Fundamentals of Nursing Final Exam Test Bank new exam practice question and answers 2021 docs

Chap 11

Question 1

The student is learning the steps of the nursing process. What is the first thing that the student

should realize about the purpose of this process?

1. Deliver care to a client in an organized way.

2. Implement a plan that is close to the medical model.

3. Identify client needs and deliver care to meet those needs.

4. Make sure that standardized care is available to clients.

Correct Answer: 3

Question 2

While conducting a dressing change, the nurse notes a new area of skin breakdown that was

caused from the tape used to secure the dressing. In which phase of the nursing process is the

nurse working?

1. Assessment

2. Diagnosis

3. Implementation

4. Evaluation

Correct Answer: 1

Question 3

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in

the bed, and says leave me alone. Which subjective data should the nurse document?

1. Restlessness

2. Leave me alone

3. Not talkative

4. Pale and diaphoretic

Correct Answer: 2

Question 4

Family of a client demonstrating confusion state that this is not the clients usual behavior. How

should the nurse document this data?

1. Inference

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2. Subjective data

3. Objective data

4. Secondary subjective data

Correct Answer: 3

Question 5

The nurse provides a back rub to a client after administering a pain medication with the hope that

these two actions will help decrease the clients pain. Which phase of the nursing process is this

nurse implementing?

1. Assessment

2. Diagnosis

3. Implementation

4. Evaluation

Correct Answer: 3

Question 6

A new client has been admitted to the care area. How soon should the nurse plan to complete a

physical assessment on this patient?

1. 1 hour

2. 12 hours

3. 48 hours

4. 24 hours

Correct Answer: 4

Question 7

The nurse is admitting an infant to the care area. The parents and grandmother are present. What

should the nurse use as the best source of data for this client?

1. Medical record from the childbirth

2. Grandmother

3. Parents

4. Admitting physician

Correct Answer: 3

Question 8

A newly admitted client is angry because nursing staff continue to ask the same questions. What

should the nurse respond to this client?

1. In order to make sure all of your information is complete, I need to ask these questions.

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2. Youre right. Let me know if theres anything you need right now.

3. Ill be done shortly, just give me a few more minutes.

4. You shouldnt be upset. Were only doing our jobs.

Correct Answer: 2

Question 9

The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to

direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand

gestures) in conversation with spouse. Which method of data collection does this documentation

demonstrate?

1. Examining

2. Interviewing

3. Listening

4. Observing

Correct Answer: 4

Question 10

A nurse has worked in the trauma critical care area for several years. Which noise may become

indiscriminate for this particular nurse?

1. A client with audible breathing

2. Moaning of a client in pain

3. Whirring of ventilators

4. Co-orkers discussing their clients conditions

Correct Answer: 3

Question 11

A client has been using the call light routinely throughout the evening. Upon entering the room,

the nurse observes the following details. Organize them according to priority sequencing (1 is

first priority; 5 is least priority).

Standard Text: Click and drag the options below to move them up or down.

Choice 1. The family is at the bedside.

Choice 2. The IV pump is running on battery.

Choice 3. The ECG monitor shows tachycardia.

Choice 4. The client reports being restless.

Choice 5. O2 tubing is not attached to wall regulator.

Correct Answer: 3, 4, 5, 2, 1

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Question 12

During an initial interview, the client says I dont understand why I have to have surgery; Im

really not that sick or in pain right now. How should the nurse respond to the client?

1. Its OK to be worried. Surgery is a big step.

2. What kind of questions do you have about your surgery?

3. I think these are things you should be asking your doctor.

4. Have you had surgery before?

Correct Answer: 2

Question 13

The nurse is completing a health history with a client who has complications from chronic

asthma. Which open-ended question should the nurse use?

1. How would you describe your sleep pattern?

2. Can you describe your coughing pattern?

3. Is there anything that makes your breathing worse?

4. What medications are you on?

Correct Answer: 1

Question 14

The nurse is assessing a client level of pain. Which open-ended question should the nurse use for

this situation?

1. Is your pain worse at night?

2. What brought you to the clinic?

3. How has the pain impacted your life?

4. Youre feeling down about having pain, arent you?

Correct Answer: 3

Question 15

A client is coming in to the clinic for the first time. In order for the nurse to allow the client the

most comfort during the interview, what should the nurse do?

1. Sit next to the client, a few feet apart.

2. Sit behind a desk.

3. Stand at the side of the clients chair.

4. Stand at the counter to take notes during the interview.

Correct Answer: 1

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