NUR 104 Fundamentals of Nursing
Final Exam Study Guide
1. What format will a nurse use to research a change in a patient procedure? Pg. 54
The PICOT format in (EBP) evidence based practice
2. What is the purpose of the introduction of a research article? Pg. 56
The purpose of an introduction to a research article is to inform the reader of what the
research article is about
3. What activity is done in the first phase of the nursing process? Pg. 210
Assessment phase which involves critical thinking skills and data collection; subjective and
objective
4. During the data collection phase of the nursing process what does the nursing focus on? Pg.
210/213
The nurse focuses on interviewing the patient and getting to know the patient by building
rapport with him/her. Data collection comes in all forms by assessing the patient, speaking
with the patient and retrieving data directly from their spoken history, reviewing all systems
to collect data of their history, as well.
5. Once a nursing diagnosis is made what is the next phase in the nursing process? Pg. 240
Planning
6. What is a goal? Pg. 242/243
A specific expected outcome of nursing intervention as related to the established nursing
diagnosis. A goal is stated in terms of a desired, measurable change in patient status or
behavior. Nursing goals provide direction for selection of appropriate nursing interventions
and evaluation of patient progress.
7. In regard to the plan of care, what should the nurse do before discharging a patient? Pg.
271/273
The nurse should involve the family, make sure the goals are attainable, be sure to set a
measurable time frame in order to complete the goal, etc.
8. How would a nurse document the progress of wound healing? Pg. 271/273
Document type of wound, measure the wound, still assess wound by stating what degree it
is whether it be stage 1, 2, 3, or 4 but note that it is “healing”, etc.
9. What type of equipment would a nurse monitor to avoid patient harm? Pg 379
This study source was downloaded by 100000842568006 from CourseHero.com on 05-06-2022 03:49:12 GMT -05:00
https://www.coursehero.com/file/85403816/NUR-104-Final-Exam-1docx/
, Monitor restraints if they had to be used for any type of reason, monitor IV sites to be sure a
patient is not pulling out their IV, monitor catheters to be sure the patient hasn’t accidentally
dislodged their catheter, etc.
10. What is the goal of performing ROM? Pg. 412/414
Range of motion exercises are used to help prevent joint contractures. Moving each joint
through its full range in all appropriate planes maintains or increases its motion and
prevents limited mobility.
11. What action would a nurse take for a patient experiencing pain? Pg. 420
Ask the patient on a scale from 0-10 what number their pain is rated at, then if it is not
tolerable to the patient even after doing alternatives to medication the nurse can ask to have
a doctor call in an order of pain medication. After giving the pain medication, reevaluate the
patient’s pain on a scale of 0-10 again and reassess the patient then go from there.
12. What is the priority when working with a vascular access device? Pg. 449/467
Infection prevention and control is the main priority
13. When bathing a patient what can a nurse do to prevent a hospital acquired infection? Pg.
448
A bed bath can drastically reduce the risk of hospital acquired infections. Use clean rags,
fresh soap and water, and clean linen for the patient. Bathe them in their bed, change their
sheets and clothing afterwards. Always use clean gloves and proper handwashing technique
when giving a bed bath.
14. When changing a wound dressing what are the actions taken by the nurse? Pg. 455/467
Wash hands, put on clean gloves, take off old dressing, asses color of wound, whether it is
healing, what type of drainage if it has any (color, odor, consistency, amount) and clean with
sterile water, replace with new dressing.
15. What precautions can a nurse take to protect for personal contamination when emptying a
urinary drainage bag? Pg. 459/464
Always wear PPE gown, mask, goggles, gloves if you prefer all. Always have to assume the
patient’s bodily fluids are infectious even if it is not noted. Never let bag fill more than ½ to
1/3 of the way full before emptying.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-06-2022 03:49:12 GMT -05:00
https://www.coursehero.com/file/85403816/NUR-104-Final-Exam-1docx/
Final Exam Study Guide
1. What format will a nurse use to research a change in a patient procedure? Pg. 54
The PICOT format in (EBP) evidence based practice
2. What is the purpose of the introduction of a research article? Pg. 56
The purpose of an introduction to a research article is to inform the reader of what the
research article is about
3. What activity is done in the first phase of the nursing process? Pg. 210
Assessment phase which involves critical thinking skills and data collection; subjective and
objective
4. During the data collection phase of the nursing process what does the nursing focus on? Pg.
210/213
The nurse focuses on interviewing the patient and getting to know the patient by building
rapport with him/her. Data collection comes in all forms by assessing the patient, speaking
with the patient and retrieving data directly from their spoken history, reviewing all systems
to collect data of their history, as well.
5. Once a nursing diagnosis is made what is the next phase in the nursing process? Pg. 240
Planning
6. What is a goal? Pg. 242/243
A specific expected outcome of nursing intervention as related to the established nursing
diagnosis. A goal is stated in terms of a desired, measurable change in patient status or
behavior. Nursing goals provide direction for selection of appropriate nursing interventions
and evaluation of patient progress.
7. In regard to the plan of care, what should the nurse do before discharging a patient? Pg.
271/273
The nurse should involve the family, make sure the goals are attainable, be sure to set a
measurable time frame in order to complete the goal, etc.
8. How would a nurse document the progress of wound healing? Pg. 271/273
Document type of wound, measure the wound, still assess wound by stating what degree it
is whether it be stage 1, 2, 3, or 4 but note that it is “healing”, etc.
9. What type of equipment would a nurse monitor to avoid patient harm? Pg 379
This study source was downloaded by 100000842568006 from CourseHero.com on 05-06-2022 03:49:12 GMT -05:00
https://www.coursehero.com/file/85403816/NUR-104-Final-Exam-1docx/
, Monitor restraints if they had to be used for any type of reason, monitor IV sites to be sure a
patient is not pulling out their IV, monitor catheters to be sure the patient hasn’t accidentally
dislodged their catheter, etc.
10. What is the goal of performing ROM? Pg. 412/414
Range of motion exercises are used to help prevent joint contractures. Moving each joint
through its full range in all appropriate planes maintains or increases its motion and
prevents limited mobility.
11. What action would a nurse take for a patient experiencing pain? Pg. 420
Ask the patient on a scale from 0-10 what number their pain is rated at, then if it is not
tolerable to the patient even after doing alternatives to medication the nurse can ask to have
a doctor call in an order of pain medication. After giving the pain medication, reevaluate the
patient’s pain on a scale of 0-10 again and reassess the patient then go from there.
12. What is the priority when working with a vascular access device? Pg. 449/467
Infection prevention and control is the main priority
13. When bathing a patient what can a nurse do to prevent a hospital acquired infection? Pg.
448
A bed bath can drastically reduce the risk of hospital acquired infections. Use clean rags,
fresh soap and water, and clean linen for the patient. Bathe them in their bed, change their
sheets and clothing afterwards. Always use clean gloves and proper handwashing technique
when giving a bed bath.
14. When changing a wound dressing what are the actions taken by the nurse? Pg. 455/467
Wash hands, put on clean gloves, take off old dressing, asses color of wound, whether it is
healing, what type of drainage if it has any (color, odor, consistency, amount) and clean with
sterile water, replace with new dressing.
15. What precautions can a nurse take to protect for personal contamination when emptying a
urinary drainage bag? Pg. 459/464
Always wear PPE gown, mask, goggles, gloves if you prefer all. Always have to assume the
patient’s bodily fluids are infectious even if it is not noted. Never let bag fill more than ½ to
1/3 of the way full before emptying.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-06-2022 03:49:12 GMT -05:00
https://www.coursehero.com/file/85403816/NUR-104-Final-Exam-1docx/
