Nursing Fundamentals Final Exam

In providing oral care to an unconscious patient, it is important for the nurse to

In caring for the patients spiritual needs, the nurse understands that

Professional nurses are responsible for making clinical decisions to

When teaching pt about caring for a hearing aid the RN should tell them to

Why would the RN give an unconscious pt a bag bath?

PT has been smoke free for the past 2 years. which best fits her current stage of change?

WHO defines health as

The critical thinking skill of evaluation in nursing practice can be best described as

The nursing diagnosis Readiness for enhanced urinary elimination is which type of diagnosis?

The nursing diagnosis Readiness for enhanced urinary elimination is which type of diagnosis

The nurse is caring for a patient who has an elevated temperature. The nurse understands that

While developing the plan of care, which nursing dx is the highest priority for this patient

The nurse and the patient have the same religious affiliation. Because of this, the nurse

The nurse needs a reminder of professional responsibility when performing which action?

Pt being taken care of in the home by the family is

The uniqueness of each family is referred to as family

What factors does the nurse consider when prioritizing interventions? (Select all that apply.)

The incidence of hypertension is greater in which of the following?

When assessing a patients skin, the nurse needs to know that

One purpose of using standard formal nursing diagnoses in practice is to

The nurse is bathing a patient and notices movement in the patients hair. The nurse should

which mechanism transfers heat away by using air movement

In discussing spiritual well-being, the nurse identifies that the vertical dimension involves

A nurse is pulled from the surgical unit to work on another unit. She should

The nurse describes evidence-based practice as

After the patients bath, the nurse should

familys beliefs, values, and practices strongly influence the health-promoting behaviors

In assessing the spiritual health of her patients, the nurse understands that

A new RNis not sure what heart sound she is listening to on a pt. what should the nurse do?

A self-sufficient bedridden patient unable to reach all body parts needs which type of bath?

factors influence a pts preferences for hygiene it is important for the nurse to realize that..

How to take a temp of a confused and agitated patient

A major outcome of managed care is that managed care organizations such as hospitals

most appropriate for RN to ask a pt to assist in establishing a nursing diagnosis of Diarrhea?

A RN admins pain meds to a pt suffering from fractured ribs. What type of nursing intervention

What is the first component of the critical thinking model for clinical decision making?

which would be most important for preventing skin impairment in a mobile pt with nerve damage

The health care model that utilizes Maslows hierarchy as its base is the _____ Model.

In providing perineal care to a female patient, the nurse should wash

What is the first step in making a consult?

The RN is caring for a pt who has head lice The RN knows that in treating this condition

Which of these selections is an etiology for Acute pain versus a defining characteristic?

When planning patient care, a goal can be described as

Which of these patient scenarios is most indicative of critical thinking?

The nurse is caring for an elderly patient and notes that his temperature is 96.8

The patient is admitted with chronic back pain. The nurse who is caring for this patient should

One purpose of using standard formal nursing diagnoses in practice is to

The following statements are on a pt nursing care plan. Which is an outcome?

The patient is restless with a temp of 102.2 F. One of the first things the nurse should do is

Which nursing diagnostic statement is accurately written?

Healthy People 2020 focuses on four areas. One of those areas is

The nursing process involves which steps in the clinical decision-making process (Select all)

When providing basic eye care, the nurse

Which demonstrates a nurse utilizing self-reflection to improve clinical decision making?

The RN is caring for a pt who has ticks on her legs and body. To rid the patient of ticks

The best site for the nurse to obtain the infants pulse would be the _____ artery.

When focusing on temperature regulation of newborns and infants, the nurse understands that

RN needs to get a radial pulse from a pt. To obtain the correct measure, what must the nurse do

When focusing on older adults, the nurse must be aware that

The RN is providing a complete bed bath to a patient using a commercial bag bath. The RN should

The nurse enters a room to find the PT sitting up in bed crying. What should the nurse do 1st

Which diagnosis below is NANDA-I approved?

RN is caring for a pt who is immobile. the pt is at risk for Impaired skin integrity because

A pt son decides to stay at the bedside while his father is confused. what should the RN do

Understanding that changes are necessary, the nurse needs to be aware that

The nursing student can best develop critical thinking skills by doing which of the following?

Critical thinking characteristics include

Which of the following statement about religion and spirituality is true?

Which pt outcome statement includes all seven guidelines for writing goal and outcome statement

Pt who has external fixation of a broken leg & has a cast in place. To prevent skin impairment

Care designed to prevent further progression of a disease is termed

Patient refuses AM care. the patient tells the RN that she always bathes at night. The RN will

When providing hygiene for an elderly pt the nurse should assess the skin because

After assessment to formulate a patient database, the RN should proceed to which step of the NP

The RN recognizes that another term for a collaborative nursing intervention is

Scaling of the scalp accompanied by itching is known as

The goal of Healthy People 2020

What are the defining characteristics for the diagnostic label of Activity intolerance?

Of the following hearing aids, which interferes the most with wearing glasses and using a phone

when evaluating an RN developing a plan of care, the charge RN knows this is a diagnostic error

The pts blood pressure is 140/60. The nurse realizes that this equates to a pulse pressure of

PT requires temps to be taken every two hours Which of the following cant be delegated to a CNA

Which diagnosis below is NANDA-I approved?

Of the following disorders, which is caused by a virus?

Of the following values, which value would be considered prehypertension?

Perineal care for a nonambulatory pt who has full function of arms and hands

While the nurse is assessing the patients respirations, it is important for the patient to

When providing the patient with a complete bed bath using soap and water it is important to

When caring for a terminally ill patient, the nurse should focus on the fact that

one factor that helps organize the family approach to the nursing process is that the nurse

An example of an internal variable would be

The RN is teaching the pt about flossing and oral hygiene. The nurse teaches the patient that

Which finding should the RN revise because it isnt characteristic of critical thinking

A new grad nurse will make the best decisions by applying the nursing critical thinking model &

a clinic that provides health education and immunizations is what level of prevention

The term for bad breath is

The pt is complaining of an inability to clear his nasal passages. The RN instructs the pt to

Pt with diabetes mellitus need special foot care to prevent the development of ulcers, the RN

After completing a thorough database & analyzing the data to find any problems the next step is

The RN creates a referral to pastoral care when he/she realizes that the patient is in need of

Which option explain what the RN should do with the plan of care for a pt after it is developed

Professional standards influence a nurses clinical decisions by

When heat loss mechanisms of the body are unable to keep pace with excess heat production