Fundamentals of Nursing

Question 1

Which action by the nurse is most critical to perform first when preparing to perform hand hygiene?

Accepted Answer

Remove all rings, watches, and bracelets

Answer

Apply a generous amount of soap or friction rub

Answer

Adjust water temperature to warm rather than hot

Answer

Dry hands starting at the fingertips and moving upward

Question 2

Before administering any medication, which method should the nurse use to verify the patient's identity?

Accepted Answer

Use the patient's full name and date of birth from their ID band

Answer

Ask the patient for their room number and compare to the chart

Answer

Check the patient's name on the door plaque and bedside board

Answer

Confirm the patient's identity with a family member in the room

Question 3

What is the primary clinical rationale for encouraging early ambulation in a post-operative patient?

Accepted Answer

To prevent venous stasis, DVT, and atelectasis

Answer

To promote bowel elimination and reduce flatus

Answer

To reduce the patient's request for narcotic pain control

Answer

To facilitate rapid wound approximation and healing

Question 4

A patient is placed in physical restraints. Which protocol must the nurse strictly adhere to?

Accepted Answer

Assess skin integrity and neurovascular status every 2 hours

Answer

Renew the restraint order every 48 hours

Answer

Keep the patient in a supine position at all times

Answer

Tie the restraint ties to the bed side rails for quick access

Question 5

Which position is most appropriate for a patient receiving a cleansing enema?

Accepted Answer

Left Sims' position with the right knee flexed

Answer

Right lateral recumbent position with knees bent

Answer

High-Fowler's position with pillows under legs

Answer

Supine position with hips elevated on a bedpan

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