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RN Fundamentals 2019
Total Questions : 60
Showing 60 questions, Sign in for moreA nurse is assessing the skin of a client who has worked outdoors for the past 20 years.
Which of the following findings is the nurse's priority?
A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin.
Which of the following actions should the nurse plan to complete first?
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the form?
A nurse is assisting in the fixation of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
A nurse is preparing to insert an IV catheter for a client following a right mastectomy.
Which of the following veins should the nurse select when initiating IV therapy?
A nurse is reviewing the medical record of a client who asks about the use of magnet therapy for pain relief. The nurse should identify that which of the following findings is a contraindication for receiving this type of therapy?
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MP of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
A nurse is caring for a client who has wrist restraints after an episode of violent behavior.
Which of the following actions should the nurse take?
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the lowing actions should the nurse take first?
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse perform?
A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which of the following findings should indicate to the nurse that the compress has been effective?
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
24. A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps.
(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Explanation
Choice A rationale:
Checking for areas of tenderness helps to identify any inflammation, infection, or injury in the abdominal cavity.
Choice B rationale:
Listening to the abdominal arteries helps to detect any bruits or abnormal sounds that may indicate vascular problems.
Choice C rationale:
Providing adequate lighting allows the nurse to inspect the abdomen for any abnormalities, such as distension, scars, or lesions.
Choice D rationale:
Percussing the abdomen helps to assess the size and density of the organs, as well as to detect any fluid or gas accumulation.
Choice E rationale:
Locating the liver and spleen borders helps to determine if they are enlarged or displaced.
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings shows the nurse that the client has hyperglycemia?
A nurse is preparing to administer a controlled substance to a client for pain management.
Which of the following actions should the nurse take?
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
A nurse is delegating cli care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, "I'm worried about that bag." Which of the following is an appropriate response by the nurse?
A nurse is caring for a client who refuses to follow the provider's prescription for strict bed rest. The nurse overhears an assistive personnel (AP) tell the client, "If you do not remain in bed, I will place you in restraints." The nurse should identify that the AP is committing which of the following torts?
A nurse is planning care for a female client who has an indwelling urinary catheter.
Which of the following actions should the nurse include in the plan?
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube.
Which of the following is an unexpected finding?
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions the nurse take?
A nurse is reviewing the medical record for a newly admitted client. Which of the following laboratory values should the nurse report to the provider?
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery.
Which of the following actions is appropriate the client's plan of care?
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working client?
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
A nurse is implementing seizure precautions for a client who has a seizure disorder.
Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
A nurse is preparing to obtain a consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
A nurse is caring for a client who is postoperative and asks the nurse, "When will I get to go home? I'm not sure what happens next." Which of the following actions should the nurse take?
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse requires documentation?
A nurse is preparing a medication from a vial for a subcutaneous injection for a client.
Which of the following actions should the nurse perform?
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
A nurse is mixing a short-acting insulin and an intermediate-acting insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?
A nurse is planning care for a client who is scheduled for an intravenous pyelogram.
Which of the following actions is appropriate for the nurse to include?
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
A nurse is teaching a client how to self-administer daily low-dose heparin injections.
Which of the following factors is most likely to increase client's motivation to learn?
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
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