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FUNDAMENTALS OF NURSING NURSING 101
PRACTICE
EXAM 1 PART 1| NURSING 101 EXAM 2 QUESTIONS
AND ANSWERS
Which of the following is the most important purpose of planning care with a
patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient care --
ANSWER--C. Making of individualized patient care
To be effective, the nursing care plan developed in the planning phase of the
nursing process must reflect the individualized needs of the patient.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing -- ANSWER--
C. Assessing, diagnosing, planning, implementing, evaluating
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The correct order of the nursing process is assessing, diagnosing, planning,
implementing, evaluating.
What nursing action is appropriate when obtaining a sterile urine specimen from
an indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe -- ANSWER--
D. Aspirate urine from the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile syringe to
obtain a urine specimen. Opening a closed drainage system increase the risk of
urinary tract infection.
The clinical instructor is discussing about the Nursing Process. She mentioned
that when a cluster of actual or high-risk diagnosis are present because of a
certain situation it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
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D. Risk nursing diagnosis -- ANSWER--C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing
diagnosis. Wellness nursing diagnosis focuses on the clinical judgment on an
individual from a specific to higher level of wellness. Actual diagnoses are
clinical judgment of the nurse that is validated. A risk diagnosis is based on the
clinical are based on clinical judgment that the client may develop vulnerability
to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F. What is
the equivalent centigrade temperature? A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C -- ANSWER--B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting
°C to °F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse
relinquishing responsibility for care of the patient to communicate. Which of the
following facts to the nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
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D. Patient's family came for a visit this morning. -- ANSWER--C. Patient's
NGT was removed 2 hours ago
The change-of-shift report should indicate significant recent changes in the
patient's condition that the nurse assuming responsibility for care of the patient
will need to monitor. The other options are not critical enough to include in the
report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which of the following interventions
would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site -- ANSWER--A. Stop the infusion
The sign and symptoms indicate extravasation so the IVF should be stopped
immediately and put warm not cold towel on the affected site.
Which data would be of greatest concern to the nurse when completing the
nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
FUNDAMENTALS OF NURSING NURSING 101
PRACTICE
EXAM 1 PART 1| NURSING 101 EXAM 2 QUESTIONS
AND ANSWERS
Which of the following is the most important purpose of planning care with a
patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient care --
ANSWER--C. Making of individualized patient care
To be effective, the nursing care plan developed in the planning phase of the
nursing process must reflect the individualized needs of the patient.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing -- ANSWER--
C. Assessing, diagnosing, planning, implementing, evaluating
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The correct order of the nursing process is assessing, diagnosing, planning,
implementing, evaluating.
What nursing action is appropriate when obtaining a sterile urine specimen from
an indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe -- ANSWER--
D. Aspirate urine from the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile syringe to
obtain a urine specimen. Opening a closed drainage system increase the risk of
urinary tract infection.
The clinical instructor is discussing about the Nursing Process. She mentioned
that when a cluster of actual or high-risk diagnosis are present because of a
certain situation it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
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D. Risk nursing diagnosis -- ANSWER--C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing
diagnosis. Wellness nursing diagnosis focuses on the clinical judgment on an
individual from a specific to higher level of wellness. Actual diagnoses are
clinical judgment of the nurse that is validated. A risk diagnosis is based on the
clinical are based on clinical judgment that the client may develop vulnerability
to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F. What is
the equivalent centigrade temperature? A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C -- ANSWER--B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting
°C to °F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse
relinquishing responsibility for care of the patient to communicate. Which of the
following facts to the nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
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D. Patient's family came for a visit this morning. -- ANSWER--C. Patient's
NGT was removed 2 hours ago
The change-of-shift report should indicate significant recent changes in the
patient's condition that the nurse assuming responsibility for care of the patient
will need to monitor. The other options are not critical enough to include in the
report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which of the following interventions
would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site -- ANSWER--A. Stop the infusion
The sign and symptoms indicate extravasation so the IVF should be stopped
immediately and put warm not cold towel on the affected site.
Which data would be of greatest concern to the nurse when completing the
nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
