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Keiser University NUR 1022C Fundamentals Final Review NUR-1022C Fundamentals Final Review;, Exams of Nursing

Keiser UniversityNursing

Keiser University NUR 1022C Fundamentals Final Review NUR-1022C Fundamentals Final Review; Complete Answered (all)

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Fundamentals Final Review
Question 1
A nurse manager has a staff nurse who observes certain religious holidays. The manager tries to make
sure that these observances can be met if possible. Which value is the manager practicing?
1. Human dignity
2. Social justice
3. Autonomy
4. Altruism
Question 2
Parents of a terminally ill child have decided to remove their child from life support, a decision that has
met with little positive support. Which nursing action demonstrates autonomy regarding the parents’
decision?
1. Showing respect for the family
2. Respecting the parents’ decision
3. Referring the parents to social services
4. Asking to be assigned to a different client
Question 3
A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. Which
statement should the nurse make that demonstrates the theory of principles-based reasoning?
1. “This client is of sound mind and is capable of making his own decisions regarding health care. It
really is his decision to make.”
2. “I need to try and help the family understand the client’s decision so they can work through this
situation together.”
3. “This client’s health is so deteriorated that the treatment is not saving his life. It is prolonging the
ultimate outcome, which is his death.”
4. “The client understands his decision and the advanced stage of his disease. If he quits treatment, he will
die.”
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Fundamentals Final Review

Question 1 A nurse manager has a staff nurse who observes certain religious holidays. The manager tries to make sure that these observances can be met if possible. Which value is the manager practicing?

  1. Human dignity
  2. Social justice
  3. Autonomy
  4. Altruism Question 2 Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with little positive support. Which nursing action demonstrates autonomy regarding the parents’ decision?
  5. Showing respect for the family
  6. Respecting the parents’ decision
  7. Referring the parents to social services
  8. Asking to be assigned to a different client Question 3 A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. Which statement should the nurse make that demonstrates the theory of principles-based reasoning?
  9. “This client is of sound mind and is capable of making his own decisions regarding health care. It really is his decision to make.”
  10. “I need to try and help the family understand the client’s decision so they can work through this situation together.”
  11. “This client’s health is so deteriorated that the treatment is not saving his life. It is prolonging the ultimate outcome, which is his death.”
  12. “The client understands his decision and the advanced stage of his disease. If he quits treatment, he will die.” Question 4

A decision has been made for an older client to receive aggressive cancer therapy despite knowing that the therapy will actually be more harmful than the disease and subject the client to harmful chemicals. With which ethical principle is this nurse caring for this client struggling?

  1. Autonomy
  2. Justice
  3. Beneficence
  4. Nonmaleficence Question 5 When completing a community assessment, the community health nurse will take several aspects into account. What is the first stage of this assessment that the nurse will complete?
  5. Learn about the people in the community.
  6. Understand the major illnesses present in the community.
  7. Identify the boundaries of the community.
  8. Make sure resources are available in the community. Question 6 A public health nurse is working with a group of home health nurses in an isolated, mountainous region where access to smaller communities and individuals is quite difficult, especially in the winter and early spring—seasons when the health needs of these individuals are quite high. The public health nurse has set up video conferencing and video clinics for these home health nurses regarding various client teaching and health promotion activities. What activity did the public health nurse conduct?
  9. Community-based nursing
  10. Parish nursing
  11. Telenursing
  12. Collaborative health care Question 7 The nurse is providing care to a group of clients. For which situation would the nurse’s use of critical thinking be a priority?
  13. Administering IV push meds to critically ill clients
  14. Educating a home health client about treatment options
  15. Teaching new parents car seat safety
  1. Implement a plan that is close to the medical model.
  2. Identify client needs and deliver care to meet those needs.
  3. Make sure that standardized care is available to clients. Question 12 The nurse provides a back rub to a client after administering a pain medication with the hope that these two actions will help decrease the client’s pain. Which phase of the nursing process is this nurse implementing?
  4. Assessment
  5. Diagnosis
  6. Implementation
  7. Evaluation Question 13 The nurse is admitting an infant to the care area. The parents and grandmother are present. What should the nurse use as the best source of data for this client?
  8. Medical record from the child’s birth
  9. Grandmother
  10. Parents
  11. Admitting physician Question 14 The nurse documents: “Client avoids eye contact and gives only vague, nonspecific answers to direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand gestures) in conversation with spouse.” Which method of data collection does this documentation demonstrate?
  12. Examining
  13. Interviewing
  14. Listening
  15. Observing Question 15

A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?

  1. Client will ambulate without a walker by 6 weeks.
  2. Client will ambulate freely in house.
  3. Client will not fall.
  4. Client will have freer movement in daily activities. Question 16 The nurse is reviewing interventions written for a client’s plan of care. Which intervention should the nurse recognize as being dependent?
  5. Repositioning the client every 2 hours
  6. Assisting the client with transfers to the bathroom
  7. Providing ongoing physical assessment, especially of the incisional sites
  8. Administering medications for pain Question 17 The nurse identifies the diagnosis Risk for aspiration, related to neuromuscular dysfunction for a client who experienced a cerebrovascular accident. Which intervention should the nurse identify as including a rationale?
  9. Have suction equipment available at all times.
  10. Clear secretions from oral/nasal passageways as needed.
  11. Keep client in low-Fowler’s position to prevent reflux.
  12. Provide frequent assessment for presence of obstructive material in mouth and throat. Question 18 A client who is being transferred to a rehabilitation center asks the nurse if he can take his chart with him, as it’s his record. How should the nurse respond to this client’s request?
  13. “You’ll have to ask your doctor for permission to do that.”
  14. “Actually, the original record is the property of the hospital, but you are welcome to copies of your records.”
  15. “We’ll make sure that all of your records are sent ahead to the rehab hospital, so you don’t really have to worry about those details.”

When responding to a call light, the nurse finds a client lying on the floor, with the bed linens around the legs. Which chart entry should the nurse document for this finding?

  1. Client fell out of bed, but did push the call button for assistance.
  2. Client became tangled in the bed linens, then called for assistance after falling out of bed.
  3. Recorder responded to client’s call light, upon entering the room, found client on floor.
  4. Client found on floor, appeared to have fallen out of bed as a result of getting tangled in bed linens. Question 23 A nurse is working in a rehabilitation center with a client who had a serious injury. Part of the client’s care plan includes working on coping with her current limitations since the injury. This nurse is working within which model of health?
  5. Role performance
  6. Adaptive
  7. Eudemonistic
  8. Clinical Question 24 During a home visit with a new community member, the nurse suspects that a client has a chronic illness. What did the nurse assess to make this clinical decision? Select all that apply.
  9. Experienced symptoms for 8 months
  10. Has periods where the symptoms disappear
  11. Altered activities of daily living because of the illness
  12. Problem disappeared with over-the-counter medication
  13. Symptoms appeared abruptly and disappeared after treatment Question 25 A community health nurse is learning about the REACH initiative and has decided to implement community education on this approach. What topics should the nurse include in this education? Select all that apply.
  14. Child and adult immunizations
  15. Cardiovascular disease
  16. Chronic lower respiratory disease
  1. Stroke
  2. Infant mortality Question 26 A client is the child of an African American father and Asian American mother. The client has been exposed to cultural foods, traditions, and customs from both parents throughout life. What term should the nurse use to describe this client’s cultural development?
  3. Diversity
  4. Subculture
  5. Multicultural
  6. Cultural sensitivity Question 27 A client has requested that she have a special item present in her room and explains that it gives her a feeling of comfort and a sense of organization. On which psychosocial component is this client focusing?
  7. Culture
  8. Religion
  9. Ethnicity
  10. Socialization Question 28 A client makes the following statement: “I must be paying for all the wrongs I did in my life, to have such a diagnosis as this.” The nurse suspects that this client views health from which type of belief?
  11. Magico-religious belief
  12. Holistic health belief
  13. Biomedical health belief
  14. Folk medicine Question 29 The school nurse is conducting head lice screenings. Before checking the head of an Asian child, the nurse should first take which action?
  15. Ask permission.

Question 33 A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy. On what should the nurse focus to improve communication skills?

  1. Pace
  2. Intonation
  3. Simplicity
  4. Clarity Question 34 The nurse enters a client’s room and finds that the telephone is lying in the client’s lap, tissues are wadded up on the bed, and the client’s eyes are red and watery. What is the best response by the nurse?
  5. “Can I hang that phone up for you?”
  6. “Well, it’s a beautiful day outside. Let’s open the blinds.”
  7. “Has your doctor been in to talk to you yet?”
  8. “You look upset. Is there anything you’d like to talk about?” Question 35 A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child. Which approach should the nurse use?
  9. Give the child’s parent a full explanation, but make sure the child hears what is said.
  10. Let the child handle the equipment first, then demonstrate on the child’s doll.
  11. Start the treatment, but make sure that the parent is there to comfort the child if she becomes afraid.
  12. Make sure that the physician is available for questions. Question 36 A nurse enters a client’s room and asks about his level of pain. The client, grimacing, says “It’s fine.” Which communication factor is the client struggling with?
  13. Territoriality
  14. Environment
  15. Congruence
  16. Attitude

Question 37 The nurse is conducting an admission interview. Which response indicates that the nurse is attentively listening to the client’s explanations?

  1. “Can you explain what your symptoms are like?”
  2. “When was the last time you saw a doctor for this?”
  3. “Uh-huh,” while nodding the head
  4. “I’m sorry, say that again?” Question 38 The nurse is identifying communication strategies for a client unable to speak. What would be appropriate for the client in this situation?
  5. Using a picture board to facilitate communication
  6. Facing the client when speaking
  7. Employing an interpreter
  8. Making sure that the language spoken is the client’s dominant language Question 39 The nurse wants to gain information about a client’s situation. Which question should the nurse use to maximize communication with this patient?
  9. “What brings you to the hospital?”
  10. “Are you having pain?”
  11. “Does your pain feel better or worse today?”
  12. “Is there anything I can do for you?” Question 40 The nurse is preparing to perform a health assessment of the abdomen. In which order should the nurse perform the assessment?
  13. Auscultate, percuss, palpate, inspect
  14. Inspect, auscultate, palpate, percuss
  15. Inspect, auscultate, percuss, palpate
  1. Sensory aphasia
  2. Expressive aphasia Question 45 The nurse is preparing the morning assignments. Which assessment could the nurse delegate to unlicensed assistive personnel?
  3. Neurological assessment
  4. Musculoskeletal assessment
  5. Vital signs assessment
  6. Female genital assessment Question 46 The nurse is preparing to administer a cardiotonic drug to a client. Which assessment should the nurse perform before administering the medication?
  7. Respiratory rate
  8. Apical pulse
  9. Popliteal pulse
  10. Capillary blanch test Question 47 The nurse is preparing to assess a client with the Glasgow Coma Scale. Which areas is the nurse assessing in this patient? Select all that apply.
  11. Eye response
  12. Motor response
  13. Verbal response
  14. Orientation
  15. Musculoskeletal response Question 48 The nurse is concerned that an older client has nutritional deficiencies. What did the nurse find when assessing this client’s nails to make this clinical decision? Select all that apply.
  1. White spots
  2. Curved nails
  3. Deep purple areas
  4. Spoon-shaped nails
  5. Bands across the nails Question 49 The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis?
  6. Disinfecting an item before adding it to a sterile field
  7. Allowing sterile gloved hands to fall below the waist
  8. Suctioning the oral cavity of an unconscious client
  9. Touching only the inside surface of the first glove while pulling it onto the hand Question 50 A patient is diagnosed with a systemic infection. What will the nurse most likely assess in this client?
  10. Edema, rubor, heat, and pain
  11. Fever, malaise, anorexia, nausea, and vomiting
  12. Palpitations, irritability, and heat intolerance
  13. Tingling, numbness, and cramping of the extremities Question 51 The nurse is reviewing collected data from a client. Which information should the nurse identify as a physiological barrier to defend the client’s body from microorganisms? 1. Heavy smoking 2. Moisturizing the skin 3. Breakdown of skin 4. Voiding quantity sufficient Question 52 The nurse is caring for a client with hepatitis A. Which technique should the nurse use to promote proper hand-washing technique with this client?

A client tells the nurse that the newly diagnosed communicable disease is negatively impacting employment and causing a stressful situation at home. What diagnosis should the nurse select as a priority for this client?

  1. Anxiety
  2. Acute Pain
  3. Social Isolation
  4. Low Self-Esteem Question 57 While irrigating a client’s abdominal wound, the irrigate splashes into the nurse’s nose and eyes. What should the nurse do?
  5. Flush the nose and eyes for 5 to 10 minutes with water or normal saline.
  6. Begin HIV high-risk exposure prophylaxis within 24 hours.
  7. Wash the areas with soap and water. 4. Have blood drawn for hepatitis B antibodies. Question 58 The nurse documents in a client’s medical record: “The client is a drug addict and is always asking for more medication than what is necessary.” With what might the nurse be charged?
  8. Defamation
  9. Slander
  10. Libel
  11. Incompetence Question 59 The nurse is reviewing the Good Samaritan acts. For which situation should the nurse realize that these laws apply?
  12. Giving CPR to a client brought to the emergency department, when the client later is found to have a “Do Not Resuscitate” order
  13. Giving first aid to a child injured in a sporting event
  14. Permitting a nursing student to try to insert an airway in an unconscious client
  15. Leaving the scene of an emergency to call for help
  1. Helping deliver the baby of a neighbor during a snowstorm Question 60 The nurse needs to apply personal protective equipment before entering a client’s room. In which order should the nurse perform the following actions?
  2. Perform hand hygiene
  3. Apply the gown.
  4. Apply the face mask.
  5. Apply eyewear.
  6. Apply gloves. Question 61 The nurse is preparing to provide morning care to a client. What should the nurse explain to the client as the reason for a daily bath?
  7. Assess skin integrity
  8. Develop a nurse–client relationship
  9. Moisturize the skin
  10. Stimulate circulation Question 62 The nurse is reviewing assigned clients for morning care needs. Which situation could pose a threat to one client’s personal hygiene?
  11. A client has a newly formed ileostomy.
  12. A client performs meticulous foot care.
  13. A German client refuses to bathe everyday.
  14. The room temperature is set at 72°F. Question 63 A client has the nursing diagnosis Risk for Impaired Skin Integrity related to immobility. Which nursing intervention should be identified for this client’s problem? 1. Encourage the client to eat at least 40% of meals.

The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn temperature over 101°F. The client complains of a headache. Can the nurse legally administer Tylenol to treat the headache?

  1. Yes, as Tylenol is used both for fever and headache.
  2. No, not unless the client also has a temperature over 101°F.
  3. Yes, but the nurse should document the reason why the medication was administered as a temperature elevation.
  4. Yes, because the medication is available over the counter, an order is not required. Question 68 During the process of administering medications, the nurse checks the name band for the client’s name. What should be this nurse’s next action?
  5. Administer the medication as ordered.
  6. Initial the MAR that the medication will be given.
  7. Double check the client’s identification using a second method.
  8. Educate the client regarding the medication to be given. Question 69 The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
  9. Have the UAP assess for any unexpected effects from the medication.
  10. Tell the UAP to teach the client’s family what to expect from the medication.
  11. Have the UAP look the medication up in a drug reference book to read about drug actions and possible side effects.
  12. Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse. Question 70 During administration of an intradermal injection, the nurse notices that the outline of the needle bevel is visible under the client’s skin. How should the nurse proceed?
  13. Recognize that this is an expected finding in a properly administered intradermal injection.
  14. Withdraw the needle, prepare a new injection, and start again.
  15. Insert the needle further into the skin at a deeper angle.
  1. Turn the needle so that the bevel is down and inject the medication slowly, looking for development of a bleb. Question 71 A client diagnosed with diabetes asks the nurse about reusing insulin syringes. Assessment reveals that the client has poor personal hygiene and difficulty with fine motor skills. The nurse also knows the client has financial difficulties. What instruction should the nurse give this client?
  2. “The American Diabetes Association advises that syringes are for single use only.”
  3. “In order to save money, I advise you to reuse syringes up to three times or until the needle feels dull.”
  4. “Only people who practice good personal hygiene can reuse syringes.”
  5. “All clients are different, but I advise you to use a new syringe for each injection.” Question 72 The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler. What information should the nurse provide regarding the dosage schedule for these two medications?
  6. Always use the corticosteroid inhaler first.
  7. Use the bronchodilator first.
  8. It makes no difference which inhaler is used first.
  9. Use the inhalers on alternate days, not on the same day. Question 73 A client is prescribed an oral medication. When reviewing this medication, the nurse realizes it might not be the route of choice for this client because the client is experiencing? Select all that apply.
  10. nausea.
  11. anxiety.
  12. vomiting.
  13. pain from cuts and abrasions.
  14. irritated gastric mucosa. Question 74