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Foundation Exam #5 Summer 2025 at Denver College of Nursing

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Foundation Exam #5 Summer 2025 at Denver College of Nursing Nursing Exams
Foundation Exam #5 Summer 2025 at Denver College of Nursing
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Forget about studying a bunch of Books . Get Foundation Exam #5 Summer 2025 EXACT nursing exam questions with answers. Study only what you need to know and ace your test.

Free Foundation Exam #5 Summer 2025 at Denver College of Nursing Questions

1. 39. During a morning assessment, the nurse notes agitation in the client. When asked, the client states that they woke up suddenly and was unable to move. The nurse knows that this is referred to as:
  • A. Congestive Heart Failure
  • B. Sleep Paralysis
  • C. Cataplexy
  • D. Narcolepsy

Explanation

Sleep paralysis occurs when a person wakes up or is about to fall asleep and is temporarily unable to move or speak. It happens when the brain awakens from REM sleep, but the body’s muscle atonia (paralysis during REM) persists briefly. This can cause significant fear or agitation, though it is typically harmless and resolves within seconds to minutes.
2. 32. The client and the nurse discuss the need for sleep. After the discussion, the client is able to state factors that may affect sleep. Which statements indicate that the client has a good understanding of sleep? Select all that apply. One, some, or all options may be correct.
  • A. "Worrying about my love life won't affect my sleep."
  • B. "If I drink 4 alcoholic beverages it won't affect my sleep at all."
  • C. "Staying out late with coworkers during the week could affect my sleep."
  • D. "Drinking caffeinated coffee at 7 pm could affect my sleep."

Explanation

C. "Staying out late with coworkers during the week could affect my sleep.": Irregular sleep schedules and staying out late can disrupt the body’s circadian rhythm, making it harder to fall asleep or maintain restful sleep. Consistency in bedtime routines supports better sleep quality. D. "Drinking caffeinated coffee at 7 pm could affect my sleep.": Caffeine is a stimulant that can remain active in the body for several hours, delaying sleep onset and reducing overall sleep time and quality, especially when consumed in the evening.
3. 7. A 55-year-old client has been newly diagnosed with diabetes. The nurse is satisfied with the evaluation of her teaching goal when the client:
  • A. Requests to be discharged immediately and wants to go home.
  • B. Tells the nurse they only need to check their blood sugar once a week.
  • C. Shows the nurse how to properly use their glucometer.
  • D. Shows the nurse the sugary snacks they always keep in their purse.

Explanation

Demonstration of glucometer use reflects that the client has understood and applied self-management teaching for diabetes care. This skill is essential for monitoring blood glucose levels, adjusting diet, activity, or medication, and preventing complications like hypoglycemia or hyperglycemia. When the client can correctly perform this task, it indicates effective learning and achievement of a key educational goal.
4. 17. The client and the nurse discuss the need for sleep. After the discussion, the client is able to state factors that hinder sleep. Which statements indicate the client has a good understanding of the teaching? Select all that apply. One, some, or all options may be correct.
  • A. Changing the time of day that I eat dinner can disrupt sleep.
  • B. Taking an antacid can decrease sleep.
  • C. Exercising 2 hours before bedtime can decrease relaxation.
  • D. Worrying about work can disrupt my sleep.
  • E. Staying up late for a party can interrupt sleep patterns.
  • F. Drinking coffee at 7 PM could interrupt my sleep.

Explanation

A. Changing the time of day that I eat dinner can disrupt sleep: Irregular eating patterns, especially eating heavy meals late at night, can cause indigestion or discomfort, making it harder to fall asleep or stay asleep. C. Exercising 2 hours before bedtime can decrease relaxation: Vigorous physical activity close to bedtime stimulates the body and raises core temperature, making it more difficult to relax and initiate sleep. Exercise should be completed at least several hours before bedtime. D. Worrying about work can disrupt my sleep: Stress, anxiety, and overthinking activate the sympathetic nervous system, keeping the mind alert and interfering with the ability to relax and fall asleep. E. Staying up late for a party can interrupt sleep patterns: Irregular sleep schedules and staying up late can disturb circadian rhythms, leading to difficulty falling asleep and reduced sleep quality. F. Drinking coffee at 7 PM could interrupt my sleep: Caffeine is a central nervous system stimulant that can remain in the body for several hours, delaying sleep onset and reducing total sleep time.
5. 38. The nurse prepares an 80-year-old client with type 2 diabetes for hip replacement surgery. The client weighs 400 pounds and is 5 feet 2 inches tall and smokes 2 packs of cigarettes per day. Which factors increase this client's risk for surgical complications? Select all that apply. One, some, or all options may be correct.
  • A. Delayed wound healing
  • B. Obesity
  • C. No family history of anesthesia complications
  • D. Good clotting times are shown in the client's labs
  • E. Age

Explanation

A. Delayed wound healing: This client has type 2 diabetes and smokes heavily, both of which impair circulation and oxygenation to tissues, resulting in delayed wound healing and increased risk for infection after surgery. B. Obesity: The client’s extreme obesity (400 lbs, 5'2") increases the risk for respiratory compromise, wound dehiscence, poor circulation, and difficulty with anesthesia and postoperative mobility, making recovery more challenging. E. Age: At 80 years old, the client’s decreased physiological reserve, slower metabolism, and reduced organ function increase the likelihood of postoperative complications such as pneumonia, infection, or delayed healing.
6. 8. The nurse is caring for an adolescent who is complaining of difficulty falling asleep. Which intervention would be most appropriate?
  • A. Keep the client's door fully open all night.
  • B. Raise the head of the bed to a sitting position.
  • C. Get the client a bright night light.
  • D. Encourage the discontinuation of caffeinated soda and chocolate snacks at night.

Explanation

Caffeine is a stimulant that interferes with the ability to fall asleep and maintain restful sleep. Adolescents often consume caffeinated sodas, energy drinks, or chocolate, which can delay sleep onset. The nurse should educate the client to avoid caffeine several hours before bedtime to promote healthy sleep hygiene. This intervention directly addresses the cause of difficulty falling asleep.
7. 3. When teaching a client, it would be ideal for the nurse to ensure the following for an optimal teaching environment: Select all that apply. One, some, or all options may be correct.
  • A. A well-lit space
  • B. An area free of distractions
  • C. In the cafeteria
  • D. Meeting at the nurse’s station to talk

Explanation

A. A well-lit space: A well-lit environment helps the client clearly see teaching materials, written instructions, and demonstrations. Proper lighting enhances concentration and prevents visual strain, allowing the client to engage fully in the teaching session. It is especially important for older adults or clients with impaired vision to ensure they can read handouts and observe procedures accurately. B. An area free of distractions: A quiet, private space minimizes interruptions and noise that can interfere with comprehension and retention. Teaching in a distraction-free area helps the client focus entirely on the information being shared, improving understanding and recall. It also promotes open communication, allowing the client to ask questions without embarrassment or external pressure.
8. 37. A client with fluid volume deficit has oxygen saturation level of 90%, serum sodium of 142 mEq/L, serum chloride 106 mEq/L, serum magnesium 2.2 mg/dL, albumin 4 g/dL, AST 30 U/L, and serum potassium of 2.9 mEq/L from daily labs. The nurse reports to the healthcare provider her assessment and lab findings. Which laboratory result is critical and should the nurse have the HCP repeat back?
  • A. Chloride 106 mEq/L
  • B. Magnesium 2.2 mg/dL
  • C. Potassium 2.9 mEq/L
  • D. Sodium 142 mEq/L

Explanation

A potassium level of 2.9 mEq/L indicates hypokalemia, which is a critical electrolyte imbalance. Potassium is essential for cardiac electrical conduction and muscle contraction. Low levels can cause life-threatening arrhythmias, muscle weakness, and respiratory compromise. This finding must be reported immediately, and the nurse should have the provider repeat back the value to confirm understanding and ensure prompt intervention, such as potassium replacement and cardiac monitoring.
9. 24. A nurse is planning a community health class about herbal remedies for a group of older adults. Which information about herbal remedies should the nurse include in the class?
  • A. Herbal supplements can be taken in larger quantities than pharmacological medications.
  • B. Herbal remedies are always safe and can be used without worries.
  • C. Herbal supplements can cause serious herbal-drug interactions with prescribed medications.
  • D. All herbal supplements are approved by the FDA and can be used regularly.

Explanation

Many herbal supplements can interact with prescription or over-the-counter medications, altering their effectiveness or causing harmful side effects. For example, St. John’s Wort can reduce the effectiveness of antidepressants and oral contraceptives, while Ginkgo biloba can increase bleeding risk when taken with anticoagulants. Older adults are especially vulnerable due to polypharmacy. Nurses should emphasize discussing all supplements with healthcare providers before use.
10. 27. A nurse is teaching a postoperative client how to perform deep breathing and coughing exercises. The nurse knows that which method of instruction is most appropriate in this situation?
  • A. Explanations with time for questions
  • B. Internet research conducted by the client
  • C. Return demonstration
  • D. A pamphlet from the American Lung Association

Explanation

A return demonstration allows the nurse to assess the client’s understanding and technique in performing deep breathing and coughing exercises, which are essential to prevent postoperative complications such as atelectasis and pneumonia. This method ensures that the client can perform the skill correctly and safely while giving the nurse an opportunity to correct any mistakes immediately.

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