lOMoARcPSD|12263
423
Test Bank For Fundamentals Of Nursing Final Exam
From Chapter 11-44 All Covered With 100%
Verified Solutions-2025-2026
Chap 11
Question 1
The student is learning the steps of the nursing process. What is the first thing that the
student should realize about the purpose of this process?
1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to
clients. Ans: 3
Question 2
While conducting a dressing change, the nurse notes a new area of skin breakdown that
was caused from the tape used to secure the dressing. In which phase of the nursing
process is the nurse working?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Ans:
1 question 3
During an assessment, a client who is not very talkative appears pale, diaphoretic, and
restless in the bed, and says leave me alone. Which subjective data should the nurse
document?
1. Restlessness
2. Leave me alone
3. Not talkative
4. Pale and
diaphoretic Ans: 2
Question 4
Family of a client demonstrating confusion state that this is not the clients usual behavior. How
Should the nurse document this data?
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1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective
data Ans: 3
Question 5
The nurse provides a back rub to a client after administering a pain medication with the
hope that these two actions will help decrease the clients pain. Which phase of the nursing
process is this nurse implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Ans:
3 question 6
A new client has been admitted to the care area. How soon should the nurse plan to complete a
physical assessment on this patient?
1. 1 hour
2. 12 hours
3. 48 hours
4. 24 hours
Ans: 4
question 7
The nurse is admitting an infant to the care area. The parents and grandmother are present.
What should the nurse use as the best source of data for this client?
1. Medical record from the childbirth
2. Grandmother
3. Parents
4. Admitting
Physician Ans: 3
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Question 8
A newly admitted client is angry because nursing staff continue to ask the same questions. What
should the nurse respond to this client?
1. In order to make sure all of your information is complete, i need to ask these questions.
2. Youre right. Let me know if theres anything you need right now.
3. Ill be done shortly, just give me a few more minutes.
4. You shouldnt be upset. Were only doing
our jobs. Ans: 2
Question 9
The nurse documents: client avoids eye contact and gives only vague, nonspecific answers
to direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses
hand gestures) in conversation with spouse. Which method of data collection does this
documentation demonstrate?
1. Examining
2. Interviewing
3. Listening
4. Observing
Ans:
4 question 10
A nurse has worked in the trauma critical care area for several years. Which noise may become
indiscriminate for this particular nurse?
1. A client with audible breathing
2. Moaning of a client in pain
3. Whirring of ventilators
4. Co-orkers discussing their clients
conditions Ans: 3
Question 11
A client has been using the call light routinely throughout the evening. Upon entering the
room, the nurse observes the following details. Organize them according to priority
sequencing (1 is first priority; 5 is least priority).
Standard text: click and drag the options below to move them up or down.
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Choice 1. The family is at the bedside.
Choice 2. The iv pump is running on
battery.
Choice 3. The ecg monitor shows
tachycardia. Choice 4. The client reports
being restless.
Choice 5. O2 tubing is not attached to wall regulator.
Ans: 3, 4, 5, 2, 1
Question 12
During an initial interview, the client says i dont understand why i have to have surgery; im
really not that sick or in pain right now. How should the nurse respond to the client?
1. Its ok to be worried. Surgery is a big step.
2. What kind of questions do you have about your surgery?
3. I think these are things you should be asking your doctor.
4. Have you had surgery
before? Ans: 2
Question 13
The nurse is completing a health history with a client who has complications from chronic
asthma. Which open-ended question should the nurse use?
1. How would you describe your sleep pattern?
2. Can you describe your coughing pattern?
3. Is there anything that makes your breathing worse?
4. What medications are you
on? Ans: 1
Question 14
The nurse is assessing a client level of pain. Which open-ended question should the nurse
use for this situation?
1. Is your pain worse at night?
2. What brought you to the clinic?
3. How has the pain impacted your life?
423
Test Bank For Fundamentals Of Nursing Final Exam
From Chapter 11-44 All Covered With 100%
Verified Solutions-2025-2026
Chap 11
Question 1
The student is learning the steps of the nursing process. What is the first thing that the
student should realize about the purpose of this process?
1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to
clients. Ans: 3
Question 2
While conducting a dressing change, the nurse notes a new area of skin breakdown that
was caused from the tape used to secure the dressing. In which phase of the nursing
process is the nurse working?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Ans:
1 question 3
During an assessment, a client who is not very talkative appears pale, diaphoretic, and
restless in the bed, and says leave me alone. Which subjective data should the nurse
document?
1. Restlessness
2. Leave me alone
3. Not talkative
4. Pale and
diaphoretic Ans: 2
Question 4
Family of a client demonstrating confusion state that this is not the clients usual behavior. How
Should the nurse document this data?
, lOMoARcPSD|12263
423
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective
data Ans: 3
Question 5
The nurse provides a back rub to a client after administering a pain medication with the
hope that these two actions will help decrease the clients pain. Which phase of the nursing
process is this nurse implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Ans:
3 question 6
A new client has been admitted to the care area. How soon should the nurse plan to complete a
physical assessment on this patient?
1. 1 hour
2. 12 hours
3. 48 hours
4. 24 hours
Ans: 4
question 7
The nurse is admitting an infant to the care area. The parents and grandmother are present.
What should the nurse use as the best source of data for this client?
1. Medical record from the childbirth
2. Grandmother
3. Parents
4. Admitting
Physician Ans: 3
, lOMoARcPSD|12263
423
Question 8
A newly admitted client is angry because nursing staff continue to ask the same questions. What
should the nurse respond to this client?
1. In order to make sure all of your information is complete, i need to ask these questions.
2. Youre right. Let me know if theres anything you need right now.
3. Ill be done shortly, just give me a few more minutes.
4. You shouldnt be upset. Were only doing
our jobs. Ans: 2
Question 9
The nurse documents: client avoids eye contact and gives only vague, nonspecific answers
to direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses
hand gestures) in conversation with spouse. Which method of data collection does this
documentation demonstrate?
1. Examining
2. Interviewing
3. Listening
4. Observing
Ans:
4 question 10
A nurse has worked in the trauma critical care area for several years. Which noise may become
indiscriminate for this particular nurse?
1. A client with audible breathing
2. Moaning of a client in pain
3. Whirring of ventilators
4. Co-orkers discussing their clients
conditions Ans: 3
Question 11
A client has been using the call light routinely throughout the evening. Upon entering the
room, the nurse observes the following details. Organize them according to priority
sequencing (1 is first priority; 5 is least priority).
Standard text: click and drag the options below to move them up or down.
, lOMoARcPSD|12263
423
Choice 1. The family is at the bedside.
Choice 2. The iv pump is running on
battery.
Choice 3. The ecg monitor shows
tachycardia. Choice 4. The client reports
being restless.
Choice 5. O2 tubing is not attached to wall regulator.
Ans: 3, 4, 5, 2, 1
Question 12
During an initial interview, the client says i dont understand why i have to have surgery; im
really not that sick or in pain right now. How should the nurse respond to the client?
1. Its ok to be worried. Surgery is a big step.
2. What kind of questions do you have about your surgery?
3. I think these are things you should be asking your doctor.
4. Have you had surgery
before? Ans: 2
Question 13
The nurse is completing a health history with a client who has complications from chronic
asthma. Which open-ended question should the nurse use?
1. How would you describe your sleep pattern?
2. Can you describe your coughing pattern?
3. Is there anything that makes your breathing worse?
4. What medications are you
on? Ans: 1
Question 14
The nurse is assessing a client level of pain. Which open-ended question should the nurse
use for this situation?
1. Is your pain worse at night?
2. What brought you to the clinic?
3. How has the pain impacted your life?
