The client's self-report of pain intensity.
C. Visual observation for nonverbal signs of pain.
D. The nature and invasiveness of the surgical procedure. - Answer-B. The client's
self-report of pain intensity.
A nurse is caring for a client who is scheduled to have surgery. In preparing the
client for surgery, which of the following actions is considered outside the nurse's
responsibilities?
A. Assuring the current health status of the client.
B. Explaining the operative procedure, risks, and benefits.
C. Reviewing preoperative laboratory test results.
D. Ensuring that a signed surgical consent was completed. - Answer-B. Explaining
the operative procedure, risks, and benefits.
A nurse is caring for a client who just returned from the PACU with an IV fluid
infusion and an NG tube in place following abdominal surgery. Which of the following
data is the priority for the nurse to assess?
A. The coping ability of the client.
B. The client bowel sounds 24 to 48.
C. The surgical dressing.
D. The patency of the NG tube. - Answer-C. The surgical dressing.
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a
PaCO2 of 50 mmHg. The nurse should identify that the client is experiencing which
of the following acid-base imbalances?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis - Answer-C. Respiratory acidosis
A nurse is caring for a clients who has diabetes and a new prescription for 14 units of
regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is
the total number of units of insulin that the nurse should prepare in the insulin
syringe?
A. 14 units
B. 28 units
C. 32 units
D. 42 units - Answer-D. 42 units
, A nurse is caring for a female client who has recurrent kidney stones and is
scheduled for an intravenous pyelogram. Which of the following statements should
the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - Answer-D. "I don't eat shellfish
because it gives me hives."
A nurse is caring for an older adult client who has had surgery for an internal
obstruction and has an NG tube to wall suction. Which of the following interventions
should the nurse include in the client's postoperative plan of care? (Select all the
apply.)
Discontinue suction when assessing for peristalsis.
Irrigate the NG tube with 0.9% sodium chloride solution.
Place sequential compression devices on the bilateral lower extremities.
Reposition the client from side to side every 2 hr.
Encourage the use of an incentive spirometer every 2 hr while the client is awake. -
Answer-Discontinue suction when assessing for peristalsis.
Irrigate the NG tube with 0.9% sodium chloride solution.
Place sequential compression devices on the bilateral lower extremities.
Reposition the client from side to side every 2 hr.
A nurse is caring for an older adult client. The nurse should recognize the client is at
risk for which of the following physiological changes? (Select all that apply.)
Decreased gastric motility.
Decreased skin elasticity.
Increased pain threshold.
Increased metabolic rate.
Increased cardiac output. - Answer-Decreased gastric motility.
Decreased skin elasticity.
Increased pain threshold.
A nurse is caring for an older client who is at risk for skin breakdown. Which of the
following interventions should the nurse use to help maintain the integrity of the
client's skin?
A. Reposition the client every 3 hr.
B. Massage bony prominences to promote circulation.
C. Provide the client with a diet high in protein.
D. Apply cornstarch to keep the skin dry. - Answer-C. Provide the client with a diet
high in protein.
A nurse is changing the dressing of a client who is 1 week postoperative following
abdominal surgery and notes the presence of serosanguineous drainage. The nurse
should recognize that this is an indication of which of the following circumstances?
EXAM QUESTIONS WITH CORRECT
ANSWERS
A nurse is caring for a client who has cancer and is receiving palliative care. Which
of the following statements by the client indicates they understand this type of
treatment?
A. "I am thinking of getting a second opinion."
B. "I am hoping this will limit my discomfort."
C. "This treatment should help me live a little longer."
D. "This is not working and I plan to stop my treatment." - Answer-B. "I am hoping
this will limit my discomfort."
A nurse is caring for a client who has metastatic bone cancer. The client states, "I
want to go home to die." The family is concerned about meeting the client's care
needs at home. Which of the following actions should the nurse take?
A. Discuss initiating hospice care with the client and family.
B. Write a referral to place the client in a nursing home.
C. Talk with the provider about extending the client's hospital stay.
D. Inform the client's family that they are responsible for providing palliative care. -
Answer-A. Discuss initiating hospice care with the client and family.
A nurse is caring for a client who is 2 days postoperative following abdominal
surgery and observes that the client's wound has eviscerated. After calling for help,
which of the following actions should the nurse take first?
A. Raise the head of the client's bed 15º to 20º.
B. Place the client supine with knees bent.
C. Assess the client for manifestations of shock.
D. Cover the area with a sterile dressing, moistened with 0.9% sodium chloride
irrigation. - Answer-D. Cover the area with a sterile dressing, moistened with 0.9%
sodium chloride irrigation.
A nurse is caring for a client who is postoperative following abdominal surgery.
Which of the following findings should indicate to the nurse the client's peristalsis is
returning?
A. Hypoactive bowel sounds in two quadrants
B. Request for a cup of tea and some toast
C. Passage of flatus
D. Abdominal distention - Answer-C. Passage of flatus
,A nurse is caring for a client who is postoperative. The nurse should base her pain
management interventions primarily on which of the following methods of
determining the intensity of the client's pan?
A. Vital sign management
B. The client's self-report of pain intensity.
C. Visual observation for nonverbal signs of pain.
D. The nature and invasiveness of the surgical procedure. - Answer-B. The client's
self-report of pain intensity.
A nurse is caring for a client who is scheduled to have surgery. In preparing the
client for surgery, which of the following actions is considered outside the nurse's
responsibilities?
A. Assuring the current health status of the client.
B. Explaining the operative procedure, risks, and benefits.
C. Reviewing preoperative laboratory test results.
D. Ensuring that a signed surgical consent was completed. - Answer-B. Explaining
the operative procedure, risks, and benefits.
A nurse is caring for a client who just returned from the PACU with an IV fluid
infusion and an NG tube in place following abdominal surgery. Which of the following
data is the priority for the nurse to assess?
A. The coping ability of the client.
B. The client bowel sounds 24 to 48.
C. The surgical dressing.
D. The patency of the NG tube. - Answer-C. The surgical dressing.
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a
PaCO2 of 50 mmHg. The nurse should identify that the client is experiencing which
of the following acid-base imbalances?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis - Answer-C. Respiratory acidosis
A nurse is caring for a clients who has diabetes and a new prescription for 14 units of
regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is
the total number of units of insulin that the nurse should prepare in the insulin
syringe?
A. 14 units
B. 28 units
C. 32 units
D. 42 units - Answer-D. 42 units
, A nurse is caring for a female client who has recurrent kidney stones and is
scheduled for an intravenous pyelogram. Which of the following statements should
the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - Answer-D. "I don't eat shellfish
because it gives me hives."
A nurse is caring for an older adult client who has had surgery for an internal
obstruction and has an NG tube to wall suction. Which of the following interventions
should the nurse include in the client's postoperative plan of care? (Select all the
apply.)
Discontinue suction when assessing for peristalsis.
Irrigate the NG tube with 0.9% sodium chloride solution.
Place sequential compression devices on the bilateral lower extremities.
Reposition the client from side to side every 2 hr.
Encourage the use of an incentive spirometer every 2 hr while the client is awake. -
Answer-Discontinue suction when assessing for peristalsis.
Irrigate the NG tube with 0.9% sodium chloride solution.
Place sequential compression devices on the bilateral lower extremities.
Reposition the client from side to side every 2 hr.
A nurse is caring for an older adult client. The nurse should recognize the client is at
risk for which of the following physiological changes? (Select all that apply.)
Decreased gastric motility.
Decreased skin elasticity.
Increased pain threshold.
Increased metabolic rate.
Increased cardiac output. - Answer-Decreased gastric motility.
Decreased skin elasticity.
Increased pain threshold.
A nurse is caring for an older client who is at risk for skin breakdown. Which of the
following interventions should the nurse use to help maintain the integrity of the
client's skin?
A. Reposition the client every 3 hr.
B. Massage bony prominences to promote circulation.
C. Provide the client with a diet high in protein.
D. Apply cornstarch to keep the skin dry. - Answer-C. Provide the client with a diet
high in protein.
A nurse is changing the dressing of a client who is 1 week postoperative following
abdominal surgery and notes the presence of serosanguineous drainage. The nurse
should recognize that this is an indication of which of the following circumstances?
