Fundamentals of Nursing Final Exam Review 120 QUESTIONS AND ANSWERS WITH ALL ANSWERS 100%C, Exams of Nursing

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QUESTIONS AND ANSWERS WITH ALL ANSWERS

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ANA defines nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through:..." - correct answers The diagnosis and treatment of human responses to health and illness What role did Christianity have on the development of modern nursing? - correct answers Christianity provides biblical principles and values as a basis for nursing practice What influence has war had on nursing and nursing education? - correct answers Increased the demand for trained/educated nurses Who were America's first two trained/educated nurses? - correct answers Linda Richards and Mary Mahoney Founder of the American Red Cross - correct answers Clara Barton This nurse was a supervisor of nursing for the Union Army in the Civil War - correct answers Dorothea Dix The "lady with the lamp" and the founder of modern day nursing is: - correct answers Florence Nightengale The two American Civil War nurses that were active with the underground railroad and slave safety: - correct answers Harriet Tubman and Sojourner Truth

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The 4 curricular organizers for CU Nursing Program are: - correct answers Culture, Godly Living, Information Management, and Care End goal of nursing education at CU is to prepare graduates to: - correct answers Develop as nurses grounded in biblical truth T/F; Student success is a class every college student has to take - correct answers False T/F; Student success is a position held by a staff member to make sure students are successful in every class - correct answers False T/F; Student Success is a collaborative effort in which students take responsibility for their learning and success and are provided resources and advice from faculty and staff - correct answers True T/F; College is an extension of High School and does not require any more time or effort to be successful in classes - correct answers False T/F; It is good practice to wait to work on assignments and study for exams the night before a deadline - correct answers False T/F; Castle branch is a club for students interested in the medieval period - correct answers False

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T/F; Clinical sites love having students not care if they are up to date on immunizations - correct answers False T/F; Clinical sites love having students, but have specific requirements needing met or students may not be in their facilities - correct answers True T/F; Faculty and Staff in the School of Nursing work to help students reach their goals, offering help, suggesting resources, and encouraging students to take responsibility for their own learning and success - correct answers True T/F; CU has many resources available for students who need additional help outside the classroom - correct answers True Upon completion of your senior year at CU, you will graduate with a: - correct answers BSN degree In order for nurses to gain power and influence their future, they must: - correct answers Join together in professional unity Professional nursing organizations are involved in all of the following EXCEPT: - correct answers Grant licensure to RN's Nurse practice acts were developed so that licensure and nurse accountability could be regulated by - correct answers State Boards of Nursing

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Which of the following is NOT within the scope of nursing practice for BSN graduates? - correct answers Ordering medical treatments for patients The primary purpose of the State Board of Nursing is to: - correct answers Protect the public Who is primarily responsible for developing standards for nursing practice? - correct answers Professional nursing organizations All of the following are purposes for nursing standards EXCEPT: - correct answers Provide a license for nurses to practice within each state You practice using nursing's code of ethics for professional registered nurses. This code: - correct answers Defines the principles by which nurses provide care to their clients Advanced practice nurses (APN's) generally: - correct answers Function independently Nursing paradigm includes: - correct answers Person, Environment, Health, and Nursing A creative and rigorous structuring of ideas that project a tentative, purposeful and systematic view of phenomena is called a: - correct answers Theory

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A nurse is caring for a patient with a severe head injury. Each shift, the nurse pays attention to the lighting, atmosphere, and environmental surroundings. The nurse is functioning according to which nursing theorist? - correct answers Florence Nightengale Which of the following nurse theorists focused her theory on adaptation? - correct answers Sister Callistra Roy The theory of Human Caring was developed by: - correct answers Jean Watson What would be the purpose for developing a Christian Theory of Nursing? - correct answers To practice nursing reflecting the values of Christ and Scripture A value is defined as: - correct answers Enduring beliefs or attitudes about the worth of a person, object, idea, or action Altruism is defined as: - correct answers The nurse's concern for the welfare and well-being of others Integrity is best defined as: - correct answers Being honest and trustworthy in all aspects of nursing A nurse will demonstrate the value of Social Justice by: - correct answers Working to ensure equal access to quality health care

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A defintion of nursing research is: - correct answers A sytematic inquiry designed to develop knowledge aobut issues of importance to nursing Why is research important for nursing? - correct answers To have evidence as a basis for nursing care The study of research questions about human experiences is which type of research? - correct answers Qualitative A division of the National Institute of Health focusing on establishing a scientific basis for nursing care is: - correct answers The National Institute for Nursing Research A major emphasis of quantitative research is to: - correct answers Test Relationships, differences, and cause and effect interactions Which type of research is summarized and analyzed by the use of numerical data?

• correct answers Quantitative Systematically developed best practice recommendations based on systematic reviews of research evidence is called: - correct answers A clinical practice guideline When a researcher gives a subject full and complete information about the purpose of a study, this is an example of: - correct answers Informed consent

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An article that includes a description of how to do a procedure, a case study example, and often provides opportunity to earn continuing education is a: - correct answers Clinical article An article that includes the statement of a problem to study and description of methods for collecting data is a: - correct answers Research article A value is defined as: - correct answers Enduring beliefs or attitudes about the worth of a person, object, idea, or action The nursing professional code of ethics is best defined as: - correct answers The nursing profession's expectations of its members' behavior Which of the following is an example of the ethical principle of autonomy? - correct answers Supporting a client's right to refuse a specific type of therapy What is the ethical principle that requires that the primary goal of healthcare and nursing is to do good for others? - correct answers Beneficence Nurses agree to be advocates for their clients. The practice of advocacy calls for the nurse to do which of the following? - correct answers Assess the client's point of view and prepare to articulate this point of view Malpractice is best defined as: - correct answers Negligence by a professional

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The criteria upon which a nurse is determined to have committed malpractice is, did the nurse: - correct answers Meet the standard that a reasonable and prudent nurse would do in the same situation Which statement is most accurate regarding the legal responsibilities of nursing students? - correct answers They are accountable for all actions they perform Nurse practice acts are: - correct answers Laws regarding nursing practice The Good Samaritan Act protects Health-Care providers who give emergency care away from their place of employment as long as they: - correct answers Give care according to established guidelines and within the scope of their education A 6-year old boy just ate a popsicle and the nurse is ready to take vital signs. The most appropriate action would be to: - correct answers Wait 20 minutes to take an oral tempertature The most appropriate site for taking the pulse in a healthy adult is: - correct answers Radial During a 24 hour period of time, when is the body temperature likely to be highest? - correct answers 4:00-6:00 p.m. Convert a temperature of 38.5 C to F - correct answers 101.3 F

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Another term for fever is: - correct answers Pyrexia The temperature regulating mechanism in the body is the: - correct answers Hypothalamus You are assessing the heart rate of an infant, the expected rate per minute should be: - correct answers 130 When assessing a client's peripheral pulse, the nurse is assessing which two factors? - correct answers Rhythm and rate A client's apical pulse will be taken by a nursing student. Where should the stethoscope be placed along the left clavicular line? - correct answers Fourth to fifth intercostal space The nurse should assess an apical pulse rate for which of the following clients? - correct answers A 65 year old man with an irregular pulse Which of the following factors will likely depress respiratory rate? - correct answers Narcotic and sedative medications A postoperative client is breathing rapidly, the highest priority for the nurse is to: - correct answers Assess the oxygen saturation

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The medical term for a client experiencing difficulty breathing is: - correct answers Dyspnea A measurment of oxygen saturation and perfusion is obtained by: - correct answers Use of pulse oximeter Which of the following arteries is most commonly used to obtain a blood pressure? - correct answers Brachial When evaluating the blood pressure, the first number is called _________ pressure. - correct answers Systolic Cardiac output relates to what determinant of blood pressure? - correct answers Pumping action of the heart Peripheral vascular resistance relates to what determinant of blood pressure? - correct answers Size of blood vessel The nurse is auscultating a client's blood pressure and inflates the cuff to 180 mm Hg. At 156 mm Hg the nurse hears the onset of a tapping sound. At 130 mm Hg the sound changes to a murmur or swishing. At 98 mm Hg it becomes muffled, and at 88 mm Hg the sound disappears. The nurse records the blood pressure as: - correct answers 156/

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The nurse is assessing the vital signs of an adult. The expected values for this client would be: - correct answers P: 80 bpm; R: 16 breaths/min; BP: 110/ mmHg According to the CU Nursing definition, critical thinking is: - correct answers Creativity with rigor Critical thinking in nursing focuses on: - correct answers Transforming knowledge Your patient complains of feeling hungry, but will not eat when the food is served. Using critical-thinking skills, what action would you take? - correct answers Assess why the client isn't eating Characteristics of a critical thinker include all the following EXCEPT: - correct answers Strict adherence to tradition The nursing process is primarily focused on solving the problems of: - correct answers The patient The steps of the nursing process include Assessment,______, Planning,______, Evaluation: - correct answers Diagnosis, Implementation Critical thinking is just that, a way of thinking, whereas, the nursing process utilizes critical thinking to: - correct answers Problem solve and make decisions

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A nurse who has become more creative and innovative; one who considers options aside from routine is at which level of critical thinking? - correct answers Complex level You are admitting a patient with multiple nursing diagnoses and multiple medical diagnoses, including diabetes, hypertension, and obesity. What tool would be useful in giving a visual representation of the client problems and nursing interventions? - correct answers Concept map The purpose of assessment is to: - correct answers Establish a database concerning the client When asked to define "Nursing Diagnosis" the nurse's best response is: - correct answers "It describes a client's problem with a condition the nurse is competent to treat" Identify the defining characteristics in the following nursing diagnosis: Altered speech related to recent neurological disturbance as evidenced by inability to speak in complete sentences. - correct answers "Inability to speak in complete sentences" The client has the nursing diagnosis "Stress overload related to multiple coexisting stressors (dorm-life, final exams, poor weather conditions). An appropriate goal/outcome would be: - correct answers Client will identify stressors that can be modified or eliminated by 12/25/

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Nursing Interventions are: - correct answers Actions that the nurse performs to achieve goals/desired outcomes A nursing student doesn't understand the difference between evaluation and assessment - both are ongoing, and both are areas of data collection. In order to distinguish between the two, the student should remember that: - correct answers Evaluation uses assessment data to judge effectiveness of nursing care on meeting client goals The nurse writes an expected outcome statement in measurable terms. An example is: - correct answers The client will report pain acuity less than 4 on a scale of 0- Collaborative interventions are therapies that require: - correct answers Multiple health care professionals Obtaining and recording vital signs on the medical record is an example of: - correct answers Psychomotor skill Environmental factors heavily affect a client's care. Your first concern for the client includes which of the following? - correct answers Safety If goals are unmet or partially met, the nurse should do all the following except: - correct answers Discontinue the plan

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The Lifetime record of all healthcare encounters for a patient is: - correct answers The EHR The Legal record describing a single encounter or visit created in hospitals and outpatient health care settings is: - correct answers The EMR Documentation is all the following except: - correct answers On paper only The purpose of the Medical Record is: - correct answers Legal Documentation, Research, Communication The nursing instructor is concerned when a nursing student: - correct answers Shares patient info with a friend QSEN identifies Informatics competency as a necessary component of KSA: - correct answers Knowledge, Skills, Attitudes A nurse knows the staff need additional education about informatics based on which statement? - correct answers If a nurse has computer competency, the nurse is competent in informatics Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and ___________ in nursing practice. - correct answers Wisdom

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The ANA recognized Nursing Informatics as a specialty in: - correct answers 1992 T/F; Competencies are not necessary in Nursing Informatics, only in Biomedial Informatics - correct answers False A defining characteristic in CU's Nursing program is: - correct answers Nursing as an expression of Christ's love Two important documents guiding professional nursing practice are: - correct answers Standards of Care and Nurse Practice Acts One hallmark of any profession is: - correct answers There is a code of ethics After completing an assessment and analyzing the data, the student nurse uses his/her knowledge of prioritization and chooses which problem as the first priority in developing the plan of care? - correct answers Complaints of having a difficult time breathing When learning how to implement the nursing process into a plan of care for a client, the student nurse realizes the main purpose of the nursing process is to: - correct answers Identify client needs and deliver care to meet those needs Why is research important for nursing? - correct answers To have evidence as a basis for nursing care

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The statement "Integration of best knowledge into best practice" represents: - correct answers Evidence Based Practice The four categories of Advanced Practice Nurses include Midwives, Clinical Nurse Specialists, and: - correct answers Nurse Practioners and Nurse Anesthetists The following are true of Nurse Practioners EXCEPT: - correct answers They are an extension of the Physician As a professional, you have certain responsibilities. They include: - correct answers Maintaining competency, Protecting Yourself and Client Legally, Providing Ethical Care