FINAL EXAM
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This Exam contains: Nursing Fundamentals Final
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,Question 1
You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the
medical record but also have a discussion with the nurse. Where would you opt to have this discussion?
a. In the patients room
b. In the hallway with the family
c. In private
d. At the local bar
Correct Answer
C
Rationale:
You would opt to have this discussion in a private setting because it involves a sensitive topic such as a bedsore, and discussing it in a
private area ensures patient confidentiality and respect. Having this conversation in a private location also allows for a more focused
and professional discussion with the nurse without interruptions or distractions.
Question 2
To prevent shampoo from getting into your residents eyes, you should:
a. Use a hand held nozzle
b. Use dry shampoo
c. Rinse the hair throughly
d. Use a washcloth to cover the eyes
Correct Answer
D
Rationale:
Using a washcloth to cover the eyes creates a barrier that prevents shampoo from coming into contact with the resident's eyes,
thereby protecting them from irritation and potential harm. This method is a direct and effective way to prevent eye exposure, making
it the best solution in this scenario.
Question 3
Bath water temperature should be at what temperature:
a. 110- 115 degrees F
b. 110- 120 degrees F
c. 105 degrees F
d. 105- 109 degrees F
Correct Answer
A
Rationale:
Bath water temperature should be at 105- 109 degrees F because this temperature range is generally considered safe and comfortable
for bathing, allowing for relaxation without posing a risk of scalding. Water temperatures above 110 degrees F can cause burns, while
temperatures below 105 degrees F may not provide sufficient warmth for relaxation, making 105- 109 degrees F the optimal range.
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,Question 4
The word ACUTE when used to define illness means:
a. an illness for which there is no reasonable expectation of recovery
b. an ongoing illness for which there is no cure
c. a sudden onset to an illness
d. an illness that is gradual
Correct Answer
C
Rationale:
The word "ACUTE" in medical contexts refers to the rapid onset or short duration of an illness, indicating a sudden start or brief
duration, making option c the most fitting definition. This definition is supported by the prefix "acut-" which means sharp or sudden,
and is commonly used in medical terms such as acute injury or acute illness, implying a swift or severe onset.
Question 5
In your role as a nursing assistant, you are able to:
a. You can take verbal orders over the phone from doctors
b. Give medications
c. Insert a foley in the patients vagina or penis
d. Report changes in the residents condition to the nurse
Correct Answer
D
Rationale:
In a nursing role, taking verbal orders over the phone from doctors (option a) is typically not allowed due to liability concerns and the
need for a written record. Giving medications (option b) is a function typically performed by licensed nurses or pharmacists, not
nursing assistants, who may assist with medication administration but are not authorized to dispense it.
Question 6
An assisted living facility provides all of the following except:
a. Housing
b. Personal care
c. Social activities
d. 24 hour skilled nursing care
Correct Answer
D
Rationale:
Assisted living facilities typically provide a range of services, including housing, personal care, and social activities, but they usually do
not offer 24-hour skilled nursing care, which is a more intensive level of care typically provided in facilities like nursing homes. This
distinction is key in distinguishing the services provided by assisted living facilities from those offered by other types of long-term care
facilities.
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, Question 7
Those persons who provide basic nursing care under the supervision of a registered nurse or a licensed practical nurse
are:
a. Licensed practical nurse
b. Case managers
c. Assistive personnel
d. The "health care team"
Correct Answer
C
Rationale:
The correct answer is "c" because assistive personnel, often referred to as nursing assistants or nurse aides, play a vital role in
providing basic nursing care to patients under the supervision of a registered nurse or a licensed practical nurse, thereby supporting
the healthcare team's efforts. This role requires minimal to no direct medical training, aligning with the responsibilities typically
delegated to assistive personnel.
Question 8
A federal insurance plan providing benefits for older persons and some younger persons with disabilities is called:
a. Medicaid
b. Medicare
c. Blue Cross/ Blue Shield
d. Coventry
Correct Answer
B
Rationale:
Medicare is a federal insurance plan specifically designed to provide benefits for older persons, typically those 65 and older, as well as
some younger individuals with disabilities, making it a distinct program focused on this demographic. By contrast, the other options,
such as Medicaid, Blue Cross/Blue Shield, and Coventry, are either state-based or private insurance programs that do not have the
same federal focus on older persons and some younger persons with disabilities.
Question 9
Which nursing care pattern focuses on tasks and jobs?
a. Functional nursing
b. Team nursing
c. Primary nursing
d. Care management
Correct Answer
A
Rationale:
Functional nursing divides tasks and responsibilities among team members, focusing on the completion of specific jobs to achieve
patient care goals. This pattern emphasizes efficiency and organization, making it the most suitable choice for a care approach that
focuses on tasks and jobs.
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