Fundamentals Pretest Practice Exam | Questions with 100% Correct Answers

Fundamentals Pretest Practice Exam | Questions with 100% Correct Answers A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply) -Repeat the order back to the provider -Question any part of the order that is unclear or inappropriate -Transcribe the order into the client's health record A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (select all that apply) -bid -30 mL A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors? When asking if the client took his medications this morning A nurse is performing a cardiac assessment. Identify where the nurse should place the stethoscope to auscultate the client's apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) Lower left side of patient A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? Apply 4 to 5 mL of liquid soap to the hands A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use? Two nurses using a friction-reducing device A nurse asks a client how he is feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses should the nurse make? "Please explain what you mean by the word 'nervous.'" A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? "Documentation is a communication tool for the interprofessional health care team." A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? Elicit information from the client A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse? Determine if the client uses hearing aids A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, "Go away; no one can help me." Which of the following responses should the nurse make? "I will come back later and we can talk." A nurse is caring for a client who is about to have a colonoscopy. The client states, "I am so nervous about what the doctor might find during the test." The nurse ask the client, "Are you feeling anxious about the results of your colonoscopy?" With this question, the nurse is using which of the following communication techniques? Clarification A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion? "What brought you to the hospital?" A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints. Which of the following statements by the AP indicates an understanding of the teaching? "I will tie a restraint to the portion of the bed that moves when the head of the bed is moved." A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take? Apply the bag for 30 min at a time A nurse is planning care for a client who is postoperative. Which of the following statements about pain management should the nurse consider when implementing client care? (select all that apply.) Use of analgesics will eventually lead to addiction A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain? Self-report of pain A nurse is preparing to teach a client who has a low literacy level. Which of the following methods should the nurse plan to include? Have short teaching sessions A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following should the nurse identify as an interpersonal variable? (select all that apply.) -Education -Gender -Perception A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? "Information about a client can be disclosed to family members at any time." A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time? Carotid A nurse is caring for a client within the intimate zone of the client's personal space. The nurse should perform which of the following activities in this space? (select all that apply.) -Auscultating heart sounds -Changing a dressing A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Which of the following actions should the nurse take? Use attentive listening with the client A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? (select all that apply.) -Teach the client to use the call light -Keep the client's bed in the lowest position -Place a fall-risk identification band on the client's wrist A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction? "I can detect the presence of carbon monoxide by a metallic odor." A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make? "tell me more about your concerns." A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide? The service began with the client's admission to the hospital A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication? The client's sociocultural background influences nonverbal communication A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8 degree C (98.2 degree F). Which of the following actions should the nurse perform? Complete a neurological check A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR? Code status A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening? Pre-adolescent/adolescent A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Use intermittent eye contact A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take? Lock the wheels of the bed and the wheelchair A nurse is caring for a client who reports difficulty sleeping while in the hospital. Which of the following actions taken by the assistive personnel (AP) while the client is sleeping should prompt the nurse to intervene? Flushes the client's toilet after emptying the urinary catheter's drainage bag A nurse is readmitting a client to the medical unit after a transfer to ICU following self-administration of an overdose of medication. The client looks down at the floor and mumbles, "Hello." Which of the following responses should the nurse make? "Tell me a little more about what happen." A nurse is caring for a client who has an electrical burn. With the client's permission, the nurse is answering questions from the family about his status. Which of the following responses should the nurse make? "He has an electrical burn. He is stable, and we will update you with any changes." A nurse is performing care activities for a client in the zone of touch that requires consent. Which of the following activities should the nurse perform in this zone? (select all that apply.) -Removing the client's dentures -Palpating for pedal edema -Counting a radial pulse A nurse is caring for a client who has a mental health disorder. The client asks about his medications and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using? Asking for an explanation A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures? Footboard When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take? Contact the provider to question the dosage A nurse is caring for a client who has fallen while getting out of bed and states, "I'm okay! I guess I should have called for help to the bathroom." After assessing the client, the nurse notifies the provider. Which of the following documentation should the nurse include in the client's medical record? "The provider was notified." A nurse is teaching a newly licensed nurse about transcribing prescriptions. Which of the following examples should the nurse include in the instructions? Metformin 500mg, 1 tablet, PO, daily A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. Which of the following instructions should the nurse include? Tie linen bags securely at the top A nurse is having difficulty reading the provider's writing when transcribing a prescription for a client's medication. Which of the following actions should the nurse take? Contact the provider to clarify the prescription A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II? Ask the client to read a Snellen chart A nurse is teaching 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? Bend at the knees when picking up an object A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take? Explain to the client what is about to happen A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client needs further teaching? "I will walk briskly for 30 minutes before bedtime." A nurse is conducting a health promotion class for clients and their children about sun protection. The nurse should identify which of the following client responses as an indication that the teaching was effective? "I will avoid sitting in the sun between 10 a.m. and 3 p.m." A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse explains that the client will wear antiembolism stocking during and after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make? "They improve your circulation to keep blood from pooling in your leg." A nurse is completing the initial admission assessment and history for a client. Which of the following is the priority action for the nurse to take? Document the client's allergies in the electronic medical record A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) RACE 1) Remove the clients from the room 2) Activate the fire alarm 3) Close the door 4) Extinguish the fire A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority? Move any clients in the immediate vicinity