C10: Serosanguineous drainage pertains to:

An exudate of blood mixed with plasma.

C2: What is a guide to remember when nurses need to use restraints?

The least restrictive restraint should be the first option.

C13: define palliative care

relieving/reducing the intensity of uncomfortable symptoms

C5: Cultural imposition is.......

Tendency to impose your culture on others

C1: What are Nurse Practice Acts?

Laws in each state that regulate nursing practice.

C10: The characteristic of a wound dehiscence is

Wound edges spread apart; gush of fluid comes from wound

C4: Which is the best written client outcome?

The client will eat using portion control on MyPlate over the next week.

C12: How should the nurse prevent sensory overload?

plan care to allow for uninterrupted periods of rest or sleep

C13: advanced directives

document communicating patient's end-of-life care wishes

C9: Stress incontinence is

Leakage when you laugh, cough or exercise

C10: The best method of preventing contractures is to

Provide range-of-motion exercises

Which of these account for all the stages of Grief by Kubler - Ross?

Denial, Anger, Bargaining, Depression, Acceptance

C7: Why do nurses assess pain after medications have been delivered?

To make sure pain is managed with least risk and best intervention.

C6: Immobility in a patient can cause which effects on the body?

Impaired circulation, urinary stasis, decreased rate of respirations

C5: The term 'cultural assimilation' means

Adapting to the dominant culture of a nation

C5: Cultural competency is

the nurse meets the needs of patients from different backgrounds

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Fundamentals Final Exam Review

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Questions 58

Answers

1
C11: Hand Sanitizer is as effective as washing your hands
False
True
2
C12: All are common s/s of sensory deprivation except:
Increased talkativeness
Anxiety
Increased sleeping
Hallucinating
3
C7: An example of visceral pain is:
Partial and full thickness burns
Deep lacerations
Multiple Sclerosis
Pancreatitis
4
C5: When using an interpreter, the nurse should address questions to:
The patient
Don't make eye contact with either
The interpreter
5
C9: urge incontinence is due to
an overactive bladder
an overfull bladder
excercise
weak supporting muscles
6
C10: What marked advantage does primary intention have over other phases of wound healing?
Healing rarely becomes infected
Minimal scarring results
Healing is painless
Healing is rapid
7
C14: What is accurate education a nurse would give a client going home on oxygen?
Oxygen is flammable.
You cannot ever leave your home on oxygen.
You can give yourself as much oxygen as you need to feel comfortable.
Vaseline can be used to help with dry nares.
8
C9: What is the treatment for stress urinary incontinence
Avoid voiding frequently
Wear an adult diaper
Drink cranberry juice
Perform pelvic floor exercises
9
C11: When you have a general infection the WBC is
stay the same
decreased
increased
not a factor
10
C13: What is the basic principle that is associated with hospice care?
Family centered care
Promoting client autonomy
Focus is on care not cure
Treating client suffering
11
C10: Serosanguineous drainage pertains to:
Bloody drainage from a wound.
An exudate of blood mixed with plasma.
A drainage with pus.
A closed wound
12
C2: What is a guide to remember when nurses need to use restraints?
The least restrictive restraint should be the first option.
Always use a sitter when restraints are being used.
Patients using restraints do not need to be provided a call light.
Recheck and remove any restraint use every hour for the first day.
13
C10: Serous
Containing pus
Pink- Blood mixed with plasma
Clear fluid
Red blood
14
C13: define palliative care
the support and care given during the time surrounding death
relieving/reducing the intensity of uncomfortable symptoms
a document stating a person's wishes before death
care after the body after death
15
C5: Cultural imposition is.......
Your culture is a burden
Restriction on participation in your own culture
Tendency to impose your culture on others
Forcing someone to join a sorority or fraternity
16
C1: What are Nurse Practice Acts?
Laws develope by the relatives of Florence Nightengale.
Laws developed by the NLN (National League of Nursing)
Laws in each state that regulate nursing practice.
National laws that regulate nursing practice.
17
C10: The characteristic of a wound dehiscence is
Wound edges spread apart; gush of fluid comes from wound
Body organs protrude through the open wound.
Development of high fever & wound pain
Veins become inflamed and form blood clots
18
C13: By law, where can a patient find help with preparing advanced directives?
A fire department is required
The hospital is required
A family member is required
The patient must hire an attorney
19
C4: Which is the best written client outcome?
The nurse will provide the MyPlate tool to guide the client to eat less.
The client will eat using portion control on MyPlate over the next week.
The client will eat less than they have in the past year.
The client will eat less.
20
C4: The interventions in a care plan are nurse driven.
False
True
21
C12: How should the nurse prevent sensory overload?
encourage the use of self-stimulation techniques such as singing
plan care to allow for uninterrupted periods of rest or sleep
provide a telephone, radio, clock, crossword puzzle
include different textured objects to feel such as soft blanket
22
C3: Which of the following is not a type of therapeutic communication technique used by nurses?
Closed
False Assurance
Validating
Open-Ended
23
C6: When getting ready for bed, which snack might help the client to fall asleep?
Peanut butter and crackers
Milk and cookies
Ice Cream and banana
Cheese and hardboiled egg
24
C13: advanced directives
research about end of life care
document communicating patient's end-of-life care wishes
orders given by physician to all employees
medical records predicting patient outcomes
25
C10: Stage this pressure injury
Stage 4
Unstageable
Stage 3
Stage 2
26
C9: Stress incontinence is
Leakage when you are sleeping
Leakage when the bladder overflows
Leakage when you can't get to a toilet urgently
Leakage when you laugh, cough or exercise
27
C10: The following describes secondary intention healing:
Healing takes longer
Greater chances of infection
Scarring is more extensive
All of these
28
C4: Which of these answers is not part of an ACTUAL nursing diagnosis?
Evaluation
Problem
Defining Characteristics
Etiology
29
C10: The best method of preventing contractures is to
Provide range-of-motion exercises
Re position the client in bed at least hourly
Massage the skin with lotion every shift
Bathe the client twice a day
30
C6: Which of the following is not a part of good body mechanics?
Coordinated movemnt
Lifting with back
Alignment
Balance
31
C11: What are three Transmission Based Precautions?
Contact, Airborne, Droplet
Infectious, Not Infectious, and possibly infectious
Airborne, Droplet and High Touch
Droplet, Contact and Environment
32
C13: Which is not a clinical sign of impending death?
Noisy respirations
Increased BP
Nausea
Irregular pulse
33
C12: Purpose of the mini mental status exam (MMSE)
assess readiness for the therapeutic mileu
Assess cognitive status
assess psychosocial abilities
Assess IQ
34
C13: How should a nurse position the body after the death of a patient?
Prone
In Fowler position
Supine
On the side
35
C10: What is evisceration?
Wound infection
protrusion of bowels
paralytic ileus
wound separation
36
C1: What is the regulatory license that is needed to practice as an registerd nurse?
Wisconsin RN Next GEN
NCLEX-RN
NCLEX-PN
RN Practicum
37
C13: DNR
Do not Raise
Do not Recover
Do not Rescue
Do not Resuscitate
38
C14: What is the priority assessment for a patient presenting with respiratory distress
breath sounds
respiratory rate
blood pressure
airway patency
39
C14: Why is smoking a danger to your body?
It makes your brain slow
Because you can get lung cancer
the nicotine will make your blood vessels become narrower
All of the above
40
C10: injury left open and edges not joined is healing by tertiary intention
True
False
41
Which of these account for all the stages of Grief by Kubler - Ross?
Denial, Anger, Bargaining, Dealing, Acceptance
Denial, Apathy, Bargaining, Depression Acceptance
Denial, Anger, Bereavement, Depression, Acceptance
Denial, Anger, Bargaining, Depression, Acceptance
42
C1: On what type of information do nurses base the way that the practice?
Evidence Based Practice
Relavent Practice Knowledge
Knowledge Based Practice
Wikipedia
43
C8: Who is allowed to dose medication from a PCA pump?
Nurse
Client
Housekeeping
Certified Nursing Assistant
44
C7: Why do nurses assess pain after medications have been delivered?
To make your clinical instructor happy.
To make sure pain is managed with least risk and best intervention.
To be able to give more pain medication.
To make sure the client is not having any pain.
45
C12: What is the highest priority when taking care of a client with a sensory deficit?
Communication
Safety
Medication
Nutrition
46
C6: Immobility in a patient can cause which effects on the body?
Impaired circulation, urinary stasis, decreased rate of respirations
Increased muscle strength, increased production of body heat, better sleep
Improved gas exchange, increased peristalsis, increased circulation
Decreased heart rate, improved fluid balance, Increased appetite
47
C9: Incontinence is a normal part of aging
True
False
48
C6: In Stage 4 sleep, the
Blood pressure is elevated
Respirations are irregular
Pulse rate is slow
Temperature increases
49
C9: Overuse of laxatives can cause which issue?
Fecal incontinence
Nausea
Diarrhea
Constipation
50
C5: The term 'cultural assimilation' means
non-violent protest
segregation between races
denying someone of their rights based on their culture
Adapting to the dominant culture of a nation
51
C5: Cultural competency is
the nurse is competent in his or her own culture
the responsibility of the patient
the nurse meets the needs of patients from different backgrounds
a written test required for all americans
52
C6: Using correct body mechanics helps to prevent injury.
True
False
53
C2: Who provides the National Patient Safety Goals?
OSHA (Occupational Safety and Health Administration)
JC (Joint Commission)
CDC (Center for Disease Control)
NLN (National League of Nursing)
54
C8: Why are CHF patient's advised to do daily weights.
Weight is the best indicator of fluid lost or gained
Daily weight determines nutrition levels
Hospital protocol
weights determine BMI as indicator of heart failure
55
C13: Anticipatory grief
loss of spuse
prolonged time of grieving
Experienced before loss occurs
chronic
56
C7: A crucial part of the pain assessment is to find out if it is either chronic or acute.
True
False
57
C7: Somatic pain is referred to as
pain that originates in internal organs
Cutaneous or superficial: skin and subcutaneous tissues
phantom pain
poorly localised pain
58
C3: Which of these documentation examples are appropriate patient subjective informtation?
Nurse noted that "patient vomited two times during her shift."
Patient states they don't want to eat.
Patient c/o of not being able to eat.
"I cannot eat now. I am too tired."

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