Fundamentals exam 1
1. The nurse is preparing to teach a patient diagnosed with cdiff about their condition,
which instructions will the nurse include; select 3 that apply : cdiff is spread by contact
(contact precautions), all visitors must wear a gown and a glove, stay in the room as
much as possible.
2. The nurse is caring for an immunocompromised client who requires protective
isolation, which measure will the nurse implement for infection control: you want to
ensure the client wears a mask when leaving the room
3. Which nursing action interrupts the chain of infection at the port of entry to a
susceptible client: using a sterile technique during insertion of a urinary
catheter
4. The nurse is caring for a group of hospitalized clients, which client is at greatest risk
for acquired a healthcare associated infection: 80yr old client with poor nutrition
5. The nurse is preparing to administer insulin to a patient which action by the
nurse demonstrates the proper medical/clean asepsis technique: applying clean
gloves
6. Airborne patient with tuberculosis is placed in isolation precaution which
barrier protection is required to care for this patient: N95 respirator
7. Which nursing intervention requires the use of sterile/surgical aseptic technique to
prevent a client form acquiring a healthcare associated infection: inserting a urinary
catheter
8. Nurse is caring for a client being treated for an absess on the leg, the nurse is aware
that a systemic infection can develop when treating for a localized infection has failed.
What signs will alert the nurse that a client might have a systemic infection, select 3 that
apply: lethargy, confusion, anorexia
9. Nurse is caring for an immobile client which assessment finding requires
immediate intervention by the nurse: unilateral calf edema
10. The nurse is caring for a client with limited mobility which intervention is effective in
the prevention of urinary complications: offering toileting every 2hrs
11. The nurse puts elastic stocking on a client following surgery, what is the purpose of
this intervention: to promote venous return
12. The nurse is caring for a client who has loss of sensation and feeling in the left lower
extremity following a stroke which nursing intervention is best to prevent foot drop
form developing: dorsi flexion
13. the client is admitted to the hospital with several fractures and is placed on bed rest,
which interventions are implemented to prevent complications of bed rest, select 3
that apply: involve them in their care, assist with range of motion and apply anti-
embolism stocking to promote venous return
14. the nurse teaches a client how to use an incentive spirometer, which statement by
the client requires further education by the nurse: I will blow air into the mouth piece.
15. the client has been in bed for several days and needs to be ambulated, which nursing
intervention is most appropriate for ambulating this client: dangling their feet
16. the nurse fails to give a medication to a client but documents in the clients EHR that
it has been given which ethical principle has the nurse violated: veracity
1. The nurse is preparing to teach a patient diagnosed with cdiff about their condition,
which instructions will the nurse include; select 3 that apply : cdiff is spread by contact
(contact precautions), all visitors must wear a gown and a glove, stay in the room as
much as possible.
2. The nurse is caring for an immunocompromised client who requires protective
isolation, which measure will the nurse implement for infection control: you want to
ensure the client wears a mask when leaving the room
3. Which nursing action interrupts the chain of infection at the port of entry to a
susceptible client: using a sterile technique during insertion of a urinary
catheter
4. The nurse is caring for a group of hospitalized clients, which client is at greatest risk
for acquired a healthcare associated infection: 80yr old client with poor nutrition
5. The nurse is preparing to administer insulin to a patient which action by the
nurse demonstrates the proper medical/clean asepsis technique: applying clean
gloves
6. Airborne patient with tuberculosis is placed in isolation precaution which
barrier protection is required to care for this patient: N95 respirator
7. Which nursing intervention requires the use of sterile/surgical aseptic technique to
prevent a client form acquiring a healthcare associated infection: inserting a urinary
catheter
8. Nurse is caring for a client being treated for an absess on the leg, the nurse is aware
that a systemic infection can develop when treating for a localized infection has failed.
What signs will alert the nurse that a client might have a systemic infection, select 3 that
apply: lethargy, confusion, anorexia
9. Nurse is caring for an immobile client which assessment finding requires
immediate intervention by the nurse: unilateral calf edema
10. The nurse is caring for a client with limited mobility which intervention is effective in
the prevention of urinary complications: offering toileting every 2hrs
11. The nurse puts elastic stocking on a client following surgery, what is the purpose of
this intervention: to promote venous return
12. The nurse is caring for a client who has loss of sensation and feeling in the left lower
extremity following a stroke which nursing intervention is best to prevent foot drop
form developing: dorsi flexion
13. the client is admitted to the hospital with several fractures and is placed on bed rest,
which interventions are implemented to prevent complications of bed rest, select 3
that apply: involve them in their care, assist with range of motion and apply anti-
embolism stocking to promote venous return
14. the nurse teaches a client how to use an incentive spirometer, which statement by
the client requires further education by the nurse: I will blow air into the mouth piece.
15. the client has been in bed for several days and needs to be ambulated, which nursing
intervention is most appropriate for ambulating this client: dangling their feet
16. the nurse fails to give a medication to a client but documents in the clients EHR that
it has been given which ethical principle has the nurse violated: veracity
