NUR 3029 Fundamentals_Exam 1 Questions With Complete
Solutions
After administering narcan, what should the nurse do? Correct
Answer Assess the patient every 15 min for 2 hours
An RN can delegate vital signs to an AP only if what? Correct
Answer A patient is stable
At what time of the day is one's body temperature highest? At
what time is it lowest? Correct Answer 4 pm, 6 am
Being effective is... Correct Answer Doing the right things
Being efficient is... Correct Answer Doing things right
During a health history, when assessing present illness or health
concern, what acronym should be used? Correct Answer
PQRST
Example of a complete medical order Correct Answer 1 tablet
of toradol by mouth, every 4 hours for severe pain
Example of PQRST questions Correct Answer P - "How did it
come about? What worsens it?"
Q - "What does the pain feel like?" (burning, stabbing, etc.)
R - "Where does it hurt? Does it radiate?"
S - "What would you rate your pain on a scale from 1-10?"
T - "When did the pain start? Does it come and go?"
,For what patients is foot care especially important? Correct
Answer Diabetic patients
How can falls be prevented? Correct Answer Keeping bed on
lowest possible setting, decluttering patient environment,
making sure call light is within reach, using bed alarm
How can UTI's be prevented during catheterization? Correct
Answer By using septic technique and meticulously cleaning
How do infants respond to pain? Correct Answer
Behaviorally and physiologically
How does a PCA work? Correct Answer A dose of opioid
medication is delivered in specific time intervals when the
patient pushes the button (meaning dose won't be delivered if
patient pushes the button in too short of an amount of time after
previously pushing it)
How is a pulse deficit determined? Correct Answer By
subtracting radial pulse from apical pulse
How is heat lost from the body? Correct Answer Through
radiation, evaporation, conduction, convection
How is pulse pressure determined? Correct Answer By
subtracting diastolic pressure from systolic pressure
How is the MAP determined? Correct Answer SBP +
(DBPx2) / 3
,How often does a medical order for physical restraints need to
be renewed? Correct Answer For patients under 9, every hour.
For patients aged 9-17, every 2 hours. For adults, every 8 hours
How should female perineum be cleaned? Correct Answer
Front to back
In a problem-focused diagnosis, what does the acronym PES
stand for? Correct Answer Problem RELATED TO Etiology
AS EVIDENCED BY Signs and Symptoms
Nothing relating to what should ever be delegated? Correct
Answer Assessment, diagnosis, evaluation, decision making, or
judgement
Of the 11 preventable adverse outcomes identified by the CMS,
which 4 are nurse-sensitive outcomes? Correct Answer
Severe pressure injuries, falls and traumas, catheter-associated
urinary tract infection (CAUTI), and vascular catheter-
associated infection
The way male perineum should be cleaned depends on what?
Correct Answer Whether patient is circumcised
What 4 actions are involved in evaluation? Correct Answer
Examining results of care according to data collected,
comparing achieved effects with goals and expected outcomes,
recognizing errors and omissions, and understanding a patient
situation, reflecting, and correcting any errors
, What 6 factors should be considered when choosing
interventions? Correct Answer Desired patient outcomes,
characteristics of the nursing diagnosis, research base,
feasibility, acceptability to the patient, capability of the nurse
What acronym should be used when setting goals? Correct
Answer SMART
What are a nurse's options when revising a care plan? Correct
Answer Discontinuing the care plan or modifying it
What are ADL's (activities of daily living?) What are some
examples? Correct Answer Direct measures usually
performed during a normal day. Bathing, eating, walking,
personal hygiene
What are adverse reactions? Correct Answer Harmful or
unintended effects of a medication, diagnostic test or therapeutic
intervention
What are AIDET and KIWI? Correct Answer A
communication tool for communicating with patients and family
members
What are ANA standards for evaluation? Correct Answer
Being systematic and using criterion-based evaluation,
collaborating with patients and healthcare professionals, using
ongoing assessment data to revise a plan, and communicating
results to patients and families
Solutions
After administering narcan, what should the nurse do? Correct
Answer Assess the patient every 15 min for 2 hours
An RN can delegate vital signs to an AP only if what? Correct
Answer A patient is stable
At what time of the day is one's body temperature highest? At
what time is it lowest? Correct Answer 4 pm, 6 am
Being effective is... Correct Answer Doing the right things
Being efficient is... Correct Answer Doing things right
During a health history, when assessing present illness or health
concern, what acronym should be used? Correct Answer
PQRST
Example of a complete medical order Correct Answer 1 tablet
of toradol by mouth, every 4 hours for severe pain
Example of PQRST questions Correct Answer P - "How did it
come about? What worsens it?"
Q - "What does the pain feel like?" (burning, stabbing, etc.)
R - "Where does it hurt? Does it radiate?"
S - "What would you rate your pain on a scale from 1-10?"
T - "When did the pain start? Does it come and go?"
,For what patients is foot care especially important? Correct
Answer Diabetic patients
How can falls be prevented? Correct Answer Keeping bed on
lowest possible setting, decluttering patient environment,
making sure call light is within reach, using bed alarm
How can UTI's be prevented during catheterization? Correct
Answer By using septic technique and meticulously cleaning
How do infants respond to pain? Correct Answer
Behaviorally and physiologically
How does a PCA work? Correct Answer A dose of opioid
medication is delivered in specific time intervals when the
patient pushes the button (meaning dose won't be delivered if
patient pushes the button in too short of an amount of time after
previously pushing it)
How is a pulse deficit determined? Correct Answer By
subtracting radial pulse from apical pulse
How is heat lost from the body? Correct Answer Through
radiation, evaporation, conduction, convection
How is pulse pressure determined? Correct Answer By
subtracting diastolic pressure from systolic pressure
How is the MAP determined? Correct Answer SBP +
(DBPx2) / 3
,How often does a medical order for physical restraints need to
be renewed? Correct Answer For patients under 9, every hour.
For patients aged 9-17, every 2 hours. For adults, every 8 hours
How should female perineum be cleaned? Correct Answer
Front to back
In a problem-focused diagnosis, what does the acronym PES
stand for? Correct Answer Problem RELATED TO Etiology
AS EVIDENCED BY Signs and Symptoms
Nothing relating to what should ever be delegated? Correct
Answer Assessment, diagnosis, evaluation, decision making, or
judgement
Of the 11 preventable adverse outcomes identified by the CMS,
which 4 are nurse-sensitive outcomes? Correct Answer
Severe pressure injuries, falls and traumas, catheter-associated
urinary tract infection (CAUTI), and vascular catheter-
associated infection
The way male perineum should be cleaned depends on what?
Correct Answer Whether patient is circumcised
What 4 actions are involved in evaluation? Correct Answer
Examining results of care according to data collected,
comparing achieved effects with goals and expected outcomes,
recognizing errors and omissions, and understanding a patient
situation, reflecting, and correcting any errors
, What 6 factors should be considered when choosing
interventions? Correct Answer Desired patient outcomes,
characteristics of the nursing diagnosis, research base,
feasibility, acceptability to the patient, capability of the nurse
What acronym should be used when setting goals? Correct
Answer SMART
What are a nurse's options when revising a care plan? Correct
Answer Discontinuing the care plan or modifying it
What are ADL's (activities of daily living?) What are some
examples? Correct Answer Direct measures usually
performed during a normal day. Bathing, eating, walking,
personal hygiene
What are adverse reactions? Correct Answer Harmful or
unintended effects of a medication, diagnostic test or therapeutic
intervention
What are AIDET and KIWI? Correct Answer A
communication tool for communicating with patients and family
members
What are ANA standards for evaluation? Correct Answer
Being systematic and using criterion-based evaluation,
collaborating with patients and healthcare professionals, using
ongoing assessment data to revise a plan, and communicating
results to patients and families
