NUR 111 Fundamentals of Nursing Test 1! Actual exam questions fully solved 2026-10

1. Assessment 2.Diagnosis 3. Planning 4. implementation 5. Evalulation - correct answers Steps of the Nursing Process biographical data, chief complaint, hx of present illness, past hx, family hx, lifestyle, and social data. - correct answers Components of a health hx Collecting, organizing, and validating data; documenting the pt assessment data; the purpose is to establish a database about the patients response to health concerns or illness and their ability to manage their needs. - correct answers Assessment Analyzing and synthesizing data. The purpose is to identify a clients strengths and health problems that can be prevented or resolved by collaborative and nursing interventions. - correct answers Nursing Dx Determining how to prevent, reduce, or resolve the identified priority client problems; determine how to support the client's strengths; determine how to implement the nursing interventions in an organized, individualized, and goal directed manner. The purpose is to develop individualized plans of care that specifies a client's goals or desired outcomes that are related to the priority nursing interventions. - correct answers Planning carrying out or delegating and documenting the planned nursing interventions. The purpose is to assist the client to meet their desired goals or outcomes, to promote wellness, to prevent illness and disease, to restore health, and to facilitate the client with coping with altered functioning. - correct answers Implementation Measuring the degree to which the clients goals or outcomes have been met or have NOT been met. The purpose is to determine whether to modify, terminate, or continue the client's plan of care. - correct answers Evaluation Symptoms; the client's perception about their health problems. This information is only apparent to the client. Examples include pain, nausea, anxiety, itching. - correct answers Subjective Data Signs; observations or measurements made by the collector. Examples include vitals, wound size, vomiting, diarrhea, rash, edema. - correct answers Objective data Actual, risk, wellness, health promotion, and syndrome - correct answers Types of Nursing Dx Components of a nursing Dx; 1. Problem, 2. Etiology (R/T), 3. signs/symptoms (AEB) - correct answers PES The guidelines for writing goals or outcomes; Specific, Measurable, Attainable, Relevant, Time limited. - correct answers SMART Independent, dependent, collaborative - correct answers Types of nursing interventions Nurse initiated; I/O, Teaching, Vitals, Emotional support, Assessments, Turn, cough and deep breathing. - correct answers Independent intervention Physician initiated; Medications, IV, Dressings, Hot and Cold applications. - correct answers Dependent intervention interdependent; PT, OT, Respiratory therapist, social workers, dietitians. - correct answers Collaborative intervention Problems solving, critical thinking, decision making - correct answers Cognitive Skills good communication - correct answers Interpersonal skills psycho-motor; motor skills, coordination - correct answers Technical skills teach, administer, measure, obtain, institute - correct answers Implementation action words less than a week - correct answers Short term goal longer than a week - correct answers long term goal Standardized, concept mapping, critical pathway - correct answers Types of care plans 1. Sender 2. Message 3. Channel 4. Receiver 5. Response - correct answers Communication Process pace and intonation (Speed and tone), simplicity, clarity and brevity, congruence (verbal and nonverbal behaviors need to match), timing and relevance, adaptability, credibility, and humor (when appropriate). - correct answers Verbal communication guidelines Body language (gestures, movements, use of touch) - correct answers Nonverbal Communication Guidelines Observation, interpretation, and gestures. - correct answers Essential skills for Communication appropriate language and terminology, correct spelling, punctuation, and grammar, logical organization, and the appropriate use and citation of resources. - correct answers Effective Written Communication Development and gender, socioculture characteristics, values and perceptions, personal space and territoriality, roles and relationships, environment, congruence, and attitudes. - correct answers Factors that influence that communication process? Similar to baby talk; conveys disrespect. Making accommodations that include producing shorter, less complex sentences, using simpler vocabulary, filler words, fragmented sentences, lexical filters, and repetition. - correct answers Elderspeak space that an individual feels comfortable with; 1 to 4 feet. - correct answers Personal Space close and touching - correct answers Intimate Space the space that an individual is comfortable in during a social interaction with many people. Example: Teaching - correct answers Social Space what a personal is comfortable with in an area with those that he or she does not know. Example: Public concerts or parks. - correct answers Public Space stereotyping, agreeing and disagreeing, being defensive, challenging, probing, testing, rejecting, changing topics, unwarranted reassurance, passing judgement, and giving common advice. - correct answers Barriers to communication Aggressive, Passive, and Assertve - correct answers Types of communication focus on their own needs; loud, blaming, and demanding. - correct answers Aggressive communication focus on the needs of others; concealing, denying, and avoiding. - correct answers Passive communication declare and affirm opinions; respecting, balancing, and acknowledging. - correct answers Assertive communication "I" statements, fogging, negative assertion, repetition, confidence, management of nonverbal communication, avoid apologizing, preform post conversation evaluation. - correct answers Assertive communication techniques ability to see, hear, feel, and smell could be diminished. Check for medic alert bracelets, hearing aids, reading lips, and sign language. - correct answers Sensory deficits Diminished cognitive abilities. CVD, Alzheimer's disease, brain tumor or injury, medications that influence function. - correct answers Cognitive impairments cleft palate, artificial airways, extreme dyspnea - correct answers Structural deficits convey encouragement, let the client know if you don't understand, keep questions open ended, provide touch if it is appropriate. - correct answers Providing support for those with deficits or impairments speak 3-6 ft from client, speak into good ear, free enviroment from competing noise, make sure that the client can see you, speak at a natural rate. - correct answers Support for HOH accomplish goals, maintain cohesion, develop and modify structure to improve effectiveness. - correct answers Characteristics of Effective groups Therapeutic communication techniques; Sit facing the client, observe an open posture, Lean in towards the client, establish Eye contact, and Relax. - correct answers SOLER the ability to understand and accept another persons reality. - correct answers Empathy communication, planning care, auditing health agencies, research, education, reimbursement, legal documentation, health care analysis. - correct answers Purpose of client records Source-oriented record, Problem, interventions, and evaluation (PIE), Focus charting, Charting by exception, Electronic documentation, Case management, and Narrative documentation. - correct answers Documentation systems Used by MD and NP; Subjective information, Objective information, Assessment, and Plan - correct answers SOAP Evidence of client assessment, nursing Dx, nursing interventions, client outcomes, evidence of the current nursing care plan. - correct answers Nursing Care Plan Requirements consice method for organizing records. May or may not be a part of the perminate record, can be done in pencil, organized in sections: Perminate information, Medications and IV fluids, Tx and Procedures - correct answers Kardexes used for recording data quickly and concisely. Used for the graphic recording of I&O, MAR, SAR, and VS - correct answers Flow sheet used to record progress, interventions, assessments, and data. - correct answers Progressive notes Date and time, Timing, Legibility, Permanence, Accepted terminology, Correct spelling, Signature, Accuracy, Observations and Facts, appropriately record mistakes. - correct answers General guidelines for documentation 1. draw a line though it 2. write initials and date and time (done by an edit in computer charting.) - correct answers Recording a mistake chart changes, show follow-ups, read prior notes, be timely, objective and factual information, correct errors, chart teaching, use quotes for responses from patients - correct answers Do's of Charting leave blank spaces, use white out, chart in advance, use vague terms, chart for others, use "patient" or "client", alte