FUNDAMENTALS NURSING EXAM TEST

FUNDAMENTALS NURSING EXAM TEST 1. A patient's outcome was to have a pain level of 4 out of 10, 30 minutes after receiving medication. 30 minutes later the patient reported a pain level of 3 out of 10. Has the outcome been: a. Met b. Not met c. Partially met d. Not enough information - CORRECT ANSWER-A 2. A patient's outcome at the end of the shift is to ambulate down the hall and back twice. By the end of the shift the patient was able to ambulate once. Since the outcome was not met, what would be the best recommendation to change the care plan? a. Go to the doctor and ask for advice b. Change the care plan to ambulating once per shift c. Change the care plan to ambulating three times per shift d. Continue the care plan to ambulate twice per shift - CORRECT ANSWER-D 3. Which of the following is an example of an appropriately written assessment intervention for a post appendectomy patient experiencing pain at 7/10? a. Help patient ambulate every 2 hours b. Assess patient for pain at the beginning of every shift, after giving mediation, and when patient complains of pain c. Take patient's health history and vital signs d. Administer pain medications - CORRECT ANSWER-B 4. Which of the following is an example of an appropriately written assessment intervention? a. Patient will ambulate down the hall 2x daily b. The patient was able to ambulate down the hall 2x daily c. Administer pain medications regularly and assess patient's pain d. The patient's pain is 7/10 - CORRECT ANSWER-C Expected outcome should be written following which five step guideline? a. Specific, medications, availability, response, time b. Selective, measureable, availability, reasonable, treatment c. Measurable, achievable, reasonable, time, selective d. Selective, medications, achievable, response, treatment - CORRECT ANSWER-C 6. Which of the following is a correct expected outcome of a nursing diagnosis? a. Patient will have no crackles in lower lobes b. Patient will feel better c. Patient will ambulate the hall 3 times and back by the end of my shift d. Patient will experience a decrease in pain level - CORRECT ANSWER-C 7. What are the 3 parts of the nursing diagnosis? a. Temperature, Pulse, respirations b. Problem, etiology, symptoms c. Medical diagnosis, defining characteristics, health perception d. Medical diagnosis, MAR, potential risks - CORRECT ANSWER-B 8. Which of the following is the correctly written first part of the nursing diagnosis? a. Arthritis pain b. Status post historectomy c. Dermatitis inflammation d. Impaired skin integrity - CORRECT ANSWER-D 9. When taking a patient's health history, the nurse nods to certain information trying to show acceptance or agreement. What non-verbal cue is the nurse demonstrating? a. Physical appearance b. Gestures c. Touch d. Posture - CORRECT ANSWER-B 10. Which nonverbal skill would suggest the patient could be physically or emotionally ill? a. Open posture b. Nodding while listening c. Maintaining eye contact d. Lack of grooming - CORRECT ANSWER-D 11. You are going into surgery and your nurse says, "I'm sure you're going to be fine!" What type of interviewing trap is this? a. Giving unwanted advice b. Leading or biased question c. Providing false assurance d. Talking too much - CORRECT ANSWER-C 12. What is an example of a leading question? a. How much do you smoke per day? b. How long have you smoked for? c. Have you ever smoked? d. You don't smoke do you? - CORRECT ANSWER-D 13. What would you say when assisting the narrative through clarification? a. "Uh-huh" b. "Tell me what you mean by that?" c. "It seems like every time you feel stomach pain you have some type of stress in your life" d. Remain silent - CORRECT ANSWER-B 14. During the interview process, what type of response encourages the patient to continue with their story? * technically all answers would encourage the patient to keep talking a. Reflection b. Facilitation c. Silence d. Clarification - CORRECT ANSWER-B 15. Which of the following questions are considered open-ended? a. Is there anything else you need to tell me? b. Do you have difficulty breathing while performing daily activities? c. Do you eat a balanced diet? d. Are you currently living with anyone? - CORRECT ANSWER-A 16. Which statement reflects the goal of a close-direct question? a. A further explanation b. A long, detailed response c. One that may or may not be relevant to the topic d. A concise yes or no answer - CORRECT ANSWER-D 17. A physician came into the room and interrupted the interview while a nurse was taking a patient's health history. What type of factors would this situation be that influenced the communication? a. External factor b. Internal factor c. Physical environment d. Ability to listen - CORRECT ANSWER-A 18. Which of the following nursing actions is considered an external factor? a. Being tolerable to a patients weakness b. Equal status eating c. Ability to listen d. Body language - CORRECT ANSWER-B