FUNDAMENTALS OF NURSING 1 1. The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be… a. Maintain the patient on strict bed rest at all times b. M... aintain the patient in an orthopneic position as needed c. Administer oxygen by Venturi mask at 24%, as needed d. Allow a 1 hour rest period between activities 2. The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as: a. Tachypnea b. Eupnca c. Orthopnea d. Hyperventilation 3. The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for: a. Instructing the patient about this diagnostic test b. Writing the order for this test c. Giving the patient breakfast d. All of the above 4. Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include: a. A ham and Swiss cheese sandwich on whole wheat bread b. Mashed potatoes and broiled chicken c. A tossed salad with oil and vinegar and olives d. Chicken bouillon 5. The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include: a. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. b. Reporting an APTT above 45 seconds to the physician c. Assessing the patient for signs and symptoms of frank and occult bleeding d. All of the above 6. The four main concepts common to nursing that appear in each of the current conceptual models are: a. Person, nursing, environment, medicine b. Person, health, nursing, support systems c. Person, health, psychology, nursing d. Person, environment, health, nursing 7. In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is: a. Love b. Elimination c. Nutrition d. Oxygen 8. The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do? a. Discourage them from making a decision until their grief has eased b. Listen to their concerns and answer their questions honestly c. Encourage them to sign the consent form right away d. Tell them the body will not be available for a wake or funeral 9. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do? a. Complain to her fellow nurses b. Wait until she knows more about the unit c. Discuss the problem with her supervisor d. Inform the staff that they must volunteer to rotate 10. Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? a. Continuity of patient care promotes efficient, costeffective nursing care b. Autonomy and authority for planning are best delegated to a nurse who knows the patient well c. Accountability is clearest when one nurse is responsible for the overall plan and its implementation. d. The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. 11. If nurse administers an injection to a patient who refuses that injection, she has committed: a. Assault and battery b. Negligence c. Malpractice d. None of the above 12. If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for: a. Slander b. Libel c. Assault d. Respondent superior 13. A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with: a. Defamation b. Assault c. Battery d. Malpractice 14. Which of the following is an example of nursing malpractice? a. The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia. b. The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. c. The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. This study source was downloaded by 100000796615030 from CourseHero.com on 07-03-2021 03:44:41 GMT -05:00 https://www.coursehero.com/file/29859286/120922623-fundamentals-of-nursing-questions-and-answer-keydocx/ This study resource was shared via CourseHero.com d. The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor. 15. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? a. Decreased blood pressure and heart rate and shallow respirations b. Quiet crying c. Immobility, diaphoresis, and avoidance of deep breathing or coughing d. Changing position every 2 hours 16. A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? a. Complete blood count b. Guaiac test c. Vital signs d. Abdominal girth 17. The correct sequence for assessing the abdomen is: a. Tympanic percussion, measurement of abdominal girth, and inspection b. Assessment for distention, tenderness, and discoloration around the umbilicus. c. Percussions, palpation, and auscultation d. Auscultation, percussion, and palpation 18. High-pitched gurgles head over the right lower quadrant are: a. A sign of increased bowel motility b. A sign of decreased bowel motility c. Normal bowel sounds d. A sign of abdominal cramping 19. A patient about to undergo abdominal inspection is best placed in which of the following positions? a. Prone b. Trendelenburg c. Supine d. Side-lying 20. For a rectal examination, the patient can be directed to assume which of the following positions? a. Genupecterol b. Sims c. Horizontal recumbent d. All of the above 21. During a Romberg test, the nurse asks the patient to assume which position? a. Sitting b. Standing c. Genupectoral d. Trendelenburg 22. If a patient’s blood pressure is 150/96, his pulse pressure is: a. 54 b. 96 c. 150 d. 246 23. A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: a. Infection b. Hypothermia c. Anxiety d. Dehydration 24. Which of the following parameters should be checked when assessing respirations? a. Rate b. Rhythm c. Symmetry d. All of the above 25. A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported? a. Respiratory rate only b. Temperature only c. Pulse rate and temperature d. Temperature and respiratory rate 26. All of the following can cause tachycardia except: a. Fever b. Exercise c. Sympathetic nervous system stimulation d. Parasympathetic nervous system stimulation 27. Palpating the midclavicular line is the correct technique for assessing a. Baseline vital signs b. Systolic blood pressure c. Respiratory rate d. Apical pulse 28. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? a. Apical b. Radial c. Pedal d. Femoral 29. Which of the following patients is at greatest risk for developing pressure ulcers? a. An alert, chronic arthritic patient treated with steroids and aspirin b. An 88-year old incontinent patient with gastric cancer who is confined to his bed at home c. An apathetic 63-year old COPD patient receiving nasal oxygen via cannula d. A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. 30. The physician orders the administration of highhumidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation? a. Encourage the patient to increase her fluid intake to 200 ml every 2 hours b. Place a humidifier in the patient’s room. c. Continue administering oxygen by high humidity [Show More]
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