FINAL 116 NURSING FUNDAMENTALS QUESTIONS
WITH COMPLETE SOLUTIONS
______________ are systematic reviews of clinical topics for
the purpose of providing evidence for practice guidelines and
quality improvement.
A.Single studies
B.Critical Pathways
C.Evidence reports
D.Clinical practice guidelines Correct Answers C.Evidence
reports
______________ is important to nurses because although they
delegate tasks to Nursing Assistive Personnel (NAPs), the
professional nurse is responsible for the outcome of the task and
for seeing that it is performed safely.
A.Quality improvement programs
B.Coordination of care
C.Supervision
D.Client participation and adherence Correct Answers
A.Quality improvement programs
. What should a nurse do to assess the behavioral aspects of a
client's pain?
1. Ask the client to rate pain on a scale of 0 - 10.
2. Watch the client walk down the hall observing impaired
mobility related to pain.
3. Assess what the client does to relieve the pain.
4. Determine if the client avoids participating in conversations
with visitors. Correct Answers 4. Determine if the client avoids
participating in conversations with visitors.
,4. What should the nurse do before leaving a patient's room after
giving a complete bed bath?
A. Place the call light within reach, and leave the bed as it was
during the bath.
B. Lower the bed to its lowest position, raise all four side rails
so that the patient does not fall out of bed, and place the call
light within reach.
C. Lower the bed to its lowest position, raise the top two side
rails to assist the patient in turning and positioning, and place the
call light within reach.
D. Leave the bed in a position that is comfortable for the
caregiver because more care will be needed, raise the top two
side rails, and place the call light within reach. Correct Answers
C. Lower the bed to its lowest position, raise the top two side
rails to assist the patient in turning and positioning, and place the
call light within reach.
4. Which of the following is the FIRST priority in preventing
infections when providing care for a client?
A. Handwashing
B. Wearing gloves
C. Using a barrier between client's furniture and nurse's bag
D. Wearing gowns and goggles Correct Answers A.
Handwashing
A 2 year old is to be admitted in the pediatric unit. He is
diagnosed with febrile seizures. In preparing for his admission,
which of the following is the most important nursing action?
A. Order a stat admission CBC.
B. Place a urine collection bag and specimen cup at the bedside.
,C. Place a cooling mattress on his bed.
D. Pad the side rails of his bed. Correct Answers D. Pad the
side rails of his bed.
A 2-year-old child is scheduled for a tonsillectomy. When
determining the plan of care, the nurse should:_____
A. Include the parents or caregivers in the plan of care.
B. Explain to the child that she will have a sore throat after
surgery.
C. Tell the child that she can have her favorite foods for the first
24 hours after surgery.
D. Prepare the child for discharge from the hospital as soon as
she is alert. Correct Answers A. Include the parents or
caregivers in the plan of care.
A 26-year-old patient is admitted from the recovery room and is
identified as at risk for falls. Which of the following best
describes the rationale for this nursing diagnosis?
A. History of dizziness
B. Depression
C. Pain medication
D. Confusion Correct Answers C. Pain medication
Pain medication is a risk factor for falls, particularly within the
first 24 hours following surgery.
A 55-year-old obese man reports excessive daytime sleepiness,
morning headaches, and sore throat. His wife states that he
snores a lot. Which disease is this client most likely suffering
from?
A) Chronic obstructive pulmonary disease (COPD)
, B) Chronic bronchitis
C) Pneumonia
D) Sleep apnea Correct Answers D) Sleep apnea
A 6-year-old boy is admitted to the pediatric unit with chills and
a fever of 104°F (40°C). What physiological process explains
why the child is at risk for developing dyspnea?
A) Fever increases metabolic demands, requiring increased
oxygen need.
B) Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
C) Carbon dioxide production increases as result of
hyperventilation.
D) Carbon dioxide production decreases as a result of
hypoventilation. Correct Answers A) Fever increases metabolic
demands, requiring increased oxygen need.
A 72-year-old woman who is scheduled for a hip replacement is
taking several medications on a regular basis. Which drug
category might create a surgical risk for this patient?
A. Anticoagulants
B. Antacids
C. Laxatives
D. Sedatives Correct Answers A. Anticoagulants
A client comes to the primary care provider's office with the
complaints of urinating all the time, pain on urination, small
amounts of urine being passed when voiding, and a foul smell to
the urine. Based on the signs and symptoms expressed by the
client, which of the following health problems would be
anticipated?
WITH COMPLETE SOLUTIONS
______________ are systematic reviews of clinical topics for
the purpose of providing evidence for practice guidelines and
quality improvement.
A.Single studies
B.Critical Pathways
C.Evidence reports
D.Clinical practice guidelines Correct Answers C.Evidence
reports
______________ is important to nurses because although they
delegate tasks to Nursing Assistive Personnel (NAPs), the
professional nurse is responsible for the outcome of the task and
for seeing that it is performed safely.
A.Quality improvement programs
B.Coordination of care
C.Supervision
D.Client participation and adherence Correct Answers
A.Quality improvement programs
. What should a nurse do to assess the behavioral aspects of a
client's pain?
1. Ask the client to rate pain on a scale of 0 - 10.
2. Watch the client walk down the hall observing impaired
mobility related to pain.
3. Assess what the client does to relieve the pain.
4. Determine if the client avoids participating in conversations
with visitors. Correct Answers 4. Determine if the client avoids
participating in conversations with visitors.
,4. What should the nurse do before leaving a patient's room after
giving a complete bed bath?
A. Place the call light within reach, and leave the bed as it was
during the bath.
B. Lower the bed to its lowest position, raise all four side rails
so that the patient does not fall out of bed, and place the call
light within reach.
C. Lower the bed to its lowest position, raise the top two side
rails to assist the patient in turning and positioning, and place the
call light within reach.
D. Leave the bed in a position that is comfortable for the
caregiver because more care will be needed, raise the top two
side rails, and place the call light within reach. Correct Answers
C. Lower the bed to its lowest position, raise the top two side
rails to assist the patient in turning and positioning, and place the
call light within reach.
4. Which of the following is the FIRST priority in preventing
infections when providing care for a client?
A. Handwashing
B. Wearing gloves
C. Using a barrier between client's furniture and nurse's bag
D. Wearing gowns and goggles Correct Answers A.
Handwashing
A 2 year old is to be admitted in the pediatric unit. He is
diagnosed with febrile seizures. In preparing for his admission,
which of the following is the most important nursing action?
A. Order a stat admission CBC.
B. Place a urine collection bag and specimen cup at the bedside.
,C. Place a cooling mattress on his bed.
D. Pad the side rails of his bed. Correct Answers D. Pad the
side rails of his bed.
A 2-year-old child is scheduled for a tonsillectomy. When
determining the plan of care, the nurse should:_____
A. Include the parents or caregivers in the plan of care.
B. Explain to the child that she will have a sore throat after
surgery.
C. Tell the child that she can have her favorite foods for the first
24 hours after surgery.
D. Prepare the child for discharge from the hospital as soon as
she is alert. Correct Answers A. Include the parents or
caregivers in the plan of care.
A 26-year-old patient is admitted from the recovery room and is
identified as at risk for falls. Which of the following best
describes the rationale for this nursing diagnosis?
A. History of dizziness
B. Depression
C. Pain medication
D. Confusion Correct Answers C. Pain medication
Pain medication is a risk factor for falls, particularly within the
first 24 hours following surgery.
A 55-year-old obese man reports excessive daytime sleepiness,
morning headaches, and sore throat. His wife states that he
snores a lot. Which disease is this client most likely suffering
from?
A) Chronic obstructive pulmonary disease (COPD)
, B) Chronic bronchitis
C) Pneumonia
D) Sleep apnea Correct Answers D) Sleep apnea
A 6-year-old boy is admitted to the pediatric unit with chills and
a fever of 104°F (40°C). What physiological process explains
why the child is at risk for developing dyspnea?
A) Fever increases metabolic demands, requiring increased
oxygen need.
B) Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
C) Carbon dioxide production increases as result of
hyperventilation.
D) Carbon dioxide production decreases as a result of
hypoventilation. Correct Answers A) Fever increases metabolic
demands, requiring increased oxygen need.
A 72-year-old woman who is scheduled for a hip replacement is
taking several medications on a regular basis. Which drug
category might create a surgical risk for this patient?
A. Anticoagulants
B. Antacids
C. Laxatives
D. Sedatives Correct Answers A. Anticoagulants
A client comes to the primary care provider's office with the
complaints of urinating all the time, pain on urination, small
amounts of urine being passed when voiding, and a foul smell to
the urine. Based on the signs and symptoms expressed by the
client, which of the following health problems would be
anticipated?
