N153: Fundamentals Quiz 1 Questions and
Answers
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Terms in this set (40)
To use the nursing process B. obtain information about the client.
correctly, the nurse must
first The scientific application of nursing, the nursing
process, is based on the scientific process. The first
A. identify the goals for step in the scientific process is the collection of data;
the client's care. therefore, the first step in the nursing process is
B.obtain information assessment.
about the client.
C. state the client's nursing
care needs.
D.evaluate the
effectiveness of the
client's care.
,A 3 year old child has had C. Examine the mouth last.
multiple tooth extractions
while under general It is always appropriate to leave the most distressing
anesthesia. The client part of a physical examination of a toddler until the
returns from the end. Since the mouth is the area of discomfort,
postanesthesia care examining it is likely to cause more crying and
crying, but awake, from uncooperative behavior for the remainder of the
the recovery room. Which assessment.
approach is likely to be
successful?
A. Do not examine the
mouth.
B.Examine the mouth first.
C. Examine the mouth last.
D.Medicate the child for
pain before examining the
mouth.
A nurse is performing an The appropriate sequence for the nurse to perform
abdominal assessment of the abdominal assessment is to inspect, auscultate,
an adult client. Identify the percuss, and then palpate. This sequence prevents
correct sequence of steps altering the bowels sounds. The appropriate
used for this assessment. sequence for any other assessment for an adult client
(CORRECT ORDER) is inspection, palpation, percussion, and auscultation.
Inspection
Palpation
Percussion
Auscultation
,A nurse is teaching a client A. involvement of the client in planning the change.
who has cardiovascular
disease how to reduce his A client who is actively involved in planning dietary
intake of sodium and changes and is more receptive to the changes and
cholesterol. The nurse more likely to adhere to them.
understands that the most
significant factor in
planning dietary changes
for this client is the
A. involvement of the
client in planning the
change.
B.emphasis the provider
places on the dietary
changes.
C. financial ability of the
client to make the dietary
modifications.
D.extent of the dietary
changes planned for the
client.
, While starting an C. Remove the gloves carefully and follow with hand
intravenous infusion (IV) hygiene.
for a client, the nurse
notices that her gloved Standard precautions require the use of gloves and
hands get spotted with hand hygiene in the care of all clients.
blood. The client has not
been diagnosed with any
infection transmitted via
the bloodstream. Which of
the following should the
nurse do as soon as the
task is completed?
A. Wash the gloved hands
and then throw the gloves
away.
B.Prepare an incident
report so that this
occurrence will be
documented.
C. Remove the gloves
carefully and follow with
hand hygiene.
D. Ask the provider
to order a blood culture
todetermine risk.
Answers
Save
Terms in this set (40)
To use the nursing process B. obtain information about the client.
correctly, the nurse must
first The scientific application of nursing, the nursing
process, is based on the scientific process. The first
A. identify the goals for step in the scientific process is the collection of data;
the client's care. therefore, the first step in the nursing process is
B.obtain information assessment.
about the client.
C. state the client's nursing
care needs.
D.evaluate the
effectiveness of the
client's care.
,A 3 year old child has had C. Examine the mouth last.
multiple tooth extractions
while under general It is always appropriate to leave the most distressing
anesthesia. The client part of a physical examination of a toddler until the
returns from the end. Since the mouth is the area of discomfort,
postanesthesia care examining it is likely to cause more crying and
crying, but awake, from uncooperative behavior for the remainder of the
the recovery room. Which assessment.
approach is likely to be
successful?
A. Do not examine the
mouth.
B.Examine the mouth first.
C. Examine the mouth last.
D.Medicate the child for
pain before examining the
mouth.
A nurse is performing an The appropriate sequence for the nurse to perform
abdominal assessment of the abdominal assessment is to inspect, auscultate,
an adult client. Identify the percuss, and then palpate. This sequence prevents
correct sequence of steps altering the bowels sounds. The appropriate
used for this assessment. sequence for any other assessment for an adult client
(CORRECT ORDER) is inspection, palpation, percussion, and auscultation.
Inspection
Palpation
Percussion
Auscultation
,A nurse is teaching a client A. involvement of the client in planning the change.
who has cardiovascular
disease how to reduce his A client who is actively involved in planning dietary
intake of sodium and changes and is more receptive to the changes and
cholesterol. The nurse more likely to adhere to them.
understands that the most
significant factor in
planning dietary changes
for this client is the
A. involvement of the
client in planning the
change.
B.emphasis the provider
places on the dietary
changes.
C. financial ability of the
client to make the dietary
modifications.
D.extent of the dietary
changes planned for the
client.
, While starting an C. Remove the gloves carefully and follow with hand
intravenous infusion (IV) hygiene.
for a client, the nurse
notices that her gloved Standard precautions require the use of gloves and
hands get spotted with hand hygiene in the care of all clients.
blood. The client has not
been diagnosed with any
infection transmitted via
the bloodstream. Which of
the following should the
nurse do as soon as the
task is completed?
A. Wash the gloved hands
and then throw the gloves
away.
B.Prepare an incident
report so that this
occurrence will be
documented.
C. Remove the gloves
carefully and follow with
hand hygiene.
D. Ask the provider
to order a blood culture
todetermine risk.
