Fundamentals Test 5 Practice Questions

A nurse is teaching a client who has a rheumatoid arthritis about self care strategies for managing the disease. which of the following activities should the nurse include in the teaching?

Press water from a sponge rather than wringing it

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Ask the client to push her feet against the nurses palms

A nurse is implementing direct nursing care for a group of clients in an acute care facility. which of the following actions by the nurse is considered an indirect nursing care activity?

Assigning tasks to an assistive personnel

A nurse is caring for a client who has late stage Alzheimer's disease and is hospitalized for treatment of pneumonia period during the night shift the client is found climbing into the bed of another client who becomes upset and frightened. which of the following actions should the nurse take?

Assist the client to the correct room

A nurse is caring for a client who experienced a lacerated spleen and has been on bed-rest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of the following condition?

Atelectasis

A nurse is discussing the differences between skeletal and skin traction with a newly licensed nursed. Which of the following statements by the newly licensed nurse indicates understanding?

Skeletal traction is more appropriate than skin traction for reducing a fracture

A nurse is caring for a client who report's low back pain and asks to nurse for specific exercise recommendations. which of the following actions should the nurse suggest?

Swimming

A nurse is observing a new mother babying her newborn son for the first time. for which of the following actions should the nurse intervene?

The mother plans to use a cotton tipped swab to clean the nares

A nurse is talking with a client who is beginning of program of moderate exercise. the client asks them there's by warm up exercises are necessary. which of the following responses should the nurse make?

Warm up exercises reduce the risk of injury

A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. which of the following instructions should the nurse provide?

Wash the affected area with soap and water before applying cream

a nurse is educating a client who is experiencing sleep disturbance and desires to decrease caffeine intake. which of the following beverages should the nurse recommend?

lemon-lime soda

a nurse is assisting a client during ambulation when the client begins to fall. which of the following actions should the nurse take?

lower the client to the floor

a nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. which of the following actions should the nurse take?

measure from the heel to the popliteal space

a nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy. which of the following statements should the nurse include in the teaching?

moderate exercise improves circulation

a nurse in a clinic is caring for an older adult client who reports dry, flaky skin on her upper back. which of the following is an intervention the nurse should complete?

pinch up a fold of skin to check for turgor

A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss in the last 2 months, increased appetite, increased perspiration, menstrual irregularity, and restlessness. which of the following actions should the nurse take to prevent a thyroid crisis?

provide a quiet, low-stimulus environment

a nurse is caring for a client who is day 1 postpartum and is taking a sitz bath. to determine the client's tolerance of the procedure, which of the following assessments should the nurse perform?

pulse rate

a nurse is caring for a client who has a prescription for a balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. which of the following interventions should the nurse implement to prevent pressure points form developing around the edges of the splint?

re-position the client to keep him from staying in the same position in bed

a nurse is assessing a client who has narcolepsy. which of the following findings should the nurse expect? (select all that apply)

sudden attacks of sleep, hallucinations at the onset of sleep

a nurse is planning care for an older adult client who is at risk for developing pressure ulcers. which of the following interventions should the nurse use to help maintain the integrity of the clients skin?

use a transfer device to life the client up in bed

A nurse is teaching a client who is receiving radiation therapy about skin care. which of the following instructions should the nurse include?

walk outside in the early mornings

a nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. which of the following interventions should the nurse include in the plan?

wipe perianal area with warm water and apply a barrier cream

A nurse is caring for a client who has major depressive disorder and was prescribed citalpram 2 weeks ago with a planned dosage increase one week ago. the client reports having an improved appetite but still feels very depressed and is having trouble sleeping. which of the following actions should the nurse take?

Explain that anti depressants often take several weeks to be fully effective

A nurse is caring for a client who report's difficulty sleeping while in the hospital. which of the following actions taken by the assistive personnel by the client is sleeping should promote the nurse to intervene?

Flushing is the clients toilet after emptying the urinary catheters drainage bag

A nurse is planning care for a client who has depression. the nurse notes that the client has weight loss, and inability to concentrate, and inability to complete everyday tasks, and a preference to sleep all day period which of the following interventions should be included in the plan of care?

Give the client extra time to communicate needs

A nurse is instructing Hey young adult client about helpful sleep habits. which of the following statements should the nurse identify as an indication that the client needs further teaching?

I watch television until I fall asleep at night

Anglers is teaching a client who reports insomnia about promoting rest and sleep period which of the following statements should the nurse identified as an indication that the client understand the instructions?

I will no longer have a glass of wine before bedtime

A nurse is caring for a client who is prescribed bed rest period the plan of care indicates that the client should perform isometric exercises every 2 hours. which of the following actions should the nurse take as directed by the plan of care?

Instruct the client to tighten muscle groups for a short period, and then relax

A nurse is teaching a client who has a new diagnosis of acute Bursitis in her right shoulder. which of the following self care strategies should the nurse recommend?

Intermittent ice and heat

A nurse is assisting and older adult client who is sedentary plan a new exercise regimen. which of the following actions should the nurse recommend?

Walking

A nurse is providing hygiene care for a client who is immobile. which of the following actions said the nurse take? (select all that apply)

Check for personal items when changing the bed linens, keep the bathwater between 110 degrees Fahrenheit and 115 degrees Fahrenheit, shave clients hair in the direction of the hair growth period

A nurse is providing care to a patient who is on strict bed rest following surgery. The nurse assist the patient of bed side commode and the client sustains injury to the operative area. Which of the following types of Torrance has the nurse committed?

Negligence

A nurse is caring for a client who has a c- diff infection. which of the following cleansing agents should the nurse use for hand hygiene?

Non antimicrobial soap

a nurse is assessing a client following a natural disaster who is experiencing difficulty sleeping due to nightmares, feelings of survivor guilt, and difficulty concentrating. which of the following diagnoses describe the clients symptoms?

PTSD

A nurse is preparing to transfer a client who has left sided weakness from the bed to a chair. which of the following actions should the nurse plan to take?

Use a gait belt to stand and pivot the client

A charge nurse is teaching a group of health care workers about hand hygiene go prevent infection. Which of the following information should the charge nurse include in the teaching?

Use chlorhexidine to wash hands if the client is immunosupressed.

a nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. which of the following instructions should the nurse include?

avoid activities that require alertness such as driving

A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical examination. The BP is 142/ 88, his body mass index is 31, and he is a current smoker. The nurse should identify that this client has multiple risk factors for which of the following disorders?

cardiovascular disease

A nurse is caring for a client who is in her first trimester of pregnancy ask the nurse if she can continue to exercise during pregnancy. which of the following responses by the nurse is appropriate?

daily jogging for up to 30 minutes is fine throughout the pregnancy

The nurse is providing discharge teaching for a client who is postoperative following a simply mastectomy. the client is to begin outpatient radiation therapy the next day. which of the following instructions about maintaining skin integrity should the nurse include?

do no apply heat to the area of irradiation

A nurse is teaching a client who has type one diabetes mellitus about exercise. which of the following instructions should the nurse include?

do not exercise if ketones are present in urine

a nurse is assessing a client who has insomnia. which of the following questions is the highest priority for the nurse to ask the client?

do you have difficulty staying awake when you are driving?