Fundamentals, NRS 104. Final Exam
A patient is being discharged after surgery. After providing going-home instructions, the
nurse ask the patient to repeat the instructions. The nurse demonstrates which of the
program learning outcomes expected from ADN graduates of Pima Community
College?
A. System-Based Practice
B. Patient-Centered Care
C. Teamwork & Collaboration
D. Informatics - answer
A client is admitted with acute exacerbation of asthma. The client is treated by a clinical
nurse specialist with bronchodilators and oxygen therapy. The client is clinically stable
and is planned for discharged. The client's daughter is so inspired by their work that she
now wishes to pursue a career in nursing. What is the minimum educational
qualifications to become a clinical nurse specialist?
A. Basic nursing education
B. Registered nurse licensure
C. Doctoral degree in nursing
D. Master's degree in nursing - answerD. Master's degree in nursing
The nurse is caring for a client whose daughter wishes to pursue a career in
professional nursing. She wants to enroll in a program that is of short duration and
makes her eligible to take the nursing licensure exam. Which educational program
should the nurse recommend to this student?
A. Practical Nursing Program
B. Associate Degree in Nursing
C. Baccalaureate Degree in Nursing
D. Nursing Diploma Program - answerB. Associate Degree in Nursing
What distinguishes nursing from medicine?
A. Nursing is composed of women
B. Holistic perspective of caring
C. Concern with treatment of disease
D. Dependent on the physician - answerB. Holistic perspective of caring
To be effective advocate for a client, the nurse must give safe and effective care in
accordance with what?
A. The State of Licensure
B. The office of Chief Nursing Officer (CNO) of the employing facility
C. The National Council of State Boards of Nursing (NCSBN)
D. The Nurse Practice Act - answerD. The Nurse Practice Act
,The examination for registered nurse licensure is exactly the same in every state in the
United States. What should the public understand about this exam?
A. Guarantees safe and quality nursing practice for all clients
B. Ensures standard nursing care for all clients
C. Ensures that honest and ethical care is provided
D. Provides a minimum standard of knowledge for a RN to practice - answerA.
Guarantees safe and quality nursing practice for all clients
As a new nurse, you have heard about the Nurse Licensure Compact. What is the
relationship between the member states?
A. The nurse can work in any state as long as she has a compact license
B. The nurse can have as many licenses as she wishes as long as they are all compact
states
C. The nurse can hold a license in the state where she lives and work in another state
as they are both part of the compact
D. The nurse must have a license for each state that she works in that is a member of a
compact state - answerC. The nurse can hold a license in the state where she lives and
work in another state as they are both part of the compac
What is the type of care management approach that coordinates and links healthcare
services to clients and their families while streamlining costs and maintaining quality?
A. Primary nursing
B. Total patient care
C. Case management
D. Functional nursing - answerC. Case management
Which client would you, the RN delegate to an LPN under your supervision?
A. A 25-year-old client admitted yesterday after sustaining a concussion in a motorcycle
accident
B. A 76-year-old client chronic obstructive pulmonary disease and emphysema admitted
24 hours ago
C. A 40-year-old client with a new diagnosis of diabetes who will be discharged today
D. A 62-year-old client newly admitted with congestive heart failure exacerbation -
answerB. A 76-year-old client chronic obstructive pulmonary disease and emphysema
admitted 24 hours ago
You are providing nursing care for a client with a diagnosis of cystitis. Which
intervention should you delegate to the nursing assistant?
A. Teaching the client how to secure a clean-catch urine sample
B. Assessing the client's urine for color, odor, and sediment
C. Reviewing the nursing care plan and add nursing interventions
D. Providing the client with a clean-catch urine sample container - answerD. Providing
the client with a clean-catch urine sample container
A client has chronic obstructive pulmonary disease (COPD). Which intervention for
airway management should you delegate to a nursing assistant?
, A. Assisting the client to sit up on the side of the bed
B. Instructing the client to cough effectively
C. Teaching the client to use incentive spirometry
D. Auscultating breath sounds every 4 hours - answerA. Assisting the client to sit up on
the side of the bed
An experienced LPN, under the supervision of the team leader RN, is providing nursing
care for a client with a respiratory problem. Which actions are appropriate to the scope
of practice of an experienced LPN? (Select all that apply)
A. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
C. Complete in-depth admission assessment
D. Initiate the nursing care plan
E. Evaluate the client's technique for using MDI - answerA. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
You are working in the triage area of the emergency department, and the following four
clients approach the triage desk at the same time.
A. An ambulatory, dazed 45-year-old man with a bandaged head wound
B. A 25-year-old with difficulty of breathing and rapid pulse from a bee sting
C. A 60-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
D. A 50-year-old woman with moderate abdominal pain and occasional vomiting
Which client you should assess first? ___#1__ because this client is experiencing __
#2___. Which client you should assess next? __ #3___ because this client is at risk for
__#4__. Which client could the RN safely assign to a LPN? __#5___
Options #2 (concussion, anaphylaxis, sprain, gastroenteritis)
Options #4 (concussion, anaphylaxis, sprain, gastroenteritis) - answer#1) B. A 25-year-
old with difficulty of breathing and rapid pulse from a bee sting
#2) anaphylaxis
#3) A. An ambulatory, dazed 45-year-old man with a bandaged head wound
#4) concussion
#5) C. A 60-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
Scenario: A nurse is caring for a patient admitted with multiple fractures after a motor
vehicle accident. The patient is experiencing severe pain, has shallow breathing, and is
expressing anxiety about their ability to return to work.
Patient Need:
A. Physiological Needs
B. Safety Needs
C. Psychological Needs
1)Administering pain medication
2)Monitoring oxygen saturation and providing oxygen
3)Reassuring the patient about their job and future
4)Assessing for risk of falls
MATCH EACH NUMBER WITH A LETTER. - answerA. 1, 2
B. 4
A patient is being discharged after surgery. After providing going-home instructions, the
nurse ask the patient to repeat the instructions. The nurse demonstrates which of the
program learning outcomes expected from ADN graduates of Pima Community
College?
A. System-Based Practice
B. Patient-Centered Care
C. Teamwork & Collaboration
D. Informatics - answer
A client is admitted with acute exacerbation of asthma. The client is treated by a clinical
nurse specialist with bronchodilators and oxygen therapy. The client is clinically stable
and is planned for discharged. The client's daughter is so inspired by their work that she
now wishes to pursue a career in nursing. What is the minimum educational
qualifications to become a clinical nurse specialist?
A. Basic nursing education
B. Registered nurse licensure
C. Doctoral degree in nursing
D. Master's degree in nursing - answerD. Master's degree in nursing
The nurse is caring for a client whose daughter wishes to pursue a career in
professional nursing. She wants to enroll in a program that is of short duration and
makes her eligible to take the nursing licensure exam. Which educational program
should the nurse recommend to this student?
A. Practical Nursing Program
B. Associate Degree in Nursing
C. Baccalaureate Degree in Nursing
D. Nursing Diploma Program - answerB. Associate Degree in Nursing
What distinguishes nursing from medicine?
A. Nursing is composed of women
B. Holistic perspective of caring
C. Concern with treatment of disease
D. Dependent on the physician - answerB. Holistic perspective of caring
To be effective advocate for a client, the nurse must give safe and effective care in
accordance with what?
A. The State of Licensure
B. The office of Chief Nursing Officer (CNO) of the employing facility
C. The National Council of State Boards of Nursing (NCSBN)
D. The Nurse Practice Act - answerD. The Nurse Practice Act
,The examination for registered nurse licensure is exactly the same in every state in the
United States. What should the public understand about this exam?
A. Guarantees safe and quality nursing practice for all clients
B. Ensures standard nursing care for all clients
C. Ensures that honest and ethical care is provided
D. Provides a minimum standard of knowledge for a RN to practice - answerA.
Guarantees safe and quality nursing practice for all clients
As a new nurse, you have heard about the Nurse Licensure Compact. What is the
relationship between the member states?
A. The nurse can work in any state as long as she has a compact license
B. The nurse can have as many licenses as she wishes as long as they are all compact
states
C. The nurse can hold a license in the state where she lives and work in another state
as they are both part of the compact
D. The nurse must have a license for each state that she works in that is a member of a
compact state - answerC. The nurse can hold a license in the state where she lives and
work in another state as they are both part of the compac
What is the type of care management approach that coordinates and links healthcare
services to clients and their families while streamlining costs and maintaining quality?
A. Primary nursing
B. Total patient care
C. Case management
D. Functional nursing - answerC. Case management
Which client would you, the RN delegate to an LPN under your supervision?
A. A 25-year-old client admitted yesterday after sustaining a concussion in a motorcycle
accident
B. A 76-year-old client chronic obstructive pulmonary disease and emphysema admitted
24 hours ago
C. A 40-year-old client with a new diagnosis of diabetes who will be discharged today
D. A 62-year-old client newly admitted with congestive heart failure exacerbation -
answerB. A 76-year-old client chronic obstructive pulmonary disease and emphysema
admitted 24 hours ago
You are providing nursing care for a client with a diagnosis of cystitis. Which
intervention should you delegate to the nursing assistant?
A. Teaching the client how to secure a clean-catch urine sample
B. Assessing the client's urine for color, odor, and sediment
C. Reviewing the nursing care plan and add nursing interventions
D. Providing the client with a clean-catch urine sample container - answerD. Providing
the client with a clean-catch urine sample container
A client has chronic obstructive pulmonary disease (COPD). Which intervention for
airway management should you delegate to a nursing assistant?
, A. Assisting the client to sit up on the side of the bed
B. Instructing the client to cough effectively
C. Teaching the client to use incentive spirometry
D. Auscultating breath sounds every 4 hours - answerA. Assisting the client to sit up on
the side of the bed
An experienced LPN, under the supervision of the team leader RN, is providing nursing
care for a client with a respiratory problem. Which actions are appropriate to the scope
of practice of an experienced LPN? (Select all that apply)
A. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
C. Complete in-depth admission assessment
D. Initiate the nursing care plan
E. Evaluate the client's technique for using MDI - answerA. Auscultate breath sounds
B. Administer medications via metered-dose inhaler (MDI)
You are working in the triage area of the emergency department, and the following four
clients approach the triage desk at the same time.
A. An ambulatory, dazed 45-year-old man with a bandaged head wound
B. A 25-year-old with difficulty of breathing and rapid pulse from a bee sting
C. A 60-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
D. A 50-year-old woman with moderate abdominal pain and occasional vomiting
Which client you should assess first? ___#1__ because this client is experiencing __
#2___. Which client you should assess next? __ #3___ because this client is at risk for
__#4__. Which client could the RN safely assign to a LPN? __#5___
Options #2 (concussion, anaphylaxis, sprain, gastroenteritis)
Options #4 (concussion, anaphylaxis, sprain, gastroenteritis) - answer#1) B. A 25-year-
old with difficulty of breathing and rapid pulse from a bee sting
#2) anaphylaxis
#3) A. An ambulatory, dazed 45-year-old man with a bandaged head wound
#4) concussion
#5) C. A 60-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
Scenario: A nurse is caring for a patient admitted with multiple fractures after a motor
vehicle accident. The patient is experiencing severe pain, has shallow breathing, and is
expressing anxiety about their ability to return to work.
Patient Need:
A. Physiological Needs
B. Safety Needs
C. Psychological Needs
1)Administering pain medication
2)Monitoring oxygen saturation and providing oxygen
3)Reassuring the patient about their job and future
4)Assessing for risk of falls
MATCH EACH NUMBER WITH A LETTER. - answerA. 1, 2
B. 4
