Fundamentals If Nursing 12TH Edition Test Bank

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Sample questions from Fundamentals If Nursing 12TH Edition Test Bank

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

1. 1.At change of shift on a medical-surgical unit, four clients need follow-up. Which client should the nurse assess first?

   • A.A 54-year-old client who needs assistance to the bathroom before a scheduled diagnostic test
   • B.A 78-year-old client who reports feeling unsteady when getting out of bed but has no injury
   • C.A 46-year-old client whose call light is on because the IV pump is alarming for an occlusion
   • D.A 63-year-old client with a new wet cough who is sitting upright and has an SpO2 of 88% on room air

   Rationale: The client with a new cough and SpO2 of 88% has a potential airway or breathing problem and requires immediate assessment. The unsteady client needs prompt fall-prevention measures, but no injury or acute change is reported. The IV alarm and bathroom request require attention after the breathing concern is addressed; neither currently signals the same immediate threat.

2. 2.Refer to the client's chart. Which actions should the nurse take to reduce transmission of respiratory syncytial virus (RSV) while providing care? Select all that apply.

   • A.Perform hand hygiene before and after contact with the client or the client's surroundings.
   • B.Use a dedicated stethoscope for the client.
   • C.Place the client in a negative-pressure room.
   • D.Wear a fit-tested N95 respirator for every room entry.
   • E.Wear a gown and gloves when entering the room for direct care.
   • F.Keep the client's toys in the room and clean shared equipment before use with another client.

   Rationale: The chart documents RSV and frequent contact with respiratory secretions, so hand hygiene, gown and gloves for direct care, dedicated equipment, and cleaning shared equipment are appropriate contact precautions. A negative-pressure room is used for airborne precautions, not routine RSV care. An N95 respirator is not routinely required for RSV; appropriate droplet protection may be needed according to facility policy and the care being performed.

3. 3.During a home visit, a client receiving oxygen by nasal cannula says, "I will use petroleum jelly on my dry nostrils." Which response is best?

   • A.Turn the oxygen flow down while applying the petroleum jelly, then restore the prescribed rate.
   • B.Use a water-based lubricant instead, because petroleum products can increase fire risk around oxygen.
   • C.Place a humidifier near the oxygen source to prevent the petroleum jelly from drying out.
   • D.Apply only a thin layer of petroleum jelly, because the small amount will not ignite.

   Rationale: Oxygen supports combustion, and petroleum-based products are flammable; a water-based lubricant is the safer choice. A thin layer does not eliminate the fire risk. The client should not change the prescribed oxygen flow, and placing a humidifier near the oxygen source does not make petroleum jelly safe.

4. 4.Which action by a nurse preparing a sterile field requires correction?

   • A.Discarding a sterile drape after its edge becomes wet
   • B.Opening the first flap of a sterile package away from the body
   • C.Reaching across the sterile field to adjust the overhead light
   • D.Keeping the sterile field above waist level and within view

   Answer and rationale are in the full material.

5. 5.A nursing assistant reports that a client with a new prescription for an opioid is difficult to arouse after receiving the first dose. Which action should the nurse take first?

   • A.Assess the client's level of consciousness and respiratory status immediately.
   • B.Ask the assistant to stimulate the client and report whether the client wakes.
   • C.Ask the assistant to obtain the client's next scheduled set of vital signs.
   • D.Document the report and reassess the client at the next hourly rounding.

   Answer and rationale are in the full material.