NURS 344 Fundamentals Practice Exam 1 Questions
With Complete Answers
Matching: Stages of infection
1. Incubation:
2. Prodromal:
3. Acute illness:
4. Decline:
5. Convalescence:
a. The client begins having symptoms.
b. The client returns to a normal or a "new normal" state of health.
c.Manifestations of the specific infectious disease process are obvious and may become
severe.
d.An infection enters host andbegins to multiply.
e. Manifestations begin to wane as the degree of infectious disease decreases. -
ANSWER 1d. Incubation: An infection enters host andbegins to multiply.
2a. Prodromal: The client begins having symptoms.
3c. Acute illness: Manifestations of the specific infectious disease process are obvious
and may become severe.
4e. Decline: Manifestations begin to wane as the degree of infectious disease
decreases.
5b. Convalescence: The client returns to anormal or a "new normal" state of health.
The functional health pattern assessment data states: "Eats three meals a day and is of
normal weight for height." The nurse should draw which of the following conclusions
about this data? Select all that apply.
A. Client has an actual health problem
B. Client has a wellness diagnosis
,C. Collaborative health problem needs to be written
D. Possible nursing diagnosis exists
E. Specific questions about the diet should be asked next - ANSWER B. Client has a
wellness diagnosis
E. Specific questions about the diet should be asked next
Rationale: The description indicates a healthy pattern of nutrition for the client. A
wellness diagnosis might be stated as: "Potential for enhanced nutrition." An actual
health problem is a client problem that is currently present. The nurse should also do a
diet assessment to determine the quality of the food eaten during meals. These actions
by the nurse are within the scope of independent nursing practice and are not
collaborative in nature.
Matching Definitions: Legal Jargon
1. Autonomy:
2. Beneficence:
3. Veracity:
4. Fidelity:
5. Justice:
a. Telling the truth•
b. Actions guided by compassion/kindness•
c.Freedom or independence to make own decisions
d.Actions are fair and equitable
e.Keeping promises orcommitments• - ANSWER 1c. Autonomy: Freedom or
independence to make own decisions•
2b. Beneficence: Actions guided bycompassion/kindness•
3a. Veracity: Telling the truth•
4e. Fidelity: Keeping promises orcommitments•
5c. Justice: Actions are fair and equitable
, For the patient with an ileostomy, the critical element is:
A. skin care
B. odor control
c. stoma irrigation
d. infection prevention - ANSWER a. Skin care
The nurse is caring for patients on a postoperative unit in the medical center. The nurse
is alert to the possibility that 24 to 48 hours of the postoperative period, patients may
experience the following as a result of the anesthetic used during the surgery.
A. colitis
b. stomatitis
c. paralytic ileus
d. gastrocolic reflex - ANSWER C. Paralytic ileus
The patient has been admitted to an acute care unit with a diagnosis of upper GI bleed.
The nurse suspects that the feces will appear:
a. bright red
b. pus filled
c. black and tarry
d. white and clay colored - ANSWER C. Black and Tarry
The CNA correctly identifies that the ostomy is healed by the expected appearance of an
ostomy stoma. (SATA)
A. Dry
With Complete Answers
Matching: Stages of infection
1. Incubation:
2. Prodromal:
3. Acute illness:
4. Decline:
5. Convalescence:
a. The client begins having symptoms.
b. The client returns to a normal or a "new normal" state of health.
c.Manifestations of the specific infectious disease process are obvious and may become
severe.
d.An infection enters host andbegins to multiply.
e. Manifestations begin to wane as the degree of infectious disease decreases. -
ANSWER 1d. Incubation: An infection enters host andbegins to multiply.
2a. Prodromal: The client begins having symptoms.
3c. Acute illness: Manifestations of the specific infectious disease process are obvious
and may become severe.
4e. Decline: Manifestations begin to wane as the degree of infectious disease
decreases.
5b. Convalescence: The client returns to anormal or a "new normal" state of health.
The functional health pattern assessment data states: "Eats three meals a day and is of
normal weight for height." The nurse should draw which of the following conclusions
about this data? Select all that apply.
A. Client has an actual health problem
B. Client has a wellness diagnosis
,C. Collaborative health problem needs to be written
D. Possible nursing diagnosis exists
E. Specific questions about the diet should be asked next - ANSWER B. Client has a
wellness diagnosis
E. Specific questions about the diet should be asked next
Rationale: The description indicates a healthy pattern of nutrition for the client. A
wellness diagnosis might be stated as: "Potential for enhanced nutrition." An actual
health problem is a client problem that is currently present. The nurse should also do a
diet assessment to determine the quality of the food eaten during meals. These actions
by the nurse are within the scope of independent nursing practice and are not
collaborative in nature.
Matching Definitions: Legal Jargon
1. Autonomy:
2. Beneficence:
3. Veracity:
4. Fidelity:
5. Justice:
a. Telling the truth•
b. Actions guided by compassion/kindness•
c.Freedom or independence to make own decisions
d.Actions are fair and equitable
e.Keeping promises orcommitments• - ANSWER 1c. Autonomy: Freedom or
independence to make own decisions•
2b. Beneficence: Actions guided bycompassion/kindness•
3a. Veracity: Telling the truth•
4e. Fidelity: Keeping promises orcommitments•
5c. Justice: Actions are fair and equitable
, For the patient with an ileostomy, the critical element is:
A. skin care
B. odor control
c. stoma irrigation
d. infection prevention - ANSWER a. Skin care
The nurse is caring for patients on a postoperative unit in the medical center. The nurse
is alert to the possibility that 24 to 48 hours of the postoperative period, patients may
experience the following as a result of the anesthetic used during the surgery.
A. colitis
b. stomatitis
c. paralytic ileus
d. gastrocolic reflex - ANSWER C. Paralytic ileus
The patient has been admitted to an acute care unit with a diagnosis of upper GI bleed.
The nurse suspects that the feces will appear:
a. bright red
b. pus filled
c. black and tarry
d. white and clay colored - ANSWER C. Black and Tarry
The CNA correctly identifies that the ostomy is healed by the expected appearance of an
ostomy stoma. (SATA)
A. Dry
