Fundamentals Final Test Bank EXAM 120 QUESTIONS WITH DETAILED VERIFIED ANSWERS /A+ GRADE ASSURED

Fundamentals
Final Test Bank
EXAM 120
QUESTIONS
WITH DETAILED
VERIFIED
ANSWERS /A+
GRADE ASSURED
A nurse is admitting a client who has tuberculosis
and a productive cough. Which of the following
types of isolation precautions should the nurse
initiate for the client?
A. Contact
B. Droplet
C. Protective
D. Airborne - ANSWER-D. Airborne
A nurse is caring for a client who is scheduled to
have surgery. In preparing the client for surgery,
which of the following actions is considered outside
the nurse's responsibilities?
A. Assuring the current health status of the client.
B. Explaining the operative procedure, risks, and
benefits.
C. Reviewing preoperative laboratory test results.
D. Ensuring that a signed surgical consent was
completed. - ANSWER-B. Explaining the operative
procedure, risks, and benefits.
A nurse is caring for a client who is postoperative.
The nurse should base her pain management
interventions primarily on which of the following
methods of determining the intensity of the client's
pan?
A. Vital sign management
B. The client's self-report of pain intensity.
C. Visual observation for nonverbal signs of pain.
D. The nature and invasiveness of the surgical
procedure. - ANSWER-B. The client's self-report of
pain intensity.
A nurse is working with an assistive personnel (AP)
while caring for a surgical client who is 1 day
postoperative. Which task should the nurse take
responsibility for completing?
A. Measuring vital signs.
B. Removing the abdominal dressing.
C. Helping the client into the shower.
D. Ambulating the client in the hallway. - ANSWERB. Removing the abdominal dressing.
A nurse on a medical unit is caring for a client who
suddenly becomes confused and drowsy. Additional
data includes pulse 100/min, respiratory rate
24/min, BP 132/76 mmHg, and temperature 36.8ºC
(98.2ºF). Which of the following actions should the
nurse perform?
A. Complete a neurological check.
B. Administer the prescribed PRN antihypertensive
medication.
C. Increase the client's fluid intake.
D. Hold the client's evening dose of digoxin. -
ANSWER-A. Complete a neurological check.
A nurse caring for a client who has an infected
wound removes a dressing saturated with blood
and purulent drainage. How should the nurse
dispose of the dressing material?
A. Discard the dressing in the bedside trash
receptacle.
B. Dispose of the dressing in a biohazardous waste
container.
C. Enclose the dressing in a single clear plastic bag
and discard in the bedside trash receptacle. -
ANSWER-B. Dispose of the dressing in a
biohazardous waste container.
A nurse is caring for a female client who has
recurrent kidney stones and is scheduled for an
intravenous pyelogram. Which of the following
statements should the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and redtinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." -
ANSWER-D. "I don't eat shellfish because it gives me
hives."
A nurse is preparing to administer 40 mEq of
potassium chloride in 45% sodium chloride (NaCl)
500 mL IV to infuse 10 mEq/hr. The nurse should set
the IV pump to deliver how many mL/hr? (Round
the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
CALCULATION - ANSWER-125 mL/hr