NURS101: Fundamentals of Nursing - FINAL EXAM
Questions With Complete Solutions
A 66-year-old patient is currently on warfarin (Coumadin)
therapy. The patient has a bottle of Warfarin (Coumadin) 5 mg
tablets at home, but has an order for 7.5 mg. How many tablets
should the patient take daily? Correct Answer 1.5 tabs
A patient with a history of opioid addiction is admitted to the
hospital for opioid detoxification. The physician orders
methadone (Dolophine) 40 mg subcutaneously. The patient
weighs 75 kg. You have on hand methadone 30 mg/mL. How
much should you draw into the syringe? Correct Answer 40
mg/30 mg = 1.3 mL
(You don't need to use the kg)
Abdominal assessment Correct Answer Different order for
assessment skills
Inspect
Auscultate (bowel sounds)
Percuss
Palpate (pain, hernias, masses, enlarged liver)
**If palpation is done first, you could change the auscultated
sounds
Advanced Beginner Correct Answer Recognizes common
patterns and develops professional habits
,ANA definition of nursing Correct Answer Protection,
promotion, and optimization of health and abilities, prevention
of illness and injury alleviation of suffering through the
recognition and treatment of human response, and advocacy in
the care of individuals, families, communities, and specific
populations (ANA, 2015).
ANA Standards of Practice Correct Answer Authoritative
statements of the duties that all registered nurses, regardless of
role, specialty, or population served, are expected to perform
competently (Derived from the latest evidence)
Assessment/Recognize Cues Correct Answer Gather and filter
subjective and objective data that you will use to draw
conclusions about data that is relevant to the patient's current
situation
At what sites can core temperature be taken? Correct Answer
Rectal, bladder, pulmonary artery
At what sites can surface temperature be taken? Correct Answer
Oral, axillary, temporal
Bones, joints, muscles assessment Correct Answer Body
shape/symmetry
Posture
Gait
Spinal curvature
Balance
Romberg's test
,Coordination
Finger-thumb opposition (good for strokes/neuro)
Movement
Joint mobility
Color change
Deformity
Crepitus (grating noise of bone on bone)
Muscle strength
Range of motion
Resistance
Cardiovascular assessments Correct Answer Heart
Inspection
PMI - Point of maximum impulse - Apex (best place to hear)
Heaves/lifts (feeling pressure up on hand)
Palpation
Thrill (murmur) - vibrating
Heart sounds
Location
Aortic, pulmonic, tricuspid, mitral, and Erb's point
Components
S1, S2, S3, S4
**S1 and S2 are normal, S3 and S4 are abnormal
Murmurs
, Chest and lung assessment Correct Answer Chest and Lungs
Describe size and shape of chest.
Relate findings to landmarks.
Breath sounds
Normal:
Bronchial
Bronchovesicular
Vesicular
Abnormal:
Adventitious
Diminished (fluid, can't expand or not big enough breath) or
misplaced (dropped lung)
Abnormal vocal sounds
Clinical Judgement Correct Answer A process in which the
nurse uses: Critical thinking, nursing knowledge, observations,
and decision-making to identify and prioritize client concerns
and generate the best evidence-based solution to deliver safe
care.
Competent Correct Answer Able to recognize own thinking
and analyze problems
Compromised ethical agency: what is moral distress and moral
outrage? Correct Answer Moral distress
▪Inability to carry out a moral decision
▪Perceived constraints (feel they may be punished)
Questions With Complete Solutions
A 66-year-old patient is currently on warfarin (Coumadin)
therapy. The patient has a bottle of Warfarin (Coumadin) 5 mg
tablets at home, but has an order for 7.5 mg. How many tablets
should the patient take daily? Correct Answer 1.5 tabs
A patient with a history of opioid addiction is admitted to the
hospital for opioid detoxification. The physician orders
methadone (Dolophine) 40 mg subcutaneously. The patient
weighs 75 kg. You have on hand methadone 30 mg/mL. How
much should you draw into the syringe? Correct Answer 40
mg/30 mg = 1.3 mL
(You don't need to use the kg)
Abdominal assessment Correct Answer Different order for
assessment skills
Inspect
Auscultate (bowel sounds)
Percuss
Palpate (pain, hernias, masses, enlarged liver)
**If palpation is done first, you could change the auscultated
sounds
Advanced Beginner Correct Answer Recognizes common
patterns and develops professional habits
,ANA definition of nursing Correct Answer Protection,
promotion, and optimization of health and abilities, prevention
of illness and injury alleviation of suffering through the
recognition and treatment of human response, and advocacy in
the care of individuals, families, communities, and specific
populations (ANA, 2015).
ANA Standards of Practice Correct Answer Authoritative
statements of the duties that all registered nurses, regardless of
role, specialty, or population served, are expected to perform
competently (Derived from the latest evidence)
Assessment/Recognize Cues Correct Answer Gather and filter
subjective and objective data that you will use to draw
conclusions about data that is relevant to the patient's current
situation
At what sites can core temperature be taken? Correct Answer
Rectal, bladder, pulmonary artery
At what sites can surface temperature be taken? Correct Answer
Oral, axillary, temporal
Bones, joints, muscles assessment Correct Answer Body
shape/symmetry
Posture
Gait
Spinal curvature
Balance
Romberg's test
,Coordination
Finger-thumb opposition (good for strokes/neuro)
Movement
Joint mobility
Color change
Deformity
Crepitus (grating noise of bone on bone)
Muscle strength
Range of motion
Resistance
Cardiovascular assessments Correct Answer Heart
Inspection
PMI - Point of maximum impulse - Apex (best place to hear)
Heaves/lifts (feeling pressure up on hand)
Palpation
Thrill (murmur) - vibrating
Heart sounds
Location
Aortic, pulmonic, tricuspid, mitral, and Erb's point
Components
S1, S2, S3, S4
**S1 and S2 are normal, S3 and S4 are abnormal
Murmurs
, Chest and lung assessment Correct Answer Chest and Lungs
Describe size and shape of chest.
Relate findings to landmarks.
Breath sounds
Normal:
Bronchial
Bronchovesicular
Vesicular
Abnormal:
Adventitious
Diminished (fluid, can't expand or not big enough breath) or
misplaced (dropped lung)
Abnormal vocal sounds
Clinical Judgement Correct Answer A process in which the
nurse uses: Critical thinking, nursing knowledge, observations,
and decision-making to identify and prioritize client concerns
and generate the best evidence-based solution to deliver safe
care.
Competent Correct Answer Able to recognize own thinking
and analyze problems
Compromised ethical agency: what is moral distress and moral
outrage? Correct Answer Moral distress
▪Inability to carry out a moral decision
▪Perceived constraints (feel they may be punished)
