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RN FUNDAMENTALS 2023 UPDATED 2024, Exams of Advanced Education

RN FUNDAMENTALS 2023 UPDATED 2024

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2024/2025

Available from 11/21/2024

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RN FUNDAMENTALS 2023 UPDATED 2024
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum.
Which of the following nonpharmacological Interventions should the nurse include in the plan?
A. Loosen the client's bed linens.
B. Provide bright lights in the client's room.
C. Massage the client's sacrum.
D. Offer to play music in the client's room.
A. Loosen the client's bed linens.
A nurse is caring for a client who has a terminal illness. The client states, "I am not giving up. I want as
much treatment as possible." Which of the following responses should the nurse make?
A. "You need to understand that you have very little time left."
B. "I will contact your provider to discuss your options."
C. "Enjoy the time you have and do the things you want to do."
D. "Hospice care is the best thing for you at this time."
B. "I will contact your provider to discuss your options"
A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following
findings should the nurse identify as an indication of a possible anaphylactic reaction to the
medication?
A. A feeling of swelling in the feet
B. Pain at the injection site
C. A sudden decrease in heart rate
D. A sharp decrease in blood pressure
D. A sharp decrease in blood pressure
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the
following actions is appropriate for the nurse to include?
A. Assist the client with a bowel cleansing.
B. Ensure the client is free of metal objects.
C. Monitor the client for pain in the suprapubic region.
D. Administer 240 mL. (8 oz) of oral contrast before the procedure
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RN FUNDAMENTALS 2023 UPDATED 2024

A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological Interventions should the nurse include in the plan? A. Loosen the client's bed linens. B. Provide bright lights in the client's room. C. Massage the client's sacrum. D. Offer to play music in the client's room. A. Loosen the client's bed linens. A nurse is caring for a client who has a terminal illness. The client states, "I am not giving up. I want as much treatment as possible." Which of the following responses should the nurse make? A. "You need to understand that you have very little time left." B. "I will contact your provider to discuss your options." C. "Enjoy the time you have and do the things you want to do." D. "Hospice care is the best thing for you at this time." B. "I will contact your provider to discuss your options" A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication? A. A feeling of swelling in the feet B. Pain at the injection site C. A sudden decrease in heart rate D. A sharp decrease in blood pressure D. A sharp decrease in blood pressure A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include? A. Assist the client with a bowel cleansing. B. Ensure the client is free of metal objects. C. Monitor the client for pain in the suprapubic region. D. Administer 240 mL. (8 oz) of oral contrast before the procedure

A. Assist the client with a bowel cleansing. A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect? A. Eyelashes that curl slightly outward. B. Eyelids that blink involuntarily 30 to 35 times per minute C. Corneas with an opaque appearance D. Pupils that are 8 to 9 mm in diameter A. Eyelashes that curl slightly outward A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury? A. Ensure the client's heels are not touching the mattress. B. Massage the client's bony prominences. C. Raise the head of the client's bed to a 60° angle. D. Reposition the client every 4 hr. A. Ensure the client's heels are not touching the mattress. A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene? A. The client tucks their chin when they swallow. B. The client adjusts the head of their bed to 90°. C. The client drinks their thickened juice with a straw. D. The client takes frequent breaks while eating. C. The client drinks their thickened juice with a straw A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first? A. Loosen the client's clothing. B. Help the client lie on the floor. C. Turn the client onto their side. D. Move items in the room away from the client. B. Help the client lie on the floor

C. Speech-language pathologist A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first? A. Administer an antiemetic. B. Offer pain medication. C. Palpate the abdomen. D. Auscultate bowel sounds. D. Auscultate bowel sounds: A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion? A. Check that the client has a small gauge IV catheter in place. B. Check the blood product's compatibility with the client's blood type. C. Prime the client's primary IV tubing with lactated Ringer's. D. Confirm the identity of the client with the blood bank technician. B. Check the blood product's compatibility with the client's blood type A nurse manager overhears a nurse telling a client. "I will administer your medication by injection if you don't swallow your pills." The nurse manager should identify that the nurse is committing which of the following torts? A. Assault B. Invasion of privacy C. Defamation D. Battery A. Assault A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse? A. "You shouldn't worry about the future so you can concentrate on getting well." B. "if you work hard on your physical therapy, you won't need to worry." C. "You're concerned about what will happen when you leave the hospital?" D. "Why are you concerned even though everyone is here to help you?" C. "You're concerned about what will happen when you leave the hospital?"

A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse. "I want to die now that my partner is gone." Which of the following responses should the nurse make? A. "Tell me more about your partner." B. "Have you thought about harming yourself?" C. "Why did you stop taking your medication? D. "You should discuss these feelings with your provider." B. "Have you thought about harming yourself?" A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority? A. Schedule a support session for the client. B. Review the use of an artificial larynx with the client. C. Explain the techniques of esophageal speech. D. Determine the client's reading ability. C. Explain the techniques of esophageal speech. A nurse identifies a small fire in a client's room. After moving the client to safety, which of the following is the next action the nurse should take? A. Direct a fire extinguisher at the fire. B. Place wet towels along the base of the door. C. Turn off any electrical equipment. D. Activate the facility's fire alarm. D. Activate the facility's fire alarm A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role? A. "It's nice having other people cook for me." B. "I've never been the kind of person to ask others for help." C. "T'm looking forward to being able to be independent again." D. "really don't know what I'm supposed to do all day." A. "It's nice having other people cook for me."

A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take? A. Ask the family if they wish to assist in washing the client's body. B. Turn overhead lights to a bright setting. C. Leave the client's eyes open until the family views the body. D. Remove the client's dentures for their family to keep. A. Ask the family if they wish to assist in washing the client's body A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease? A. Metabolic syndrome B. Family history of alcohol use disorder C. Hypotension D. Participation in competitive sports A. Metabolic syndrome A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make? A. "I will move your joints to the point of mild pain." B. "I will repeat these movements 3 to 5 times." C. "These movements will be performed once per day." D. "I will move your joints quickly." B. "I will repeat these movements 3 to 5 times A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first? A. Gown B. Gloves C. Mask D. Eyewear B. Gloves A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?

A. Use trochanter rolls beside the client's legs. B. Logroll the client every 4 hr. C. Place the client's arms at their side when turning them. D. Cross the client's ankles when lying supine. A. Use trochanter rolls beside the client's legs A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend? A. Exercise 1 hr before bedtime. B. Drink a cup of hot cocoa before bedtime. C. Eat a light carbohydrate snack before bedtime.. D. Take a 30-min nap daily. C. Eat a light carbohydrate snack before bedtime.. A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching? A. "The higher the score, the higher the pressure injury risk." B. The client's age is part of the measurement." C. "Each element has a range from one to five points." D. "The scale measures six elements." D. "The scale measures six elements." A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include? A. Respiratory rate B. Weight C. Current pain level D. Level of orientation B. Weight To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning? A. Case manager B. Client care provider

B. The client coughs frequently while eating. A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching? A. I will walk three times per week." B. "I will take 250 milligrams of calcium once per day." C. I will decrease my intake of dairy products." D. I will avoid exposure to the sun. A. I will walk three times per week." A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take? A. Combine the medications with the formula in the feeding bag. B. Dilute each crushed medication with warm water. C. Mix the medications together in a single syringe. D. Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. D. Flush the NG tube with 5 mL of sterile water for irrigation prior to administration We have an expert-written solution to this problem! A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching? A. Yogurt with fruit B. Pudding C. Cooked vegetables D. Bananas B. Pudding A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take? A. Place the sterile field at the level of the nurse's hips. B. Pour liquids into containers outside the sterile field. C. Hold bottles of sterile solution with the label in the palm of the hand. D. Open the outermost flap of the sterile kit toward the body.

A. Place the sterile field at the level of the nurse's hips. A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.) A. When preparing the medication dosage B. Directly before administering the medication C. When reconciling counts of controlled substances D. When removing the medication from the medication drawer E. At the end of the shift A. When preparing the medication dosage B. Directly before administering the medication C. When reconciling counts of controlled substances A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene? A. The hot water heater is set to 47° C (117° F). B. Grab bars are installed in the shower. C. There is an area rug covering a tile floor. D. Prescriptions are stored in a medication organizer. C. There is an area rug covering a tile floor. A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider? A. Social worker B. Physician assistant C. Physical therapist D. Occupational therapist D. Occupational therapist A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence? A. An assistive personnel prevents a client from leaving the facility. B. An assistive personnel discusses client care in the facility cafeteria with visitors present. C. A nurse administers a medication without first identifying the client.

B. "Walk for 30 minutes three to five times each week." C. "Perform water aerobics three times each week." D. "Maintain a lean body mass." B. "Walk for 30 minutes three to five times each week" A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take? A. Elevate full-length side rails on both sides of the client's bed. B. Place the bedside table 0.9 m (3 feet) away from the bed. C. Keep the client's room temperature at 18° C (64.4" F). D. Provide the client with a night light. D. Provide the client with a night light Client has a history of malnutrition, hyperlipidemia, and diabetes mellitus.The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply. A. Cholestrol level B. Prealbumin level C. History of malnutrition D. History of diabetes mellitus E. History of hyperlipidemia) B. Prealbumin level C. History of malnutrition D. History of diabetes mellitus A nurse in a provider's office is caring for a client. Diagnostic Results Initial visit: Calcium 8.9 mg/dL (9 to 10.5 mg/dL) Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL) Total 25-hydroxy D (vitamin D₂+ Dg) 24 ng/dL (25 to 80 ng/dL) 6-month follow-up: Calcium 8.8 mg/dL (9 to 10.5 mg/dL)

Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL) Total 25-hydroxy D (vitamin D₂+ Dg) 15 ng/dL (25 to 80 ng/dL) The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.) A. Lactose intolerant, B. Alcohol use C. Smoking history D. Phosphorous level E. Activity level F. Vitamin D level A. Lactose intolerant, E. Activity level F. Vitamin D level A nurse is caring for a client. Nurses' Notes Heart rate 0800: Antibiotics administered as prescribed. Bilateral breath sounds clear and present throughout. 0830: The client reports itching over the chest area and has urticaria over the chest and trunk. The client states tongue feels swollen. Bilateral breath sounds with scattered wheezing upon auscultation. Select the 4 findings that require immediate follow-up. A. Swollen tongue B. Heart rate C. Breath sounds D. Blood pressure E. Temperature F. Urticaria