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Worksheetsnursing fundamentals exam 1 prep #2
Total questions: 30
Worksheet time: 3hrs 30mins
A nurse is preparing to transfer a client who has left-sided weakness from the bed to a chair. Which of the following actions by the nurse demonstrates correct transfer technique?
Placing the client's left leg in front of the right leg just prior to the transfer
Aligning the nurse's knees with the client's knees just before the transfer
Positioning the chair slightly behind the nurse so that the seat faces the client's bed
Grasping the client under the axillae to assist them to their feet
A nurse is caring for a client who has a tracheostomy. Which of the following pieces of equipment should the nurse use when administering oxygen to this client?
An aerosol mask
A nasal cannula
A tracheostomy collar
Distilled water for humidification
A nurse is caring for a client who is having difficulty breathing. Which of the following actions should the nurse take first?
Provide the client with an incentive spirometer
Instruct the client to take a deep breath and cough
Elevate the head of the client's bed.
Reassess by auscultating the client's lungs.
A nurse is caring for a client who has Mycoplasma pneumoniae and has been placed on droplet precautions. Which of the following actions should the nurse take when caring for the client?
Put on clean gloves.
Protect their eyes.
Wear shoe covers.
Wear a respirator.
A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?
"Hold the crutches on your unaffected side when preparing to sit in a chair."
"Hold the crutches 9 inches in front of and to the side of each foot."
"Fully extend your arms when holding onto the hand grips."
"Lean on the crutches to support your body weight when standing."
A nurse is performing a cardiac assessment on a preschooler. The nurse should plan to auscultate the apical pulse at which of the following precordial landmarks?
At the second intercostal space, to the right of the sternum
At the fifth intercostal space, left of the midclavicular line
Left of the midclavicular line at the fourth intercostal space
Along the sternal border at the third intercostal space
A nurse is admitting a client who has heart failure. Which of the following tools should the nurse use to implement nursing interventions for the client?
Standard of care
Non-peer-reviewed sources
A PICOT question
Critical appraisal
After completing a procedure that requires donning personal protective equipment consisting of a gown, an N95 respirator, a face shield, and gloves, which of the following items should the nurse remove first?
The gown
The gloves
The face shield
The N95 respirator
A nurse is obtaining a client's blood pressure and notices the pressure reading on the manometer when listening to the fourth Korotkoff sound. Which of the following statements about the fourth Korotkoff sound is true?
It is the second diastolic pressure to record.
It corresponds to the client's systolic pressure.
It is the loudest of the Korotkoff sounds.
It might not follow with a fifth Korotkoff sound.
A nurse is caring for a client who has COPD. For which of the following inhalation medication delivery methods should the nurse assess the client's ability to inhale deeply?
Use of a nebulizer via a mask
Dry powder inhaler (DPI)
Nasal spray
Metered dose inhaler with attached spacer
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. The nurse should identify which of the following information as true regarding this type of IV route?
A PICC line is a long catheter inserted through the veins of the antecubital fossa.
A PICC line is a catheter that allows for infusion of IV fluids without an infusion pump.
A PICC line is a midline catheter used to administer blood.
A PICC line is a catheter that is used for emergent or trauma situations.
Contact precautions should be implemented for an adult client who has been hospitalized and has which of the following conditions?
Measles
Hepatitis B
Infectious diarrhea
Meningitis
A nurse is assessing the eye of a client who experienced a subconjunctival hemorrhage as a result of vomiting. Which of the following findings should the nurse expect?
Bulging eyes
Cloudy pupil
Drooping of the eyelid
Defined reddened area of the sclera
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which of the following is a NCSBN model that can assist the nurse with critical thinking and decision making?
Critical thinking
SMART goal
Clinical reasoning
Clinical judgement
A nurse is assessing fundal height of a client who is at 28 weeks of gestation. The nurse should measure the distance in centimeters between which two anatomical landmarks?
The symphysis pubis and the top of the fundus
The moms pubis and the umbilicus
The top of the fundus and the umbilicus
The moms pubis and the xiphoid process
A nurse is inspecting the sinuses of a client who has allergies. Which of the following findings should the nurse expect?
Yellow discharge
Bright red mucosa
Pale mucosa
Green discharge
A home health nurse is providing teaching to a client who has just started receiving oxygen therapy via mask. The nurse should include which of the following instructions?
"Make sure there is adequate condensation in the tubing."
"Apply petroleum jelly around and inside the nares."
"Clean the mask with soapy water once every other day."
"Reposition the elastic band frequently."
A nurse is teaching a newly licensed nurse about using credible databases for research studies. Which of the following sources should the nurse include?
A local newspaper repository
A personal podcast
A peer-reviewed journal
An internet website with a .com domain
A nurse is performing an annual physical examination on an adolescent. Which of the following should the nurse include in the general survey?
The adolescent demonstrates fine motor coordination
The adolescent is able to read small print at a distance of 14 inches.
The adolescent's deep tendon reflexes are 2+ bilaterally.
The adolescent makes good eye contact.
A nurse is teaching a newly licensed nurse about the purpose of peer review in scholarly publications. Which of the following statements should the nurse make?
"This process relies on the internet to verify the accuracy of the information."
"This process ensures evidence can be translated to client care situations."
"This process involves financial reimbursement that can bias the results."
"This process ensures scientific quality and rigor."
A nurse is preparing to perform a physical examination on a 10-year-old child. Which of the following interventions should the nurse plan to implement?
Play games while performing the physical examination.
Explain how the equipment works using correct medical terminology.
Allow the child to touch and play with the equipment.
Discuss the benefits of performing the examination with the child.
A nurse is providing an in-service about research methods for a group of nurses. Which of the following methods provides the most credible evidence to support practice changes?
A qualitative research study
A randomized control study
A presentation by an expert at an international conference
A systematic review summarizing findings of studies
A nurse is preparing to administer several medications to a client who is receiving enteral feedings through a small bore nasogastric tube. Which of the following actions should the nurse take to ensure the medications are administered correctly?
Lower the syringe to facilitate instillation of the medication.
Infuse each medication by gravity and flush with water before and after instillation.
Add crushed medications to the enteral tube feedings and infuse via an electronic pump.
Administer medications through a 5-mL syringe.
A nurse in the emergency department has received report on a child who has a laceration to the right calf. Which of the following steps of the nursing process should the nurse perform first?
Analysis
Evaluation
Assessment
Planning
Which of the following actions should the nurse take to maintain standard precautions?
Disinfect hands immediately after removing gloves.
Use an antimicrobial soap for routine handwashing.
Keep gloves on when touching environmental surfaces.
Rinse gloves that become visibly soiled during use.
A nurse is caring for a client who has a prescription for aspirin 81 mg PO scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Rights of Medication Administration?
The nurse documents that the aspirin was given at 0825.
The nurse identifies the client by stating the client's name as written on the medication administration record.
The nurse opens the 81 mg aspirin unit dose package prior to entering the client's room.
The nurse performs the first check of the correct dosage at the client's bedside.
A nurse is observing an assistive personnel (AP) who is using a mechanical lift with a hammock sling to transfer a client from the bed to a chair. For which of the following actions by the AP should the nurse intervene?
The AP locks the hydraulic valve before attaching the sling to the lift.
The AP leaves the bed in the lowest position throughout the procedure.
The AP raises the head of the bed to a sitting position just before transfer.
The AP places the cover over the sling.
A nursing student expresses a desire to become more involved with the nursing profession on a national level. Which of the following organizations should the student join?
The National Student Nurses' Association
The International Council of Nurses
The National League for Nursing
The National Academy of Medicine
A charge nurse is teaching a newly licensed nurse about the concept of team nursing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I have never worked in ICU. I cannot take care of ventilated clients."
"I will be caring for a group of clients with an assistive personnel."
"Nurses will pair together to care for an assigned group of clients."
"Nurses will be responsible for performing total care on clients."
A nurse is assessing a client's mouth. The nurse should identify that which of the following is an expected finding?
Large vein on the ventral surface of the tongue
Red spots on the hard palate
White patches on the tongue
Yellowing of the hard palate
