Fundamentals of Nursing Final Exam
Review With 100% Correct Answers
A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a lost of consciousness in the emergency room. The nurse anticipates preparing the pt for ordered diagnostic tests. This nurse's knowledge of the diagnostic procedures for this condition reflects which aspect of nursing? A. The art of nursing
B. The science of nursing
C. The caring aspect of nursing
D. The holistic approach to nursing CORRECT ANSWERS B. The science of nursing
A nurse is formulating a clinical question in PICO format. What does the letterP represent?
A. Comparison to another similar treatment
B. Clearly defined, focused literature review
C. Specific identification of the desired outcome
D. Explicit descriptions of the population of interest CORRECT ANSWERS D. Explicit descriptions of the population of interest
Insulin CORRECT ANSWERS Removes excess glucose from the blood and stores it as
glycogen in the liver.
Which nurse who was influential in the development of nursing in North America is regarded as the founder of American nursing?
A. Clara Barton
B. Lillian Wald
C. Lavina Dock
D. Florence Nightingale CORRECT ANSWERS D. Florence Nightingale
The student nurse learns that illnesses are classified as either acute or chronic. Which are examples of chronic illnesses? Select all that apply.
A. Diabetes mellitus
B. Bronchial pneumonia
C. Rheumatoid arthritis
D. Cystic fibrosis
E. Fractured hip
F. Otitis media CORRECT ANSWERS A, C, & D World War II had a tremendous effect on the nursing profession. Which development occurred during this period?
A. The role of the nurse was broadened
B. There was a decreased emphasis on education
C. Nursing was practiced mainly in hospital settings
D. There was an overabundance of nurses CORRECT ANSWERS A. The role of the nurse was broadened
One of the 4 broad aims of nursing practice is to restore health. Which examples of nursing interventions reflect this goal? Select all that apply.
A. A nurse counsels adolescents in a drug rehabilitation program
B. A nurse performed ROM exercises for a pt on bedrest
C. A nurse shows a diabetic pt how to inject insulin
D. A nurse recommends a yoga class for a busy executive
E. A nurse provides hospice care for a pt with end-stage cancer
F. A nurse teaches a nutrition class at a local high school CORRECT ANSWERS A, B, and C
Postpartum Urinary System Adaptations CORRECT ANSWERS -GFR and renal flow rate increases
-Loss of voiding sensation
-Postpartum diuresis
When the newborn cheek is touched, the cheek turns toward the stimulus CORRECT ANSWERS Rooting
Overweight BMI CORRECT ANSWERS >25 mg/dL
How many patient identifiers is required, and what are they? CORRECT ANSWERS 2 Name and date of birth
Pain and anxiety can alter these vital signs CORRECT ANSWERS HR, RR, and BP
1. A nurse assesses patients in a physician's office who are experiencing different levels
of health and illness. Which statements best define the concepts of health and illness? Select all that apply.
A. Health and illness are the same for all people.
B. Health and illness are individually defined by each person.
C. People with acute illnesses are actually healthy.
D. People with chronic illnesses have poor health beliefs.
E. Health is more than the absence of illness.
F. Illness is the response of a person to a disease. CORRECT ANSWERS B, E, & F Method of communication between health care providers about patients (the handoff) CORRECT ANSWERS SBAR
When the newborn's head is turned to one side, the arm on that side is extended out CORRECT ANSWERS Tonic neck
True or false: Diarrhea is a common concern postpartum CORRECT ANSWERS False. Constipation is a common concern if iron is administered
This is the angle for a subcutaneous injection CORRECT ANSWERS 45 degrees
A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating?
A. Tertiary
B. Secondary
C. Primary
D. Promotive CORRECT ANSWERS C. Primary
The outer most layer of the skin CORRECT ANSWERS Epidermis
First step in the abdominal assessment CORRECT ANSWERS Inspection
Obesity BMI CORRECT ANSWERS >30 mg/dL
When the bottom of the foot is stroked upwards, the newborn's toes flare out CORRECT
ANSWERS Babinski
Health promotion activities may occur on a primary, secondary, or tertiary level. Which activities are considered tertiary health promotion? Select all that apply.
A. A nurse runs an immunization clinic in the inner city.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
D. A nurse teaches parents of toddlers how to childproof their homes.
E. A school nurse provides screening for scoliosis for the students.
F. A nurse teaches new parents how to choose and use an infant car seat. CORRECT ANSWERS B & C
When does menstruation return after birth for non lactating women? CORRECT ANSWERS 7-9 weeks
Nursing students should not drink this when stressed CORRECT ANSWERS Alcohol A nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
A. Readminister the medication and notify the primary care provider.
B. Readminister the pill in a liquid form if possible.
C. Assess the vomit, looking for the pill.
D. Notify the primary care provider. CORRECT ANSWERS C. If a patient vomits immediately after swallowing an oral pill, the nurse should assess the vomit for the pill or fragments of it. The nurse should then notify the primary care provider to see if another dosage should be administered.
Identify goals of Healthy People 2020 related to diabetes CORRECT ANSWERS -
Reduce the disease and economic burden of diabetes mellitus and improve the quality of life for at risk persons
-Reduce disease risk through healthful diets and achievements and management of healthy body weights
True or False: RhoGAM is given to the mom when the mother is positive and baby is negative CORRECT ANSWERS False. Mother must be negative and baby must be positive
Chloride normal values CORRECT ANSWERS 97-107 mEq/L
Degree of stretch of the ventrical at the end of diastole CORRECT ANSWERS Preload
True or False:Baby blues are a serious postpartum problem that requires treatment CORRECT ANSWERS False. These are mild depressive symptoms, anxiety, irritability, mood swings, tearfulness, increased sensitivity, and fatigue.
Usually peaks at 4-5 days and resolves by day 10
A nurse is interviewing a newly admitted patient. Which question would be considered culturally sensitive?
A. "Do you think you will be able to eat the food we have here?"
B. "Do you understand that we can't prepare special meals?"
C. "What types of food do you eat for meals?"
D. "Why can't you just eat our food while you are here?" CORRECT ANSWERS C
Which acid-base imbalance would the nurse suspect after assessing the following arterial blood gas values: pH, 7.30; PaCO2, 36 mm Hg; HCO3−, 14 mEq/L?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
Review With 100% Correct Answers
A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a lost of consciousness in the emergency room. The nurse anticipates preparing the pt for ordered diagnostic tests. This nurse's knowledge of the diagnostic procedures for this condition reflects which aspect of nursing? A. The art of nursing
B. The science of nursing
C. The caring aspect of nursing
D. The holistic approach to nursing CORRECT ANSWERS B. The science of nursing
A nurse is formulating a clinical question in PICO format. What does the letterP represent?
A. Comparison to another similar treatment
B. Clearly defined, focused literature review
C. Specific identification of the desired outcome
D. Explicit descriptions of the population of interest CORRECT ANSWERS D. Explicit descriptions of the population of interest
Insulin CORRECT ANSWERS Removes excess glucose from the blood and stores it as
glycogen in the liver.
Which nurse who was influential in the development of nursing in North America is regarded as the founder of American nursing?
A. Clara Barton
B. Lillian Wald
C. Lavina Dock
D. Florence Nightingale CORRECT ANSWERS D. Florence Nightingale
The student nurse learns that illnesses are classified as either acute or chronic. Which are examples of chronic illnesses? Select all that apply.
A. Diabetes mellitus
B. Bronchial pneumonia
C. Rheumatoid arthritis
D. Cystic fibrosis
E. Fractured hip
F. Otitis media CORRECT ANSWERS A, C, & D World War II had a tremendous effect on the nursing profession. Which development occurred during this period?
A. The role of the nurse was broadened
B. There was a decreased emphasis on education
C. Nursing was practiced mainly in hospital settings
D. There was an overabundance of nurses CORRECT ANSWERS A. The role of the nurse was broadened
One of the 4 broad aims of nursing practice is to restore health. Which examples of nursing interventions reflect this goal? Select all that apply.
A. A nurse counsels adolescents in a drug rehabilitation program
B. A nurse performed ROM exercises for a pt on bedrest
C. A nurse shows a diabetic pt how to inject insulin
D. A nurse recommends a yoga class for a busy executive
E. A nurse provides hospice care for a pt with end-stage cancer
F. A nurse teaches a nutrition class at a local high school CORRECT ANSWERS A, B, and C
Postpartum Urinary System Adaptations CORRECT ANSWERS -GFR and renal flow rate increases
-Loss of voiding sensation
-Postpartum diuresis
When the newborn cheek is touched, the cheek turns toward the stimulus CORRECT ANSWERS Rooting
Overweight BMI CORRECT ANSWERS >25 mg/dL
How many patient identifiers is required, and what are they? CORRECT ANSWERS 2 Name and date of birth
Pain and anxiety can alter these vital signs CORRECT ANSWERS HR, RR, and BP
1. A nurse assesses patients in a physician's office who are experiencing different levels
of health and illness. Which statements best define the concepts of health and illness? Select all that apply.
A. Health and illness are the same for all people.
B. Health and illness are individually defined by each person.
C. People with acute illnesses are actually healthy.
D. People with chronic illnesses have poor health beliefs.
E. Health is more than the absence of illness.
F. Illness is the response of a person to a disease. CORRECT ANSWERS B, E, & F Method of communication between health care providers about patients (the handoff) CORRECT ANSWERS SBAR
When the newborn's head is turned to one side, the arm on that side is extended out CORRECT ANSWERS Tonic neck
True or false: Diarrhea is a common concern postpartum CORRECT ANSWERS False. Constipation is a common concern if iron is administered
This is the angle for a subcutaneous injection CORRECT ANSWERS 45 degrees
A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating?
A. Tertiary
B. Secondary
C. Primary
D. Promotive CORRECT ANSWERS C. Primary
The outer most layer of the skin CORRECT ANSWERS Epidermis
First step in the abdominal assessment CORRECT ANSWERS Inspection
Obesity BMI CORRECT ANSWERS >30 mg/dL
When the bottom of the foot is stroked upwards, the newborn's toes flare out CORRECT
ANSWERS Babinski
Health promotion activities may occur on a primary, secondary, or tertiary level. Which activities are considered tertiary health promotion? Select all that apply.
A. A nurse runs an immunization clinic in the inner city.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
D. A nurse teaches parents of toddlers how to childproof their homes.
E. A school nurse provides screening for scoliosis for the students.
F. A nurse teaches new parents how to choose and use an infant car seat. CORRECT ANSWERS B & C
When does menstruation return after birth for non lactating women? CORRECT ANSWERS 7-9 weeks
Nursing students should not drink this when stressed CORRECT ANSWERS Alcohol A nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
A. Readminister the medication and notify the primary care provider.
B. Readminister the pill in a liquid form if possible.
C. Assess the vomit, looking for the pill.
D. Notify the primary care provider. CORRECT ANSWERS C. If a patient vomits immediately after swallowing an oral pill, the nurse should assess the vomit for the pill or fragments of it. The nurse should then notify the primary care provider to see if another dosage should be administered.
Identify goals of Healthy People 2020 related to diabetes CORRECT ANSWERS -
Reduce the disease and economic burden of diabetes mellitus and improve the quality of life for at risk persons
-Reduce disease risk through healthful diets and achievements and management of healthy body weights
True or False: RhoGAM is given to the mom when the mother is positive and baby is negative CORRECT ANSWERS False. Mother must be negative and baby must be positive
Chloride normal values CORRECT ANSWERS 97-107 mEq/L
Degree of stretch of the ventrical at the end of diastole CORRECT ANSWERS Preload
True or False:Baby blues are a serious postpartum problem that requires treatment CORRECT ANSWERS False. These are mild depressive symptoms, anxiety, irritability, mood swings, tearfulness, increased sensitivity, and fatigue.
Usually peaks at 4-5 days and resolves by day 10
A nurse is interviewing a newly admitted patient. Which question would be considered culturally sensitive?
A. "Do you think you will be able to eat the food we have here?"
B. "Do you understand that we can't prepare special meals?"
C. "What types of food do you eat for meals?"
D. "Why can't you just eat our food while you are here?" CORRECT ANSWERS C
Which acid-base imbalance would the nurse suspect after assessing the following arterial blood gas values: pH, 7.30; PaCO2, 36 mm Hg; HCO3−, 14 mEq/L?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
