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100 Item Exam on Fundamentals of Nursing

100 Item Exam on Fundamentals of Nursing

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Published by mervilyn
Godbless. 10% work and 90% prayer. :)
Godbless. 10% work and 90% prayer. :)

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Published by: mervilyn on Aug 17, 2010
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100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical andHealth Assessment and Routine Procedures
100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical and HealthAssessment and Routine ProceduresFUNDAMENTALS OF NURSING TEST IVBy : Budekhttp://www.pinoybsn.tkContent Outline1. The nursing process2. Physical Assessment3. Health Assessment3.a Temperature3.b Pulse3.c Respiration3.d Blood pressure4. Routine Procedures4.a Urinalysis specimen collection4.b Sputum specimen collection4.c Urine examination4.d Positioning pre-procedure4.e Stool specimen collection1. She is the first one to coin the term “NURSING PROCESS” She introduced 3 steps of nursing process which are Observation, Ministration and Validation.A. NightingaleB. JohnsonC. RogersD. Hall2. The American Nurses association formulated an innovation of the Nursing process. Today,how many distinct steps are there in the nursing process?A. APIE – 4B. ADPIE – 5C. ADOPIE – 6D. ADOPIER – 73. They are the first one to suggest a 4 step nursing process which are : APIE , orassessment, planning, implementation and evaluation.1. Yura2. Walsh3. Roy4. KnowlesA. 1,2B. 1,3C. 3,4D. 2,34. Which characteristic of nursing process is responsible for proper utilization of humanresources, time and cost resources?
A. Organized and SystematicB. HumanisticC. EfficientD. Effective5. Which characteristic of nursing process addresses the INDIVIDUALIZED care a clientmust receive?A. Organized and SystematicB. HumanisticC. EfficientD. Effective6. A characteristic of the nursing process that is essential to promote client satisfaction andprogress. The care should also be relevant with the client’s needs.A. Organized and SystematicB. HumanisticC. EfficientD. Effective7. Rhina, who has Menieres disease, said that her environment is moving. Which of thefollowing is a valid assessment?1. Rhina is giving an objective data2. Rhina is giving a subjective data3. The source of the data is primary4. The source of the data is secondaryA. 1,3B. 2,3C. 2.4D. 1,48. Nurse Angela, observe Joel who is very apprehensive over the impending operation. Theclient is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made adiagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?A. ActualB. ProbableC. PossibleD. Risk9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELFESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seenher lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?A. ActualB. ProbableC. PossibleD. Risk10. Nurse Angela is about to make a diagnosis but very unsure because the S/S the client isexperiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTYACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove herdiagnosis but her plans and interventions are already ongoing for the diagnosis. Which typeof Diagnosis is this?A. Actual
B. ProbableC. PossibleD. Risk11. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with anincision near the diaphragm. She knew that this will contribute to some complications lateron. She then should develop what type of Nursing diagnosis?A. ActualB. ProbableC. PossibleD. Risk12. Which of the following Nursing diagnosis is INCORRECT?A. Fluid volume deficit R/T DiarrheaB. High risk for injury R/T Absence of side railsC. Possible ineffective coping R/T Loss of loved oneD. Self esteem disturbance R/T Effects of surgical removal of the leg13. Among the following statements, which should be given the HIGHEST priority?A. Client is in extreme painB. Client’s blood pressure is 60/40C. Client’s temperature is 40 deg. CentigradeD. Client is cyanotic14. Which of the following need is given a higher priority among others?A. The client has attempted suicide and safety precaution is neededB. The client has disturbance in his body image because of the recent operationC. The client is depressed because her boyfriend left her all aloneD. The client is thirsty and dehydrated15. Which of the following is TRUE with regards to Client Goals?A. They are specific, measurable, attainable and time boundedB. They are general and broadly statedC. They should answer for WHO, WHAT ACTIONS, WHAT CIRCUMSTANCES, HOW WELL andWHEN.D. Example is : After discharge planning, Client demonstrated the proper psychomotor skillsfor insulin injection.16. Which of the following is a NOT a correct statement of an Outcome criteria?A. Ambulates 30 feet with a cane before dischargeB. Discusses fears and concerns regarding the surgical procedureC. Demonstrates proper coughing and breathing technique after a teaching sessionD. Reestablishes a normal pattern of elimination17. Which of the following is a OBJECTIVE data?A. DizzinessB. Chest painC. AnxietyD. Blue nails18. A patient’s chart is what type of data source?A. Primary

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