Fundamentals of Nursing Final Examination 2010 Study Guide The Final Exam will consist of 200 multiple choice

questions from the following: Chapters 1,2,3,5,6,7,9,14,15,16,17,18,19,20,21,22,24,25,27,28,29,30,31,33,34,35,38,39 Chapter 1:Nursing and the Health Care System 1. Identify the educational ladder that is available to nurses 2. Identify segments within the various levels of health care 3. Explain how a health maintenance organization and a preferred provided organization differ 4. Compare methods of delivery of nursing care

Chapter 2: Concepts of Health, Illness, Stress, and Health Promotion 1. Compare traditional and current views of the meanings of health and illness 2. Discuss why nurses need to be aware of any cultural, educational, and social differences that might exist between themselves and their patients 3. Identify the four areas of human needs and give an example within each level of need

Chapter 3: Legal and Ethical Aspects of Nursing 1. Explain the legal requirements for the practice of nursing, and how they relate to a student nurse 2. Identify the consequences of violating the nurse practice act 3. Examine the issue of professional accountability, professional discipline, and continuing education for licensed nurses 4. Compare and contrast the terms negligence and malpractice 5. Discuss what you can do to protect yourself from lawsuits or the damages of lawsuits

Chapter 5: Assessment, Nursing, Diagnosis, and Planning 1. Identify the purpose of assessment (data collection) 2. Differentiate objective data from subjective data 3. Correlate patient problems with nursing diagnoses from the accepted North American Nursing Diagnosis Association-International (NANDA-I) list 4. Identify appropriate outcome criteria for selected nursing diagnosis

2. Identify factors to consider in implementing the plan of care Set priorities for providing care to a group of patients List the Standard Steps commonly carried out for all nursing procedures Identify the steps a nurse uses to evaluate care given Chapter 7: Documentation of Nursing Care 1. Discuss the concept of hospice care 3. List and differentiate between conditions and factors that can affect learning 4. Discuss types of resources available to assist in patient teaching Chapter 14: Cultural and Spiritual Aspects of Patient Care 1.Chapter 6: Implementation and Evaluation 1. Discuss the purposes of patient teaching 2. 2. Describe how culture influences health and health care choices 2. Grief. 3. Identify four expected symptoms related to metabolic change at end-of-life stages 4. the Dying Patient and Palliative Care 1. Describe how religious beliefs and practices may affect health and health care choices Chapter 15: Los. 4. Describe steps in performing postmortem care . Identify three purposes of documentation List the legal guidelines for recording on medial records Relate the approved way to correct entries in medical records that were made in Compare and contrast the five main methods of written documentation Chapter 9: Patient Teaching for Health Promotion 1. Describe the stages of grief and of dying. Plan ways to support the spiritual needs of patients of various religions 3. error 4. 3. Describe three ways in which people learn and correlate the importance of these types of learning to teaching 3. with their associated behaviors and feelings 2.

Discuss factors that make the elderly more susceptible to infection 3. 2. trash. Compare and contrast medial asepsis and surgical asepsis 6. and position change for both the patient and nurse 2. Describe accepted methods of disinfection and sterilization Chapter 17: Infection Prevention and Control in the Hospital and Home 1. alignment. and Positioning Patients 1. Moving. 3. Skin Care. Describe factors that influence personal hygiene practices Recall skin areas most susceptible to pressure ulcer formation Discuss risk factors for impaired skin integrity Describe how hygienic care differs for the younger and older patient . Explain how Transmission-Based Precautions are used with Standard Precautions 3. and the Prevention of Pressure Ulcers 1.Chapter 16: Infection Prevention and Control: Protective Mechanisms and Asepsis 1. Explain the importance of proper body mechanics. Identify means for removal or destruction of microorganism on animate and inanimate objects 5. Personal Care. disposal of dirty linen. Explain how the inflammatory and immune responses protect the body 4. Describe how procedures for Airborne Precautions differ from those for Droplet Precautions 4. Identify five ways to decrease the occurrence of health care-associated infections (HAIs) 2. 4. State the four rules of surgical asepsis Chapter 18: Lifting. List techniques for handling of specimens. and sharps. List the types of microorganisms that can cause infection in humans 2. Describe the proper methods for transferring a patient between wheelchair and bed Chapter 19: Assisting with Hygiene. and the cleaning of equipment in the isolation setting 5. Identify ways to maintain correct body alignment of the patient in bed or chair 3.

heart rate. Discuss appropriate psychosocial care and teaching for patients undergoing diagnostic test or procedures 3. Discuss normal and abnormal characteristics of the pulse 3. State why pain is considered the fifth vital sign Chapter 22: Assessing Health Status 1. a urine dipstick test. an electrocardiogram. List information that should be gathered for a comprehensive database for a patient 3. Describe methods to prevent mechanical and thermal accidents and injury in health care facilities and the home 4. a throat culture. State the main signs and symptoms of acid-base imbalances . Identify the signs and symptoms of the common fluid and electrolyte imbalances 3. Explain the importance of neatness and order in the patient’s environment 3.Chapter 20: Patient Environment and Safety 1. Prepare to perform a capillary hemoglobin test. Describe the seven categories of tests that are commonly performed 2. Describe the respiratory pattern considered to be normal and abnormal 4. Discuss the principles for using protective devices Chapter 21: Measuring Vital Signs 1. Discuss the types of assessment used in various situations 2. Identify the physiologic mechanisms that regulate temperature. Demonstrate knowledge of the legal implication of using protective devices 5. Describe three ways in which body fluids are continually being distributed among the fluid compartments 2. a venipuncture. blood pressure. Discuss nursing responsibilities for environmental management 2. and Acid-Base Balance 1. and respiration 2. Demonstrate the techniques used during physical examination Chapter 24: Diagnostic Tests and Specimen Collection 1. and a stool for occult blood test Chapter 25: Fluid. Electrolyte.

2. Describe the use of nursing interventions for pain control including: massage. Describe how pain may affect vital signs 2. distraction. Describe the structure and functions of the urinary system Identify abnormal appearance of a urine specimen Describe three nursing measures to assist patients to urinate normally List the purposes and principles of indwelling and intermittent catheterization Discuss ways to manage urinary incontinence Chapter 30: Promoting Bowel Elimination 1. irrigate. Discuss the physiology effects of hypoactive bowel and nursing interventions to assist patient with constipation 5. Discuss the stoma and periostomal assessment and skin care Chapter 31: Pain. Describe the process of normal bowel elimination 2. 4. sleep apnea. Identify abnormal characteristics of stool 3. and narcolepsy . 5. 3. and biofeedback 3. 3. Compare and contrast a fell liquid diet with a clear liquid diet List disease processes that may benefit from diet therapy Verbalize the rationale for tube feedings List the steps for procedure to insert. 2. 4. 3. Comfort and Sleep 1. and remove a nasogastric tube Chapter 28: Assisting with Respiration and Oxygen Delivery 1. 4. List safety considerations related to giving a patient an enema 4. Define the sleep disorders insomnia.Chapter 27: Diet Therapy and Assisted Feeding 1. 2. Name three causes of hypoxia Identify procedures to be followed in the event of respiratory or cardiac arrest List safety precautions to be observed when patients are receiving oxygen therapy Describe the various methods used for oxygen delivery Chapter 29: Promoting Urinary Elimination 1. relaxation.

4. Identify the principles for safe and effective administration of all forms of medication administration listed above 2. and Intramuscular Injections 1. Discuss the signs. and Inhalant Medications 1. Topical. 3. Discuss your responsibilities in the event of a medication error Chapter 35: Administering Intradermal. Discuss medication dispensing and delivery systems 5. 2. 3. Describe appropriate cast care. Explain the legal implications for administration of drugs by nurses 3. 5. Describe how drugs are classified 2. List the different classification of drugs based on their specific actions 4. Describe issues of medication administration in home care 5. Discuss measures used to prevent medication errors Chapter 34: Administering Oral. Describe the physiology process by which wound heal Discuss factors that affect wound healing Identify signs and symptoms of wound infection Discuss actions related to sound dehiscence or evisceration Chapter 39: Promoting Musculoskeletal Function 1.Chapter 33: Pharmacology and Preparation for Drug Administration 1. Subcutaneous. Identify steps taken when performing a sterile dressing change Identify differences between various types of beds Identify various types of traction and nursing implications involved Discuss the use of bandages and slings . 2. and nursing management of anaphylactic shock Chapter 38: Providing Wound Care and Treating Pressure Ulcers 1. symptoms. Describe the legal and professional responsibilities of the LPN/LVN related to medication administration 2. Identify preparation of medication for parenteral use 4. Identify the parts of a valid medication order 3. List the routes used for administering parenteral medications 3. Discuss areas of concerns regarding medication administration to children and to the elderly 4. 4.

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