VN15 Fundamentals of Nursing Mid-Term Study
Guide Questions and Correct Answers | Latest Update
Why are range of motion exercises performed on patients? Ans: Assess
joint flexibility before initiating an exercise program, maintain joint
mobility and flexibility, prevent ankylosis, stretch joints before
performing more strenuous activities, and elevate the client's response to
a therapeutic exercise program
What is ankylosis? Ans: The permanent loss of joint movement
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What is the technique used fro when recording an error made in
handwritten documentation? Ans: Draw a single line across the mistake
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You are a nurse responding to a call bell and find another nurse
evacuating the client from the room because the room is on fire. What
action should you take first? Ans: Pull thr fire alarm
A nurse is caring for a client with an amputated limb. The client tells the
nurse that he has a burning sensation in his amputated limb. How should
the nurse document this pain? Ans: Phantom limb pain
What are some signs that confirm the need to obtain a wound culture?
Ans: When the wound is tender, red, swollen, draining fluid or pus, and
slow to heal
A nurse is cleansing the skin and tissue around the pin site of a client.
Which of the following signs confirm the need to obtain wound culture
Ans: Purulent drainage
A nurse is assessing a client with severe pain. What are some signs and
symptoms of severe pain? Ans: Increase in heart rate, respiratory rate,
and blood pressure; along with diaphoresis (sweating), pallor, dry mouth,
restlessness, nausea, and anxiety
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How many mLs should a nurse administer with a simple mask? Ans:
Administer 5 mL
A nurse is assessing the volume of liquid nutrition that has been tube-fed
to a client. What will happen if the volume of feeding exceeds the client's
physiologic capacity? Ans: Gastric reflux
A middle age client is reporting acute joint pain to a nurse who is
assessing the clients pain in a clinic. Which question related to pain
assessment should the nurse ask the client? Ans: Does your pain level
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change after taking medications?
A nurse is caring for a client diagnosed with Sleep Apnea. Which nursing
diagnosis should the nurse include in the nursing plan of care as a
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priority? Ans: Impaired gas exhange
In which age group is there a larger risk for falls? Ans: More than one-
third of adults aged 65 years suffer the greatest number of fatal falls
A nurse is giving post-operative care to a client after knee arthroplasty.
Which of the following is a possible short-term goal for this client? Ans:
To ambulate the client to a bedside chair
What does code status refer to? Ans: MD order (ONLY MD ORDER THIS!)
What is Code Status? Ans: Type of emergent treatment a person would
or would not receive if their heart or breathing were to stop
What is required for legal DNR? Ans: Needs patient request and needs to
be signed by a physician in order to become legally binding
A patient has been put on restraints. What should the nurse be checking
on a routinely basis? Ans: Vital signs, circulation, skin condition, signs
of injury, psychological status, toileting, nutrition, hydration, range of
motion