Fundamentals of Nursing Exam review with 100% correct answers/2024, Exams of Nursing

Download Fundamentals of Nursing Exam review with 100% correct answers/2024 and more Exams Nursing in PDF only on Docsity!

1 /

1. Who is Florence Nightingale and what did she do? - Was a nurse in the mid 1800's who cleaned up the wards and im- proved ventilation, sanitation and nu- trition.
2. What is the role of a Case Manager? - Organizing ser- vices for pa- tients following discharge
   • Communicate with the inter- professional team to coordinate pa- tient services dur- ing hospitalization.
3. Maslow's Theory of Basic Needs 1. physiologic 2.safety and secu- rity 3.love and belong- ing
   4. self esteem
   5. self actualiza- tion
4. Delegation Delegating nurse's duty is to super- vise and evalu- ate care that a licensed

2 / or un- licensed person provides

5. Informed consent - Indicates pa- tient's participa- tion in decision

3 / making

• Person signing must know what the consent al- lows and be able to make a knowl- edgeable decision

6. Negligence Knowingly putting your client/patient at risk for injury or death by failing to do something a reasonably pru- dent person would or would NOT do.
7. Assault vs Battery assault - threat to harm battery - causing harm
8. What do we include in a Incident Report? what happened, the facts about the incident, and who was involved or witnessed it.
9. Where are we NOT to file Incident Reports? not filed as part of the patient's

4 / chart; no reference to the incident report is made in the pa- tient's chart.

10. Code of Ethics for Nurses - A respect for hu- man dignity
    • commitment to continuing educa- tion

5 /

11. A nurse is caring for a client who is desiring their wound care to be provided at 1400. The nurse returns at 1400 to perform wound care for the client. Which of the following ethical principles is the nurse demon- strating?
12. A nurse is preparing to complete an occurrence report for a client who fell at the facility. Which of the follow- ing actions should the nurse take?
13. A nurse is caring for a client who is requesting not to be mechanically ventilated. The nurse notifies the client's provider about the client's concerns and re- spects the client's request. Which of the following professional values is the nurse utilizing?
14. Organizing the patient information based on the nurs- ing process and the patients problems is an example of what type of charting?
15. A nurse is obtaining a health history from the newly admitted client which of the following findings would the nurse identify as nonmodifiable risks for develop- ing a disease? Select all that apply
16. A nurse id preparing to give a blood pressure medica- tion to a patient who has hypertension. Which of the following types of prevention is the nurse demonstrat- ing?
17. • confidential na- ture of the nurse-patient rela- tionship Fidelity; an ethi- cal principle that ensures trust be- tween the client and the nurse by keeping agree- ments. Use objective ter- minology when documenting Autonomy Problem Orientat- ed Charting
    • Genetics
    • Age
    • Family History Tertiary; an exist- ing, usually chron- ic disease is man- aged to

6 / prevent complications or further damage

7 / The nurse is participating at a health fair at the local mall giving influenza vaccinations to senior citizens. What level of prevention is the nurse practicing? Primary; prevent disease or injury before it ever oc- curs

18. Which activity represents secondary prevention? A home health care nurse visits a patient's home to change a wound dressing.
19. What would NOT be considered a component of an EHR?
20. What would be included in an Electronic Health Record?
    • Facility policies
    • Patient insurance information
    • Patient driver li- cense demographics, vi- tal signs, medical history, medica- tions, allergies and immunizations, as well as other info.
21. Objective information includes: vital signs, phys- ical exam, or- ders/results
22. Subjective Information includes: - Chief complaint: main reason for the visit
    • the story of

8 / the chief complaint

• a checklist of symptoms

23. Assessment collecting, orga- nizing and docu- ment gathered info from pt, family and

9 / other health care professionals

24. nursing diagnosis sorting and ana- lyzing the assess- ment data to iden- tify health prob- lems
25. planning nurse and patient set priorities and goals
26. Implementation carrying out nurs- ing interventions
27. Evaulation evaluate response to nursing inter- ventions
28. Priority setting frameworks High Priority: life threatening prob- lems Medium Priori- ty; problems that threaten health or coping ability Low Priority; prob- lems that do not have a major effect on the person if not attended

10 /

29. Which principle is most important when setting prior- ities for patient care? Rank prob- lem state- ments/nursing di- agnoses and inter- ventions as high, medium, and low

11 /

30. Beneficence and Nonmaleficence Beneficence; act- ing in the best in- terest of a client by giving care that benefits them Nonmaleficence ; least amount of harm to a client while trying to achieve the best outcome
31. Which of the following are common skin changes that occur with aging?
32. A nurse is documenting data findings on a patient. Which of the following should the nurse identify as objective data?
    • Loss of elastic fibers causing skin to wrinkle and sag.
    • Skin becomes thinner, fragile, and slower to heal.
    • Decreased se- baceous activity leading to dry and itchy skin.
    • Altered temper- ature control due to decreased se- baceous Thinning of hair, slower growth, and loss of color due to loss of melanocytes.
    • Patient's

12 / heart rate of 92 beats per minute

• Patient's descrip- tion of their rash as "itchy and red"

33. Every 4 hours

13 / How often should mouth care be provided to a patient who is mouth-breathing?

34. A nurse is planning to administer pain medication to a client who has pain post-abdominal surgery. Which of the following action should nurse take first? - Use a pain scale to determine pain level. - Discuss the adverse effects of pain medication with the client - Obtain the client's vital signs - Check the client's allergies
35. Which of the following best describes Clara Barton's contributions to the care of soldiers during the Amer- ican Civil War?
36. A registered nurse is assigning patients for the day. Which of the following patient assignments would the nurse delegate to the LPN (Licensed Practical Nurse)?
37. Which of the following are recommended steps to assist a patient with care of their dentures? (Select all that apply)
    • Use a pain scale to determine pain level Clara Barton, known for founding the American Red Cross, took volun- teers into field hos- pitals to care for soldiers of both the Union and Con- federate armies, demonstrating her commitment to hu- manitarian aid. An older adult pa- tient who has re- turned from radiol- ogy after an x-ray. Advise the

14 / patient to use denture ad- hesive for a better fit. Clean dentures thoroughly to pre- vent gum irritation and infection. Educate the pa-

15 /

38. Which of the following are functions of the mucous membrane? (Select all that apply)
39. Lillian Wald is significant for what contributions to public health nursing?
40. According to Maslow's Hierarchy of Needs, which of the following represents the highest level of need that humans strive to achieve?
41. During the American Civil War, the Union government appointed Dorothea Dix to organize women volun- teers to provide nursing care for soldiers. Which of the following statements best describes the role and impact of Dorothea Dix in this context?
42. When physiological needs are met, which need takes priority while ensuring safety?

16 / tient to clean den- tures both in the morning and at bedtime.

• Protect against bacterial invasion
• Secrete mucus
• Absorb fluid and electrolytes The founding the Henry Street Set- tlement to provide health care and social services to the poor Self-Actualization Dorothea Dix im- plemented strict guidelines and standards for the recruitment and behavior of women volun- teers, ensuring that only those who were over thirty years old, plain in appear- ance, and of high moral character were accepted. Security needs

17 /