Foundations Final Exam Review!

Order: 1.2 g of ceftriaxone IM. Vial contains 500 mg/2 mL. How many mL to give?

Which is an example of analysis in the nursing process?

What is the “death rattle”?

Which statement best describes hospice care?

What is the nursing priority in colostomy pouch care?

Which action best prevents fecal impaction?

Which device provides precise oxygen delivery?

Which task should not be delegated to assistive personnel?

Which skin finding requires immediate attention?

Which are appropriate interventions to prevent UTIs? (SATA)

In abdominal assessment, what is the correct order?

Which respiratory assessment requires immediate intervention?

Which are nonpharmacologic pain interventions?

Which technique is used to assess muscle strength?

High specific gravity of urine suggests:

Which precaution is essential for a stroke patient with left-side weakness?

Which vital sign change is expected during sleep?

Which assessment finding indicates poor oxygenation?

The nurse knows the PRIORITY when their patient is having a seizure is to:

What distinguishes passive ROM?

Which diet advancement is appropriate after a patient is taken off their NPO diet for surgery?

Which finding requires immediate nursing intervention?

Which patient is most at risk for constipation?

A nurse gathers pain, vitals, and lab data. What nursing process step is this?

The nurse palpates rebound tenderness in the RLQ. This is:

Which BP reading is considered MOST abnormal for an adult?

Which condition makes it hardest for a patient to fall asleep?

What are signs a person is nearing end of life?

Which tasks may be delegated to an AP? (SATA)

Which interventions promote fall prevention? (SATA)

Which patient is most appropriate for the FLACC pain scale?

What does a +2 reflex response indicate?

Which of the following is an example of evaluation?

Which intervention is most appropriate for pain rated 9/10?

Which action best reduces risk of healthcare-associated infections?

What is the nurse’s role in postmortem care?

Which is an example of primary subjective data?

Which of the following is a SMART goal?

When using a fire extinguisher, what does “PASS” stand for?

Bright red blood noted in stool may indicate:

Which patient is the highest priority?

Which patients can appropriately use the FACES scale? (SATA)

Which task can the RN safely delegate to the assistive personnel (AP)?

Which is the first priority if a fire occurs on a nursing unit?

Which examples are secondary data? (SATA)

Which HEENT finding is abnormal?

Which are safe restraint practices? (SATA)

Which oxygen device delivers lowest O₂ concentration?

What nursing interventions support end-of-life care? (SATA)

A confused patient keeps getting out of bed. What should the nurse do first?

Order: Dopamine at 5 mcg/kg/min for 70 kg. IV bag: 400 mg in 250 mL. What rate in mL/hr? (Round to tenth)

Which action is appropriate seizure precautions?

Which patient should the nurse see first?

Why is a comprehensive health history important?

Amoxicillin 500 mg PO BID. Available: 250 mg/5 mL. How many mL per dose?

Which pain scale is best for a verbal adult?

How does the nurse test CN VII?

In the PQRST tool, what does “R” stand for?

Which question best reflects the P in PQRST?

Which action is essential before starting NG tube feeding?

A fall-risk patient uses a cane. What’s the safety rule?

Which tool tests cranial nerve II?

Which goal is appropriate for a patient with impaired oxygenation?

Which benefit is associated with adequate sleep?

What is Cheyne-Stokes breathing? (SATA)

Which components are a part of the complete health history? (SATA)