FUNDA PART I b. Rhonchi
c. Gurgles
1. The parents of a 5-month old baby and a 3-year old child ask d. Vesicular
the nurse about the sequence and the timing of 8. Which approach to problem solving tests any number of
developmental milestones. Which of the following is the solutions until one is found that works for that particular
most appropriate response? problem?
A. “This infant should reach the milestones at the same a. Intuition
time as your older child.” b. Routine
B. “The infant may reach the milestones in a different c. Scientific method
order than your older child.” d. Trial and error
C. “The sequence of reaching each milestone should 9. What is the order of the nursing process?
follow the same pattern but may be at a different a. Assessing, diagnosing, implementing, evaluating, planning
rate.” b. Diagnosing, assessing, planning, implementing, evaluating
D. “There are no predictable patterns. Try to enjoy the c. Assessing, diagnosing, planning, implementing, evaluating
uniqueness of every child. d. Planning, evaluating, diagnosing, assessing, implementing
2. A nurse decides that a review of which of the following 10. During the planning phase of the nursing process, which of the
theorists would be helpful before teaching a preschool class following is the outcome?
(4-5 years old) about how to brush their teeth? a. Nursing history
A. Fowler b. Nursing notes
B. Erickson c. Nursing care plan
C. Gould d. Nursing diagnosis
D. Peck 11. What is an example of a subjective data?
3. Parents ask the nurse how they will know that their a. Heart rate of 68 beats per minute
daughter has reached puberty. The best response includes b. Yellowish sputum
which of the following? c. Client verbalized, “I feel pain when urinating.”
A. “The first noticeable sign of puberty is appearance of d. Noisy breathing
breasts bud.” 12. Which expected outcome is correctly written?
B. “The growth spurt usually begins between ages 10-14.” a. “The patient will feel less nauseated in 24 hours.”
C. “The apocrine glands, found over most of the body, b. “The patient will eat the right amount of food daily.”
begin to produce sweat.” c. “The patient will identify all the high-salt food from a prepared
D. “The adolescent will display significant mood swings.” list by discharge.”
4. During the physical assessment of a 24-month old baby d. “The patient will have enough sleep.”
clings to the parent and cries everytime the nurse touch her. 13. The theorist who believes that adaptation and manipulation of
From the knowledge of Psychosocial Development, the stressors are related to foster change is:
nurse knows that this: a. Dorothea Orem
A. Is normal in Toddler development b. Sister Callista Roy
B. Child needs further psychological evaluation c. Imogene King
C. Child is manipulative and should be taken from the d. Virginia Henderson
parent to examined 14. Becky is on NPO since midnight as preparation for blood test.
D. Is normal behavior for a 12-month old, but this child is Adreno-cortical response is activated. Which of the following is an
too old for this action and is showing signs of expected response?
regression a. Low blood pressure
5. Because a 45-year old woman is still worried that she still b. Warm, dry skin
has regular menstruation, she asks about menopause. c. Decreased serum sodium levels
Which of the following answers by the nurse is most d. Decreased urine output
appropriate? 15. What nursing action is appropriate when obtaining a sterile
A. Regular menses in a 45-year old woman should be urine specimen from an indwelling catheter to prevent infection?
promptly evaluated by gynecologists. a. Use sterile gloves when obtaining urine.
B. Although you continue to have menstrual periods, you b. Open the drainage bag and pour out the urine.
are unlikely to become pregnant. c. Disconnect the catheter from the tubing and get urine.
C. It is common for women to experience menopause in d. Aspirate urine from the tubing port using a sterile syringe.
their late 40’s 16. A client is receiving 115 ml/hr of continuous IVF. The nurse
D. Many women dread menopause because it is an notices that the venipuncture site is red and swollen. Which of the
unpleasant experience following interventions would the nurse perform first?
6. Jake is complaining of shortness of breath. The nurse assesses a. Stop the infusion
his respiratory rate to be 30 breaths per minute and documents b. Call the attending physician
that Jake is tachypneic. The nurse understands that tachypnea c. Slow that infusion to 20 ml/hr
means: d. Place a clod towel on the site
a. Pulse rate greater than 100 beats per minute 17. The nurse enters the room to give a prescribed medication but
b. Blood pressure of 140/90 the patient is inside the bathroom. What should the nurse do?
c. Respiratory rate greater than 20 breaths per minute a. Leave the medication at the bedside and leave the room.
d. Frequent bowel sounds b. After few minutes, return to that patient’s room and do not
7. The nurse listens to Mrs. Sullen’s lungs and notes a hissing leave until the patient takes the medication.
sound or musical sound. The nurse documents this as: c. Instruct the patient to take the medication and leave it at the
bedside.
a. Wheezes
, d. Wait for the patient to return to bed and just leave the
medication at the bedside.
18. Which of the following is inappropriate nursing action when
administering NGT feeding?
a. Place the feeding 20 inches above the pint if insertion of NGT.
b. Introduce the feeding slowly.
c. Instill 60ml of water into the NGT after feeding.
d. Assist the patient in fowler’s position.
19. A female patient is being discharged after thyroidectomy.
After providing the medication teaching. The nurse asks the
patient to repeat the instructions. The nurse is performing which
professional role?
a. Manager
b. Caregiver
c. Patient advocate
d. Educator
20. Which data would be of greatest concern to the nurse when
completing the nursing assessment of a 68-year-old woman
hospitalized due to Pneumonia?
a. Oriented to date, time and place
b. Clear breath sounds
c. Capillary refill greater than 3 seconds and buccal cyanosis
d. Hemoglobin of 13 g/dl
21. During a change-of-shift report, it would be important for the
nurse relinquishing responsibility for care of the patient to
communicate. Which of the following facts to the nurse assuming
responsibility for care of the patient?
a. That the patient verbalized, “My headache is gone.”
b. That the patient’s barium enema performed 3 days ago was
negative
c. Patient’s NGT was removed 2 hours ago
d. Patient’s family came for a visit this morning.
22. Which statement is the most appropriate goal for a nursing
diagnosis of diarrhea?
a. “The patient will experience decreased frequency of bowel
elimination.”
b. “The patient will take anti-diarrheal medication.”
c. “The patient will give a stool specimen for laboratory
examinations.”
d. “The patient will save urine for inspection by the nurse.
23. Which of the following is the most important purpose of
planning care with this patient?
a. Development of a standardized NCP.
b. Expansion of the current taxonomy of nursing diagnosis
c. Making of individualized patient care
d. Incorporation of both nursing and medical diagnoses in patient
care
24. Using Maslow’s hierarchy of basic human needs, which of the
following nursing diagnoses has the highest priority?
a. Ineffective breathing pattern related to pain, as evidenced by
shortness of breath.
b. Anxiety related to impending surgery, as evidenced by
insomnia.
c. Risk of injury related to autoimmune dysfunction
d. Impaired verbal communication related to tracheostomy, as
evidenced by inability to speak.
25. When performing an abdominal examination, the patient
should be in a supine position with the head of the bed at what
position?
a. 30 degrees
b. 90 degrees
c. 45 degrees
d. 0 degree
c. Gurgles
1. The parents of a 5-month old baby and a 3-year old child ask d. Vesicular
the nurse about the sequence and the timing of 8. Which approach to problem solving tests any number of
developmental milestones. Which of the following is the solutions until one is found that works for that particular
most appropriate response? problem?
A. “This infant should reach the milestones at the same a. Intuition
time as your older child.” b. Routine
B. “The infant may reach the milestones in a different c. Scientific method
order than your older child.” d. Trial and error
C. “The sequence of reaching each milestone should 9. What is the order of the nursing process?
follow the same pattern but may be at a different a. Assessing, diagnosing, implementing, evaluating, planning
rate.” b. Diagnosing, assessing, planning, implementing, evaluating
D. “There are no predictable patterns. Try to enjoy the c. Assessing, diagnosing, planning, implementing, evaluating
uniqueness of every child. d. Planning, evaluating, diagnosing, assessing, implementing
2. A nurse decides that a review of which of the following 10. During the planning phase of the nursing process, which of the
theorists would be helpful before teaching a preschool class following is the outcome?
(4-5 years old) about how to brush their teeth? a. Nursing history
A. Fowler b. Nursing notes
B. Erickson c. Nursing care plan
C. Gould d. Nursing diagnosis
D. Peck 11. What is an example of a subjective data?
3. Parents ask the nurse how they will know that their a. Heart rate of 68 beats per minute
daughter has reached puberty. The best response includes b. Yellowish sputum
which of the following? c. Client verbalized, “I feel pain when urinating.”
A. “The first noticeable sign of puberty is appearance of d. Noisy breathing
breasts bud.” 12. Which expected outcome is correctly written?
B. “The growth spurt usually begins between ages 10-14.” a. “The patient will feel less nauseated in 24 hours.”
C. “The apocrine glands, found over most of the body, b. “The patient will eat the right amount of food daily.”
begin to produce sweat.” c. “The patient will identify all the high-salt food from a prepared
D. “The adolescent will display significant mood swings.” list by discharge.”
4. During the physical assessment of a 24-month old baby d. “The patient will have enough sleep.”
clings to the parent and cries everytime the nurse touch her. 13. The theorist who believes that adaptation and manipulation of
From the knowledge of Psychosocial Development, the stressors are related to foster change is:
nurse knows that this: a. Dorothea Orem
A. Is normal in Toddler development b. Sister Callista Roy
B. Child needs further psychological evaluation c. Imogene King
C. Child is manipulative and should be taken from the d. Virginia Henderson
parent to examined 14. Becky is on NPO since midnight as preparation for blood test.
D. Is normal behavior for a 12-month old, but this child is Adreno-cortical response is activated. Which of the following is an
too old for this action and is showing signs of expected response?
regression a. Low blood pressure
5. Because a 45-year old woman is still worried that she still b. Warm, dry skin
has regular menstruation, she asks about menopause. c. Decreased serum sodium levels
Which of the following answers by the nurse is most d. Decreased urine output
appropriate? 15. What nursing action is appropriate when obtaining a sterile
A. Regular menses in a 45-year old woman should be urine specimen from an indwelling catheter to prevent infection?
promptly evaluated by gynecologists. a. Use sterile gloves when obtaining urine.
B. Although you continue to have menstrual periods, you b. Open the drainage bag and pour out the urine.
are unlikely to become pregnant. c. Disconnect the catheter from the tubing and get urine.
C. It is common for women to experience menopause in d. Aspirate urine from the tubing port using a sterile syringe.
their late 40’s 16. A client is receiving 115 ml/hr of continuous IVF. The nurse
D. Many women dread menopause because it is an notices that the venipuncture site is red and swollen. Which of the
unpleasant experience following interventions would the nurse perform first?
6. Jake is complaining of shortness of breath. The nurse assesses a. Stop the infusion
his respiratory rate to be 30 breaths per minute and documents b. Call the attending physician
that Jake is tachypneic. The nurse understands that tachypnea c. Slow that infusion to 20 ml/hr
means: d. Place a clod towel on the site
a. Pulse rate greater than 100 beats per minute 17. The nurse enters the room to give a prescribed medication but
b. Blood pressure of 140/90 the patient is inside the bathroom. What should the nurse do?
c. Respiratory rate greater than 20 breaths per minute a. Leave the medication at the bedside and leave the room.
d. Frequent bowel sounds b. After few minutes, return to that patient’s room and do not
7. The nurse listens to Mrs. Sullen’s lungs and notes a hissing leave until the patient takes the medication.
sound or musical sound. The nurse documents this as: c. Instruct the patient to take the medication and leave it at the
bedside.
a. Wheezes
, d. Wait for the patient to return to bed and just leave the
medication at the bedside.
18. Which of the following is inappropriate nursing action when
administering NGT feeding?
a. Place the feeding 20 inches above the pint if insertion of NGT.
b. Introduce the feeding slowly.
c. Instill 60ml of water into the NGT after feeding.
d. Assist the patient in fowler’s position.
19. A female patient is being discharged after thyroidectomy.
After providing the medication teaching. The nurse asks the
patient to repeat the instructions. The nurse is performing which
professional role?
a. Manager
b. Caregiver
c. Patient advocate
d. Educator
20. Which data would be of greatest concern to the nurse when
completing the nursing assessment of a 68-year-old woman
hospitalized due to Pneumonia?
a. Oriented to date, time and place
b. Clear breath sounds
c. Capillary refill greater than 3 seconds and buccal cyanosis
d. Hemoglobin of 13 g/dl
21. During a change-of-shift report, it would be important for the
nurse relinquishing responsibility for care of the patient to
communicate. Which of the following facts to the nurse assuming
responsibility for care of the patient?
a. That the patient verbalized, “My headache is gone.”
b. That the patient’s barium enema performed 3 days ago was
negative
c. Patient’s NGT was removed 2 hours ago
d. Patient’s family came for a visit this morning.
22. Which statement is the most appropriate goal for a nursing
diagnosis of diarrhea?
a. “The patient will experience decreased frequency of bowel
elimination.”
b. “The patient will take anti-diarrheal medication.”
c. “The patient will give a stool specimen for laboratory
examinations.”
d. “The patient will save urine for inspection by the nurse.
23. Which of the following is the most important purpose of
planning care with this patient?
a. Development of a standardized NCP.
b. Expansion of the current taxonomy of nursing diagnosis
c. Making of individualized patient care
d. Incorporation of both nursing and medical diagnoses in patient
care
24. Using Maslow’s hierarchy of basic human needs, which of the
following nursing diagnoses has the highest priority?
a. Ineffective breathing pattern related to pain, as evidenced by
shortness of breath.
b. Anxiety related to impending surgery, as evidenced by
insomnia.
c. Risk of injury related to autoimmune dysfunction
d. Impaired verbal communication related to tracheostomy, as
evidenced by inability to speak.
25. When performing an abdominal examination, the patient
should be in a supine position with the head of the bed at what
position?
a. 30 degrees
b. 90 degrees
c. 45 degrees
d. 0 degree
