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Fundamentals of Nursing Test IV

Fundamentals of Nursing Test IV



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Published by Rose Ann

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Published by: Rose Ann on Nov 23, 2008
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100 Item Exam On Fundamentals Of Nursing : Nursing Process,Physical and Health Assessment and Routine Procedures Answer Key
100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical andHealth Assessment and Routine Procedures Answer KeyFUNDAMENTALS OF NURSING TEST IV
Content 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 collection
1. She is the first one to coin the term “NURSING PROCESS” She introduced 3steps of nursing process which are Observation, Ministration and Validation.A. NightingaleB. JohnsonC. Rogers
D. Hall
2. The American Nurses association formulated an innovation of the Nursingprocess. Today, how many distinct steps are there in the nursing process?A. APIE – 4B. ADPIE – 5
D. 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. Knowles
A. 1,2
B. 1,3C. 3,4D. 2,34. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?
A. Organized and SystematicB. Humanistic
C. Efficient
D. Effective5. Which characteristic of nursing process addresses the INDIVIDUALIZED care aclient must receive?A. Organized and Systematic
B. Humanistic
C. EfficientD. Effective6. A characteristic of the nursing process that is essential to promote clientsatisfaction and progress. The care should also be relevant with the client’sneeds.A. Organized and SystematicB. HumanisticC. Efficient
D. Effective
7. Rhina, who has Menieres disease, said that her environment is moving. Whichof the following 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. 1,3
B. 2,3
C. 2.4D. 1,48. Nurse Angela, observe Joel who is very apprehensive over the impendingoperation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE.This is what type of Nursing Diagnosis?
A. Actual
B. ProbableC. PossibleD. Risk9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Herdiagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Althoughthe client has not yet seen her lost leg, Angela already anticipated the diagnosis.This is what type of Diagnosis?A. ActualB. ProbableC. Possible
D. Risk
10. Nurse Angela is about to make a diagnosis but very unsure because the S/Sthe client is experiencing is not specific with her diagnosis of POWERLESSNESSR/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering
data to refute or prove her diagnosis but her plans and interventions are alreadyongoing for the diagnosis. Which type of Diagnosis is this?A. ActualB. Probable
C. Possible
D. Risk11. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone anoperation with an incision near the diaphragm. She knew that this will contributeto some complications later on. She then should develop what type of Nursingdiagnosis?A. ActualB. ProbableC. Possible
D. Risk
12. Which of the following Nursing diagnosis is INCORRECT?A. Fluid volume deficit R/T Diarrhea
B. High risk for injury R/T Absence of side rails
C. 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 HIGHESTpriority?A. Client is in extreme painB. Client’s blood pressure is 60/40C. Client’s temperature is 40 deg. Centigrade
D. Client is cyanotic
14. 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 alone
D. The client is thirsty and dehydrated
15. Which of the following is TRUE with regards to Client Goals?A. They are specific, measurable, attainable and time bounded
B. They are general and broadly stated
C. They should answer for WHO, WHAT ACTIONS, WHAT CIRCUMSTANCES, HOWWELL and WHEN.D. Example is : After discharge planning, Client demonstrated the properpsychomotor skills for 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 teachingsession
D. Reestablishes a normal pattern of elimination

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