Fundamentals of Nursing EXAM 1 2025 Review GRADED A+ QUESTIONS WIT
H CORRECT ANSWERS GRADED A+
Fundamentals of nursing exam 1
A nurse caring for patients in a skilled nursing facility performs risk
assessments on the patients for foot and nail problems. Which patients would
be at a higher risk? Select all that apply.
a. A patient who is taking antibiotics for chronic bronchitis
b. A patient diagnosed with type II diabetes
c. A patient who is obese
d. A patient who has a nervous habit of biting his nails
e. A patient diagnosed with prostate cancer
f. A patient whose job involves frequent handwashing
b, c, d, f. Variables known to cause nail and foot problems include deficient self-care
abilities, vascular disease, arthritis, diabetes mellitus, history of biting nails or
trimming them improperly, frequent or prolonged exposure to chemicals or water,
trauma, ill-fitting shoes, and obesity.
Nurses performing skin assessments on patients must pay careful attention to
cleanliness, color, texture, temperature, turgor, moisture, sensation,
vascularity, and lesions. Which guidelines should nurses follow when
performing these assessments? Select all that apply.
a. Compare bilateral parts for symmetry.
b. Proceed in a toe-to-head systematic manner.
c. Use standard terminology to report and record findings.
d. Do not allow data from the nursing history to direct the assessment.
e. Document only skin abnormalities on the patient record.
f. Perform the appropriate skin assessment when risk factors are identified
a, c, f. When performing a skin assessment, the nurse should compare bilateral parts
for symmetry, use standard terminology to report and record findings, and perform
the appropriate skin assessment when risk factors are identified. The nurse should
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proceed in a head-to-toe systematic manner, and allow data from the nursing history
to direct the assessment. When documenting a physical assessment of the skin, the
nurse should describe exactly what is observed or palpated, including appearance,
texture, size, location or distribution, and characteristics of any findings.
A nurse is caring for an adolescent with severe acne. Which recommendations
would be most appropriate to include in the teaching plan for this patient?
Select all that apply.
a. Wash the skin twice a day with a mild cleanser and warm water.
b. Use cosmetics liberally to cover blackheads.
c. Use emollients on the area.
d. Squeeze blackheads as they appear.
e. Keep hair off the face and wash hair daily.
f. Avoid sun-tanning booth exposure and use sunscreen.
a, e, f. Washing the skin removes oil and debris, hair should be kept off the face and
washed daily to keep oil from the hair off the face, and sunbathing should be avoided
when using acne treatments. Liberal use of cosmetics and emollients can clog the
pores. Squeezing blackheads is always discouraged because it may lead to
infection.
A nurse is performing oral care on a patient who is in traction. The nurse notes
that the mouth is extremely dry with crusts remaining after the oral care. What
should be the nurse's next action?
a. Make a recommendation for the patient to see an oral surgeon.
b. Report the condition to the primary care provider.
c. Gently scrape the oral cavity with a tongue depressor.
d. Increase the frequency of the oral hygiene and apply e. mouth moisturizer to
oral mucosa.
d. If the mouth is extremely dry with crusts that remain after oral care provided, the
nurse should increase frequency of oral hygiene, apply mouth moisturizer to oral
mucosa, and monitor fluid intake and output to ensure adequate intake of fluid. It is
not necessary to report this condition prior to providing the interventions mentioned
above. The crusts should not be scraped with a tongue depressor.
A patient has an eye infection with a moderate amount of discharge. Which
action is an appropriate step for the nurse to perform when cleaning this
patient's eyes?
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Use hydrogen peroxide on a clean washcloth to wipe the eyes.
Wipe the eye from the outer canthus to the inner canthus.
Position the patient on the opposite side of the eye to be cleansed.
Cleanse the eye using a different section of the cleaning cloth for each stroke
until clean.
d
A nurse is providing foot care for patients in a long-term care facility. Which
actions are recommended guidelines for this procedure? Select all that apply.
a. Bathe the feet thoroughly in a mild soap and tepid water solution.
b. Soak the feet in warm water and bath oil.
c. Dry feet thoroughly, including the area between the toes.
d. Use an alcohol rub if the feet are dry.
e. Use an antifungal foot powder if necessary to prevent fungal infections.
f. Cut the toenails at the lateral corners when trimming the nail.
a, c, e. The following are recommended guidelines for foot care: bathe the feet
thoroughly in a mild soap and tepid water solution; dry feet thoroughly, including the
area between the toes; and use an antifungal foot powder if necessary to prevent
fungal infections. The nurse should avoid soaking the feet, use moisturizer if the feet
are dry, and avoid digging into or cutting the toenails at the lateral corners when
trimming the nails.
A nurse is assisting a patient with dementia with bathing. Which guideline is
recommended in this procedure?
a. Shift the focus of the interaction to the "process of bathing."
b. Wash the face and hair at the beginning of the bath.
c. Consider using music to soothe anxiety and agitation.
d.Do not perform towel baths or alternate forms of bathing with which the
patient is unfamiliar.
c. The nurse should consider the use of music to soothe anxiety and agitation. The
nurse should also shift the focus of the interaction from the "task of bathing" to the
needs and abilities of the patient, and focus on comfort, safety, autonomy, and self-
esteem, in addition to cleanliness. The nurse should wash the face and hair at the
end of the bath or at a separate time. Water dripping in the face and having a wet
head are often the most upsetting parts of the bathing process for people with
dementia. The nurse should also consider other methods for bathing. Showers and
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tub baths are not the only options in bathing. Towel baths, washing under clothes,
and bathing "body sections" one day at a time are other possible options
The nurse is preparing a client to be turned in bed. In what position would the
nurse place the client to begin this procedure?
lying flat
sitting up
lying flat with feet raised slightly
lying prone
lying flat
The nurse and an assistant are preparing to move a client up in bed. Arrange
the following steps in the correct order.
1. Adjust the head of the bed to a flat position.
2. Place a friction-reducing sheet under the client.
3. Ask the client to bend legs and place the chin on the chest.
4. Position the assistant on the side opposite you.
5. Remove all pillows from under the client.
6. Grasp the sheet and move the client on the count of 3.
A)
3, 1, 2, 4, 5, 6
B)
1, 2, 4, 3, 5, 6
C)