Download Fundamentals of Nursing: Comprehensive Exam Preparation and more Exams Nursing in PDF only on Docsity! VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 1. A nurse is planning the care of a client who will soon begin radiotherapy for the treatment of breast cancer. The nurse has been identifying interventions that are rooted in the notion of holism, which states that: local, - CORRECT ANSWERS Interactions between the mind and the body can profoundly influence health. 2. The nurse is working in an acute care setting and performs primary, secondary, and tertiary prevention Which activity performed by the nurse is classified as tertiary prevention? - CORRECT ANSWERS Instructing a client how to use crutches 3. A child has been admitted to the medical center with severe depression and stress, and has been avoiding going to school for these reasons, How should the nurse attempt to treat the child? - CORRECT ANSWERS Find the factors that have caused stress and depression. 4. A nurse needs to transfer a client who has polio but has strong arms and upper body muscles to the x-ray unit. Which transfer devices will be most suitable for the client? - CORRECT ANSWERS transfer board 5. A nurse has become involved in political efforts to ensure that a greater percentage of Americans have access to affordable health care, regardless of their individual circumstances. This view of health is reflective of what belief? - CORRECT ANSWERS Health is a right. 6. A public health nurse has been asked to participate in an initiative that is aimed at promoting the use of ergonomics. What is the most likely goal of this initiative? - CORRECT ANSWERS promote comfort and health in workplace settings 7. A nurse is referring a client with a preferred provider organization (PPO) to a specialist. Which statement made by the nurse to the client demonstrates proper knowledge of PPOS? - CORRECT ANSWERS The specialist should be in-network." 8. A 7-year-old child is admitted to a health care facility. His parents explain that the child is not able to interpret what they say and so is not able to speak clearly. The child is also not able to remember anything he is taught in school. What should the nurse conclude about the part of the brain that is affected in this case? - CORRECT ANSWERS The cortex is affected. VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 9. A nurse had learned that more than 8% of Americans are currently living with diabetes mellitus. This statistic represents what epidemiological concept? - CORRECT ANSWERS morbidity 10.The nurse is caring for a client with multiple areas of skin breakdown on the back. In which position will the nurse choose to place the client to improve arterial oxygenation? - CORRECT ANSWERS prone 11. A client who has been lying prone reports shortness of breath and a sensation of choking. Into which position will the nurse place the client? - CORRECT ANSWERS Fowlers' 12. A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? - CORRECT ANSWERS Sit with the client and ask them about their feelings. 13. A nurse is using a mechanical lift to assist an obese client with limited mobility. Which client will benefit the most from a mechanical lift? - CORRECT ANSWERS heavy 14. A client with Crohn's disease in remission is admitted to the nursing unit for follow-up care. The remission state is characterized by: - CORRECT ANSWERS disappearance of signs and symptoms associated with the disease. 15. A nurse is assessing an obese teenager who is unhappy and stressed out because she modeling intervention for stress management for the client. Which action should the nurse has not lost weight despite working out at the gym. The physician asks the nurse to try the perform when adhering to the modeling intervention? - CORRECT ANSWERS Introduce the client to someone with a positive attitude. 16. A middle-aged client is distraught at receiving a diagnosis of type 2 diabetes in spite being conscientious about her health for the majority of her adult life. The client tells the nurse, "I can't believe I no longer have my health." The nurse should be aware that the World Health Organization defines health as: - CORRECT ANSWERS state of physical, mental, and social well-being. 17. After experiencing an ST-wave elevation myocardial infarction, a 64-year-old man has been admitted to the cardiac unit of the hospital for care. The nurse has completed a comprehensive assessment and is creating a plan of care that is holistic in its focus. How can VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 34. A nurse needs to give a bath to a client with chronic back pain. Which ergonomic hazard is the nurse likely to face when caring for the client? - CORRECT ANSWERS lifting heavy loads 35. The nurse is caring for a client with lower extremity paralysis who has been placed in bilateral leg braces. Which crutch-walking gait will the nurse teach? - CORRECT ANSWERS swing-through 36. A client is discharged from the hospital 2 days post-appendectomy because of diagnostic-related groups (DRGS). What should the discharge nurse be most concerned about? - CORRECT ANSWERS continuity of care nursing guideline should be followed during client transfer? 37. A client with a fractured leg and arm needs to be transferred to the x-ray unit. Which - CORRECT ANSWERS Assess the client's strength and mobility. client for the presence of stool. The murse should instruct the client 38. A nurse needs to examine the rectum of a constipated to lie in which position? - CORRECT ANSWERS on the left side with the right knee drawn up toward the chest 39. A client, while driving, hits a small child crossing the road. The child survives with some minor bruises and cuts. The client feels very stressed and is depressed when thinking of the child's injury. Which technique should the nurse implement in this case? - CORRECT ANSWERS Alternative thinking 40. A nurse needs to change the soiled linen and body position of a client who is confined to bed and has developed bedsores. Which general principle of positioning should the nurse follow? - CORRECT ANSWERS Raise the bed to the height of the caregiver's elbow. 41, A nurse is caring for a client with muscle spasms due to bad sitting posture. The nurse wants to teach the client correct sitting posture. Which sitting position is good for the client? - CORRECT ANSWERS Buttocks and upper thighs should become the base of support. 42. The nurse is caring for a client who will be raised via a tilt table. Which intervention the nurse perform first? - CORRECT ANSWERS Apply antiembolism stockings. VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 43. A wheelchair-bound client reports the "hammock effect" each time the client sits in the wheelchair. Which device should the nurse place in the wheelchair to prevent the hammock effect? - CORRECT ANSWERS gel and foam cushions 44. An older adult has been admitted to a long-term care facility after unsuccessful attempts to continue living independently. The nurse's admission assessment reveals the presence of long, ingrown toenails that appear to contribute to the resident's unsteady gait and decreased mobility. How should the nurse follow up this assessment finding? - CORRECT ANSWERS Arrange for the client to be seen by a podiatrist. 45. A nurse is showing a group of cllents the correct way to move their body parts during their daily exercise regimen at a health care facility. Which effect occurs when a person adheres to proper body mechanics? - CORRECT ANSWERS Increased muscle effectiveness 46. A client who tends to volunteer to complete major assignments (but forgets to complete his own work) is stressed because of this. The nurse suggests that the client prioritize the work, complete the difficult part of the work first, and delegate the rest of the work to colleagues. In this case, what technique is the nurse asking the client to follow? - CORRECT ANSWERS Alternative behaviors 47. A client visits a health care facility reporting work-related stress that alters his mood when he comes home. The nurse suggests that the client make changes to his home décor to include vibrant colors and bright lighting, and listen to soothing music when he returns home. Which stress-reducing technique is the nurse following in this case? - CORRECT ANSWERS Sensory manipulation technique 48. The nurse is fitting a client for axillary crutches. Which action will the nurse perform first? - CORRECT ANSWERS Assist the client who can support his or her own body weight to a standing position the bedside. 49. A Spanish-speaking client is admitted to the Emergency Department with a urinary tract infection and is experiencing a stress response from hospitalization. What is the priority nursing intervention? - CORRECT ANSWERS Contact a translator. 50. A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The physician diagnoses the client with colitis, acute illness. Why colitis considered an acute illness? - CORRECT ANSWERS The onset is sudden. VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 51. A nurse is working with a client whose quality of life is impacted by the presence of numerous comorbid health problems. The nurse is aware that the client's body is attempting to maintain homeostasis, a process that primarily involves: - CORRECT ANSWERS responding appropriately to internal and external influences. 52. A nurse is caring for an older adult client at a health care facility. What should the nurse consider to be a normal, age-related change? - CORRECT ANSWERS decreased or unsteady mobility 53. A nurse is observing a client who is lying on an oscillating bed. Which pressure- relieving action does an oscillating bed offer? - CORRECT ANSWERS Relieve skin pressure. 54. A client who is disabled due to stroke is discharged from a health care unit and an LPN is assigned to provide nursing care to the client at home. This is an example of which kind of care? - CORRECT ANSWERS extended care 55. A nurse is trying to calm an upset client who has been involved in an accident. The client escaped with minor bruises from the accident. What should the nurse do in order to calm the client? - CORRECT ANSWERS Explain that things could have been worse. 56. A nurse is caring for a client with severe back pain. The client has been lying flat on his back in bed for a long time. Which body position has the highest potential for causing footdrop in a bedridden client? - CORRECT ANSWERS supine 57. A roller sheet has been placed under an elderly client who is receiving treatment for failure to thrive. When using a roller sheet in a client's care, the nurse must: - CORRECT ANSWERS ensure that the roller sheet is kept dry and wrinkle-free. 58. A client visits the medical unit with the client's father for a scheduled checkup. The client's father has been recently diagnosed with hypertension, The nurse suggests that the client get his blood pressure regularly checked to avoid possible problems. What level of prevention is the nurse following in this case? - CORRECT ANSWERS secondary level VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 76. The nurse is educating a client and family about home safety. Which teaching will the nurse include? (Select all that apply.) - CORRECT ANSWERS Consider adding grab bars to shower or tub. Assess for adequate lighting so client can see clearly when walking. Replace rubber tips on cane as soon as they become wom or dirty. 77. The nurse manager is assessing the unit for proper work ergonomics. Which finding will require immediate intervention by the nurse manager? - CORRECT ANSWERS Nurses and unit assistants use tele phones with handsets. 78. A client at a health care facility is to undergo amputation of the left leg due to gangrene. The client will be fitted with an immediate post-operative prosthesis (IPOP) after the surgery. What is the function of the IPOP? - CORRECT ANSWERS Promotes intact body image 79. client is admitted to the mental health center with attempted suicide, Which of the client's problems is priority for the nurse to manage? - CORRECT ANSWERS freedom from harm 80. The nurse is caring for a client diagnosed with terminal cancer who wishes to use meditation and prayer to be cured. What is the appropriate nursing action? - CORRECT ANSWERS Advocate for the client's choice. 81. When discussing his problem, a client tells the nurse that he is always doing small, petty jobs for everyone and he is not happy about it. Because of this, he is feeling stressed and has been getting into fights with his wife. What should the nurse suggest to help the client overcome this problem? - CORRECT ANSWERS Take control of the situation. 82. The nurse is caring for four clients. Which client does the nurse identify as the highest risk for social readjustment concerns? - CORRECT ANSWERS 77-year old whose spouse just died 83. The nurse is delegating inactive client positioning to a UAP. What directions will the nurse include? - CORRECT ANSWERS placing the client in good alignment with joints slightly flexed VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 84. A nurse is caring for a client who underwent surgery for the amputation of the right foot. The client has been fitted with a temporary prosthetic limb. What should the nurse ensure during this period? - CORRECT ANSWERS the wound heals and no complications develop 85. A client admitted for hernioplasty is discharged two days later than the calculated time due to postoperative complications. The client is insured through a capitation scheme. In the event of late discharge of the client, who is at loss? - CORRECT ANSWERS the hospital 86. A nurse is caring for a client who is recovering from acute back pain. Which device will allow the bedridden client to maintain as much independence as possible? - CORRECT ANSWERS trapeze 87. A client who has been dealing with numerous physical, interpersonal, and financial stressors appears to be experiencing the final stage of Selye's general adaptation syndrome (GAS). Individuals in the final stage of the GAS are likely to experience: - CORRECT ANSWERS increased susceptibility to illness. 88. A nurse at a health care facility has been assigned the care of an elderly client. For which reason would the nurse use a tilt table when preparing this client for ambulation? - CORRECT ANSWERS to help the client bear weight on the feet 89. A nurse is caring for a client who is an investment banker. The client is stressed because of the sudden fall of share prices in the stock exchange. Which stress-reduction technique should the nurse use with this client? - CORRECT ANSWERS Advocate on behalf of the client to others. 90. A nurse is caring for a client with chronic back pain. The client attributes the pain to the client's teaching job, which involves long hours of standing in the classroom. Which position can contribute to a good standing posture and relieve the pain? - CORRECT ANSWERS Distribute weight equally on both feet. 91. A nurse is explaining A1C diagnostic testing to a client with diabetes. What level of healthcare delivery does this test suggest? - CORRECT ANSWERS primary 92. When assisting a client with ambulation using an assistive device such as parallel bars or a walking belt, what should the nurse observe the client for? - CORRECT ANSWERS pallor, weakness, or dizziness VN WK 4 FUNDAMENTALS QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED A COMPLETE EXAM SOLUTION BEST GRADED A+ FOR SUCCESS 93. The right leg of a client who was involved in a motor vehicle accident needs to be amputated due to complications related to gangrene. When would a permanent prosthetic limb be constructed for this client? - CORRECT ANSWERS when the stump size stabilizes 94. Which nursing activity reflects care given on the tertiary level of healthcare delivery? - CORRECT ANSWERS assisting with transplant surgery 95. The nurse is teaching a client about good posture when lying down to go to sleep. Which teaching will the nurse include? - CORRECT ANSWERS "Picture yourself with good posture standing; that is how good lying posture works." 96. A nurse is caring for a client who had a stroke. The client is lying in a supine position and is unable to reach the foot board. What should the nurse do to prevent footdrop in the client? - CORRECT ANSWERS Use a foot splint. high Fowler position. When following this guideline, the nurse would elevate the client's 97. A client's plan of care specifies that the client should spend the majority of time in a head at: - CORRECT ANSWERS 60 to 90". 98. The nurse is caring for a client who is a doctor in a general hospital. He complains about the stressful condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client? - CORRECT ANSWERS exhaustion stage 99. A nurse is caring for a client whose fractured ankle is in a cast. The client needs crutches to ambulate. What would help prepare this client for ambulation? - CORRECT ANSWERS modified hand push-ups 100. A client visits a health care facility after his spouse's death. The client is quite depressed and feels very lonely. The nurse asks him to confront the reality and be emotionally strong. What type of strategy is the nurse following in this case? - CORRECT ANSWERS Therapeutic coping strategy 101. A client is receiving treatment in the intensive care unit for sepsis, a systemic infection that poses a grave threat to the body's homeostasis. The body is adapting to numerous