fundamentals test bank Comprehensive Test
Bank: 500 Questions with Verified Answers,
Exams
A nurse is assessing a patient's skin. Which patient is most at risk for impaired skin integrity?
a. A patient who is afebrile
b. A patient who is diaphoretic
c. A patient with strong pedal pulses
d. A patient with adequate skin turgor b. A patient who is diaphoretic
The nurse caring for a patient who is immobile frequently checks for impaired skin integrity.
What is the rationale for the nurse's action?
a. Inadequate blood flow leads to decreased tissue ischemia.
b. Patients with limited caloric intake develop thicker skin.
c. Pressure reduces circulation to affected tissue.
d. Verbalization of skin care needs is decreased. c. Pressure reduces circulation to affected
tissue.
The nurse is caring for a patient diagnosed with diabetes mellitus and circulatory insufficiency,
who is also experiencing peripheral neuropathy and urinary incontinence. On which areas does
the nurse focus care?
a. Decreased pain sensation and increased risk of skin impairment
b. Decreased caloric intake and accelerated wound healing c. High risk for skin infection and low
saliva pH level
d. High risk for impaired venous return and dementia a. Decreased pain sensation and
increased risk of skin impairment
The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in
place. What should the nurse do to prevent skin impairment?
a. Assess surfaces exposed to the edges of the cast for pressure areas.
b. Keep the patient's blood pressure low to prevent overperfusion of tissue.
c. Do not allow turning in bed because that may lead to re-dislocation of the leg.
d. Restrict the patient's dietary intake to reduce the number of times on the bedpan. a.
Assess surfaces exposed to the edges of the cast for pressure areas.
1|Page
,Which action by the nurse will be the most important for preventing skin impairment in a
mobile patient with local nerve damage?
a. Insert an indwelling urinary catheter.
b. Limit caloric and protein intake.
c. Turn the patient every 2 hours.
d. Assess for pain during a bath. d. Assess for pain during a bath.
After performing foot care, the nurse checks the medical record and discovers that the patient
has a disorder on the sole of the foot caused by a virus. Which condition did the nurse most
likely observe?
a. Corns
b. A callus
c. Plantar warts
d. Athlete's foot c. Plantar warts
The nurse is caring for a patient diagnosed with diabetes who is reporting severe foot pain due
to corns. The patient has been using oval corn pads to self-treat the corns. Which information
will the nurse share with the patient?
a. Corn pads are an adequate treatment and should be continued.
b. The patient should avoid soaking the feet before using a pumice stone.
c. The current self-treatment is likely impeding with circulation to the toes.
d. Tighter shoes would help to compress the corns and make them smaller. c. The current
self-treatment is likely impeding with circulation to the toes.
The patient diagnosed with athlete's foot (tinea pedis) states that he is relieved because it is
only athlete's foot, and it can be treated easily. Which information about this condition should
the nurse consider when formulating a response to the patient?
a. It is contagious with frequent recurrences.
b. It is most helpful to air-dry feet after bathing.
c. It is treated with salicylic acid.
d. It is caused by lice. a. It is contagious with frequent recurrences.
When assessing a patient's feet, the nurse notices that the toenails are thick and separated
from the nail bed. What does the nurse most likely suspect is the cause of this condition?
a. Fungi
b. Friction
c. Nail polish
d. Nail polish remover a. Fungi
2|Page
,The nurse is providing education about the importance of proper foot care to a patient
diagnosed with diabetes mellitus. Which primary goal is the nurse trying to achieve? a.
Prevention of plantar warts
b. Prevention of foot fungus
c. Prevention of neuropathy
d. Prevention of amputation d. Prevention of amputation
The nurse is providing oral care to an unconscious patient and notes that the patient has
extremely bad breath. Which term will the nurse use when reporting to the oncoming shift?
a. Cheilitis
b. Halitosis
c. Glossitis
d. Dental caries b. Halitosis
The nurse is caring for a patient diagnosed with diabetes. Which task will the nurse assign to the
nursing assistive personnel?
a. Providing nail care
b. Teaching foot care
c. Making the patient's bed
d. Determining aspiration riskc. Making the patient's bed
The patient is being treated for cancer with weekly radiation therapy to the head and
intravenous chemotherapy treatments. Which assessment is the priority?
a. Feet
b. Nail beds
c. Perineum
d. Oral cavity d. Oral cavity
The nurse is providing oral care to an unconscious patient. Which action should the nurse take
to protect the patient from injury?
a. Moisten the mouth using lemon-glycerin sponges.
b. Hold the patient's mouth open with gloved fingers.
c. Use foam swabs to help remove plaque.
d. Suction the oral cavity d. Suction the oral cavity
The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the
nurse include in the teaching session?
a. Using waxed floss prevents bleeding
b. Flossing removes plaque and tartar from the teeth
c. Performing flossing at least 3 times a day is beneficial
d. Applying toothpaste to the teeth before flossing is harmful b. Flossing removes plaque
and tartar from the teeth
3|Page
, The nurse is teaching the parents of a child who has head lice (pediculosis capitis). Which
information will the nurse include in the teaching session?
a. Treatment is use of regular shampoo.
b. Products containing lindane are most effective.
c. Head lice may spread to furniture and other people.
d. Manual removal is not a realistic option as treatment. c. Head lice may spread to furniture
and other people.
A patient has scaling of the scalp. Which term will the nurse use to report this finding to the
oncoming staff?
a. Dandruff
b. Alopecia
c. Pediculosis
d. Xerostomia a. Dandruff
A nurse is providing a bath. In which order will the nurse clean the body, beginning with the first
area? 1. Face 2. Eyes 3. Perineum 4. Arm and chest 5. Hands and nails 6. Back and buttocks 7.
Abdomen and legs
a. 1, 2, 5, 4, 7, 6, 3
b. 2, 1, 4, 5, 7, 3, 6
c. 2, 1, 5, 4, 6, 7, 3
d. 1, 2, 4, 5, 3, 7, 6 b. 2, 1, 4, 5, 7, 3, 6
the nurse is caring for a patient who has multiple ticks on lower legs and body. What should the
nurse do to rid the patient of ticks?
a. Use blunt tweezers and pull upward with steady pressure. b. Burn the ticks with a match or
small lighter.
c. Allow the ticks to drop off by themselves.
d. Apply miconazole and cover with plastic. a. Use blunt tweezers and pull upward with steady
pressure
The nurse is providing oral care to a patient. In which order will the nurse clean the oral cavity,
starting with the first area? 1. Roof of mouth, gums, and inside cheek 2. Chewing and inner
tooth surfaces 3. Outer tooth surfaces 4. Tongue a. 4, 1, 3, 2
b. 3, 2, 4, 1
c. 2, 3, 1, 4
d. 1, 4, 2, 3 c. 2, 3, 1, 4
The nurse is caring for an older-adult patient diagnosed with Alzheimer's disease who is
ambulatory but requires total assistance with activities of daily living (ADLs). The nurse notices
that the patient is edentulous. Which area should the nurse assess?
a. Assess oral cavity.
b. Assess room for drafts.
4|Page
Bank: 500 Questions with Verified Answers,
Exams
A nurse is assessing a patient's skin. Which patient is most at risk for impaired skin integrity?
a. A patient who is afebrile
b. A patient who is diaphoretic
c. A patient with strong pedal pulses
d. A patient with adequate skin turgor b. A patient who is diaphoretic
The nurse caring for a patient who is immobile frequently checks for impaired skin integrity.
What is the rationale for the nurse's action?
a. Inadequate blood flow leads to decreased tissue ischemia.
b. Patients with limited caloric intake develop thicker skin.
c. Pressure reduces circulation to affected tissue.
d. Verbalization of skin care needs is decreased. c. Pressure reduces circulation to affected
tissue.
The nurse is caring for a patient diagnosed with diabetes mellitus and circulatory insufficiency,
who is also experiencing peripheral neuropathy and urinary incontinence. On which areas does
the nurse focus care?
a. Decreased pain sensation and increased risk of skin impairment
b. Decreased caloric intake and accelerated wound healing c. High risk for skin infection and low
saliva pH level
d. High risk for impaired venous return and dementia a. Decreased pain sensation and
increased risk of skin impairment
The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in
place. What should the nurse do to prevent skin impairment?
a. Assess surfaces exposed to the edges of the cast for pressure areas.
b. Keep the patient's blood pressure low to prevent overperfusion of tissue.
c. Do not allow turning in bed because that may lead to re-dislocation of the leg.
d. Restrict the patient's dietary intake to reduce the number of times on the bedpan. a.
Assess surfaces exposed to the edges of the cast for pressure areas.
1|Page
,Which action by the nurse will be the most important for preventing skin impairment in a
mobile patient with local nerve damage?
a. Insert an indwelling urinary catheter.
b. Limit caloric and protein intake.
c. Turn the patient every 2 hours.
d. Assess for pain during a bath. d. Assess for pain during a bath.
After performing foot care, the nurse checks the medical record and discovers that the patient
has a disorder on the sole of the foot caused by a virus. Which condition did the nurse most
likely observe?
a. Corns
b. A callus
c. Plantar warts
d. Athlete's foot c. Plantar warts
The nurse is caring for a patient diagnosed with diabetes who is reporting severe foot pain due
to corns. The patient has been using oval corn pads to self-treat the corns. Which information
will the nurse share with the patient?
a. Corn pads are an adequate treatment and should be continued.
b. The patient should avoid soaking the feet before using a pumice stone.
c. The current self-treatment is likely impeding with circulation to the toes.
d. Tighter shoes would help to compress the corns and make them smaller. c. The current
self-treatment is likely impeding with circulation to the toes.
The patient diagnosed with athlete's foot (tinea pedis) states that he is relieved because it is
only athlete's foot, and it can be treated easily. Which information about this condition should
the nurse consider when formulating a response to the patient?
a. It is contagious with frequent recurrences.
b. It is most helpful to air-dry feet after bathing.
c. It is treated with salicylic acid.
d. It is caused by lice. a. It is contagious with frequent recurrences.
When assessing a patient's feet, the nurse notices that the toenails are thick and separated
from the nail bed. What does the nurse most likely suspect is the cause of this condition?
a. Fungi
b. Friction
c. Nail polish
d. Nail polish remover a. Fungi
2|Page
,The nurse is providing education about the importance of proper foot care to a patient
diagnosed with diabetes mellitus. Which primary goal is the nurse trying to achieve? a.
Prevention of plantar warts
b. Prevention of foot fungus
c. Prevention of neuropathy
d. Prevention of amputation d. Prevention of amputation
The nurse is providing oral care to an unconscious patient and notes that the patient has
extremely bad breath. Which term will the nurse use when reporting to the oncoming shift?
a. Cheilitis
b. Halitosis
c. Glossitis
d. Dental caries b. Halitosis
The nurse is caring for a patient diagnosed with diabetes. Which task will the nurse assign to the
nursing assistive personnel?
a. Providing nail care
b. Teaching foot care
c. Making the patient's bed
d. Determining aspiration riskc. Making the patient's bed
The patient is being treated for cancer with weekly radiation therapy to the head and
intravenous chemotherapy treatments. Which assessment is the priority?
a. Feet
b. Nail beds
c. Perineum
d. Oral cavity d. Oral cavity
The nurse is providing oral care to an unconscious patient. Which action should the nurse take
to protect the patient from injury?
a. Moisten the mouth using lemon-glycerin sponges.
b. Hold the patient's mouth open with gloved fingers.
c. Use foam swabs to help remove plaque.
d. Suction the oral cavity d. Suction the oral cavity
The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the
nurse include in the teaching session?
a. Using waxed floss prevents bleeding
b. Flossing removes plaque and tartar from the teeth
c. Performing flossing at least 3 times a day is beneficial
d. Applying toothpaste to the teeth before flossing is harmful b. Flossing removes plaque
and tartar from the teeth
3|Page
, The nurse is teaching the parents of a child who has head lice (pediculosis capitis). Which
information will the nurse include in the teaching session?
a. Treatment is use of regular shampoo.
b. Products containing lindane are most effective.
c. Head lice may spread to furniture and other people.
d. Manual removal is not a realistic option as treatment. c. Head lice may spread to furniture
and other people.
A patient has scaling of the scalp. Which term will the nurse use to report this finding to the
oncoming staff?
a. Dandruff
b. Alopecia
c. Pediculosis
d. Xerostomia a. Dandruff
A nurse is providing a bath. In which order will the nurse clean the body, beginning with the first
area? 1. Face 2. Eyes 3. Perineum 4. Arm and chest 5. Hands and nails 6. Back and buttocks 7.
Abdomen and legs
a. 1, 2, 5, 4, 7, 6, 3
b. 2, 1, 4, 5, 7, 3, 6
c. 2, 1, 5, 4, 6, 7, 3
d. 1, 2, 4, 5, 3, 7, 6 b. 2, 1, 4, 5, 7, 3, 6
the nurse is caring for a patient who has multiple ticks on lower legs and body. What should the
nurse do to rid the patient of ticks?
a. Use blunt tweezers and pull upward with steady pressure. b. Burn the ticks with a match or
small lighter.
c. Allow the ticks to drop off by themselves.
d. Apply miconazole and cover with plastic. a. Use blunt tweezers and pull upward with steady
pressure
The nurse is providing oral care to a patient. In which order will the nurse clean the oral cavity,
starting with the first area? 1. Roof of mouth, gums, and inside cheek 2. Chewing and inner
tooth surfaces 3. Outer tooth surfaces 4. Tongue a. 4, 1, 3, 2
b. 3, 2, 4, 1
c. 2, 3, 1, 4
d. 1, 4, 2, 3 c. 2, 3, 1, 4
The nurse is caring for an older-adult patient diagnosed with Alzheimer's disease who is
ambulatory but requires total assistance with activities of daily living (ADLs). The nurse notices
that the patient is edentulous. Which area should the nurse assess?
a. Assess oral cavity.
b. Assess room for drafts.
4|Page
