Foundations of Nursing Exam | Questions and
Verified Answers | 100% Correct | Grade A - GCU
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered
dietitians in an outpatient setting. In what level of prevention is the patient
participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention - answer-Answer: C
* Tertiary prevention minimizes the effects of disease or disability through
restoration and rehabilitation
A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and reviews their 3-
day food diary. She checks the mom's blood pressure and encourages the mom
to take the children for a 15- to 30-minute walk every day. The nurse is
addressing which level of need, according to Maslow?
a. Physiological
,b. Safety and security
c. Love and belonging
d. Self-actualization - answer-Answer: a
* Physiological needs include air, food, drink, shelter, warthm, sex, sleep
A nurse is helping a patient perform active assisted range of motion in the right
elbow. Which statement describes the correct technique?
a. Support elbow by holding distal part of extremity.
b. Grasp joint with fingers to provide support.
c. Have patient move joint independently.
d. Move the joint past the point of resistance.
e. Perform the exercise a few times only, and gradually build up to more. -
answer-Answer: a
What is the proper position to use for an unresponsive patient during oral care
to prevent aspiration?
a. Prone position
b. Trendelenburg position
c. Semi-Fowler's position with head to side
, d. Supine position - answer-Answer: c
A nurse is assigned to care for the following patients. Which patient is most at
risk for developing skin problems and thus requiring thorough bathing and skin
care?
a. A 44-year-old female patient who has had removal of a breast lesion and is
having her menstrual period
b. A 56-year-old male patient who is homeless and admitted to the emergency
department with malnutrition and dehydration and who has an intravenous
line
c. A 60-year-old female patient who experienced a stroke with right-sided
paralysis and has an orthopedic brace applied to the left leg
d. A 70-year-old patient who has diabetes and dementia and has been
incontinent of stool - answer-Answer: d
When repositioning an immobile patient, the nurse notices redness over the
hip bone. What is indicated when a reddened area blanches on fingertip
touch?
a. A local skin infection requiring antibiotics
b. Sensitive skin that requires special bed linen
c. A stage 3 pressure injury needing the appropriate dressing
d. Blanching hyperemia, indicating the attempt by the body to overcome the
ischemic episode - answer-Answer: d