Eastwick Hackansa Fundamental Instrance Test

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Sample questions from Eastwick Hackansa Fundamental Instrance Test

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A nurse is preparing to enter the room of a client who has a draining wound caused by methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment should the nurse put on before providing care?

   • A.A surgical mask and eye protection
   • B.An N95 respirator
   • C.A gown and gloves
   • D.Sterile gloves only

   Rationale: Contact precautions for MRSA require a gown and gloves when entering the client's room or anticipating contact with the client or environment. A surgical mask and eye protection are used when indicated by anticipated splash or droplet exposure, and an N95 respirator is used for airborne precautions. Sterile gloves are not routinely required for contact precautions; use them for sterile procedures.

2. 2.A nurse enters a room and finds a client on the floor beside the bed. What should the nurse do first?

   • A.Complete an incident report
   • B.Help the client back into bed
   • C.Notify the client's family
   • D.Assess the client for injury and level of responsiveness

   Rationale: The nurse first assesses the client for injury, responsiveness, and immediate threats before moving the client. Moving an injured client may worsen harm, so the client should not be lifted into bed before assessment. Reporting and family notification follow the immediate assessment and required care.

3. 3.A nurse is teaching a client how to prevent the spread of infection at home. Which instructions should the nurse include? Select all that apply.

   • A.Share towels only with household members who are not ill
   • B.Wash hands before preparing food and after using the toilet
   • C.Clean frequently touched surfaces regularly
   • D.Save used tissues on a bedside table until the end of the day
   • E.Cover coughs and sneezes with a tissue or the elbow

   Rationale: Hand hygiene before food preparation and after toileting interrupts transmission, and covering coughs and sneezes limits respiratory droplets. Regular cleaning of frequently touched surfaces reduces contamination. Sharing towels can spread organisms, and used tissues should be discarded promptly rather than left on a bedside table.

4. 4.A nurse is planning care for a client on fall precautions. Which intervention is most appropriate?

   • A.Keep the bed in its lowest position and the call light within reach
   • B.Keep the room dark to promote sleep
   • C.Raise all four side rails whenever the client is alone
   • D.Place personal items on the far side of the room to encourage walking

   Answer and rationale are in the full material.

5. 5.A nurse is caring for a client with a new cast on the lower leg. Which findings require prompt reporting? Select all that apply.

   • A.Toes that are warm with brisk capillary refill
   • B.Increasing swelling with pale, cool toes
   • C.Increasing pain that is not relieved by prescribed analgesia
   • D.New numbness or tingling in the toes
   • E.The client can move the toes as instructed

   Answer and rationale are in the full material.