Fundamentals of Nursing Finals From ATI Concepts, Outlines,Definitions for
Foundations of Nursing 2024 EXAM LATEST GRADED A+/ Fundamentals of Nursing
Finals From ATI Concepts, Outlines,Definitions for Foundations of Nursing 2024
EXAM LATEST GRADED A+
ASSESSMENT FOR THE ABDOMINAL SKIN - CORRECT ANSWER-1. Lesions - bruises,
rashes or other lesions
2. Scars - location and length
3. Striae or stretch marks that are silver in color (expected findings)
4. Dilated veins - unexpected related to cirrhosis or inferior vena cava obstruction
5. Jaundice, cyanosis, or ascites - may be associated with cirrhosis
ABDOMINAL AUSCULTATION - CORRECT ANSWER-Bowel sounds are produced by
the movement of air and fluid in the intestines. The most appropriate time to
auscultate bowel sounds is in between meals
a) Listen with the diaphragm of the stethoscope in all four quadrants
b) Expected sounds are high pitched clicks and gurgles which are heard 5 to 30
times per minute. To determine for absent bowel sounds, you must listen for full 5
minutes without hearing anything.
Abdominal Friction Rubs - CORRECT ANSWER-Caused by the rubbing together of
the inflamed layers of the peritoneum.
1. Listen with diaphragm over the liver and the spleen
2. Ask client to take a deep breath while you listen for grating sounds like
sandpaper rubbing together
TYMPANY - CORRECT ANSWER-a) Expected percussion sound heard over most of
the abdomen. A lower pitch tympany over the gastric bubble in the left upper
quadrant may be heard.
,b) Dullness over the liver or a distended bladder may be heard.
ASSESSMENT OF KIDNEY TENDERNESS - CORRECT ANSWER-Assessed by FIST
percussion over the costovertebral angles at the scapular lines on the back, The
expected finding is no tenderness.
EXPECTED CHANGES WITH AGING: Breasts - CORRECT ANSWER-With menopause,
breast tissues atrophies and is replaced with adipose tissue, making it feel softer
and more pendulous. The atrophied ducts may feel like thin strands. Nipples no
longer have erectile ability and may invert.
EXPECTED CHANGES WITH AGING: Lungs - CORRECT ANSWER-Chest shape
changes. Chest expansion diminishes. Cough reflex diminishes. Cilia becomes
ineffective. Alveoli dwindle and there is greater resistance and higher risk of
infection. Kyphosis takes place due to osteoporosis and weakened cartilage.
EXPECTED CHANGES WITH AGING: Cardiovascular system - CORRECT ANSWER-
Systolic hypertension is common with atherosclerosis. PMI becomes more difficult
to palpate. Coronary blood vessel walls thicken and become more rigid with a
narrowed lumen. Cardiac output decreases, weak contraction leads to poor
activity tolerance. Heart valves stiffen due to calcification. Left ventricle thickens.
Pulmonary vascular tension increases. Systolic blood pressure rises. Peripheral
circulation lessens.
EXPECTED CHANGES WITH AGING: Abdomen - CORRECT ANSWER-Abdominal
muscles decline in tone and more adipose tissues create a rounder gird.
Diminished signs and symptoms of peritoneal inflammation, such as less pain,
guarding, fever. Saliva, gastric secretions and pancreatic enzymes decrease.
Smooth muscle changes.
,The Joint Commission - CORRECT ANSWER-Sets quality standards for accreditation
of health care facilities
Utilization review committee - CORRECT ANSWER-Monitors appropriate diagnosis
and treatment of hospitalized clients
Federally funded health care programs - CORRECT ANSWER-1) Medicare - for
clients 65 years or older or with permanent disabilities (premiums applied either
through (a) Insurance programs - DRG; or (b) MCO (Managed Care Organizations) -
enrolled clients receive a comprehensive care overseen by a primary care provider
2) Medicaid - for clients with low incomes; State determines eligibility
requirements
Privately funded health care plans - CORRECT ANSWER-a) Traditional - fee for
service
b) MCO - Managed Care organization; primary care provider focuses on
prevention and health promotion
c) PPO - preferred provider organization; client chooses from a list
d) EPO- exclusive provider organization; client chooses from a list within a
contracted organization
e) LTC - long term care insurance; expenses not covered by Medicare
Levels of health care - CORRECT ANSWER-a) Preventive - focus on education
(immunization, stress management, seat belts)
b) Primary - emphasizes health promotion (prenatal and well baby care)
c) Secondary - diagnosis and treatment of emergency, acute illness or injury (acute
inpatient care, ER)
d) Tertiary - specialized highly technical care (Oncology, burn centers)
, e) Restorative - intermediate follow up care for restoring health (home health
care, rehab centers)
f) Continuing health care - addresses long term or chronic health care needs
(hospice, adult day care)
Interdisciplinary personnel (non-nursing) - CORRECT ANSWER-a) clergy
b) registered dietitian
c) laboratory technician
d) occupational therapist
e) Pharmacist
f) Physical Therapist
g) Provider - MD, DO
h) Radiologic technologist
i) Respiratory therapist
j) Social worker
k) Speech Therapist
Nursing Personnel - CORRECT ANSWER-a) RN
b) LPN/LVN
c) UAP - CNA, CMA
Expanded Nursing Roles - CORRECT ANSWER-a) APN - advanced practice nurse (
CNS - clinical nurse specialist; CRNA - certified registered nurse anesthetist; NP -
nurse practitioner; CNM - certified nurse-midwife)
b) Nurse Educator
Foundations of Nursing 2024 EXAM LATEST GRADED A+/ Fundamentals of Nursing
Finals From ATI Concepts, Outlines,Definitions for Foundations of Nursing 2024
EXAM LATEST GRADED A+
ASSESSMENT FOR THE ABDOMINAL SKIN - CORRECT ANSWER-1. Lesions - bruises,
rashes or other lesions
2. Scars - location and length
3. Striae or stretch marks that are silver in color (expected findings)
4. Dilated veins - unexpected related to cirrhosis or inferior vena cava obstruction
5. Jaundice, cyanosis, or ascites - may be associated with cirrhosis
ABDOMINAL AUSCULTATION - CORRECT ANSWER-Bowel sounds are produced by
the movement of air and fluid in the intestines. The most appropriate time to
auscultate bowel sounds is in between meals
a) Listen with the diaphragm of the stethoscope in all four quadrants
b) Expected sounds are high pitched clicks and gurgles which are heard 5 to 30
times per minute. To determine for absent bowel sounds, you must listen for full 5
minutes without hearing anything.
Abdominal Friction Rubs - CORRECT ANSWER-Caused by the rubbing together of
the inflamed layers of the peritoneum.
1. Listen with diaphragm over the liver and the spleen
2. Ask client to take a deep breath while you listen for grating sounds like
sandpaper rubbing together
TYMPANY - CORRECT ANSWER-a) Expected percussion sound heard over most of
the abdomen. A lower pitch tympany over the gastric bubble in the left upper
quadrant may be heard.
,b) Dullness over the liver or a distended bladder may be heard.
ASSESSMENT OF KIDNEY TENDERNESS - CORRECT ANSWER-Assessed by FIST
percussion over the costovertebral angles at the scapular lines on the back, The
expected finding is no tenderness.
EXPECTED CHANGES WITH AGING: Breasts - CORRECT ANSWER-With menopause,
breast tissues atrophies and is replaced with adipose tissue, making it feel softer
and more pendulous. The atrophied ducts may feel like thin strands. Nipples no
longer have erectile ability and may invert.
EXPECTED CHANGES WITH AGING: Lungs - CORRECT ANSWER-Chest shape
changes. Chest expansion diminishes. Cough reflex diminishes. Cilia becomes
ineffective. Alveoli dwindle and there is greater resistance and higher risk of
infection. Kyphosis takes place due to osteoporosis and weakened cartilage.
EXPECTED CHANGES WITH AGING: Cardiovascular system - CORRECT ANSWER-
Systolic hypertension is common with atherosclerosis. PMI becomes more difficult
to palpate. Coronary blood vessel walls thicken and become more rigid with a
narrowed lumen. Cardiac output decreases, weak contraction leads to poor
activity tolerance. Heart valves stiffen due to calcification. Left ventricle thickens.
Pulmonary vascular tension increases. Systolic blood pressure rises. Peripheral
circulation lessens.
EXPECTED CHANGES WITH AGING: Abdomen - CORRECT ANSWER-Abdominal
muscles decline in tone and more adipose tissues create a rounder gird.
Diminished signs and symptoms of peritoneal inflammation, such as less pain,
guarding, fever. Saliva, gastric secretions and pancreatic enzymes decrease.
Smooth muscle changes.
,The Joint Commission - CORRECT ANSWER-Sets quality standards for accreditation
of health care facilities
Utilization review committee - CORRECT ANSWER-Monitors appropriate diagnosis
and treatment of hospitalized clients
Federally funded health care programs - CORRECT ANSWER-1) Medicare - for
clients 65 years or older or with permanent disabilities (premiums applied either
through (a) Insurance programs - DRG; or (b) MCO (Managed Care Organizations) -
enrolled clients receive a comprehensive care overseen by a primary care provider
2) Medicaid - for clients with low incomes; State determines eligibility
requirements
Privately funded health care plans - CORRECT ANSWER-a) Traditional - fee for
service
b) MCO - Managed Care organization; primary care provider focuses on
prevention and health promotion
c) PPO - preferred provider organization; client chooses from a list
d) EPO- exclusive provider organization; client chooses from a list within a
contracted organization
e) LTC - long term care insurance; expenses not covered by Medicare
Levels of health care - CORRECT ANSWER-a) Preventive - focus on education
(immunization, stress management, seat belts)
b) Primary - emphasizes health promotion (prenatal and well baby care)
c) Secondary - diagnosis and treatment of emergency, acute illness or injury (acute
inpatient care, ER)
d) Tertiary - specialized highly technical care (Oncology, burn centers)
, e) Restorative - intermediate follow up care for restoring health (home health
care, rehab centers)
f) Continuing health care - addresses long term or chronic health care needs
(hospice, adult day care)
Interdisciplinary personnel (non-nursing) - CORRECT ANSWER-a) clergy
b) registered dietitian
c) laboratory technician
d) occupational therapist
e) Pharmacist
f) Physical Therapist
g) Provider - MD, DO
h) Radiologic technologist
i) Respiratory therapist
j) Social worker
k) Speech Therapist
Nursing Personnel - CORRECT ANSWER-a) RN
b) LPN/LVN
c) UAP - CNA, CMA
Expanded Nursing Roles - CORRECT ANSWER-a) APN - advanced practice nurse (
CNS - clinical nurse specialist; CRNA - certified registered nurse anesthetist; NP -
nurse practitioner; CNM - certified nurse-midwife)
b) Nurse Educator
