RN Fundamentals Online Practice 2019 Test B

a nurse is caring for a client who requires a 24-hr urine collection. which of the following statements by the client indicates an understanding of the teaching? a. "I had a bowel movement, but I was able to save the urine." b. "I have a specimen in the bathroom from about 30 minutes ago." c. "I flushed what I urinated at 7:00 a.m. and have saved all urine since." d. "I drink a lot, so I will fill up the bottle and complete the test quickly."

"I flushed what I urinated at 7:00 a.m. and have saved all urine since."

a nurse is planning an educational program for a group of older adults at a senior living center. which of the following recommendations should the nurse include? a. "You should have an eye examination every 2 years." b. "You should receive a tetanus booster every 5 years." c. "You should receive a shingles vaccine when you are 70 years old." d. "You should receive a pneumococcal vaccine when you are 65 years old."

"You should receive a pneumococcal vaccine when you are 65 years old."

A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply.) A) Place the client in a room with negative-pressure airflow. B) Wear gloves when assisting the client with oral care. C) Limit each visitor to 2-hr increments. D) Wear a surgical mask when providing client care. E) Use antimicrobial sanitizer for hand hygiene.

-Place the client in a room with negative-pressure airflow. -Wear gloves when assisting the client with oral care. -Use antimicrobial sanitizer for hand hygiene.

a nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpates the popliteal pulse after 92 mm Hg. which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure? a. 92 mm Hg b. 102 mm Hg c. 112 mm Hg d. 122 mm Hg

122 mm Hg

a charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. which of the following actions by the newly licensed nurse required intervention by the charge nurse? a. The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field. b. The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the field. c. The newly licensed nurse holds the bottle of sterile saline outside the edge of the field when pouring. d. The sterile field is positioned at the level of the newly licensed nurse's waist.

The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field.

a nurse is caring for a group of clients on a medical-surgical unit. in which of the following situations does the nurse demonstrate the ethical principle of veracity? a. A client who is unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively. b. A client who has a prescription for a nasogastric tube refuses it, and the nurse complies with the client's wishes. c. A client who has a do-not-resuscitate (DNR) order has a cardiac arrest, and the nurse does not perform CPR despite requests from the client's family. d. A client who is about to undergo a painful procedure receives pain medication 30 min before the procedure that the nurse previously promised to administer.

a client who is unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively

a nurse is preparing to delegate client care tasks to an assistive personnel (AP). which of the following tasks should the nurse delegate? a. ambulating a client who is postoperative b. inserting an indwelling urinary catheter for a client c. demonstrating the use of an incentive spirometer to a client d. confirming that a clients pain has decreased after receiving an analgesic

ambulating a client who is postoperative

a nurse is caring for a client who has decreased mobility. which of the following actions should the nurse take to decrease the clients risk of developing plantar flexion contractures? a. place a pillow under the clients knees b. position a trochanter roll under each of the clients hips c. advise the client to wear rubber-soled slippers d. apply an ankle-foot orthotic device to the clients feet

apply an ankle-foot orthotic device to the clients feet

a nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. after securing a safe environment, which of the following actions should the nurse take next? a. rock the client up to a standing position b. pivot on the foot that is the farthest from the chair c. assess the client for orthostatic hypotension d. apply a gait belt to the client

assess the client for orthostatic hypotension

a nurse is caring for a client who has an indwelling urinary catheter. which of the following findings indicates that the catheter requires irrigation? a. urine has an unusual odor b. urine specific gravity is 1.035 c. bladder scan shows 525 mL of urine d. urine is positive for ketones

bladder scan shows 525 mL of urine

a nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. which of the following pieces of information is the priority for the nurse to provide? a. admitting diagnosis b. breath sounds c. body temperature d. diagnostic test results

breath sounds

a nurse on a medical unit is preparing to discharge a client to home. which of the following actions should the nurse take as part of the medication reconciliation process? a. seal unused medications from the facility in a plastic bag b. evaluate the clients ability to self administer medications c. report an identified discrepancy to the join commission d. compare prescriptions with medications the client received while at the facility

compare prescriptions with medications the client received while at the facility

a client who is non ambulatory notifies the nurse that his trash can is on fire. after the nurse confirms the presence of the fire, which of the following actions should the nurse take next? a. activate the emergency fire alarm b. extinguish the fire c. evacuate the client d. confine the fire

evacuate the client

A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take? A) Dissolve each medication in 5 mL of sterile water. B) Draw up medications together in the syringe. C) Push the syringe plunger gently when feeling resistance. D) Flush the tube with 15 mL of sterile water.

flush the tube with 15mL of sterile water

a nurse is performing a Romberg test during the physical assessment of a client. which of the following techniques should the nurse use? a. touch the face with a cotton ball b. apply a vibrating tuning fork to the clients forehead c. have the client stand with their arms at their sides and their feet together d. perform direct percussion over the area of the kidneys

have the client stand with their arms at their sides and their feet together

a nurse is caring for a client who reports difficulty falling asleep. which of the following recommendations should the nurse make? a. drink a cup of hot cocoa before bedtime b. maintain a consistent time to wake up each day c. exercise 1 hour before going to bed d. watch a television program in bed before going to sleep

maintain a consistent time to wake up each day

A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the stethoscope on the client's neck, she hears the following sound. This sound indicates which of the following? (Click on the audio button to listen to the clip.) A) Narrowed arterial lumen B) Distended jugular veins C) Impaired ventricular contraction D) Asynchronous closure of the aortic and pulmonic valves

narrowed arterial lumen

A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? A) Neck vein distention B) Urine specific gravity 1.010 C) Rapid heart rate D) Blood pressure 144/82 mm Hg

rapid heart rate

a home health nurse is completing an admission assessment of an older adult client who has their caregiver present. which of the following findings should the nurse identify as a potential indication of elder abuse? a. the caregiver is the clients financial power of attorney b. the client is in a wheelchair with the wheels locked c. the client reports receiving a full bath twice each week d. the caregiver insists on remaining in the room

the caregiver insists on remaining in the room

A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? A) "I'm having mild pain." B) "The pain is like a dull ache in my stomach." C) "I notice that the pain gets worse after I eat." D) "The pain makes me feel nauseous."

the pain is like a dull ache in my stomach

a nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. which of the following types of activity should the nurse recommend? a. walking briskly b. riding a bike c. performing isometric exercises d. engaging in high-impact aerobics

walking briskly

a nurse is caring for a client who has a terminal diagnosis and whose health is declining. the client request information about advanced directives. which of the following responses should the nurse make? a. "We can talk about advance directives, and I can also give you some brochures about them." b. "You should set up a time to talk with your provider about that." c. "Let's discuss how you are feeling today, and we'll save the planning for when you are feeling a little better." d. "Why do you want to discuss this without your partner here to plan this with you?"

"We can talk about advance directives, and I can also give you some brochures about them."

a nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. which of the following actions should the nurse take? a. Instruct the family to refrain from pushing the button for the client while she is asleep. b. Inform the client that because she is on PCA, vital signs will be taken every 8 hr. c. Teach the client to avoid pushing the button until pain is above a 7 on a scale of 0 to 10. d. Increase the basal rate and shorten the lock-out interval time if the client's pain level is too high.

Instruct the family to refrain from pushing the button for the client while she is asleep.

a community health nurse is checking blood pressures for a group of clients at a community health screening. which of the following clients is at an increased risk for hypertension? a. a client who is 52 years old b. a client who smokes one pack of cigarettes each day c. a client who walks for 30 minutes every day d. a client who drinks one glass of wine 3 times per week

a client who smokes one pack of cigarettes each day

a nurse has just inserted an NG tube for a client. which of the following findings should the nurse expect to confirm correct tube placement? a. the tube aspirate has a pH of 7 b. an x-ray shows the end of the tube above the pylorus c. bowel sounds are present on auscultation d. the client reports relief of nausea

an x-ray shows the end of the tube above the pylorus

A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? A) Use a resuscitation bag with 80% oxygen prior to the procedure. B) Select a suction catheter that is half the size of the lumen. C) Place the end of the suction catheter in water-soluble lubricant. D) Adjust the wall suction apparatus to a pressure of 170 mm Hg.

select a suction catheter that is half the size of the lumen