RN Fundamentals Questions

A nurse is caring for a client who has terminal illness and is at the end of life. The nurse should recognize that which of the following statements by the client's partner indicates effective coping?

"I am relying on support form our family during this time"

A nurse is assessing a client who reports increased pain following PT. Which of the following questions should the nurse ask when assessing the quality of the clients pain?

"Is your pain sharp or dull?"

A nurse is talking with an older adult client who is contemplating retirement. The client states "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make?

"Lets talk about how the change in your job status will affect you"

A nurse us talking with an older adult client who is contemplating retirement. The client state. "I keep thinking about how much I enjoy my job. I'm not sure I want to retire.: Which of the following responses should the nurse make?

"Lets talk about how the change in your job will affect you"

A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr?

107 mL/hr

A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which is the following findings should the nurse identify as a potential indication of skin malignancy?

A mole with asymmetrical appearance

A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements indicates an understanding of the teaching?

I will hire someone to trim the tree that hangs over the stairs of my front porch.

A nurse on med-surg unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?

Pad the clients wrists before applying the restraints.

A nurse us caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection?

Place a client who has TB in a negative-pressure airflow room

A nurse us planning to insert a peripheral UV catheter for an older adult client. Which of the following actions should the nurse plan to take?

Place in a dependent position

A nurse is lifting a bedside cabinet closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object?

Stand close t the cabinet when lifting

A nurse is preforming a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as a proper safety protocol?

The client identifies the location of a fire extinguisher

A nurse us caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client?

Use a bed alarm system

A nurse us caring for a client who is postoperative. When the nurse prepares to change her dressing she says, "every time you change my bandage is hurts so much." Which of the following intervention is the nurse's priority action?

administer pain medication 45 min before changing the dressing

A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?

administer the medication with the needle at a 45 degree angle

A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when preforming nasotracheal suctioning for the client?

apply intermittent suction when withdrawing the catheter

A nurse is administering 1L of 0.9% sodium chloride for a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful?

decrease in HR

A nurse is preparing an education program for a staff about advocacy. Which of the following info should the nurse include?

ensure patient safety, health and rights

A nurse us talking with the partner of a client who has dementia. The clients partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the follow types of role-performance stress?

role overload

A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?

the indicate the form of treatment a client is willing to accept in the event of a serious illness

A nurse is teaching a client and his family how to care for a client's trach at home. Which of the following instructions should the nurse include in the teaching?

use trach covers when outdoors

A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the clients VS every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?

notify the nursing manager

A nurse ss caring for a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?

Abdominal cramping

A nurse is admitting a new client. Which of the following actions should the nurse taking while preforming medication reconciliation?

Compare the clients home medications with the providers prescriptions.

A nurse us initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

Make sure the client wears a mask when outside her room if there is construction?

A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a new licensed nurse. Which of the following actions should the nurse include?

Regulate flow rate of 1 to 6 L/min via nasal cannula

A home health nurse is performing a home visit for a client who has a G-tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea?

The clients caregiver washes out the tube feeding bag every 24 hours

A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?

client identifies the location of a fire extinguisher

A nurse is assessing 4 adult clients. Which of the following physical assessment techniques should the nurse use?

ensure the bladder of the BP cuff surrounds 80% of the clients arm.

A nurse is administering an optic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear?

press gently on the tragus of the client's ear

A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?

reassure the client that this is an expected response to grief