Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
What factors impact the nurse's ability to recognize and Understanding of pathological changes within the body
cluster clinical cues? Knowledge of normal human anatomy
Experience in the clinical setting
Ability to identify a single, significant cue and follow up
3 multiple choice options
Complete the nursing diagnosis statements below by Anxiety - Related to Hospitalization
dragging the diagnosis words/phrases to the corresponding
etiology. Ineffective airway clearance - Related to Bronchitis
Risk for imbalanced body temperature - Related to Hypothalamic dysfunction
Decreased cardiac output - Related to Hypovolemia
Constipation - Related to Low-fiber diet
1 multiple choice option
1
,Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
Patient Name: Gladys Smith Age: 58 Gender: Female Nutritional status
3 multiple choice options
Ms. Smith lives alone. Up until four weeks ago, she was
healthy and not taking any medication. Although Mrs. Smith
has been tiring easily, she attributes that to a project at work
that is behind schedule.
no known allergies
recent medical history: cerebral vascular accident (CVA,
stroke) 4 weeks prior to admission
non-ambulatory
being admitted to a rehabilitation facility from the hospital
“I am so weak I cannot feed myself or brush my teeth.”
“All I want to do is sleep.”
“The doctor says I may never live by myself again.”
“My clothes are too big since I’ve lost so much weight.”
weight 100 lb (down from 115 lb when admitted to hospital)
limited range of motion bilateral shoulders
non-ambulatory, can transfer from chair to bed using a
walker
thick, oral secretions
sores in mouth
halitosis
speaks slowly and quietly
2
,Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
After treatment with intravenous fluids and medication to Whether the fever is gone
lessen the cramps, Jim is discharged from urgent care and Number of bowel movements
told to follow up with his primary care provider within two Presence of abdominal pain
days. A nurse from the urgent care center called Jim the next
3 multiple choice options
day to check on his recovery. What cues will the nurse ask
about to determine if Jim's status is improving?
Select all that apply.
A longitudinal record of an individual's interactions with the Electronic Health Record (EHR)
healthcare system.
1 multiple choice option
The legal record documenting a single encounter between Electronic Medical Record (EMR)
an individual and a healthcare professional. 1 multiple choice option
What are the advantages to clients that are realized by using Continuity of care
an electronic health record (EHR)? Increased safety
3 multiple choice options
Select all that apply.
Information shared by the patient, family member, or another Subjective Data
individual; cannot be verified by the nurse.
1 multiple choice option
Information that can be assessed and verified by the nurse Objective Data
using their senses.
1 multiple choice option
3
, Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
After a year of planning and saving, Davon (preferred Electronically by Davon's partner accessing a copy of her EHR
pronouns: she, her) and her partner are taking a well- 3 multiple choice options
deserved beach vacation. During their bicycle tour, one of
the other sight-seers stops suddenly, causing Davon to
swerve and crash. Despite wearing a helmet, Davon loses
consciousness. When paramedics arrive, they ask Davon's
partner about her health history.
What is the best way to provide this information?
Two hours into the shift, the current nurse receives a call "You'll be back tonight, just add it as a late entry."
from the colleague who cared for Mr. Hilliard the previous
3 multiple choice options
shift. The colleague shares that they forgot to document a
call to Mr. Hilliard's healthcare provider about a potential
surgical wound infection and asks the current nurse to
document that information.
What is the best response by the current nurse?
The nurse is using soap and water to clean hands prior to Portal of exit
client care. Proper hand hygiene is a nursing intervention that Portal of entry
can break which links in the chain of infection? Mode of transmission
Reservoir
Select all that apply. 3 multiple choice options
A client recovering from hip replacement asks what they "You should make sure you increase your protein intake."
should eat to help heal faster. How should the nurse reply?
3 multiple choice options
4
What factors impact the nurse's ability to recognize and Understanding of pathological changes within the body
cluster clinical cues? Knowledge of normal human anatomy
Experience in the clinical setting
Ability to identify a single, significant cue and follow up
3 multiple choice options
Complete the nursing diagnosis statements below by Anxiety - Related to Hospitalization
dragging the diagnosis words/phrases to the corresponding
etiology. Ineffective airway clearance - Related to Bronchitis
Risk for imbalanced body temperature - Related to Hypothalamic dysfunction
Decreased cardiac output - Related to Hypovolemia
Constipation - Related to Low-fiber diet
1 multiple choice option
1
,Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
Patient Name: Gladys Smith Age: 58 Gender: Female Nutritional status
3 multiple choice options
Ms. Smith lives alone. Up until four weeks ago, she was
healthy and not taking any medication. Although Mrs. Smith
has been tiring easily, she attributes that to a project at work
that is behind schedule.
no known allergies
recent medical history: cerebral vascular accident (CVA,
stroke) 4 weeks prior to admission
non-ambulatory
being admitted to a rehabilitation facility from the hospital
“I am so weak I cannot feed myself or brush my teeth.”
“All I want to do is sleep.”
“The doctor says I may never live by myself again.”
“My clothes are too big since I’ve lost so much weight.”
weight 100 lb (down from 115 lb when admitted to hospital)
limited range of motion bilateral shoulders
non-ambulatory, can transfer from chair to bed using a
walker
thick, oral secretions
sores in mouth
halitosis
speaks slowly and quietly
2
,Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
After treatment with intravenous fluids and medication to Whether the fever is gone
lessen the cramps, Jim is discharged from urgent care and Number of bowel movements
told to follow up with his primary care provider within two Presence of abdominal pain
days. A nurse from the urgent care center called Jim the next
3 multiple choice options
day to check on his recovery. What cues will the nurse ask
about to determine if Jim's status is improving?
Select all that apply.
A longitudinal record of an individual's interactions with the Electronic Health Record (EHR)
healthcare system.
1 multiple choice option
The legal record documenting a single encounter between Electronic Medical Record (EMR)
an individual and a healthcare professional. 1 multiple choice option
What are the advantages to clients that are realized by using Continuity of care
an electronic health record (EHR)? Increased safety
3 multiple choice options
Select all that apply.
Information shared by the patient, family member, or another Subjective Data
individual; cannot be verified by the nurse.
1 multiple choice option
Information that can be assessed and verified by the nurse Objective Data
using their senses.
1 multiple choice option
3
, Chamberlain University NR 224 fundamentals skills Final comprehensive exam review
After a year of planning and saving, Davon (preferred Electronically by Davon's partner accessing a copy of her EHR
pronouns: she, her) and her partner are taking a well- 3 multiple choice options
deserved beach vacation. During their bicycle tour, one of
the other sight-seers stops suddenly, causing Davon to
swerve and crash. Despite wearing a helmet, Davon loses
consciousness. When paramedics arrive, they ask Davon's
partner about her health history.
What is the best way to provide this information?
Two hours into the shift, the current nurse receives a call "You'll be back tonight, just add it as a late entry."
from the colleague who cared for Mr. Hilliard the previous
3 multiple choice options
shift. The colleague shares that they forgot to document a
call to Mr. Hilliard's healthcare provider about a potential
surgical wound infection and asks the current nurse to
document that information.
What is the best response by the current nurse?
The nurse is using soap and water to clean hands prior to Portal of exit
client care. Proper hand hygiene is a nursing intervention that Portal of entry
can break which links in the chain of infection? Mode of transmission
Reservoir
Select all that apply. 3 multiple choice options
A client recovering from hip replacement asks what they "You should make sure you increase your protein intake."
should eat to help heal faster. How should the nurse reply?
3 multiple choice options
4
