Nursing 101 Fundamentals Proctored Exam (Northampton Community College)

The nurse is planning care for a client who is unconscious and immobile. Which physiological problem may result from cardiovascular changes for this client?

The nurse is teaching the mother of a 2-year-old client how to administer ear drops. The nurse recognizes correct return demonstration by the mother upon observing which technique?

A client with arterial insufficiency presents with a small, necrotic open area on the outer aspect of the right great toe. There is no drainage present and the client states that leg cramps at night h

While inspecting a pressure injury on an elderly client, the nurse observes new tissue growth around the area, which is pinkish red in color. How would the nurse identify this area in documentation?

The healthcare provider has ordered hydrocolloid dressings as part of a wound treatment plan. In teaching the client how to perform the wound care, what purpose does the nurse identify for the use of

The nurse is providing care for a client who has been in a comatose state for several weeks. When performing a respiratory assessment, the nurse counts a respiratory rate of 28 and notes unlabored bre

The nurse notes intact eschar without site drainage on a client's top and outer aspect of the left great toe. The client has diabetes mellitus. What does the nurse anticipate will be the goal of treat

Prior to the administration of morphine for a first day postoperative client who is experiencing severe pain, what action should the nurse perform first?

The nurse is assessing a client following removal of a cast of the left lower leg. The cast had been in place for six weeks. Which assessment finding(s) of the left leg does the nurse anticipate ident

The nurse is caring for a client who is experiencing chronic pain from metastatic cancer. Which principle of pain management is most effective for this client?

The nurse is supervising care for an 82-year-old client who has had dementia for 15 years. Presently, the client is non-communicative and has very limited mobility. The nurse cautions the unlicensed a

client's arthritis. Additionally, the healthcare provider has prescribed a low dose aspirin. The client is concerned and asks if it would be acceptable to substitute acetaminophen (Tylenol) instead. W

The nurse is monitoring lab results for a client who is receiving acetaminophen (Tylenol) for chronic pain. Which lab result(s) may be abnormal?

The nurse is caring for a client who is being treated for opioid dependence. The client received their second dose of sublingual buprenorphine (Suboxone) at 0630. It is now 0800. Which of the followin

A 19-year-old client has suffered an ankle sprain while training for a half marathon. In addition to elevation and icing the ankle, the healthcare provider prescribed ibuprofen 200 mg po every 4 hours

The nurse is providing care for a client following an appendectomy who developed an abdominal infection. The nurse is administering the first dose of piperacillin. Within 10 minutes of initiating the

A client, who has developed peritonitis, is receiving gentamicin 1 g IV q8h. The medication is administered on the following schedule: 0600, 1400, and 2200 and is to infuse for 30 minutes. The 1400 do

A hospice client who has been experiencing chronic pain is concerned that a transdermal analgesic will not adequately manage the pain. The client is unsatisfied with the sedation received from oral op

The nurse is reviewing the absorption of a client's prescribed medication. Which factor would influence the absorption of the medication?

A nurse is reviewing documentation describing a client's wound of right foot and heel. Which of the noted assessments indicate to the nurse that there is a problem with wound healing? (Select All That

In assessing a venous ulcer, which findings does the nurse anticipate being consistent with this type of wound? (Select all that apply)

The nurse is preparing a presentation for new parents and this week's topic is infant sleep. What information should the nurse plan to include? (Select all that apply.)

The nurse is caring for a client who remains in bed most of the day. The client is not able to bear weight and tolerates siting in a chair for a total on an hour per day. The nurse notes that the clie

The nurse is planning care for a client who was admitted to the acute care unit with a fractured left hip. A family member found the client at the bottom of a flight of steps in the evening. The clien

Which assessment information given upon admission directs the nurse to assess for pressure injuries? (Select all that apply)