Fundamental Test Bank

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Sample questions from Fundamental Test Bank

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

1. 1.During a home visit, a client who uses oxygen by nasal cannula reports smoking outdoors. Which instruction is most important?

   • A.Store the oxygen cylinder upright without securing it.
   • B.Keep oxygen equipment at least 10 feet from open flames and smoking materials.
   • C.Apply petroleum jelly to dry nostrils before using oxygen.
   • D.Turn the oxygen flow above the prescribed rate when short of breath.

   Rationale: Oxygen supports combustion, so smoking and open flames must be kept well away from oxygen equipment. Petroleum products can increase fire risk; use a water-soluble product for dryness. The client should not change the prescribed flow rate, and cylinders must be secured upright.

2. 2.Which action is appropriate when removing contaminated gloves after wound care?

   • A.Touch the outside of one glove with the bare fingers to start removal.
   • B.Remove both gloves by pulling at the fingertips.
   • C.Wash the gloves before removing them.
   • D.Grasp the outside of one glove at the wrist and peel it off inside out.

   Rationale: Grasping the glove exterior at the wrist and peeling it inside out contains contamination. Bare fingers should touch only the inside of the glove during removal. Washing disposable gloves does not make them safe for reuse.

3. 3.Which client identification practice is safest before administering a medication?

   • A.Ask the client to state their full name and date of birth, then compare them with the identification band.
   • B.Ask a family member to identify the client.
   • C.Use the client's photograph in the electronic record as the only identifier.
   • D.Ask the client to confirm the room number.

   Rationale: Use at least two approved identifiers, such as name and date of birth, and compare them with the identification band and medication record. Room number is not an identifier because it can change. A photograph or family confirmation alone does not replace approved identifiers.

4. 4.Refer to the client's chart. Which actions are appropriate for the nurse caring for this client? Select all that apply.

   • A.Have the client wear a surgical mask when leaving the room.
   • B.Place the client in a negative-pressure room.
   • C.Use a surgical mask instead of a respirator for routine room entry.
   • D.Keep the room door closed.
   • E.Use a fit-tested N95 respirator when entering the room.

   Answer and rationale are in the full material.

5. 5.A nurse sustains a needlestick injury from a used hollow-bore needle. What should the nurse do first?

   • A.Wait for the source client's test results before reporting the exposure.
   • B.Apply bleach to the puncture site.
   • C.Wash the site with soap and water.
   • D.Squeeze the wound vigorously to express blood.

   Answer and rationale are in the full material.