Fundamental Dynamic Quizzes
A nurse is providing discharge teaching to a client who has a prescription for daily wound care via home health services. Which of the following statements by the client indicates an understanding of the teaching?
"A nurse will show me how to care for my wound."
A nurse is teaching a client who has low back pain about heat therapy. Which of the following statements by the client indicates an understanding of the teaching?
"I need to place a towel between the heating pad and my skin."
A charge nurse is providing teaching to a newly licensed nurse about removing sutures from a clients laceration. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will clip each suture close to the skin and pull it through from the other side"
A nurse is providing teaching about nutritious diets to a group of adult women. Which of the following statements should the nurse include?
"Include 2.5 cups of vegetables in your daily diet"
A nurse is assessing a clients nutritional status. The nurse determines the client is consuming 500 cal more per day than his energy level requires. If his dietary habits do not change, how long will it take the client to gain 4.5 kg?
10 weeks
A nurse is caring for a client who has a prescription of acetaminophen 325 MG by mouth for an oral temperature above 38.4°. Above what Fahrenheit temperature should the nurse administer acetaminophen to the client?
101.1°F
A nurse on an oncology unit receives reports at the beginning of her shift about four clients who are postoperative. Which of the following clients are the nurse see first?
A client who is today's postoperative following a colectomy due to colorectal cancer and has an ostomy bag full of bright red, bloody drainage
A nurse on an oncology unit receives report at the beginning of her shift about four clients who are postoperative. Which of the following client should the nurse see first?
A client who is two days post operative following a colectomy due to colorectal cancer And has an ostomy bag full of bright red, bloody drainage
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Administer analgesics to the child on a routine schedule throughout the day and night
A nurse is supervising a newly licensed nurse who is suctioning a clients tracheostomy. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Administering high-flow oxygen prior to the procedure
A nurse is assisting a client who has dysphagia at meal times. Which of the following actions should the nurse take?
Advise the client to tuck his chin down word
A nurse is admitting a client who has tuberculosis. In addition to standard precautions, which of the following transition based precautions should the nurse add to the clients plan of care?
Airborne
A nurse is preparing to administer eyedrops for a client who has glaucoma. When installing the medication, which of the following actions should the nurse take?
Apply pressure to the puncta after instilling the medication
A nurse is supervising a newly licensed nurse who is administrating a controlled substance. Which of the following actions by the new license nurse indicates an understanding of the procedure?
Asking another nurse to observe the disposal of an unused portion of the medication
A nurse discovers that a client received the wrong medication. Which of the following actions should the nurse take first?
Assess the client
A nurse is preparing to insert an indwelling urinary catheter. Which of the following instruction should the nurse give the client to ease the passage of the catheter there was a urinary meatus?
Bear down
After assessing a clients radial pulses, the nurse documents "radial pulses 4+ bilaterally". The nurse should document this finding with the clients pulses have which of the following qualities?
Bounding
A nurse in a providers office is assessing a client who has heart failure. The client has gained weight since her last visit, and her ankles are edematous. Which of the following findings is another clinical manifestation of fluid volume access?
Bounding pulse
A nurses administrating medication to a client who asks the nurse to leave the medication at the bedside and be taken at a later time. Which of the following responses should the nurse make?
Call me when you're ready, and I will return with the medication
A nurse is caring for a client who was transferred to the surgical unit by stretcher from the PACU. Which of the following actions should the nurse perform immediately following the transfer?
Check the client's vital signs.
A nurse documents the presence of clubbing of the finger nails for a client who has emphysema. Which of the following is the underlying cause of this finding?
Chronic hypoxemia
A nurse is collecting a specimen for culture from a patient's infected wound. Which of the following actions should the nurse perform?
Cleanse the wound with 0.9% sodium chloride irrigation
A nurse is conducting an admission interview with the client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview?
Client's level of comfort and ability to participate in the interview
A nurse is caring for a client who had a mastectomy and has a self suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device?
Collapse the device to remove air after emptying
A nurse is planning care for a client who has prescription for collection of a sputum specimen for culture and sensitivity. Which of the following actions should the nurse take when obtaining the specimen?
Collect the specimen upon arising in the morning
A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for employees' children at an acute care facility. Which of the following activities should the nurse indicate as an example of concrete operational thinking?
Collecting and trading game cards
A nurse is preparing to assess the function of a clients trigeminal nerve. Which of the following items should the nurse gather for the test?
Cotton wisps
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following actions should the nurse perform first after discovering that the clients of wound has eviscerated?
Cover the incision with a moist sterile dressing.
A nurse is assessing a client who has fluid volume excess. Which of the following findings should the nurse report?
Crackles in the lung fields
The client hold the hand with the palm up A nurse is caring for a client who has MRSA. A dietary assistant asked the nurse what precautions are necessary for entering the clients room with the lunch tray. Which of the following instruction should the nurse give to the dietary assistant?
Don gloves when entering the room and use hand sanitizer when exiting
A nurse is preparing to administer eyedrops to a client following surgery. Which of the following actions should the nurse take one instilling the eyedrops?
Drop the eye medication into the lower conjunctival sac
A nurse is teaching an assistive personnel how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?
Elevating the finger above heart level
A nurse is teaching an assistive personnel how to obtain a capillary fingerstick blood sample. Which of the following actions by the AP requires the nurse to intervene?
Elevating the finger above the heart level
A nurse is caring for a client who has a terminal illness. The client asked several questions about the nurses religious believes related to death and dying. Which of the following actions should the nurse take?
Encourage the client to express thoughts about death and dying
A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first?
Evaluate pedal pulses
A nurse is planning an in-service training session about nutrition. Which of the following statements should the nurse include in the teaching?
Fats provide energy
A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of procedures. The nurse should anticipate that the client who has which of the following devices can safely undergo magnetic resonance imaging MRI?
Hearing aids
A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription states "clear liquids, advanced diet as tolerated". Which of the following responses should the nurse make?
I am going to listen to your abdomen
A nurse is teaching a client who is using a patient controlled analgasia pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
I can still use my transcutaneous electrical nerve stimulation while I am pushing the PCA button
A nurse is teaching a group of older adults about expected age related changes. Which of the following statements by a group member indicates that the teaching has been effective?
I should expect my heart rate to take longer to return to normal after exercise as I get older
A nurse is teaching a group of older adults about expected age related changes. Which of the following statements by group member indicates that the teaching has been effective?
I should expect my heart rate to take longer to return to normal after exercise as I get older
A nurse is providing discharge teaching to an older adult client about personal safety. Which of the following statements by the client indicates an understanding of the teaching?
I will put a night light in the hallway
A nurse is preparing a client for discharge and providing instructions about performing dressing changes at home which of the following statements should the nurse identify as an indication that the client understands medical a sepsis?
I'll wash my hands before I remove the old dressing and again before putting on the new one
A nurse is assessing a client who reports nausea and vomiting for two days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Increased heart rate
A client who has glaucoma of the right eye self administers timolol eyedrops by looking at the ceiling, instilling a drop into the center of the conjunctival sack, and apply gentle pressure to the lower lid with a facial tissue. After observing this process, which of the following actions should the nurse take?
Instruct the client to apply pressure to the inside corner of the eye after instillation
A nurse is planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following intervention should the nurse include?
Limit drinking liquids with fluid
A nurse is caring for a client who had a stroke and is at risk for falling. Which of the following actions should the nurse take?
Monitor the client at least once every hour
A nurse is caring for an older adult client who has dysphasia following a cerebrovascular accident. Which of the following actions should the nurse take when assisting the client at meal time?
Offer the client tart or sour foods first
A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
People who practice Judaism stay with the body of the deceased until burial.
A nurse is performing a physical assessment of a client. Which of the following action should the nurse take to assess the clients tissue perfusion?
Perform a blanch test
A nurse is assessing a clients peripheral pulses. Which of the following descriptions should the nurse use to document the findings?
Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities
A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take one collecting the specimen?
Place the stool specimen collection container and a biohazard bag
A nurse is preparing to perform postural drainage for a client. Which of the following actions should the nurse take?
Position the client for drainage of secretions by gravity
A nurse is monitoring a clients laboratory results. Which of the following results should the nurse report to the provider?
Potassium 3.0 mEq/L
A nurse is planning to perform mouse care for an unresponsive client. Which of the following action should the nurse plan to take?
Raise the level of the bed
An adolescent client in an outpatient mental health facility tells the nurse that he struggles to follow his treatment plans because his friend discouraged him. Which of the following statements should the nurse make?
Tell me more about how your friends discourage you
A nurse is caring for a client who has chronic kidney disease. The kidneys regulate body fluids as well as assisting in which of the following functions?
Regulation of acid base balance
A nurse is caring for a client who is receiving continuous internal feeding through an NG tube and develops diarrhea. Which of the following actions should the nurse take?
Request a prescription for an isotonic eternal nutrition formula
A nurse is preparing to administer a bolus feeding to a client through an NG tube and observes that the exit mark on the tube has moved since the last feeding. Which of the following action should the nurse plan to take?
Request an x-ray of the clients abdomen
A nurse is reviewing a clients laboratory report. The clients ABG levels are pH 7.5, PC CO232MMHG & HC03-24 mEq/L. The nurse should determine that the client has which of the following acid base imbalances?
Respiratory alkalosis
A community health nurse is preparing a complaint about seasonal influenza. Which of the following plans for the nurse include as a form of secondary prevention?
Screening groups of older adults and nursing care facilities for early influenza manifestations
A nurse is caring for a client who has type one diabetes Molite us and is resistant to learning how to self inject insulin. Which of the following statements should the nurse make?
Tell me what I can do to help you overcome your fear of giving yourself injections
A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client?
Test for the presence of the clients gag reflex
A nurse is teaching range of motion exercises to a client who has osteoarthritis. Which of the following client positions demonstrates an understanding of the supination of the hand?
The client hold the hand with the palm up
A nurse is teaching a client about the use of a straight legged cane. Which of the following client actions indicates an understanding of the teaching?
The client holds the cane on the unaffected side
A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears upset and refuses to take the medication before throwing the pill on the floor. Which of the following interested the nurse enter into the clients medical record
The client through the medication on the floor
A hospice nurse is visiting a family with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the clients insomnia?
The client watches television in her bed during the day
A nurse is providing discharge teaching for a client who has type two diabetes Molite us and will be caring for herself at home. The client expressed concerns about preparing an appropriate diet for her diabetes do to her cultural beliefs and preferences. Which of the following responses should the nurse offer?
The dietitian will help you choose foods you are used to that also meet your health needs
A nurse is reviewing measures to prevent back injuries with assistive personnel. Which of the following instructions should the nurse include?
When lifting an object, spread your feet apart to provide a wide base of support
A nurse is evaluating the development of a group of clients. According to Ericsson, the developmental task of intimacy versus isolation occurs during which of the following stages of development?
Young adulthood
A nurse is caring for a client who has cuffed endotracheal tube in place. The nurse should identify that the purpose of inflating the cuff includes which of the following?
a. Stabilizing the position of the tube b. Preventing aspiration of secretions c. Preventing air leaks
A nurse is caring for a semi conscious client who had a small-bore NG tube placed yesterday for the administration of internal feeding. Which of the following methods should the nurse use to verify correct tube placement? Select all that apply
a. Verify the initial x-ray examination b. Measure the length of the exposed tube c. Determine the pH of aspirated fluid
A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen and physical therapy. Which of the following muscle groups is responsible for movement at the knee joint?
antagonistic
A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen and physical therapy. Which of the following muscle groups is responsible for movement of the knee joint?
antagonistic
During a physical examination of a client the nurse suspects strabismus. Which of the following tests should the nurse use to collect additional data?
corneal light reflex
A nurse in a providers office is measuring a client and notes a loss in height from the previous year. The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders?
osteoporosis
A nurse is caring for a client who is dehydrated. The nurse should expect that insensible fluid loss of approximately 500 to 600 mL occurs each day through which of the following organs?
skin
A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as the source for the sound?
Excessive wax in the ear canal
A new resident provider asked the Charge Nurse for an access code to review clients online records. The resident is not scheduled to attend the facilities orientation computer class until next week. Which of the following actions should the nurse take?
Explained that it is against policy to share access codes and refer the resident to his supervisor
A nurse is caring for a client who has a hearing impairment. Which of the following intervention should the nurse use when speaking with the client?
Face the client when speaking
A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of the following actions should the nurse take?
Fill the bag 2/3 full with ice
A nurse is caring for a client who has the head of his bed elevated to 45° with his knees slightly flexed. Which of the following positions should the nurse document for this client?
Fowlers
A nurse is caring for a client who is having difficulty breathing. The nurse should assess the client into which of the following positions?
Fowlers
A nurse is presenting an in-service training session about nutrition. Which of the following simple sugars should the nurse identify as the carbohydrate found in milk?
lactose
A nurse is providing teaching to a client with heart failure about reducing his daily intake of sodium. Which of the following factors is the most important to determine the clients ability to learn new dietary habits?
The involvement of the client and planning the change
A nurse is caring for a client who reports using several herbal medicines. Which of the following actions should the nurse take?
Verify the herbal supplements do not interact do not interact with medications the provider has prescribed
A nurse is planning care for a client who has a wound infection following I'm done with surgery. To promote healing and fight infection, which of the following vitamins and minerals for the nurse plan to increase in the clients diet?
Vitamin C and zinc
A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following question should the nurse asked to encourage discussion with her client?
What do you think caused the onset of your pain?
A nurse is caring for an older adult client who became agitated when the nurse requests that the clients dentures be removed prior to surgery. Which of the following responses should the nurse provide?
What worries you about being without your teeth?
A nurse is reviewing measures to prevent back injuries with assistive personnel. Which of the following instruction should the nurse include?
When lifting an object, spread your feet apart to provide a wide base of support
A nurse is teaching a client who is postoperative how to use a slow oriented incentive spirometer. Which of the following actions should the nurse include?
cough deeply after each use
A nurse is assessing a clients pulses of the lower extremities. The nurse should identify which of the following as the location of the most distal pulse?
dorsalis pedis
A nurse is preparing to administer a feeding via a gastrostomy tube to a client who had a stroke. Which of the following actions should the nurse take prior to initiating the feeding?
elevate HOB
A nurse is caring for a client who has cancer and is experiencing pain. The nurse should implement which of the following interventions to assist the client with pain relief?
encourage the client to listen to soft music
A nurse is teaching a middle-aged female about disease prevention and health maintenance. Which of the following diagnostic test should the nurse recommend as part of the clients routine health screening?
eye examination every two years
A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating?
fidelity
A nurse is caring for a client who is receiving a blood transfusion. The client reports flank pain, and the nurse notes reddish brown urine in the clients urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions?
hemolytic
A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the nurse use first?
inspection
A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a client who no longer requires care. Which of the following concepts should the nurse and client discuss in the termination phase of the relationship?
loss
