Test Bank Complete For Fundamental Concepts and Skills for
Nursing 6th Edition Williams | 9780323694766 | All Chapters
with Answers and Rationals
Florence Nightingale's contributions to nursing practice and education - ANSWER: improved
ventilation, sanitation, and nutrition, occupational and recreational therapy, nursing should be taught
by nurses
What is an evidence based practice? - ANSWER: The best scientific evidence from research to guide
nursing care and improve patient outcomes
Define nursing interventions - ANSWER: The actions a nurse takes to implement their patient care
plan, including any treatments, procedures, or teaching moments
Nurse Practice Act - ANSWER: defines the legal parameters of professional and practical nursing
Chronic Illness - ANSWER: an illness that begins gradually and is ongoing
acute illness - ANSWER: A sudden illness from which a person is expected to recover
Good Samaritan Act - ANSWER: States that a volunteer is not held liable for any civil damages that
may occur as a result of their efforts to provide emergency care.
Is a student nurse held to the same standards as a licensed nurse? - ANSWER: Yes, the student nurse
is expected to perform as effectively.
What is the goal of the admission interview? - ANSWER: The interview serves as the basis for
personalized nursing and care planning.
Nursing Process - ANSWER: five-step systematic method for giving patient care; involves assessing,
diagnosing, planning, implementing, and evaluating
What is an independent nursing action? - ANSWER: An action that does not require a primary care
provider order, but does require critical thinking and clinical judgement
Define leadership - ANSWER: Leadership is influencing people by providing purpose, direction, and
motivation while operating to accomplish the mission and improving the organization.
Types of leadership - ANSWER: authoritarian, democratic, laissez-faire
What is laissez-faire leadership? - ANSWER: a policy or attitude of letting things take their own course,
without interfering, hands off.
What is autocratic leadership? - ANSWER: ruling with absolute authority; extremely bossy
What is democratic leadership? - ANSWER: it means that the manager consults with staff members
and seeks staff participation in decision making.
What are discharge instructions? - ANSWER: step-by-step instructions for procedures at home,
precautions to take when performing procedures or administering medications, signs and symptoms
of complications to report, names and numbers of health care providers and community services to
contact, plans for follow up care and therapies.
What is the correct sequence of progression for a diet following surgery? - ANSWER:
, reducing edema in a cast - ANSWER: Elevating the leg to heart level (one or two pillows) helps reduce
edema formation.
In order for the anesthesiologist to accurately calculate the amount of anesthesia needed for an 82-
year-old patient, the nurse should have data available on the medical record, such as: - ANSWER:
Accurate height and weight are significant for calculation of the anesthetic agents needed for older
adult patients
A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency
surgical consent form; no family members can be located. The nurse anticipates that: - ANSWER: If no
family can be found to sign the permit for an unconscious person, a second surgeon can confirm the
need for the immediate surgical intervention and the procedure will take place.
A patient who has recently arrived on the surgical unit after being transferred from the
postanesthesia care unit asks for a drink. The nurse should first check the: - ANSWER: Before a
postsurgical patient is offered anything to eat or drink, the ability of the patient to swallow should be
assessed.
A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse
may be required to: - ANSWER: The nurse may be required to instruct in the use of an antimicrobial
soap in the shower. Although hair may be clipped away from the incision line, this is usually not done
by the floor nurse but accomplished in the surgery suite.
The nurse is aware that in both the very young and the older adult surgical patient, the risk is much
higher for: - ANSWER: Both the very young and older adults are at greater risk for dehydration or
overhydration and alterations in body temperature control.
The circulating nurse is responsible for: - ANSWER: Any break in sterile technique in the operating
room should be immediately pointed out and remedied
The nurse clarifies that the first stage of wound healing is: - ANSWER: Inflammation is the first stage of
wound healing, followed by the proliferation, maturation, and reconstruction stages.
A nurse is ambulating a patient in the hall a few days after abdominal surgery and the patient says, "I
think something just let go." The initial intervention by the nurse should be to: - ANSWER: The patient
is likely experiencing wound dehiscence and should immediately be assisted into a supine position.
This eliminates the force of gravity from putting additional stress on the suture line and possibly
causing evisceration.
neurovascular checks (5 "p") - ANSWER: A systematic method of monitoring fractures. the function
and status of nerves and blood vessels, as well as the movement of muscles that could be damages,
circulation, motion, sensation. Pain, Pallor, Paralysis, Parasthesia, Pulselessness
care of a patient following knee replacement surgery into a continuous passive motion (CPM)
machine - ANSWER: machine is attached properly and that the settings are what the surgeon ordered,
set the proper flexion and extension limits.
care of the patient with Buck's traction - ANSWER: Ensure that correct weight and alignment of the
traction and maintaining a balance between traction pull and counteraction force.
necessity of range of motion exercises - ANSWER: The range of motion exercises mimic normal muscle
movement, which compresses the venous walls as a support to venous circulation.
purpose for frequent deep breathing exercises in immobile patients - ANSWER: To prevent
pneumonia and relieve atelectasis
Nursing 6th Edition Williams | 9780323694766 | All Chapters
with Answers and Rationals
Florence Nightingale's contributions to nursing practice and education - ANSWER: improved
ventilation, sanitation, and nutrition, occupational and recreational therapy, nursing should be taught
by nurses
What is an evidence based practice? - ANSWER: The best scientific evidence from research to guide
nursing care and improve patient outcomes
Define nursing interventions - ANSWER: The actions a nurse takes to implement their patient care
plan, including any treatments, procedures, or teaching moments
Nurse Practice Act - ANSWER: defines the legal parameters of professional and practical nursing
Chronic Illness - ANSWER: an illness that begins gradually and is ongoing
acute illness - ANSWER: A sudden illness from which a person is expected to recover
Good Samaritan Act - ANSWER: States that a volunteer is not held liable for any civil damages that
may occur as a result of their efforts to provide emergency care.
Is a student nurse held to the same standards as a licensed nurse? - ANSWER: Yes, the student nurse
is expected to perform as effectively.
What is the goal of the admission interview? - ANSWER: The interview serves as the basis for
personalized nursing and care planning.
Nursing Process - ANSWER: five-step systematic method for giving patient care; involves assessing,
diagnosing, planning, implementing, and evaluating
What is an independent nursing action? - ANSWER: An action that does not require a primary care
provider order, but does require critical thinking and clinical judgement
Define leadership - ANSWER: Leadership is influencing people by providing purpose, direction, and
motivation while operating to accomplish the mission and improving the organization.
Types of leadership - ANSWER: authoritarian, democratic, laissez-faire
What is laissez-faire leadership? - ANSWER: a policy or attitude of letting things take their own course,
without interfering, hands off.
What is autocratic leadership? - ANSWER: ruling with absolute authority; extremely bossy
What is democratic leadership? - ANSWER: it means that the manager consults with staff members
and seeks staff participation in decision making.
What are discharge instructions? - ANSWER: step-by-step instructions for procedures at home,
precautions to take when performing procedures or administering medications, signs and symptoms
of complications to report, names and numbers of health care providers and community services to
contact, plans for follow up care and therapies.
What is the correct sequence of progression for a diet following surgery? - ANSWER:
, reducing edema in a cast - ANSWER: Elevating the leg to heart level (one or two pillows) helps reduce
edema formation.
In order for the anesthesiologist to accurately calculate the amount of anesthesia needed for an 82-
year-old patient, the nurse should have data available on the medical record, such as: - ANSWER:
Accurate height and weight are significant for calculation of the anesthetic agents needed for older
adult patients
A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency
surgical consent form; no family members can be located. The nurse anticipates that: - ANSWER: If no
family can be found to sign the permit for an unconscious person, a second surgeon can confirm the
need for the immediate surgical intervention and the procedure will take place.
A patient who has recently arrived on the surgical unit after being transferred from the
postanesthesia care unit asks for a drink. The nurse should first check the: - ANSWER: Before a
postsurgical patient is offered anything to eat or drink, the ability of the patient to swallow should be
assessed.
A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse
may be required to: - ANSWER: The nurse may be required to instruct in the use of an antimicrobial
soap in the shower. Although hair may be clipped away from the incision line, this is usually not done
by the floor nurse but accomplished in the surgery suite.
The nurse is aware that in both the very young and the older adult surgical patient, the risk is much
higher for: - ANSWER: Both the very young and older adults are at greater risk for dehydration or
overhydration and alterations in body temperature control.
The circulating nurse is responsible for: - ANSWER: Any break in sterile technique in the operating
room should be immediately pointed out and remedied
The nurse clarifies that the first stage of wound healing is: - ANSWER: Inflammation is the first stage of
wound healing, followed by the proliferation, maturation, and reconstruction stages.
A nurse is ambulating a patient in the hall a few days after abdominal surgery and the patient says, "I
think something just let go." The initial intervention by the nurse should be to: - ANSWER: The patient
is likely experiencing wound dehiscence and should immediately be assisted into a supine position.
This eliminates the force of gravity from putting additional stress on the suture line and possibly
causing evisceration.
neurovascular checks (5 "p") - ANSWER: A systematic method of monitoring fractures. the function
and status of nerves and blood vessels, as well as the movement of muscles that could be damages,
circulation, motion, sensation. Pain, Pallor, Paralysis, Parasthesia, Pulselessness
care of a patient following knee replacement surgery into a continuous passive motion (CPM)
machine - ANSWER: machine is attached properly and that the settings are what the surgeon ordered,
set the proper flexion and extension limits.
care of the patient with Buck's traction - ANSWER: Ensure that correct weight and alignment of the
traction and maintaining a balance between traction pull and counteraction force.
necessity of range of motion exercises - ANSWER: The range of motion exercises mimic normal muscle
movement, which compresses the venous walls as a support to venous circulation.
purpose for frequent deep breathing exercises in immobile patients - ANSWER: To prevent
pneumonia and relieve atelectasis
