Fundamentals Final Exam: Questions &
Answers
A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the psychomotor domain of learning.
- Ask the client if he want to self-administer his insulin.
- Have the client list the steps of the procedure.
- Have the client demonstrates the procedure.
- Ask the client if he understands the purpose of insulin.
(Ans - C. Have the client demonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate the client's understanding within the psychomotor domain of learning.
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take.
- Insert the rectal tube 15.2 cm (6in.)
- Wear sterile gloves to insert the tubing.
- Position the client on his left side.
- Hold the solution bag 91 cm (36 in) above the client's rectum.
(Ans - C. Position the client on his left side.
Fundamentals Final Exam 1 / 3
Positioning is an important aspect of administering an enema. Having the client lie on his left side facilitates the flow of the enema solution into the sigmoid and descending colon.
A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next?
- encourage the client to take deep breaths
- Observe the rate, depth, and character of the client's respirations.
- Prepare to administer oxygen.
- Give the client a back rub to help her relax.
(Ans - B. Observe the rate, depth, and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring for this client. The nurse can use the nursing process to plan client care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginning with assessment or data collection.Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change in the client's status, the nurse must first collect adequate data from the client. Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision; therefore, the first action the nurse should take is to assess the client's respiratory status.
Fundamentals Final Exam 2 / 3
A nurse is caring for a client who has bilateral casts on her hands. Which of the following actions should the nurse take when assisting the client with feeding?
- Sit at the bedside while feeding the client.
- Order pureed foods.
- Make sure feeding are at room temperature.
- Offer the client a drink of fluid after every bite.
(Ans - A. Sit at the bedside while feeding the client.
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client with the nurse's full attention during the feeding.
A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure. Which of the following actions should the nurse take?
- Place a padded tongue blade in the client's head.
- Lower the client to the floor and place a pad under the clients head.
- Seek the help of a coworker and life the client back to bed.
- Use an oropharyngeal airway to keep upper airway passages open.
(Ans - B. Lower the client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor and place a pillow or other soft object under the client's head.
A home health nurse is planning to provide health promotion activities for a group of clients in the community. Which of the following activities is an example of the nurse promoting primary prevention?Fundamentals Final Exam
- / 3