Fundamental Exam 1 review
1. The nurse is caring for a client with surgical incision. Which action
should the nurse take to BEST reduce the client’s risk of infection?
A. Applying heat to promote the inflammatory process
B. Utilizing strict aseptic technique when changing dressing
C. Assessing body temperature at regular intervals
D. Ensuring the wound does not have any redness or drainage
2. The nurse is caring for a client with an active case if TB and is
positive for methicillin resistant staphylococcus aureus (MRSA) in a
wound on their foot. Which isolation practice(s) should the nurse use
when caring for this client? Select all that apply
A. Wear gloves when providing care
B. Wear a surgical mask when providing care
C. Wear a gown when providing care
D. Wear an N95 respirator when providing care
E. Isolate the client in a private room
3. The nurse is caring for a group of clients. Which situation would
require the nurse wear gloves? select all that apply.
A. when documenting at the nurses station
B. When administering a subcutaneous injection
C. When emptying urine from an indwelling urine collection
bag
D. When collecting dirty linens.
E. When emptying an ostomy pouch
F. When providing oral care
4. The laboratory department calls the nurse to inform them that one of
their clients is positive for meningitis. Which type of isolation
precautions will the nurse plan to initiate?
A. standard.
B. contact.
C. Airborne.
D. Droplet
6. The nurse is preparing to feed a client. For which position should the
nurse plays a client?
A. Side-lying
B. Prone.
C. Supine.
D. High-fowlers
, Fundamental Exam 1 review
7. The nurse is caring for multiple clients with infection diseases. Which
client should the nurse wear an N 95 respiratory mask when
providing care in theclients room?
A. The client with pertussis.
B. The client with mycoplasma pneumonia.
C. The client with respiratory syncytial virus
D. The client with active tuberculosis.
8. A nurse is preparing for a sterile procedure. Which action will the
nurse plan to take to maintain sterility? Select all that apply.
A. Set up the sterile field many hours before the procedure
B. Hold sterile items above waist level at all times.
C. Ensure that sterile field remains dry during the procedure.
D. Play sterile items in the middle of the sterile.
E. Unfold the sterile package starting with the flap furthest
away.
9. The nurse is caring for a client who is short of breath with
respirations of 22 breath per minute after walking back to bed from
the bathroom. What nursing diagnosis is best for the nurse to
incorporate into the plan of care?
A. Activity intolerance.
B. Impaired airway clearance.
C. Self-care deficit.
D. Ineffective breathing pattern.
10. The nurses is caring for a client who is on bedrest. The nurse should monitor for which
complication? Select all that apply.
A. Pressure ulcer formation.
B. Diarrhea.
C. Respiratory complications.
D. Increased muscle mass.
E. Blood clot (thrombus) formation.
1. The nurse is caring for a client with surgical incision. Which action
should the nurse take to BEST reduce the client’s risk of infection?
A. Applying heat to promote the inflammatory process
B. Utilizing strict aseptic technique when changing dressing
C. Assessing body temperature at regular intervals
D. Ensuring the wound does not have any redness or drainage
2. The nurse is caring for a client with an active case if TB and is
positive for methicillin resistant staphylococcus aureus (MRSA) in a
wound on their foot. Which isolation practice(s) should the nurse use
when caring for this client? Select all that apply
A. Wear gloves when providing care
B. Wear a surgical mask when providing care
C. Wear a gown when providing care
D. Wear an N95 respirator when providing care
E. Isolate the client in a private room
3. The nurse is caring for a group of clients. Which situation would
require the nurse wear gloves? select all that apply.
A. when documenting at the nurses station
B. When administering a subcutaneous injection
C. When emptying urine from an indwelling urine collection
bag
D. When collecting dirty linens.
E. When emptying an ostomy pouch
F. When providing oral care
4. The laboratory department calls the nurse to inform them that one of
their clients is positive for meningitis. Which type of isolation
precautions will the nurse plan to initiate?
A. standard.
B. contact.
C. Airborne.
D. Droplet
6. The nurse is preparing to feed a client. For which position should the
nurse plays a client?
A. Side-lying
B. Prone.
C. Supine.
D. High-fowlers
, Fundamental Exam 1 review
7. The nurse is caring for multiple clients with infection diseases. Which
client should the nurse wear an N 95 respiratory mask when
providing care in theclients room?
A. The client with pertussis.
B. The client with mycoplasma pneumonia.
C. The client with respiratory syncytial virus
D. The client with active tuberculosis.
8. A nurse is preparing for a sterile procedure. Which action will the
nurse plan to take to maintain sterility? Select all that apply.
A. Set up the sterile field many hours before the procedure
B. Hold sterile items above waist level at all times.
C. Ensure that sterile field remains dry during the procedure.
D. Play sterile items in the middle of the sterile.
E. Unfold the sterile package starting with the flap furthest
away.
9. The nurse is caring for a client who is short of breath with
respirations of 22 breath per minute after walking back to bed from
the bathroom. What nursing diagnosis is best for the nurse to
incorporate into the plan of care?
A. Activity intolerance.
B. Impaired airway clearance.
C. Self-care deficit.
D. Ineffective breathing pattern.
10. The nurses is caring for a client who is on bedrest. The nurse should monitor for which
complication? Select all that apply.
A. Pressure ulcer formation.
B. Diarrhea.
C. Respiratory complications.
D. Increased muscle mass.
E. Blood clot (thrombus) formation.
