Nursing
Fundamental
Skills
Exam
Practice
Questions
&
Correctly
Detailed
Answers
With
Rationale
Updated
Solution
Nursing Fundamental Skills Exam Practice
Questions
& Correctly Detailed Answers With Rationale Updated
Solution
1. Which safety measure(s) should be included in the plan of care for a client with an internal
radiation implant. Select all that apply.
1. Wear a lead shield when in the client's room
2. Place the client in a room with a cohort client
3. Limit the time with the client to 1 hour per shift
4. Wear a dosimeter badge when entering the client's room
5. Save bed linens and any dressings until the implant is removed - ✔✔✔ - 1. Answer: 1, 4, 5
Rationale: The nurse should wear a lead shield when in the client's room to protect self from the
radiation that may be emitted from the implant. Additionally a dosimeter badge is worn to measure the
amount of radiation exposure. Bed linens and dressings removed from the client are saved in case the
implant was accidentally dislodged and this event was not discovered until the time when the health
care provider attempts to remove it (linens and dressings may need to be checked). The client needs to
be placed in a private room. The time that the nurse spends in a room of a client with an internal
radiation implant is 30 minutes per 8-hour shift. • Test-Taking Strategy: Focus on the subject, care to the
client with an internal radiation implant. Use principles of time, distance, and shielding. Think about
the potential exposure to radiation that can occur to assist in answering correctly. • Review:
interventions for the client with an internal radiation implant.
2. An adolescent client with a surgically wired jaw has a prescription for a full liquid diet. The nurse
should implement which action to promote the client's compliance with this diet prescription?
1. Offer chocolate milkshakes between meals
2. Explain to the adolescent the importance of good nutrition
3. Offer commercial nutritional supplements 4 to 6 times per day
4. Ask about food preferences and blenderize these foods into liquids - ✔✔✔ - 2. Answer: 4
Rationale: An adolescent may dislike a diet that is only liquids and may be at risk for noncompliance.
Thus, it is important to have the client participate in as much decision making in the diet as possible.
While blenderized foods may be unappealing under many circumstances, the nutrient value is
unchanged. The client will be able to ingest the same foods eaten prior to the jaw fracture. The chocolate
milkshakes may increase intake, but decreases the nutrient value. Adolescents may or may not respond
to reasoning and explanations. The commercial nutritional supplements may be beneficial, but they are
costly and may not be appealing to the client's taste. • Test-Taking Strategy: Focus on the subject, and
use theories of growth and development to answer this question.
