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Fundamentals Exam 2 Review Flashcards | StudBud
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Fundamentals Exam 2 Review
Fundamentals Exam 2 Review
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1
A nurse completes a client's history and physical exam. Which information is considered subjective data?
Blood pressure
Petechiae
Nausea
Cyanosis
2
While writing an incident report about a pressure ulcer on a patient recovering from surgery, the RN should...
Include any relevant statements the client made about the ulcer
Ask the chargeRN about care deficits that may have contributed to the ulcer
Document what the nurse believes was the cause of the ulcer development
Document in the medical record after completing am incident report
3
A nurse receives orders for a prescription of ampicillin 1g every 6 hours for a client. How should the nurse respond?
Question the dose, and ask the provider to confirm the dose in mg.
Administer the medication as prescribed, and monitor the patient's response
Elicit the desired route from the primary health care provider
Assess the patency of the client's IV access
4
Which action shows effective communication when documenting a patient's condition change in electronic charting?
Waiting until the end of shift to document all changes at once
Enter info in the electronic record without notifying other team members
Using standardized terminology; ensuring the entry is timely and accurate
Including only the most critical info and omitting less significant details
5
Which of the following transports oxygen in the blood?
Hemoglobin
Platelets
Lymphocytes
Neutrophils
6
Which is an essential component of the definition of learning?
Requires formal education
Can be measured
Increases self-esteem
Decreases stress
7
Which of the following best describes the importance of timely, accurate communication in health care?
To delay patient treatment
To increase healthcare costs
To ensure effective collaboration among healthcare team members
To create confusion and misunderstandings
8
Which action does a nursing take first when a client with chronic bronchitis begins to experience respiratory distress?
Position client comfortably, ensure airway, and provide oxygen
Assess the client's oxygen saturation levels
Notify the healthcare provider immediately
Administer medications prescribed for bronchitis
9
A client with vascular dementia is unable to provide much of the data required for assessment. What should the RN do?
Obtain the client's records from admissions to other institutions
Supplement the client's information by speaking with family or friends
Perform the assessment in several parts instead of all at once
Limit the assessment to objective data
10
Which assessment finding is consistent with hypoxia?
hyperactivity
decreased blood pressure
confusion
decreased respiratory rate
11
A medication label reads a drug as being 0.5g per tablet. The order is for 500 mg. How many tablets will the nurse give?
1
2
10
5
12
Which condition is likely associated with fine, crackling sounds in a patient's lungs.
Pneumonia
Chronic Obstructive Pulmonary Disease (COPD)
Asthma
Pleuritis
13
At which of the following times or places should the nurse perform a final medication check?
At the nurses' station while reviewing the provider's prescription
In the area where the nurse obtained the medication
At the client's bedside before administration
At the time of documentation
14
An RN is teaching the steps of critical thinking. They should include that interpreting data is included in which step?
Creativity
Analysis
Questioning
Intuition
15
In long-term care, which tasks should the nurse delegate to the LPN?
Admission assessment of a new client
Teaching a client insulin injection technique
Scheduling a diagnostic study for a client
Evaluating changes to a client's pressure ulcer
16
How does reflection contribute to the development of clinical judgement?
It's unrelated to the development of clinical judgement
Enhances critical thinking skills
Helps nurses gain more experience in clinical practice
Allows nurses to apply theoretical knowledge to clinical practice
17
Which age-related change should an RN consider as potentially affecting respiratory status in an elderly client?
Decreased chest wall elasticity
Increased lung compliance
Enhanced cough reflex
Higher respiratory rate at rest
18
Which method is most effective in evaluating the teaching of self-administration of daily insulin?
Ask the patient to demonstrate the administration
Use a brochure to explain how to give the injection
Provide a teaching session that includes an Q&A
Ask the client to repeat the steps of administration
19
A nurse in the ICU checks vitals, pupils, and orientation often on a stroke patient. What type of assessment is this?
Focused
Emergency
Time lapse
Initial
20
Answer the following.
Impaired mobility due to anxiety, shown by fear of post-op issues
Anxiety due to lack of knowledge about post-op activities
Risk for anxiety related to fear of ambulating postoperatively
Risk for postoperative complications due to disturbed body image
21
What is the goal of the nurse in a helping relationship with a client?
To assist the client to identify and achieve goals
To provide hands-on physical care
To facilitate the client's interactions with others
To ensure safety while caring for the client
22
An RN is preparing atenolol 25mg PO Q12. Available is atenolol 50mg/tab. How many tables per dose should be administered
1 tablet
1.5 tablets
2 tablets
0.5 tablet
23
Which response should a nurse make when a patient says, "The pill I take is green. I don't take an orange pill."?
"Let me explain the purpose of the medication."
"This is the medication that your doctor wants you to take."
" I will check your medication order again."
"Sometimes the same pill comes in a different color."
24
In the implementation step of the nursing process, which activity will the nurse perform first?
Prioritize evaluation of care
Differentiate between subjective and objective data
Reassess client needs
Document nursing care
25
A nurse engages in purposeful action to improve practice and outcomes. What is this activity?
Assessment
Memorization
Data Collection
Reflection
26
Which nitroglycerin administration route gives the fastest onset for clients?
Topical ointment
Sublingual
Transdermal
Suspended-release
27
An RN is preparing a client's evening dose of risperidone and it falls on the countertop. What should the nurse do?
Use the tablet's packaging to pick it up from the counter
Wash the tablet off with alcohol and place it in a clean medication cup
Discard the tablet and obtain another dose of medication
Place the tablet directly into a medication cup
28
A nurse sets specific, measurable, realistic goals. Which care plan component is this?
Evaluation
Nursing intervention
Nursing diagnosis
Outcomes
29
Which client characteristic is most important to assess when applying the health belief model for education purposes?
Developmental level
Motivation to learn
Source of information
Family support
30
What should the nurse include when teaching a patient about proper administration of an enteric-coated drug?
It can be cut into smaller pieces
It should not be opened
It should not be chewed or crushed
It is available in liquid form if needed
31
What is the name of a care plan for clients with similar treatments and risks?
Standardized
Ongoing
Initial
Generic
32
Which part of the SBAR should the RN use to give a summary of the patient's current health status and reason for report?
Assessment
Background
Situation
Recommendation
33
A client’s surgical wound shows partial healing three weeks post-op. What should the home care nurse do next?
Guide the client on safe internet use for wound care info
Ask what the client wants to see happen with the wound
Refer the client to a wound care clinic
Active listening to determine how the client is caring for the wounds now
34
Identifying outcomes helps the nurse perform which next step in the nursing process?
Develop rapport with the client and family
Corroborate the client's medical diagnoses
Adhere to the clinical judgment and measurement model
Evaluated whether nursing diagnoses were appropriate
35
In which of the following sections of a SOAP note should a client's vital signs be documented?
Objective
Subjective
Plan
Assessment
36
After receiving shift report, what is the nurse's first step in delivering care using the nursing process?
Determine effectiveness of interventions
Critically analyze client data to determine priorities
Collect and organize client data
Set client-centered, measurable and realistic goals
37
Which of the following instructions should a new nurse be told when learning to use a nonrebreather oxygen mask?
The reservoir bag on the mask should collapse with exhalation
It should fit snugly over a client's face
The mask dries a client's mucous membranes
Use the mask to deliver low-flow oxygen
38
What type of communication with the client and significant others should an RN use to provide effective nursing care?
Intrapersonal communication
Metacommunication
Therapeutic communication
Purposive communication
39
Which of the following is most expressive in a client's non-verbal communication?
Hand gestures
Facial expressions
Posture
Eye contact
40
Which statement should a nurse make when educating a client with COPD about "purse-lipped breathing"?
"Lay flat on your back while you do it"
"Inhale through your nose and exhale out through your mouth"
"Your inspiration should be longer than expiration"
"Cough more forcefully during exhalation"
41
Which consideration is necessary for culturally competent client education for recent immigrants?
Use materials developed previously for citizens
Develop written material in the client's native language
Use all visual materials when teaching content
Use a lecture format to teach content with few questions
42
A nurse refers a client with a new colostomy to a support group. Which aim of nursing is the nurse practicing?
Facilitating coping
Restoring health
Promoting health
Preventing illness
43
Answer the question
Review the events leading up to each medication error
Staff nurses must pass a medication exam to demonstrate competency
Create a quality improvement program for nurses with med errors
Provide inservice on medication administration to all nurses
44
Which term describes the process of inhaling and exhaling air in and out of the lungs?
ventilation
perfusion
circulation
diffusion
