VN 100 FUNDAMENTALS OF NURSING FINAL EXAM
UPDATED ACTUAL Questions and CORRECT Answers
When a resident in the nursing home complains of C. Assessment
constipation, the nurse performs a digital rectal
examination and finds a hard fecal mass. This is an (the examination to confirm the complaint of constipation is an assessment)
example of:
a. implementation
b. evaluation
c. assessment
d. nursing diagnosis
Before beginning to teach a patient to give himself b. assess the patient's learning needs
insulin, the nurse asks, "have you ever known anyone
who gave himself insulin injections?" This question is (assessing a patient's previous experience (as well as education, learning mode,
primarily designed to: and motivation) gives the nurse valuable information in developing a patient
a. reduce the amount of information the nurse has to education plan tailored to the individual. It may reduce the amount of
provide information needed, or it may increase it if some of what the patient "knows" is
b. assess the patients learning needs erroneous"
c. reduce the patient's anxiety relative to insulin
injection
d. stimulate the patient to focus on the patient
education goal
A patient who underwent surgery has an order to begin d. Jell O
a clear liquid diet and can be offered:
a. fruit sherbet (a clear liquid diet consists of food that are liquid at room temperature and are
b. cream soup clear, have a low residue and are easily disgested. Gelatins are part of a clear
c. tea with milk liquid diet.)
d. jell O
a nurse is caring for a patient of the Muslim faith. The c. Pork chops and sweet potatoes
nurse would send the food tray back if it contains
a. beef patty with mushroom sauce (practicing Muslims do not consume pork or alcoholic beverages. They also
b. liver and mashed potatoes forbid cremation)
c. pork chops and sweet potatoes
d. crab cakes and rice with almonds
To best protect himself or herself from being sued, the c. maintain competency
nurse should:
a. use evidence-based practice (keeping up with continuing education, maintaining competency, and seeking
b. purchase malpractice insurance to improve ones own practice by self-evaluation will best protect the nurse_
c. maintain competency
d. continue to do procedures as taught in school
,A licensed nurse is liable for charges of malpractice a. falsifies data, causing the patient to suffer problems resulting death
when she:
a. falsifies data, causing the patient to suffer problems (malpractice is professional negligence or, in this case doing something
resulting death reasonable and prudent nurse would not do. It is the proximate cause of the
b. does not show up for work and fails to call to notify patient's injury. This is a case of causation)
agency
c. assists in preforming CPR that is unsuccessful, and
the patient dies
d. clocks in for another nurse to prevent that nurse from
having pay docked
The patient inquires about how his body will kill A. Engulf and destroy the pathogen
pathogens unassisted by antibiotics. The nurse
responds that a process called phagocytosis will: (Phagocytes that are stored in the Gl tract, liver, and spleen kill pathogens by
a. engulf and destroy the pathogen. engulfing and destroying the invaders and cleaning up the debris.)
b. create antibodies against the pathogen.
c. stimulate the production of interferons.
d. stimulate the body to make more white blood cells.
The patient for whom passive range of motion exercises D. 66-year old patients with loss of mobility related to a recent cerebrovascular
would be most beneficial would be the: accident (CVA)
a. 80-year-old patient with chronic lung disease who ( A patient with a recent CVA is unable to independently change positions or
can breathe only when he is sitting in a tripod position. move the affected side. The patient may regain use of motor
b. 72-year-old patient with chronic dementia who functions lost, so it is very important to prevent loss of muscle strength,
alternately sits in his wheelchair and wanders around contractures, and pressure ulcers.)
the unit.
c. 94-year-old patient with increasing fatigue and
weight loss who needs assistance to ambulate.
D. 66-year old patients with loss of mobility related to a
recent cerebrovascular accident (CVA)
Included in Maslow's hierarchy, physiological needs are C. Protect from harm
those that:
Physiological needs are those that are essential to human life, such as
a. encourage social interaction. oxygenation, nutrition, and elimination, Protection from physical harm,
b. nurture intimacy. from a nursing standpoint, is often equivalent in importance to physical needs.
C. Protect from harm
D. Foster independence
The nurse recognizes a verbal response when the c. writes the answer to a question asked by the nurse
patient:
verbal communication involves words, either written or spoken. Nodding,
a. begins sobbing uncontrollably when asked about her sobbing and moaning are nonverbal communication
daughter
b. is moaning and restless and appears in pain
c. writes the answer to a question asked by the nurse
d. nods her head when asked whether she wants juice
, A nurse co-worker arrives at work 30 minutes late, a. report the condition of the nurse to the nursing supervisor
smelling strongly of alcohol. The fellow nurse's legal
course of action is to: nurses must report the condition. it is the nurses legal and ethical duty to
protect patients from impaired or incompetent workers
a. report the condition of the nurse to the nursing
supervisor
b. offer a breath mind and instruct the nurse co-worker
to work
c. state that, if this happens again it will be reported
d. have the nurse lie down in the nurse's lounge and
sleep while others do the work
An appropriate environmental nursing intervention for a b. moisten the respiratory passages with use of an air humidifier
patient with respiratory congestion is to:
very low humidity will dry respiratory passages. Vaporizers or humidifiers may
a. maintain the room temperature slightly cooler for a be ordered for a patient with respiratory conditions. SMall table fans may help
patient with respiratory congestion is to: some breath more easily
b. b. moisten the respiratory passages with use of an air
humidifier
c. open the wimdows to encourage air circulation
d. order a large floor fan to make it easier to breathe
to enhance the establishment of rapport with a patient, a. act in a trustworthy and reliable manner: respect the individuality of the
the nurse should: patient
a. act in a trustworthy and reliable manner: respect the Trust and reliability, as well as conveying respect for the individual, all promote
individuality of the patient rapport.
b. Share information with the patient about other
patients and why they are hospitalized
c. share his own personal experiences so that the
patient gets to know him as a friend
d. identify himself by name and title each time he
introduces himself
The nurse who may be liable for invasion of privacy c. discussing her patients with a fellow nurse
would be the nurse who:
discussing a patient with anyone, even another health care professional who is
a. reporting the patient as a possible victim of elder not involved in the patients care can put a nurse at risk for invasion of privacy
abuse
b. refusing to give patient information to a relative over
the phone
c. discussing her patients with a fellow nurse
d. firmly closing the door to prior bathing the patient
The nurse recognizes the patient who demonstrates a. is tearful and slow in speech when talking about her husband's death
communication congruency when the patient:
congruent communication is the agreement of verbal and nonverbal messages
a. is tearful and slow in speech when talking about her
husband's death
b. smiles and laughs while speaking of feeling lonely
and depressed
states she is comfortable while she frowns and her
teeth are clenched
d. wrings her hands and paces around the room while
denying that she is uset
UPDATED ACTUAL Questions and CORRECT Answers
When a resident in the nursing home complains of C. Assessment
constipation, the nurse performs a digital rectal
examination and finds a hard fecal mass. This is an (the examination to confirm the complaint of constipation is an assessment)
example of:
a. implementation
b. evaluation
c. assessment
d. nursing diagnosis
Before beginning to teach a patient to give himself b. assess the patient's learning needs
insulin, the nurse asks, "have you ever known anyone
who gave himself insulin injections?" This question is (assessing a patient's previous experience (as well as education, learning mode,
primarily designed to: and motivation) gives the nurse valuable information in developing a patient
a. reduce the amount of information the nurse has to education plan tailored to the individual. It may reduce the amount of
provide information needed, or it may increase it if some of what the patient "knows" is
b. assess the patients learning needs erroneous"
c. reduce the patient's anxiety relative to insulin
injection
d. stimulate the patient to focus on the patient
education goal
A patient who underwent surgery has an order to begin d. Jell O
a clear liquid diet and can be offered:
a. fruit sherbet (a clear liquid diet consists of food that are liquid at room temperature and are
b. cream soup clear, have a low residue and are easily disgested. Gelatins are part of a clear
c. tea with milk liquid diet.)
d. jell O
a nurse is caring for a patient of the Muslim faith. The c. Pork chops and sweet potatoes
nurse would send the food tray back if it contains
a. beef patty with mushroom sauce (practicing Muslims do not consume pork or alcoholic beverages. They also
b. liver and mashed potatoes forbid cremation)
c. pork chops and sweet potatoes
d. crab cakes and rice with almonds
To best protect himself or herself from being sued, the c. maintain competency
nurse should:
a. use evidence-based practice (keeping up with continuing education, maintaining competency, and seeking
b. purchase malpractice insurance to improve ones own practice by self-evaluation will best protect the nurse_
c. maintain competency
d. continue to do procedures as taught in school
,A licensed nurse is liable for charges of malpractice a. falsifies data, causing the patient to suffer problems resulting death
when she:
a. falsifies data, causing the patient to suffer problems (malpractice is professional negligence or, in this case doing something
resulting death reasonable and prudent nurse would not do. It is the proximate cause of the
b. does not show up for work and fails to call to notify patient's injury. This is a case of causation)
agency
c. assists in preforming CPR that is unsuccessful, and
the patient dies
d. clocks in for another nurse to prevent that nurse from
having pay docked
The patient inquires about how his body will kill A. Engulf and destroy the pathogen
pathogens unassisted by antibiotics. The nurse
responds that a process called phagocytosis will: (Phagocytes that are stored in the Gl tract, liver, and spleen kill pathogens by
a. engulf and destroy the pathogen. engulfing and destroying the invaders and cleaning up the debris.)
b. create antibodies against the pathogen.
c. stimulate the production of interferons.
d. stimulate the body to make more white blood cells.
The patient for whom passive range of motion exercises D. 66-year old patients with loss of mobility related to a recent cerebrovascular
would be most beneficial would be the: accident (CVA)
a. 80-year-old patient with chronic lung disease who ( A patient with a recent CVA is unable to independently change positions or
can breathe only when he is sitting in a tripod position. move the affected side. The patient may regain use of motor
b. 72-year-old patient with chronic dementia who functions lost, so it is very important to prevent loss of muscle strength,
alternately sits in his wheelchair and wanders around contractures, and pressure ulcers.)
the unit.
c. 94-year-old patient with increasing fatigue and
weight loss who needs assistance to ambulate.
D. 66-year old patients with loss of mobility related to a
recent cerebrovascular accident (CVA)
Included in Maslow's hierarchy, physiological needs are C. Protect from harm
those that:
Physiological needs are those that are essential to human life, such as
a. encourage social interaction. oxygenation, nutrition, and elimination, Protection from physical harm,
b. nurture intimacy. from a nursing standpoint, is often equivalent in importance to physical needs.
C. Protect from harm
D. Foster independence
The nurse recognizes a verbal response when the c. writes the answer to a question asked by the nurse
patient:
verbal communication involves words, either written or spoken. Nodding,
a. begins sobbing uncontrollably when asked about her sobbing and moaning are nonverbal communication
daughter
b. is moaning and restless and appears in pain
c. writes the answer to a question asked by the nurse
d. nods her head when asked whether she wants juice
, A nurse co-worker arrives at work 30 minutes late, a. report the condition of the nurse to the nursing supervisor
smelling strongly of alcohol. The fellow nurse's legal
course of action is to: nurses must report the condition. it is the nurses legal and ethical duty to
protect patients from impaired or incompetent workers
a. report the condition of the nurse to the nursing
supervisor
b. offer a breath mind and instruct the nurse co-worker
to work
c. state that, if this happens again it will be reported
d. have the nurse lie down in the nurse's lounge and
sleep while others do the work
An appropriate environmental nursing intervention for a b. moisten the respiratory passages with use of an air humidifier
patient with respiratory congestion is to:
very low humidity will dry respiratory passages. Vaporizers or humidifiers may
a. maintain the room temperature slightly cooler for a be ordered for a patient with respiratory conditions. SMall table fans may help
patient with respiratory congestion is to: some breath more easily
b. b. moisten the respiratory passages with use of an air
humidifier
c. open the wimdows to encourage air circulation
d. order a large floor fan to make it easier to breathe
to enhance the establishment of rapport with a patient, a. act in a trustworthy and reliable manner: respect the individuality of the
the nurse should: patient
a. act in a trustworthy and reliable manner: respect the Trust and reliability, as well as conveying respect for the individual, all promote
individuality of the patient rapport.
b. Share information with the patient about other
patients and why they are hospitalized
c. share his own personal experiences so that the
patient gets to know him as a friend
d. identify himself by name and title each time he
introduces himself
The nurse who may be liable for invasion of privacy c. discussing her patients with a fellow nurse
would be the nurse who:
discussing a patient with anyone, even another health care professional who is
a. reporting the patient as a possible victim of elder not involved in the patients care can put a nurse at risk for invasion of privacy
abuse
b. refusing to give patient information to a relative over
the phone
c. discussing her patients with a fellow nurse
d. firmly closing the door to prior bathing the patient
The nurse recognizes the patient who demonstrates a. is tearful and slow in speech when talking about her husband's death
communication congruency when the patient:
congruent communication is the agreement of verbal and nonverbal messages
a. is tearful and slow in speech when talking about her
husband's death
b. smiles and laughs while speaking of feeling lonely
and depressed
states she is comfortable while she frowns and her
teeth are clenched
d. wrings her hands and paces around the room while
denying that she is uset
