Study Guide pt.2 Comprehensive Final Fundamentals of Nursing

Question 1

What impacts the implementation process?

Accepted Answer

Protocols, Standing orders, Clinical pathways

Question 2

How long will you listen to an apical pulse?

Accepted Answer

1 minutes no matter what

Question 3

What is fidelity?

Accepted Answer

Keeping promises or agreements made with others

Question 4

Stress incontinence is:

Accepted Answer

Loss of urine control during activities that increase intrabdomenal pressu.

Question 5

Oliguria is:

Accepted Answer

Reduced urine volume

Question 6

Where would a new nurse look to find the guidelines of what she can and cannot do under her license or scope of practice

Accepted Answer

Nurse practice act

Question 7

Urinary incontinence is:

Accepted Answer

Inability to control the passage of urine

Question 8

Where do you go to find information about a patient’s previous admission history?

Accepted Answer

EHR

Question 9

Socialization can be described as:

Accepted Answer

Learning the theory and skills necessary for the role of a nurse

Question 10

Functional Incontinence is:

Accepted Answer

Lack of urine control in the absence of any abnormalities of the UT

Question 11

What is objective data?

Accepted Answer

What the nurse observes

Question 12

What is uncivility?

Accepted Answer

Acting in a way that is disrespectful

Question 13

What do you need to communicate to the oncoming shift for handoff report?

Accepted Answer

Current condition, Services rendered to a patient, Anticipated changes, Care, Treatment

Question 14

What is civility?

Accepted Answer

Showing respect, Acting politely

Question 15

Code of ethics:

Accepted Answer

Includes respect for others, advocacy, and commitment, Includes 9 basic provisions under which nursing practice is to take place, A succinct statement of the ethical values, obligations, & duties.

Question 16

What is atelectasis?

Accepted Answer

Collapsing of the lung

Question 17

When would a patient have a nursing diagnosis of disturbed body image?

Accepted Answer

Having an ostomy

Question 18

What is intuition?

Accepted Answer

The ability to understand something immediately, w/o need for reasoning

Question 19

Nocturia is:

Accepted Answer

Excessive urination at night

Question 20

What does implementation consist of?

Accepted Answer

Interventions, Care plans, Documentation, Take action

Question 21

The use of the EHR includes:

Accepted Answer

The use of all health care providers, Inpatient and outpatient documentation, Lab data and other test results, Care, vital signs, and assisting with ADLs

Question 22

Accountability in nursing would consist of:

Accepted Answer

Accepting responsibility for actions and omissions

Question 23

How to protect EHR:

Accepted Answer

Do not share passwords

Question 24

If a patient’s catheter bag is empty 2-3hrs after it is emptied the first thing the nurse should do is:

Accepted Answer

Check for kinks

Question 25

What does planning consist of?

Accepted Answer

Short-term goals, Long-term goals, Prioritize hypotheses and nursing diagnoses, Generate personalized care plans

Question 26

Dysuria is:

Accepted Answer

Painful urination

Question 27

When should the nurse contact the health care provider after removing a catheter?

Accepted Answer

6-8hrs

Question 28

Clinical pathways:

Accepted Answer

Developed through EBP research, Aka care pathways, Designed to guide patient care, Aka care maps

Question 29

Validation is:

Accepted Answer

To reassure

Question 30

The healing stages may get better but they are never less than when it was at its worst

Accepted Answer

True

Question 31

Temporary incontinence is:

Accepted Answer

When one has severe constipation, UTI’s, or medication usage

Question 32

Overflow incontinence is:

Accepted Answer

Unable to empty the bladder completely, resulting in constant dribbling

Question 33

What vital sign will tell me if acetaminophen is working on the fever of the patient?

Accepted Answer

Temperature

Question 34

What causes pressure ulcers?

Accepted Answer

Sensory loss or immortality, Friction/shear, Intense pressure, Long amounts of pressure, Medical devices, Moisture & nutrition

Question 35

Protocols:

Accepted Answer

Handles routine care situations, Outlines procedures for admitting patients, Do not require a physician’s order, Are written plans that can be generalized to pt’s with similar needs

Question 36

What is the Electronic Health Record?

Accepted Answer

Longitudinal record of health that includes the info from in & out patient

Question 37

What is the nursing process?

Accepted Answer

Develops individualized plans of care, Provide care for patients, Systematic method of critical thinking

Question 38

Polyuria is:

Accepted Answer

Excessive volume of urine formed and excreted each day

Question 39

How must a nurse properly document refusal of a medication or procedure of a patient:

Accepted Answer

Note that patient was informed of the risks and benefits of intervention, Identify potential risks or benefits of the intervention, State the patient has refused, and their reasoning for their refusal, Describe the intervention offered & reasons for offering the intervention

Question 40

Autonomy in nursing is:

Accepted Answer

They develop their own policies in collaboration with eachother

Question 41

What is subjective data?

Accepted Answer

What the patient says

Question 42

What is non maleficence?

Accepted Answer

“First, do no harm”, Requires the avoidance of harm

Question 43

Interpretation is:

Accepted Answer

Giving or providing the meaning of, Analyzing, Figuring out

Question 44

Appropriate suctioning includes:

Accepted Answer

Suctioning while removing the catheter, Twirling the catheter while suctioning, 10 second intervals

Question 45

Altruism to a nurse:

Accepted Answer

Public service over personal gain

Question 46

Ethics is:

Accepted Answer

Standards of right and wrong behavior, Moral principles that guide a persons behavior

Question 47

Evaluation consists of:

Accepted Answer

Care plan evaluation

Question 48

What is justice?

Accepted Answer

Obligation to act fairly regardless of income or power

Question 49

Hand-off reports are enhanced with patient participation, nurses should:

Accepted Answer

Teach patients to actively participate w/ staff during the bedside rounds, Ask patients to validate the information shared during the rounding process, Encourage patients to ask questions during the rounding process

Question 50

What responsibilities can a nurse manager assigned to a new license practical nurse who has come to work on her floor?

Accepted Answer

Catheterization, Pass medication, Vital signs

Question 51

Urge incontinence is:

Accepted Answer

A sudden strong urge to void, followed by rapid bladder contraction

Question 52

The nephron is the smallest functional part of the urinary system

Accepted Answer

True

Question 53

Standing orders:

Accepted Answer

Must be documented or charted, List specific actions to be taken by a nurse or HCP, Written by physicians, Used in somewhat standardized care

Question 54

Urinary retention is:

Accepted Answer

Inability of the bladder to empty

Question 55

Hematuria is:

Accepted Answer

The abnormal presence of red blood cells in the urine

Question 56

What is diagnosis?

Accepted Answer

Identify nursing diagnosis, Cluster related data, Analyze data/cues, List supporting data

Question 57

Assessment consists of:

Accepted Answer

Objective data, Subjective data, Secondary data, Primary data

Question 58

Advocacy in nursing may include:

Accepted Answer

Speaking for the patient when they cannot speak for themselves

Question 59

A document that records only abnormal or significant data:

Accepted Answer

Charting by exception

Study Guide pt.2 Comprehensive Final Fundamentals of Nursing

Questions 59

Study Guide pt.2 Comprehensive Final Fundamentals of Nursing

Questions 59