Nursing Fundamental exam 1(Answered)
Which nursing action best exemplifies the nurse's role in promoting health?
encouraging a group of junior high school students to engage in regular physical activity
A client is distraught because a recent computed tomography (CT) scan shows
that the client's colon cancer has metastasized to the lungs. Which nursing aim
should the nurse prioritize in the immediate care of this client?
Facilitating coping
The client's plan of care is created by the nurse using which guideline for nursing
practice?
Nursing process
Which is an appropriately stated nursing intervention?
Ambulate 30 ft (9 m) twice a day with the assistance of a walker.
The nursing process includes step(s)? Select all that apply.
Evaluate
Plan
Assess
Implement
In what time period did nursing care as we now know it begin?
18th to 19th century
The nurse is evaluating client health. Which client should the nurse determine to
be exhibiting the most signs of health?
A client with a leg amputation who performs activities of daily living with a prosthesis
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
Which best exemplifies the role of the nurse as educator?
Discussing side effects of a medication with a client
A nurse manager is teaching staff how to use a new piece of hospital equipment.
Which educational setting would be most appropriate for this process?
In-service education
Which nursing group provides a definition and scope of practice for nursing?
American Nurses Association (ANA)
The nurse is performing an extensive dressing change on a client with burns. The
nurse explains each step as it is being performed. The nurse is acting in which
role by providing explanation of each step?
Educator
A nurse is planning to pursue further education in the hopes of becoming an
expert in geriatric nursing who carries out direct care. For which expanded career
role is the nurse preparing?
Clinical nurse specialist
Which nursing intervention would be most appropriate for a new mother that calls
the nursery for help with breastfeeding?
Refer the mother for a home care visit.
A nurse educator is discussing the role of nursing based on the American Nurses
Association (ANA). Which statement best describes this role?
It is the role of nursing to provide a caring relationship that facilitates health and healing.
,The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.
The nurse is caring for a client with a new diagnosis of cancer, and allows the
client to verbalize fears relating to how to tell the children. The nurse's
intervention reflects which aspect of nursing?
art of nursing
A nurse is providing care for clients in a long-term care facility. What should be
the central focus of this care?
The client receiving the care
The nurse is performing care for a client in the end stage of cancer. How can the
nurse best facilitate the client and family's ability to cope? Select all that apply.
Assist the client with activities of daily living (ADLs).
Assist the client and family with the preparation for end-of-life.
Refer the client and family to hospice services.
Which is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
A prospective nursing student desires a career that will allow the opportunity to
provide client care and to assist professional nurses with routine technical
procedures. The prospective student needs to be employed in a full-time position
quickly due to economic hardship. What type of nursing program would best suit
this student?
licensed or vocational nursing program
The nurse preparing a lecture on the history of nursing should include which
international organization as the first for professional nurses?
International Council of Nurses
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal
degree needed by the nurse?
Master's
The nurse graduated several years ago from a 2-year nursing program at a
community college near the home city. Recently, the nurse has considered
moving from providing direct client care into an administrative role, but
recognizes the need for further education to be considered for such a position.
The nurse most likely possesses which nursing qualification?
associate degree
A registered nurse wishes to work as a nurse researcher. Which is true regarding
nurse researchers?
They are responsible for the continued development and advancement of nursing.
The nurse is attempting to provide anticipatory guidance for the parents of an 18-
month-old child. Which statement would be best for the nurse to make?
"Keep all medications in a locked cabinet."
The RN is working with hospital administrators to transform care at their facility.
Which nursing competency will be critical for the nurse to utilize?
Work effectively in interdisciplinary teams
, Which organization has established standards that help the nurse determine
which clinical actions fall under the scope of nursing practice?
American Nurses Association
The nurse is caring for a client who ascribes to the theory of animism. When
attempting to explain this theory to other staff members, the nurse should state:
"Everything in nature is alive with invisible forces."
The nurse conducts a home safety assessment for a client. Which statement best
explains the standard of care being implemented?
The RN promotes a safe environment.
The registered nurse is teaching a community health class about illness
prevention. Which statement reflects understanding of this concept?
"It is important to enroll in a smoking cessation class."
Which is the best example of a nurse demonstrating the role of caregiver?
starting an intravenous line in the client's arm
The nurse is caring for a client who has active tuberculosis and is under airborne
precautions. The health care provider prescribes a computed tomography (CT)
examination of the chest. Which action by the nurse is appropriate?
Place a surgical mask on the client and transport to the CT department at the specified
time.
A nurse is following medical asepsis when caring for clients in a critical care unit.
Which nursing actions follow these principles? Select all that apply.
The nurse carries soiled items away from the body.
The nurse moves soiled equipment away from the body when cleaning it.
The nurse cleans least soiled areas first and then moves to more soiled ones.
A pediatric client's caregiver states, "I will never give my child vaccinations."
What is the priority nursing response?
"Help me understand your thoughts about vaccinations."
The nurse must assign a room for a client admitted with endocarditis and
methicillin-resistant Staphylococcus aureus (MRSA) in the blood. A client with
which diagnosis can share a room with this client?
MRSA in the wound
What is the primary goal of the observable action associated with the removal of
contaminated gloves?
Prevent contamination of ungloved hand
The nurse is donning a pair of sterile gloves. The nurse correctly dons the first
glove, but inadvertently inserts the thumb and index finger into the thumb hole of
the second glove. The glove remains intact. Which action is most appropriate?
Continue to don the glove, then use the other gloved hand to carefully insert the finger
into the proper hole.
The nurse is setting up a sterile field to perform a catheterization when the client
touches the end of the sterile field. What would be the nurse's next appropriate
action?
Discard the sterile field and the supplies and start over.
The nurse is caring for a client with tuberculosis. Which precautions will the
nurse select for this client?
airborne
Which nursing action best exemplifies the nurse's role in promoting health?
encouraging a group of junior high school students to engage in regular physical activity
A client is distraught because a recent computed tomography (CT) scan shows
that the client's colon cancer has metastasized to the lungs. Which nursing aim
should the nurse prioritize in the immediate care of this client?
Facilitating coping
The client's plan of care is created by the nurse using which guideline for nursing
practice?
Nursing process
Which is an appropriately stated nursing intervention?
Ambulate 30 ft (9 m) twice a day with the assistance of a walker.
The nursing process includes step(s)? Select all that apply.
Evaluate
Plan
Assess
Implement
In what time period did nursing care as we now know it begin?
18th to 19th century
The nurse is evaluating client health. Which client should the nurse determine to
be exhibiting the most signs of health?
A client with a leg amputation who performs activities of daily living with a prosthesis
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
Which best exemplifies the role of the nurse as educator?
Discussing side effects of a medication with a client
A nurse manager is teaching staff how to use a new piece of hospital equipment.
Which educational setting would be most appropriate for this process?
In-service education
Which nursing group provides a definition and scope of practice for nursing?
American Nurses Association (ANA)
The nurse is performing an extensive dressing change on a client with burns. The
nurse explains each step as it is being performed. The nurse is acting in which
role by providing explanation of each step?
Educator
A nurse is planning to pursue further education in the hopes of becoming an
expert in geriatric nursing who carries out direct care. For which expanded career
role is the nurse preparing?
Clinical nurse specialist
Which nursing intervention would be most appropriate for a new mother that calls
the nursery for help with breastfeeding?
Refer the mother for a home care visit.
A nurse educator is discussing the role of nursing based on the American Nurses
Association (ANA). Which statement best describes this role?
It is the role of nursing to provide a caring relationship that facilitates health and healing.
,The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.
The nurse is caring for a client with a new diagnosis of cancer, and allows the
client to verbalize fears relating to how to tell the children. The nurse's
intervention reflects which aspect of nursing?
art of nursing
A nurse is providing care for clients in a long-term care facility. What should be
the central focus of this care?
The client receiving the care
The nurse is performing care for a client in the end stage of cancer. How can the
nurse best facilitate the client and family's ability to cope? Select all that apply.
Assist the client with activities of daily living (ADLs).
Assist the client and family with the preparation for end-of-life.
Refer the client and family to hospice services.
Which is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
A prospective nursing student desires a career that will allow the opportunity to
provide client care and to assist professional nurses with routine technical
procedures. The prospective student needs to be employed in a full-time position
quickly due to economic hardship. What type of nursing program would best suit
this student?
licensed or vocational nursing program
The nurse preparing a lecture on the history of nursing should include which
international organization as the first for professional nurses?
International Council of Nurses
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal
degree needed by the nurse?
Master's
The nurse graduated several years ago from a 2-year nursing program at a
community college near the home city. Recently, the nurse has considered
moving from providing direct client care into an administrative role, but
recognizes the need for further education to be considered for such a position.
The nurse most likely possesses which nursing qualification?
associate degree
A registered nurse wishes to work as a nurse researcher. Which is true regarding
nurse researchers?
They are responsible for the continued development and advancement of nursing.
The nurse is attempting to provide anticipatory guidance for the parents of an 18-
month-old child. Which statement would be best for the nurse to make?
"Keep all medications in a locked cabinet."
The RN is working with hospital administrators to transform care at their facility.
Which nursing competency will be critical for the nurse to utilize?
Work effectively in interdisciplinary teams
, Which organization has established standards that help the nurse determine
which clinical actions fall under the scope of nursing practice?
American Nurses Association
The nurse is caring for a client who ascribes to the theory of animism. When
attempting to explain this theory to other staff members, the nurse should state:
"Everything in nature is alive with invisible forces."
The nurse conducts a home safety assessment for a client. Which statement best
explains the standard of care being implemented?
The RN promotes a safe environment.
The registered nurse is teaching a community health class about illness
prevention. Which statement reflects understanding of this concept?
"It is important to enroll in a smoking cessation class."
Which is the best example of a nurse demonstrating the role of caregiver?
starting an intravenous line in the client's arm
The nurse is caring for a client who has active tuberculosis and is under airborne
precautions. The health care provider prescribes a computed tomography (CT)
examination of the chest. Which action by the nurse is appropriate?
Place a surgical mask on the client and transport to the CT department at the specified
time.
A nurse is following medical asepsis when caring for clients in a critical care unit.
Which nursing actions follow these principles? Select all that apply.
The nurse carries soiled items away from the body.
The nurse moves soiled equipment away from the body when cleaning it.
The nurse cleans least soiled areas first and then moves to more soiled ones.
A pediatric client's caregiver states, "I will never give my child vaccinations."
What is the priority nursing response?
"Help me understand your thoughts about vaccinations."
The nurse must assign a room for a client admitted with endocarditis and
methicillin-resistant Staphylococcus aureus (MRSA) in the blood. A client with
which diagnosis can share a room with this client?
MRSA in the wound
What is the primary goal of the observable action associated with the removal of
contaminated gloves?
Prevent contamination of ungloved hand
The nurse is donning a pair of sterile gloves. The nurse correctly dons the first
glove, but inadvertently inserts the thumb and index finger into the thumb hole of
the second glove. The glove remains intact. Which action is most appropriate?
Continue to don the glove, then use the other gloved hand to carefully insert the finger
into the proper hole.
The nurse is setting up a sterile field to perform a catheterization when the client
touches the end of the sterile field. What would be the nurse's next appropriate
action?
Discard the sterile field and the supplies and start over.
The nurse is caring for a client with tuberculosis. Which precautions will the
nurse select for this client?
airborne
