Fundamentals of Nursing Final Exam Latest Version
2024/2025 (100 out of 100) Correct Answers
Already Graded A+
__________________________________________________________
1. Sit next to the client, a few feet apart.
A client is coming into the clinic for the first time. In order for the nurse to allow the client
the most comfort during the interview, what should the nurse do?
1. Sit next to the client, a few feet apart.
2. Sit behind a desk.
3. Stand at the side of the client's chair.
4. Stand at the counter to take notes during the interview.
3. Identify client needs and deliver care to meet those needs.
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.
The purpose of the nursing process is to
identify a clients health status and actual or potential health care problems or needs, to
establish plans to meet the identified needs, and to deliver specific nursing interventions to
meet those needs.
1. Assessment
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
Assessment is
the collection, organization, validation, and documentation of data.
Even though changing the dressing is implementation, noticing the skin breakdown is
_____________.
The nursing process is
A systemic, rational method of planning and providing individualized nursing care
Diagnosis is
-Analyzing and synthesizing data
Planning is
-Prioritizing problems/diagnoses
-Determining how to support client strengths
-Formulating goals/desired outcomes
-Selecting nursing interventions
-Writing nursing interventions
Implementing is
-Reassessing the client
-Determining the nurse's need for assistance
-Applying the nursing interventions
-Supervising delegated care
-Documenting nursing activities
Evaluating is
-Collecting data related to outcomes
-Comparing data with outcomes
, -Relating nursing actions to client goals/outcomes
-Drawing conclusions about problem status
-Continuing, modifying, or terminating the clients care plan
2. Leave me alone
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
Subjective data
can be described or verified only by that person and are apparent only to the person
affected.
Subjective data includes
the clients sensations, feelings, beliefs, attitudes, and perceptions of personal health status
and life situations.
Also family or support statements that can not be evaluated or measured in some way by
you now.
3. Objective Data
Family of a client demonstrating confusion state that this is not the clients usual behavior.
How should the nurse document this data?
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
2024/2025 (100 out of 100) Correct Answers
Already Graded A+
__________________________________________________________
1. Sit next to the client, a few feet apart.
A client is coming into the clinic for the first time. In order for the nurse to allow the client
the most comfort during the interview, what should the nurse do?
1. Sit next to the client, a few feet apart.
2. Sit behind a desk.
3. Stand at the side of the client's chair.
4. Stand at the counter to take notes during the interview.
3. Identify client needs and deliver care to meet those needs.
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.
The purpose of the nursing process is to
identify a clients health status and actual or potential health care problems or needs, to
establish plans to meet the identified needs, and to deliver specific nursing interventions to
meet those needs.
1. Assessment
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
Assessment is
the collection, organization, validation, and documentation of data.
Even though changing the dressing is implementation, noticing the skin breakdown is
_____________.
The nursing process is
A systemic, rational method of planning and providing individualized nursing care
Diagnosis is
-Analyzing and synthesizing data
Planning is
-Prioritizing problems/diagnoses
-Determining how to support client strengths
-Formulating goals/desired outcomes
-Selecting nursing interventions
-Writing nursing interventions
Implementing is
-Reassessing the client
-Determining the nurse's need for assistance
-Applying the nursing interventions
-Supervising delegated care
-Documenting nursing activities
Evaluating is
-Collecting data related to outcomes
-Comparing data with outcomes
, -Relating nursing actions to client goals/outcomes
-Drawing conclusions about problem status
-Continuing, modifying, or terminating the clients care plan
2. Leave me alone
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
Subjective data
can be described or verified only by that person and are apparent only to the person
affected.
Subjective data includes
the clients sensations, feelings, beliefs, attitudes, and perceptions of personal health status
and life situations.
Also family or support statements that can not be evaluated or measured in some way by
you now.
3. Objective Data
Family of a client demonstrating confusion state that this is not the clients usual behavior.
How should the nurse document this data?
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
