AM
FUNDAMENTALS OF NURSING EXAM 2
EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
1) The nurse is d
inserting a Rationale: During the insertion of the
nasogastric tube in nasogastric tube, if the client experiences
an adult client. difficulty breathing or any respiratory
During the distress, withdraw the tube slightly, stop
procedure, the client the tube advancement, and wait until the
begins to cough distress subsides. It is not necessary to
and has difficulty notify the HCP immediately or remove the
breathing. What is tube completely. Quick inserting the tube
the most is not an appropriate action because, in
appropriate action? this situation, it is likely that the tube has
a. Insert the tube entered the bronchus.
quickly.
b. Notify the
health care
provider
immediately.
c. Remove the tube
and reinsert it when
the respiratory
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AM
distress subsides.
d. Pull back on the tube
and wait until the
respiratory distress
subsides.
2) The nurse receives a
a telephone call from Rationale: The first action of the nurse is
the post anesthesia to assess the patency of the airway and
care unit stating that respiratory function. If the airway is not
a client is being patent, the nurse must take immediate
transferred to the measures for the survival of the client.
surgical unit. The The nurse then takes vital signs followed
nurse plans to take by checking the dressing and the tubes or
which action first drains. The other nursing actions should
on arrival of the be performed after a patent airway has
client? been established.
a. Assess the patency
of the airway
b. Check tubes or
drains for patency
c. Check the
dressing to
assess for
bleeding
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d.Assess the vital
signs to compare
with preoperative
measurements
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3) The nurse is a
administering a Rationale: For administering an enema,
cleansing enema to the client is placed in a left Sims' position
a client with a fecal so that the enema solution can flow by
impaction. Before gravity in the natural direction of the
administering the colon. The head of the bed is not
enema, the nurse elevated in the Sims' position.
should place the
client in which
position?
a. Left Sims' position
b. Right Sims' position
c. On the left side of
the body, with the
head of the bed
elevated 45
degrees
d. On the right side
of the body, with
the head of the
bed elevated 45
degrees.
4) The nurse is c
preparing to insert a Rationale: During insertion of a
nasogastric tube nasogastric tube, the client is placed in a
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