NUR FUNDAMENTAL TEST QUESTIONS WITH ANSWERS GRADED A

NUR FUNDAMENTAL TEST QUESTIONS WITH ANSWERS GRADED AFundamental Test 5 Questions and Answer
The nurse is completing an intake and output sheet for the patient. Which will the nurse include
in the output?
Answer: Emesis
A patient has an infiltrated peripheral IV. The nurse knows that the primary difference between
the symptoms of infiltration and phlebitis at the site infiltration is
Answer: Redness
A client has severe first, second, and third-degree burns. Intravenous fluids were initiated upon
admission 2 hours ago. You are preparing to review her electrolyte results. Which electrolyte do
you anticipate will be elevated?
Answer: Potassium
A client is diagnosed with alkalosis. Which laboratory finding would you expect?
Answer: 7.48
A patient complains of chills, dizziness, and feeling hot during a blood transfusion. The nurse’s
appropriate and first action is to
Answer: Stop the blood transfusion, check the patient’s vital sign
A nurse is collecting data from a client who has hypercalcemia as a result of long-term use of
glucocorticoids. Which of the following should the nurse expect?
Answer: Confusion
The nurse is caring for a postoperative bowel resection patient. The nurse remembers that body
fluids maintain balance through homeostasis, which includes the processes of
Answer:
A patient presents to the emergency department diaphoretic and with a fever of 104 F. The nurse
recalls that these signs indicate
Answer: Sensible water loss.
The nurse delegates the task of intake and output to a new nursing assistant. The nurse knows
that the assistant understands the task when the assistant states.
Answer: I’ll record the amount of urine
The body’s fluid and electrolyte balance is maintained partially by hormonal regulation. The
nurse conveys an understanding of this mechanism in which of the following statements?
Answer: The pituitary gland secretes antidiuretic hormone
The phase of healing during which granulation tissue forms in a wound is the
Answer: Inflammation phase
When selecting a site for IV placement the most appropriate action for the nurse is to
Answer: Use the most distal part of the vein
A patient complains of shortness of breath and is expectorating pink frothy sputum. The nurse
would assess for further signs and symptoms of
Answer: Fluid Overload
The nurse is completing an intake and output sheet for the patient. Which will the nurse include
in the output?
Answer: Emesis
A nurse is planning care for a client who has hypernatremia. Which of the following actions
should the nurse anticipate including in the plan of care?
Answer: Infuse Hypotonic IV fluids
A patient’s arterial blood gas levels indicate a pH of 7.51. PaCO2 of 40 mm Hg, PaO2 if 85 mm
Hg. and HCO3 of 32 mEq/1. The patient has been vomiting. The nurse knows the patient is
suffering from it.
Answer: Metabolic Alkalosis
You observed pink drainage from a client’s wound. You would describe this as
Answer: Purulent
Which of the following assessment findings make it impossible to stage a pressure injury?
Answer: Initiating continuous cardiac monitoring
When teaching a client about ways to avoid fluid over-load, the nurse explains that it is best to
eat a diet that is low in
Answer: Sodium
A nurse is caring for an older adult client who is at risk for developing pressure injury. Which of
the following interventions should the nurse use to help maintain the integrity of the client’s
skin?
Answer: Keep the head of the bed elevated 30 degrees
Extra Questions and Answers:
48)The nurse is admitting a patient to a hospital unit. When admitting the patient, the nurse
should
Answer: Address the patient by his or her surname
38)A patient tells you that he is allergic to a muscle relaxer because it makes him sleep all day.
You know that this is a common side effect of this medication. What action will you take?
Answer: Notify the physician immediately of the allergy and check for blood levels of the
drug in the chart.
16) Your patient has been discharged from the hospital, Remaining in the room are an IV Pump
and a hemostat, a metal hinged instrument used to clamp off tubes or blood vessels. Which
action will you take?
Answer: Clean the pump with disinfectant and rinse the hemostat in cool or warm water
before sending it to be sterilized
9) All patients undergoing surgery need to have preoperative preparation. When physically
preparing the patient, the most appropriate action for the nurse to take is
Answer: removing the patient’s hearing aid before transport to the operating room
43)When transferring your client, which of the following is the NOT nursing responsibility of
the nurse at the transferring clinic?
Answer: Complete a transfer form for the receiving facility
14) A new mother is breast-feeding her infant. The nurse asks the mother if she is getting the
correct amounts of dietary reference intakes. The nurse knows the mother understands dietary
guidelines when she states:
Answer: I am eating the correct amount of food according to the recommended dietary
allowances and intakes.
32) Which of the following actions are essential steps of the admission procedure of a client with
acute cholecystitis?
Answer: Introduce and Orient the client to his/her room and surroundings
21) The nurse takes additional time getting to know a patient admitted for surgery because
Answer: The nurse believes that establishing rapport with a patient leads to a trusting
nurse-patient relationship.
28) An adolescent is embarrassed to be examined by the nurse. The most appropriate response
by the nurse would be to say:
Answer: This is necessary part of your assessment, but I will keep you covered up as much
as possible
50) After specimens are drawn, they must
Answer: Be labeled, signed, dated, timed and sent to the lab

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