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Nursing fundamentals exam 1 prep #3

Total questions: 30

Worksheet time: 5hrs 0mins

Name
Class
Date
1.

A client drinks 8 oz of water. Which of the following is a correct conversion of the client's intake?

a)

240 mL

b)

2 cups

c)

1 pint

d)

4 tbsp

2.

A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include?

a)

The National Academy of Medicine developed the Healthy People campaign to improve the health of all Americans

b)

The American Nurses Association's The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions.

c)

The American Academy of Nursing requires members to have a doctorate degree in nursing to join.

d)

The National Student Nurses' Association is an organization created to encourage students to enter nursing.

3.

A nurse is auscultating the breath sounds of a client who has pneumonia and hears bronchial crackles. In which of the following areas of the chest is the nurse auscultating? You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.

a)

A

b)

B

c)

C

4.

A nurse asks a client to rate their current level of pain using a scale of 0 to 10 after administering pain medication 30 min ago. Which of the following steps of the nursing process is the nurse performing?

a)

Implementation

b)

Planning

c)

Analysis

d)

Evaluation

5.

A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart sounds. S2 heart sounds are heard when which of the following occurs?

a)

When the mitral valve snaps open

b)

When the atria contract vigorously

c)

When the semilunar valves close

d)

When the ventricular walls contract

6.

A nurse is performing an eye assessment on a client. Which of the following should the nurse identify as the cornea of the eye?

a)

Transparent layer that covers the iris and pupil

b)

Colored portion in the center of the eye

c)

Mucous membrane that lines the eyeball

d)

Outer layer of the eyeball

7.

A nurse is providing discharge teaching to a client who is going home on continuous liquid oxygen therapy. Which of the following instructions should the nurse include?

a)

"Ensure you are close to electricity when you use your oxygen tank."

b)

"Keep the oxygen tank at least 6 feet away from a heat source."

c)

"Turn the valve on the oxygen tank until an alarm sounds."

d)

"Place the oxygen tank in a clutter-free environment."

8.

A nurse is caring for a client who is receiving a medication that typically causes drowsiness. While assessing the client, the nurse notes that the medication has caused the client to become hyperactive. Which of the following terms describes the client's unexpected response to the medication?

a)

allergic response

b)

synergistic effect

c)

toxic effect

d)

Idiosyncratic effect

9.

A nurse is admitting a client who has had a stroke. Which of the following actions should the nurse take?

a)

Keep the client's bed in the lowest position.

b)

Place a towel on the client's bathroom floor.

c)

Keep the bedside table at the end of the client's bed

d)

Raise the four side rails of the client's bed.

10.

A nurse should identify that which of the following areas of the hands may require the use of an orangewood stick during the prescrub wash?

a)

The palm of each hand

b)

The back of the hands

c)

The area between each finger

d)

The area under each fingernail

11.

A nurse is preparing to administer an intradermal injection. Which of the following actions should the nurse take to ensure proper technique?

a)

Rub the injection site after withdrawing the needle.

b)

Pinch 0.5 inches of skin and administer the injection at a 45° angle.

c)

Choose a site that is at least 1 inch from the umbilicus.

d)

Use a tuberculin syringe with a 5/8-inch, 25-gauge needle.

12.

Which of the following is an advantage of using alcohol-based gel when completing hand hygiene?

a)

It takes less time to use than washing hands.

b)

It removes gross contamination better than soap and water.

c)

Its protective nature reduces the need for frequent hand washing.

d)

It provides adequate protection before surgical applications.

13.

A nurse is caring for a client who has a tracheostomy tube in place. During tracheostomy care, which of the following should the nurse place underneath the flange of the outer cannula?

a)

Commercially prepared fenestrated dressing.

b)

Commercially prepared transparent dressing.

c)

Cotton-filled gauze square.

d)

Twill tape.

14.

A nurse is providing client care using the nursing process. The nurse should identify that which of the following standards or guidelines includes this criterion?

a)

Standards of care.

b)

Standards of practice.

c)

Standard to plan nursing care.

d)

Clinical practicing guidelines.

15.

A nurse is providing teaching to the adult child of a client about instilling eye drops in the client's right eye. Which of the following statements by the client's adult child indicates an understanding of the teaching?

a)

"I should apply the medication using a thin stream from the inner canthus to the outer canthus."

b)

"I will have my parent look down while dropping the medication into their eye."

c)

"I will pull down my parent's lower eyelid and drop the medication inside."

d)

"I will instruct my parent to close their eye tightly for 30 to 60 seconds after the medication has been given."

16.

A nurse resides in a state that recently enacted the Nurse Licensure Compact (NLC). Which of the following information should the nurse identify as part of the NLC?

a)

The NLC allows a nurse to have a suspended license when practicing under a multistage license

b)

The NLC allows a nurse to practice across state lines with one license

c)

The NLC is not a good option for telehealth nursing

d)

The NLC requires a nurse to obtain a license for each state in which they want to practice

17.

A nurse is reviewing the contributions of various nursing organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides The Nursing Scope and Standards of Practice?

a)

The National Academy of Medicine

b)

The National Student Nurses Association (NSNA)

c)

The American Academy of Nursing

d)

The American Nurses Association (ANA)

18.

A nurse is caring for a client who requires a chest tube. The provider asks for the suction pressure of the closed chest drainage system to be set at -40 cm of water. Which of the following closed chest drainage systems should the nurse prepare for this client?

a)

mobile chest drain

b)

dry suction control system

c)

water seal system

d)

heimlich valve

19.

A nurse is assisting a client with ambulating around the nurses' station. Which of the following steps of the nursing process is the nurse performing?

a)

Evaluation

b)

Analysis

c)

Planning

d)

Implementation

20.

A nurse is performing a screening for scoliosis on a school-age child. Which of the following instructions should the nurse provide?

a)

"Stand facing me with your hands on your hips."

b)

"Bend forward with your knees straight and your arms dangling."

c)

"Bend your knees and touch your toes."

d)

"Lie on your stomach with your arms extended over your head."

21.

A nurse should recognize that which of the following findings is an indication for oxygen therapy?

a)

Sp02 90%

b)

Pa02 90 mm Hg

c)

Respiratory rate 32/min

d)

PaCO2 40 mm Hg

22.

A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report?

a)

The National Academy of Medicine

b)

American Association of Colleges of Nursing

c)

State Board of Nursing

d)

The American Nurses Association

23.

A nurse in the emergency department is caring for a client who has early-stage hypoxia not attributed to shock. Which of the following client findings should the nurse expect?

a)

elevated blood pressure

b)

cyanosis

c)

decreased respiratory rate

d)

peripheral edema

24.

A charge nurse is teaching a newly licensed nurse how to recognize manifestations of decreased oxygenation in a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

a)

"A client using thoracic breathing is experiencing a lack of oxygen."

b)

"A pulse oximeter reading of 95% indicates respiratory distress."

c)

"Clubbing of the fingers indicates a chronic state of impaired perfusion."

d)

"A pinkish hue on the cheeks of a client with light skin tone indicates they are struggling to breathe."

25.

A nurse is preparing to instill antibiotic ear drops into the ear of a 2-year-old child. Which of the following techniques should the nurse use when administering ear drops to this client?

a)

Pull the client's auricle down and back to open the canal when administering the ear drops.

b)

Apply sterile gloves prior to administration of the ear drops.

c)

Insert the tip of the dropper into the ear canal when administering the ear drops.

d)

Have the client maintain a side-lying position for 30 min after administration of the ear drops.

26.

A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurse's actions when they begin working?

a)

The National Student Nurses Association (NSNA)

b)

The National League for Nursing

c)

The state Nurse Practice Act

d)

American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements

27.

A nurse is reviewing historical nursing data and how it has impacted nursing care. The nurse should identify that which of the following nursing pioneers is credited with first using evidence-based practice in caring for clients?

a)

Eddie Bernice Johnson

b)

Clara Barton

c)

Florence Nightingale

d)

Dorthea Dix

28.

A charge nurse is observing a newly licensed nurse perform an anterior chest auscultation on a client. For which of the following actions should the charge nurse intervene?

a)

The nurse places the stethoscope on the intercostal spaces.

b)

The nurse asks the client to cough before beginning the auscultation.

c)

The nurse is auscultating through the client's gown.

d)

The nurse moves down the chest in a ladder sequence.

29.

A nurse is reviewing the licensing laws in their state of residence. Which of the following statements should the nurse use to define licensure

a)

Licensure protects the health and safety of patients

b)

Licensure protects a nurse from malpractice lawsuit

c)

Licensure limits the number of practicing nurses

d)

Licensure increases state revenue

30.

A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People initiative?

a)

It is a program for health care practitioners to get healthy.

b)

It is a rehabilitation program for clients who have substance use disorders.

c)

It is a set of objectives for improving the health of American lives.

d)

It is a social media platform for nurses.