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NUR 1020 FUNDAMENTALS OF NURSING EXAM 1 (2025-2026) LATEST QUESTIONS AND ANSWERS GRADED A+, Exams of Nursing

NUR 1020 FUNDAMENTALS OF NURSING EXAM 1 (2025-2026) LATEST QUESTIONS AND ANSWERS GRADED A+ A nurse is planning care for a client who is postoperative. Which of the following statements about pain management should the nurse consider when implementing client care? (Select all that apply.) All clients will express the feeling of pain both verbally and nonverbally. Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range. Use of analgesics will eventually lead to addiction.

Typology: Exams

2024/2025

Available from 07/04/2025

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NUR 1020 FUNDAMENTALS OF NURSING EXAM 1
(2025-2026) LATEST QUESTIONS AND ANSWERS
GRADED A+
A nurse is planning care for a client who is postoperative. Which of the following
statements about pain management should the nurse consider when implementing
client care? (Select all that apply.)
All clients will express the feeling of pain both verbally and nonverbally.
Patient-controlled analgesia (PCA) offers a constant level of opioids within
therapeutic range.
Use of analgesics will eventually lead to addiction.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
Patient-controlled analgesia (PCA) offers a constant level of opioids within
therapeutic range.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
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NUR 1020 FUNDAMENTALS OF NURSING EXAM 1

(2025-2026) LATEST QUESTIONS AND ANSWERS

GRADED A+

A nurse is planning care for a client who is postoperative. Which of the following statements about pain management should the nurse consider when implementing client care? (Select all that apply.)

All clients will express the feeling of pain both verbally and nonverbally.

Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.

Use of analgesics will eventually lead to addiction.

Pain level and pain tolerance can be assessed using a scale from 0 to 10.

Each client's expression of pain may be different and individualized.

Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.

Pain level and pain tolerance can be assessed using a scale from 0 to 10.

Each client's expression of pain may be different and individualized.

The nurse is caring for an African American patient with COPD. The nurse knows that the best location to assess for hypoxia is the:

Lower extremities

Abdomen

Earlobes

Oral mucosa

Oral mucosa

What is the most appropriate way to assess the pain of a patient who is oriented and has recently had surgery?

Observe cardiac monitor for increased HR

Ask patient describe the effect of pain on ability to cope

they were busy and did not have a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make an error?

Diagnosis

Evaluation

Implementation

Assessment

Assessment

A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked with the client 40 min later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process?

Intervention

Evaluation

Planning

Assessment

Assessment

A nursing assessment for a patient with a spinal cord injury leads to several pertinent nursing diagnoses. Which nursing diagnosis is the highest priority for this patient?

Risk for impaired skin integrity

Risk for infection

Spiritual distress

Reflex urinary incontinence

Reflex urinary incontinence

While completing an admission database, the nurse is interviewing a patient who states "I am allergic to latex." Which action will the nurse take first?

During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. The nurse notifies the medical provider of the unexpected physical finding known as:

Clubbing

Bruit

Murmur

Phlebitis

Bruit

A nurse is caring for a patient with left sided hemiparesis who has developed bronchitis and has a heart rate of 105, blood pressure of 156/90, and a respiration rate of 30. Which nursing diagnosis is the priority for this patient?

Impaired gas exchange

Risk for infection

Activity intolerance

Risk for skin breakdown

Impaired gas exchange

The patient requires temperatures to be taken every two hours. Which of the following cannot be delegated to nursing assistive personnel?

Selecting appropriate route and device

Assessing changes in body temperature

Obtaining temperature measurement at ordered frequency

Being aware of usual values for the patient

Assessing changes in body temperature

When the nurse cleanses the client's leg during a bed bath, it will allow for:

Promotion of social interaction

Increased circulation

Administer a laxative to the patient to collect new sample.

Inform the patient that the order for the culture will now be cancelled.

Collect stool and send to laboratory for culture per regular protocol.

Reinstruct the patient on the procedure to collect a stool specimen.

Reinstruct the patient on the procedure to collect a stool specimen.

A nurse is caring for a female patient with diarrhea. What information does the nurse teach the patient about perineal care and self-care?

Wear gloves while performing perineal self-care.

Clean the perineal area from the front to back.

Insert any suppository medication prior to cleaning the perineal area.

Bathe the perineal area with a mild soap and very hot water.

Clean the perineal area from front to back.

A nurse is taking care of an older adult patient who demonstrates good mobility but is unable to stand for long periods of time secondary to muscle weakness. What action will the nurse use to facilitate the patient's self-care and safety?

Assist the patient in taking a stand-up shower

Give the patient a towel or bag bath

Give the patient a bed bath

Obtain a shower chair so the patient can take a sit-down shower

Obtain a shower chair so the patient can take a sit-down shower.

An older adult patient has constant dribbling of urine. The associated discomfort, odor, and embarrassment may support which nursing diagnosis?

Social isolation

Impaired memory

Defensive coping

Impaired adjustment

Bathing keeps mucous membranes soft and moist.

Bathing maintains the body temperature.

Bathing reduces the possibility of infection.

Bathing reduces the possibility of infection

A student is walking down the hall carrying soiled linen against his/her uniform while taking it to the soiled utility room. What instruction should the nursing instructor provide to the student?

Linen should be held away from the uniform and carried in some type of receptacle to prevent the spread of microorganisms.

Linen should always be handled with gloves and left in the patient's room to prevent spread of microorganisms.

Linen should be changed weekly to prevent the spread of microorganisms

Linens do not spread microorganisms

Linen should be held away from the uniform and carried in some type of receptacle to prevent spread of microorganisms

Upon assessment of the urine in a patient's indwelling urinary catheter drainage bag, the nurse notes the urine to be dark yellow. Which next step should the nurse implement?

No action is required.

Alert the health care provider of possible infection.

Encourage fluid intake.

Restrict fluid intake.

Encourage fluid intake

Which nursing action demonstrates safe injection practice?

use multiple-dose vials when administering medication to multiple clients

clean injection equipment when dust becomes visible

use sterile single-use disposable syringes for each injection

Have the patient tested for HIV and hepatitis C

Report the incident to the supervisor immediately

Perform hand hygiene after removing glove

An older adult woman has been in the hospital for more than 1 week. While assessing her intravenous catheter port, the nurse finds a staph infection, which has developed in the past day or so. This infection is an example of which type of infection?

Sexually transmitted infection

Droplet infection

Respiratory infection

Healthcare-associated infection

Healthcare-associated (Noscomial) infection

A nurse prefers to use an alcohol-based hand rub when providing care for patients. In which case is this practice contraindicated?

The nurse finishes patient care and hands are not visibly soiled.

The nurse finishes cleaning a patient's table.

The nurse performs routine care and is moving to another patient.

The nurse is caring for a patient with a C. difficile infection.

The nurse is caring for a patient with C. difficile infection

reasoning:

C diff. is not killed by alcohol, and using alcohol based hand rub will increase risk of spreading infection

The nurse is caring for a patient with shortness of breath who is receiving oxygen at 4 L/minute. Which assessment finding will demonstrate that oxygen therapy is effective?

Oxygen saturation 97%

Heart rate 110 beat/minute

Respirations 26 breaths/minute

Simple Face Mask

Partial Non-rebreather

Tracheostomy mask

Nasal Cannula

To determine the quality of oxygenation, the nurse performs a physical assessment, an arterial blood gas test, and pulse oximetry. What is the purpose of pulse oximetry test?

Calculate the pressure of carbon dioxide dissolved in plasma.

Monitor the amount of oxygen saturation in the blood.

Measure the volume of air exhaled or inhaled over time.

Monitor the pressure of oxygen dissolved in plasma.

Monitor the amount of oxygen saturation in the blood

Which teaching about the humidifier is important for the nurse to provide to a client using oxygen?

It decreases dry mucous membranes via delivering small water droplets.

It determines whether the client is getting enough oxygen.

It regulates the amount of oxygen received.

It prescribes oxygen concentration.

It decreases dry mucous membranes via delivering small water droplets

What is first component of critical thinking model for clinical decision making

A scientific knowledge base

Rational: Nursing is a science, so everything we do begins with a scientific knowledge base in order to generate nursing process

Nurse enters room to find patient sitting up in bed crying. How would nurse display critical thinking attitude in this situation?

A. Tell patient shell be back in 30 min

B. Set box of tissues at patients bedside