Fundamentals of Professional Nursing:
Final Exam
1.What is the nursing process?
A- Assessment
D- Diagnosis
P- Planning
I- Implementation
E- Evaluation
2.What are the six QSEN competencies?
-Patient-centered cared
-Teamwork and collaboration
-Safety
-Informatics
-Evidence-based practice
-Quality improvement
3.What is patient-centered care competency?
Recognize the patient as the course of control and full partner in providing
compassionate and coordinated care based on respect for patient's preferences,
values, and needs
4.What is teamwork and collaboration competency?
Function effectively within in nursing and inter-professional teams, fostering open
communication, mutual respect, and shared decision-making to achieve quality patient
care
5.What is the evidence-based practice competency?
Integrate best current evidence with clinical expertise and patient/family preferences
and values for delivery of optimal health care
6.What is quality improvement competency?
Use data to monitor the outcomes of care processes and use improvement methods to
design and test changes to continuously improve the quality and safety if health care
systems
7.What is the safety competency?
Minimizes risk of harm to patients and providers through both system effectiveness and
individual performance
8.What is informatics competency?
Use of information and technology to communicate, manage knowledge, mitigate error,
and support decision making
,9.What is an ISBAR report?
-Introduction: Self name and role
-Situation: Patient name, age, gender, and patient's status
-Background: give relevant details such as presenting problems and clinical history
-Assessment: put in their current condition, risks, and needs together. What is you
assessment?
-Recommendation: be clear about what you are requesting (transfer/review/treatment).
What should happen?
10.What is primary health/illness promotion?
-Prevent a disease or injury before it occurs
-Example: Getting immunized
11.What is secondary health/illness promotion?
-Aims to reduce the impact of disease that has already occurred
-Example: Screenings and exams (mammograms)
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12.What is tertiary health/illness promotion?
Aims to soften the impact of an ongoing illness or injury that has lasting effects
-Example: physical therapy for VMA patient or support groups after going through a
tragedy
What is a sentinel event?
Unanticipated event in a healthcare setting resulting in death/serious physical injury to a
patient that is not related to the patient's illness
Example: Patient dying after doctor nicks the patients bowels and giving them sepsis
during a gallbladder removal surgery
Why is it important to document patient assessments?
It is important because than nursing and doctors can see what is working and changing
the patients health status or what is not working and what needs to be done to change a
patients health status
What are some safety considerations for a patient on anticoagulant therapy?
-Teach patient about increased bruising
-When going to shave, use electric razor
-Use soft bristled tooth brushes
What is active range of motion (AROM)?
, When a patient can complete the range of motion exercises by themselves
What is passive range of motion (PROM)?
Nurse completes the range of motion exercises for the patient because they are unable
to
How to teach a patient to walk with crutches?
1. Hold crutches tightly to the side of your body (armpits should NOT touch the cushions
on the crutch)
2. Place crutches about a foot in front of your body
3. Step forward with non-injured, swing body forward, and rest non-injured foot on the
ground
How to teach a patient to sit with crutches?
1. Make sure chair is sturdy, back up so legs are touching the chair
2. Put crutches in one hand and lean on the slighting while placing injured foot in front of
you
3. Use the other hand to steady yourself against the chair and lower yourself into seat
4. When standing up; hold crutches on the non-injured side and hoist yourself up and
place your weight on the healthy foot; then put one crutch under each arm
How to teach a patient to walk up steps with crutches?
1. Face the stairs and tuck the crutches underneath one armpit and one hand on railing
2. Step up with healthy foot and with unhealthy foot right behind
How to teach a patient to walk down steps with crutches?
1. Hold the crutches underneath one armpit while other hand is on railing
2. Lower the crutches to the next step bringing the injured foot first and the healthy foot
next
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What are some nursing interventions that should be included in caring for a patient with
contractures?
-Perform ROM exercises
-Bed in low position
-Re-position every two hours
-Promote early ambulation
-Provide assistive devices
How to obtain a tympanic temperature in an adult?
1. Pull pinnea up and back
2. Place thermometer in ear
3. Read the result
How to obtain a temporal temperature?
Final Exam
1.What is the nursing process?
A- Assessment
D- Diagnosis
P- Planning
I- Implementation
E- Evaluation
2.What are the six QSEN competencies?
-Patient-centered cared
-Teamwork and collaboration
-Safety
-Informatics
-Evidence-based practice
-Quality improvement
3.What is patient-centered care competency?
Recognize the patient as the course of control and full partner in providing
compassionate and coordinated care based on respect for patient's preferences,
values, and needs
4.What is teamwork and collaboration competency?
Function effectively within in nursing and inter-professional teams, fostering open
communication, mutual respect, and shared decision-making to achieve quality patient
care
5.What is the evidence-based practice competency?
Integrate best current evidence with clinical expertise and patient/family preferences
and values for delivery of optimal health care
6.What is quality improvement competency?
Use data to monitor the outcomes of care processes and use improvement methods to
design and test changes to continuously improve the quality and safety if health care
systems
7.What is the safety competency?
Minimizes risk of harm to patients and providers through both system effectiveness and
individual performance
8.What is informatics competency?
Use of information and technology to communicate, manage knowledge, mitigate error,
and support decision making
,9.What is an ISBAR report?
-Introduction: Self name and role
-Situation: Patient name, age, gender, and patient's status
-Background: give relevant details such as presenting problems and clinical history
-Assessment: put in their current condition, risks, and needs together. What is you
assessment?
-Recommendation: be clear about what you are requesting (transfer/review/treatment).
What should happen?
10.What is primary health/illness promotion?
-Prevent a disease or injury before it occurs
-Example: Getting immunized
11.What is secondary health/illness promotion?
-Aims to reduce the impact of disease that has already occurred
-Example: Screenings and exams (mammograms)
Upgrade to remove ads
Only $35.99/year
12.What is tertiary health/illness promotion?
Aims to soften the impact of an ongoing illness or injury that has lasting effects
-Example: physical therapy for VMA patient or support groups after going through a
tragedy
What is a sentinel event?
Unanticipated event in a healthcare setting resulting in death/serious physical injury to a
patient that is not related to the patient's illness
Example: Patient dying after doctor nicks the patients bowels and giving them sepsis
during a gallbladder removal surgery
Why is it important to document patient assessments?
It is important because than nursing and doctors can see what is working and changing
the patients health status or what is not working and what needs to be done to change a
patients health status
What are some safety considerations for a patient on anticoagulant therapy?
-Teach patient about increased bruising
-When going to shave, use electric razor
-Use soft bristled tooth brushes
What is active range of motion (AROM)?
, When a patient can complete the range of motion exercises by themselves
What is passive range of motion (PROM)?
Nurse completes the range of motion exercises for the patient because they are unable
to
How to teach a patient to walk with crutches?
1. Hold crutches tightly to the side of your body (armpits should NOT touch the cushions
on the crutch)
2. Place crutches about a foot in front of your body
3. Step forward with non-injured, swing body forward, and rest non-injured foot on the
ground
How to teach a patient to sit with crutches?
1. Make sure chair is sturdy, back up so legs are touching the chair
2. Put crutches in one hand and lean on the slighting while placing injured foot in front of
you
3. Use the other hand to steady yourself against the chair and lower yourself into seat
4. When standing up; hold crutches on the non-injured side and hoist yourself up and
place your weight on the healthy foot; then put one crutch under each arm
How to teach a patient to walk up steps with crutches?
1. Face the stairs and tuck the crutches underneath one armpit and one hand on railing
2. Step up with healthy foot and with unhealthy foot right behind
How to teach a patient to walk down steps with crutches?
1. Hold the crutches underneath one armpit while other hand is on railing
2. Lower the crutches to the next step bringing the injured foot first and the healthy foot
next
Upgrade to remove ads
Only $35.99/year
What are some nursing interventions that should be included in caring for a patient with
contractures?
-Perform ROM exercises
-Bed in low position
-Re-position every two hours
-Promote early ambulation
-Provide assistive devices
How to obtain a tympanic temperature in an adult?
1. Pull pinnea up and back
2. Place thermometer in ear
3. Read the result
How to obtain a temporal temperature?
