C10: Serosanguineous drainage pertains to:

An exudate of blood mixed with plasma.

C1: What are Nurse Practice Acts?

Laws in each state that regulate nursing practice.

C8: Why are CHF patient's advised to do daily weights.

Weight is the best indicator of fluid lost or gained

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

The least restrictive restraint should be the first option.

C5: Cultural competency is

the nurse meets the needs of patients from different backgrounds

C7: Somatic pain is referred to as

Cutaneous or superficial: skin and subcutaneous tissues

C5: The term 'cultural assimilation' means

Adapting to the dominant culture of a nation

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

Denial, Anger, Bargaining, Depression, Acceptance

C12: How should the nurse prevent sensory overload?

plan care to allow for uninterrupted periods of rest or sleep

C10: The characteristic of a wound dehiscence is

Wound edges spread apart; gush of fluid comes from wound

C10: The best method of preventing contractures is to

Provide range-of-motion exercises

C3: Which of these documentation examples are appropriate patient subjective informtation?

"I cannot eat now. I am too tired."

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

Impaired circulation, urinary stasis, decreased rate of respirations

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

Tendency to impose your culture on others

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

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

C13: define palliative care

relieving/reducing the intensity of uncomfortable symptoms

C13: advanced directives

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

C9: Stress incontinence is

Leakage when you laugh, cough or exercise

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Fundamentals Final Exam Review

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Questions 58

Answers

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

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