Nursing Fundamentals Exam 1 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Practice Test exam with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
A patient's surgical wound has become swollen, red, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
tender. You note that the patient has a new fever and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
leukocytosis. What is the best immediate intervention? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
[28]
1. Notify the health care provider and use surgical
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
technique to change the dressing ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. Reassure the patient and check the wound later
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. Notify the health care provider and support the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient's fluid and nutritional needs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Alert the patient and caregivers to the presence of an
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection to ensure care after discharge - correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔3
A nurse assesses a patient who comes to the pulmonary
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
clinic. "I see that it's been over 6 months since you've
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
been in, but your appointment was for every 2 months.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Tell me about that. Also, I see from your last visit that the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
doctor recommended routine exercise. Can you tell me ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
how successful you have been following his plan?" The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse's assessment covers which of Gordon's functional ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
health patterns? [16] ||\\||\\ ||\\||\\
1. Value-belief pattern
||\\||\\ ||\\||\\
2. Cognitive-perceptual pattern
||\\||\\ ||\\||\\
3. Coping-stress-tolerance pattern
||\\||\\ ||\\||\\
4. Health perception-health management pattern -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔4 ||\\||\\ ||\\||\\
The nurse asks a patient, "Describe for me your typical
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
diet over a 24-hour day. What foods do you prefer? Have
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
you noticed a change in your weight recently?" This series
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of questions would likely occur during which phase of a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient-centered interview? [16] ||\\||\\ ||\\||\\
1. Setting the stage
||\\||\\ ||\\||\\ ||\\||\\
2. Gather information about a patient's chief concerns
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. Collecting the assessment
||\\||\\ ||\\||\\ ||\\||\\
4. Termination - correct answers ✔✔3
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,What type of interview techiniques does the nurse use
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
when asking these questions, "Do you have pain or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cramping?" "Does the pain get worse when you walk?" ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(Select all that apply) [16] ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Active listening
||\\||\\ ||\\||\\
2. Open-ended questioning
||\\||\\ ||\\||\\
3. Closed-ended questioning
||\\||\\ ||\\||\\
4. Problem-oriented listening - correct answers ✔✔3, 4
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What technique(s) best encourage(s) a patient to tell his
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
or her full story? (Select all that apply) [16]
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Active listening
||\\||\\ ||\\||\\
2. Back channeling
||\\||\\ ||\\||\\
3. Validating
||\\||\\
4. Use of open-ended questions
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
5. Use of closed-ended questions - correct answers ✔✔1,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2, 4
||\\||\\
, A nurse gathers the following assessment data. Which of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the following cues form(s) a pattern suggesting a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
problem? (Select all that apply) [16] ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. The skin around the wound is tender to touch
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. Fluid intake for 8 hours is 800 mL
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. Patient has a heart rate of 78 and regular
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Patient has drainage from surgical wound
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
5. Body temperature is 101F (38.3 C)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
6. Patient asks, "I'm worried that I won't return to work
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
when I planned." - correct answers ✔✔1, 4, 5 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse makes the following statement during a change
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of shift report to another nurse. "I assessed Mr. Diaz, my
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
61-year-old patient from Chile. He fell at home and hurt ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
his back 3 days ago. He has some difficulty turning in bed,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and he says that he has pain that radiates down his leg. He
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rates his pain at a 6, but I don't think it's that severe. You
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
know that back patients often have chronic pain. He ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
seems fine when talking with his family. Have you cared ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Practice Test exam with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
A patient's surgical wound has become swollen, red, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
tender. You note that the patient has a new fever and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
leukocytosis. What is the best immediate intervention? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
[28]
1. Notify the health care provider and use surgical
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
technique to change the dressing ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. Reassure the patient and check the wound later
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. Notify the health care provider and support the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient's fluid and nutritional needs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Alert the patient and caregivers to the presence of an
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection to ensure care after discharge - correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔3
A nurse assesses a patient who comes to the pulmonary
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
clinic. "I see that it's been over 6 months since you've
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
been in, but your appointment was for every 2 months.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Tell me about that. Also, I see from your last visit that the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
doctor recommended routine exercise. Can you tell me ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
how successful you have been following his plan?" The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse's assessment covers which of Gordon's functional ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
health patterns? [16] ||\\||\\ ||\\||\\
1. Value-belief pattern
||\\||\\ ||\\||\\
2. Cognitive-perceptual pattern
||\\||\\ ||\\||\\
3. Coping-stress-tolerance pattern
||\\||\\ ||\\||\\
4. Health perception-health management pattern -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔4 ||\\||\\ ||\\||\\
The nurse asks a patient, "Describe for me your typical
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
diet over a 24-hour day. What foods do you prefer? Have
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
you noticed a change in your weight recently?" This series
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of questions would likely occur during which phase of a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient-centered interview? [16] ||\\||\\ ||\\||\\
1. Setting the stage
||\\||\\ ||\\||\\ ||\\||\\
2. Gather information about a patient's chief concerns
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. Collecting the assessment
||\\||\\ ||\\||\\ ||\\||\\
4. Termination - correct answers ✔✔3
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,What type of interview techiniques does the nurse use
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
when asking these questions, "Do you have pain or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cramping?" "Does the pain get worse when you walk?" ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(Select all that apply) [16] ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Active listening
||\\||\\ ||\\||\\
2. Open-ended questioning
||\\||\\ ||\\||\\
3. Closed-ended questioning
||\\||\\ ||\\||\\
4. Problem-oriented listening - correct answers ✔✔3, 4
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What technique(s) best encourage(s) a patient to tell his
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
or her full story? (Select all that apply) [16]
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Active listening
||\\||\\ ||\\||\\
2. Back channeling
||\\||\\ ||\\||\\
3. Validating
||\\||\\
4. Use of open-ended questions
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
5. Use of closed-ended questions - correct answers ✔✔1,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2, 4
||\\||\\
, A nurse gathers the following assessment data. Which of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the following cues form(s) a pattern suggesting a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
problem? (Select all that apply) [16] ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. The skin around the wound is tender to touch
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. Fluid intake for 8 hours is 800 mL
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. Patient has a heart rate of 78 and regular
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Patient has drainage from surgical wound
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
5. Body temperature is 101F (38.3 C)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
6. Patient asks, "I'm worried that I won't return to work
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
when I planned." - correct answers ✔✔1, 4, 5 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nurse makes the following statement during a change
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of shift report to another nurse. "I assessed Mr. Diaz, my
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
61-year-old patient from Chile. He fell at home and hurt ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
his back 3 days ago. He has some difficulty turning in bed,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and he says that he has pain that radiates down his leg. He
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rates his pain at a 6, but I don't think it's that severe. You
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
know that back patients often have chronic pain. He ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
seems fine when talking with his family. Have you cared ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
