Fundamentals of Nursing Final Exam Test Bank 2022 ,,,,,,,,,, ,,,,,,,,,, ,, ,,,, ,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,,
Chap11 ,
Question 1 ,,,,,,,,,,
Thestudent islearning thesteps ofthe nursing process.What isthe firstthing that thestudent should reali
, , , ,,,, , ,,,,, , ,,,,, ,,,,, , , , ,,,,,, , ,,,, ,,,, , ,,,,,,,,,, ,,,,,,,,,,
ze about the purpose of this process?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, , ,,,,,,,,,,
1. Delivercaretoaclient in anorganized way. , , , , ,,,, ,,,,,, ,,, ,,,
2. Implement aplan that is close to the medical model. ,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,,,,,,,, ,,,,, ,,,,,,
3. Identifyclient needs and deliver careto meet thoseneeds. , ,,,,,,,,,, ,,,,, ,, ,,,, ,,,, ,,,,,,,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,
4. Makesurethatstandardizedcareisavailabletoclients. Cor , , , , , , , , ,,,,,,,,,,
rect Answer: 3 ,,,,,,,,,, ,,,,,,,,,,
Question 2 ,,,,,,,,,,
While conducting a dressing change, the nurse notes a new area of skin breakdown that was cause
,,,,,,,, ,, ,,,,,,,,,, ,,,, ,,,,,, ,,, ,,,,,,, ,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,, , ,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,, ,,,,,
d from the tapeused to securethe dressing. In which phase o f the nursing process is the nurse working?
,,,, ,,,,, ,,,,, ,, ,,,,,, ,,,, , ,,,,,, ,,,,,,,,,, ,,,, ,,,, ,,, ,,,,, ,,, ,,,,,, ,,,,,, ,,,,, ,,,,,,,,,, , ,,,,,,,,,
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
CorrectAnswer:1 , ,
Question 3 ,,,,,,,,,,
Duringan assessment, aclient who isnotverytalkative appears pale, diaphoretic, andrestlessin the bed,
, ,,,,,, ,,,, , ,, , , , , ,, ,,, ,,, ,,,,,, , , ,,, ,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
and says leave me alone. Which subjective data should the nurse document?
,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,, ,,,,,,,,,,
1. Restlessness
2. Leaveme alone , ,,,,,,, ,,,
3. Not talkative ,,,,
4. Paleanddiaphoretic , , ,,,,,,,,, ,
Correct Answer: 2 ,,,,,,,,,, ,,,,,,,,,,
Question 4 ,,,,,,,,,,
Familyofaclientdemonstrating confusionstatethatthisis nottheclientsusualbehavior.How should the
, , , , ,,,,,,,,,, , , , , , , , , , , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
nurse document this data? ,,,,, ,,,,, ,,,,,,,,,, ,,,,,,,,,,
,1. Inference
2. Subjectivedata ,
3. Objectivedata ,
4. Secondarysubjectivedata , , ,,,,,,,,,,
Correct Answer: 3 ,,,,,,,,,, ,,,,,,,,,,
Question 5 ,,,,,,,,,,
The nurse provides a back rub to a client after administering apain medication with the hope that these
,,, ,,,, ,,,,,,,,,, ,,,, ,,,,,,,,,, ,,,, ,,,,,,,,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,, ,,,,, ,,,,,,,,,, ,,,,,,,,,,
two actions will help decrease the clients pain. Which phase of the nursing process is this nurse im
,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,, ,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, , ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, , ,,,,,,,,,,
plementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
CorrectAnswer:3 , ,
Question 6 ,,,,,,,,,,
Anewclient has beenadmittedtothecarearea. How soonshould thenurse plantocomplete a physical as
, , ,,, ,,,, ,,, ,, ,, , , ,,, ,, ,, ,,,,, , ,,,,,, ,,,, ,, ,,, ,,,,,,,,,, ,,,,,,,,,,
sessment on this patient? ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. 1 hour ,,,,,,,,,,
2. 12 hours ,,,,,,,,,,
3. 48 hours ,,,,,,,,,,
4. 24 hours ,,,,,,,,,,
CorrectAnswer:4 , ,
Question 7 ,,,,,,,,,,
Thenurseisadmitting aninfant to the carearea.The parents andgrandmother arepresent.What should t
, , , ,,,,,, , ,,,,,,,,,, ,,,, ,, , , ,,, ,,,,,,,,,, , ,,,,, , , ,,,,,,,,,, , ,,,,,,,,,
he nurse use as the best source of data for this client?
,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,,
1. Medicalrecord fromthe childbirth ,,, ,,,,,,,,,, ,,, ,,,,,,,,, ,
2. Grandmother
3. Parents
4. Admittingphysician ,
CorrectAnswer:3 , ,
,Question 8 ,,,,,,,,,,
Anewlyadmittedclient isangrybecausenursingstaffcontinuetoaskthesamequestions. What should th
, , , , , , , , , , , , , , , ,,,,,,,,,, ,,,,,,,,,,
e nurse respond to this client?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. Inorder to make sure all of your information is complete, Ineed to ask these questions.
,,, ,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, , ,,,,,,,,,, ,,,,, ,,,,,,,,, ,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,
2. Youreright.Letmeknowiftheres anythingyou need rightnow. , , , , , , ,,, , ,,, ,,, ,
3. Ill be doneshortly, just give mea few more minutes. ,,,,, ,,, , ,,,,,,,,,, ,, ,,,,,,,, ,, , ,,,,,,,,,, ,,,,,, ,,,
4. Youshouldntbeupset.Wereonlydoingourjobs. Cor , , , , , , , , ,,,,,,,,,,
rect Answer: 2 ,,,,,,,,,, ,,,,,,,,,,
Question 9 ,,,,,,,,,,
The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to dire
,,,,,,,,,, , ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, ,,, ,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
ct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand gestures
,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, , ,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
)inconversationwithspouse. Whichmethodofdatacollectiondoes this documentation demonstrate?
, ,,, ,,, , , , , , , , ,,, ,,, ,,,,,,, ,,,
1. Examining
2. Interviewing
3. Listening
4. Observing
CorrectAnswer:4 , ,
Question 10 ,,,,,,,,,,
A nursehasworkedinthetraumacriticalcare areaforseveral years. Which noisemay become indiscrimi
,,,, , , , , , , ,,, ,,, , , ,,, ,,,,,, ,, , ,,, ,,,,,,,,,,
nate for this particular nurse? ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. Aclientwith audible breathing , , ,,,,,, ,,,,,
2. Moaning of aclient in pain ,,,,,,,,,, ,,,,,,,,, ,, ,,,, ,,,,,,,,, ,
3. Whirring o fventilators ,,,, ,,,
4. Co-
orkersdiscussingtheirclientsconditions Correct , , , , ,,,,,,,,,, ,,,,,,,,,,
Answer: 3 ,,,,,,,,,,
Question11 ,
Aclienthas beenusingthe call light routinely throughout the evening. Uponentering the room, the nurs
, , ,,, ,,,, , ,,,,,, ,,,,,, ,, ,,,,, ,,,, ,,,, ,,, ,,,, ,,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
e observes the following details. Organize them according to priority sequencing (1 is first priority
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,,
; 5 is least priority).
,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,,
StandardText: Click and drag the options below to movethem upordown. , ,,,,,,,,,, ,,,,,, ,,,,, ,,,,, ,,,,, ,,, ,,,,,,,,,, ,,, ,, , ,,,,,,,,,, ,, ,,
, Choice 1. The family is at the bedside. Choice ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,
2.TheIVpumpisrunningonbattery.
, , , , , , ,
Choice3.TheECGmonitorshowstachycardia. Choice 4 , , , , , , ,,,,,,,,,, ,,,,,,,,,,
. The client reports being restless.
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
Choice5.O2tubingisnotattachedtowallregulator. Corre , , , , , , , , , ,,,,,,,,,,
ct Answer: 3, 4, 5, 2, 1
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
Question 12 ,,,,,,,,,,
Duringaninitialinterview,theclientsays IdontunderstandwhyIhaveto havesurgery; Im really not th
, , , , , , ,,,,,, , , , ,,,, , , ,,, , ,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,,
at sick or in pain right now. How should the nurse respond to the client?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,, ,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. Its OK to beworried. Surgery is a big step. ,,,, ,,,,,,,,,, ,,,,,,,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,,
2. What kind ofquestions do you have about your surgery? ,,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,,,, ,,,,
3. Ithink theseare things you should be asking yourdoctor.
, ,, ,,,,,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,
4. Haveyouhadsurgerybefore? C , , , , , ,,,,,,,,,
orrect Answer: 2 ,,,,,,,,,, ,,,,,,,,,,
Question 13 ,,,,,,,,,,
Thenurseis completing a health history with a client who has complications from chronic asthma. W
, , ,,,,, ,,,,,,,,,, ,, ,,,, ,,,, ,,,, ,,, ,,,, ,,,, ,,,,,, ,,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,,
hich open-ended question should the nurse use?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, , ,,,,,,,,,
1. Howwould you describe yoursleep pattern? , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, , ,,,,,,,,,,
2. Can you describe your coughing pattern? ,,,,,,,,,, ,,,,,, ,,, ,,,,, ,,,,,,,,,,
3. Isthere anything that makes yourbreathing worse?
,, ,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,, , ,,,,,, ,,,,
4. What medicationsareyouon? C , , , , ,,,,,,,,,,
orrect Answer: 1 ,,,,,,,,,, ,,,,,,,,,,
Question 14 ,,,,,,,,,,
The nurseis assessing a client levelo fpain. Which open-
,,, , ,,,,, ,,, ,,, ,, ,,,, , , ,,,,,,
ended question should thenurseusefor this situation? ,,,,, ,,,,,, ,,,,, , , , ,,,,,,,,,, ,,,,,,,,,,
1. Is your pain worse at night? ,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,,
2. What brought you to the clinic? ,,,,,,,,,, ,,, ,,,,, ,,,,, ,,,,,,,,,, ,,,,
3. Howhas the pain impacted your life? , ,,,,,,,,,, ,, ,,,,,,,,,, ,,,, ,,,,,,,,,,
4. Yourefeeling downabouthaving pain,arent you? , ,,, , , ,,, , ,
Chap11 ,
Question 1 ,,,,,,,,,,
Thestudent islearning thesteps ofthe nursing process.What isthe firstthing that thestudent should reali
, , , ,,,, , ,,,,, , ,,,,, ,,,,, , , , ,,,,,, , ,,,, ,,,, , ,,,,,,,,,, ,,,,,,,,,,
ze about the purpose of this process?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, , ,,,,,,,,,,
1. Delivercaretoaclient in anorganized way. , , , , ,,,, ,,,,,, ,,, ,,,
2. Implement aplan that is close to the medical model. ,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,,,,,,,, ,,,,, ,,,,,,
3. Identifyclient needs and deliver careto meet thoseneeds. , ,,,,,,,,,, ,,,,, ,, ,,,, ,,,, ,,,,,,,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,
4. Makesurethatstandardizedcareisavailabletoclients. Cor , , , , , , , , ,,,,,,,,,,
rect Answer: 3 ,,,,,,,,,, ,,,,,,,,,,
Question 2 ,,,,,,,,,,
While conducting a dressing change, the nurse notes a new area of skin breakdown that was cause
,,,,,,,, ,, ,,,,,,,,,, ,,,, ,,,,,, ,,, ,,,,,,, ,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,, , ,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,, ,,,,,
d from the tapeused to securethe dressing. In which phase o f the nursing process is the nurse working?
,,,, ,,,,, ,,,,, ,, ,,,,,, ,,,, , ,,,,,, ,,,,,,,,,, ,,,, ,,,, ,,, ,,,,, ,,, ,,,,,, ,,,,,, ,,,,, ,,,,,,,,,, , ,,,,,,,,,
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
CorrectAnswer:1 , ,
Question 3 ,,,,,,,,,,
Duringan assessment, aclient who isnotverytalkative appears pale, diaphoretic, andrestlessin the bed,
, ,,,,,, ,,,, , ,, , , , , ,, ,,, ,,, ,,,,,, , , ,,, ,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
and says leave me alone. Which subjective data should the nurse document?
,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,, ,,,,,,,,,,
1. Restlessness
2. Leaveme alone , ,,,,,,, ,,,
3. Not talkative ,,,,
4. Paleanddiaphoretic , , ,,,,,,,,, ,
Correct Answer: 2 ,,,,,,,,,, ,,,,,,,,,,
Question 4 ,,,,,,,,,,
Familyofaclientdemonstrating confusionstatethatthisis nottheclientsusualbehavior.How should the
, , , , ,,,,,,,,,, , , , , , , , , , , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
nurse document this data? ,,,,, ,,,,, ,,,,,,,,,, ,,,,,,,,,,
,1. Inference
2. Subjectivedata ,
3. Objectivedata ,
4. Secondarysubjectivedata , , ,,,,,,,,,,
Correct Answer: 3 ,,,,,,,,,, ,,,,,,,,,,
Question 5 ,,,,,,,,,,
The nurse provides a back rub to a client after administering apain medication with the hope that these
,,, ,,,, ,,,,,,,,,, ,,,, ,,,,,,,,,, ,,,, ,,,,,,,,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,, ,,,,, ,,,,,,,,,, ,,,,,,,,,,
two actions will help decrease the clients pain. Which phase of the nursing process is this nurse im
,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,, ,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, , ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, , ,,,,,,,,,,
plementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
CorrectAnswer:3 , ,
Question 6 ,,,,,,,,,,
Anewclient has beenadmittedtothecarearea. How soonshould thenurse plantocomplete a physical as
, , ,,, ,,,, ,,, ,, ,, , , ,,, ,, ,, ,,,,, , ,,,,,, ,,,, ,, ,,, ,,,,,,,,,, ,,,,,,,,,,
sessment on this patient? ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. 1 hour ,,,,,,,,,,
2. 12 hours ,,,,,,,,,,
3. 48 hours ,,,,,,,,,,
4. 24 hours ,,,,,,,,,,
CorrectAnswer:4 , ,
Question 7 ,,,,,,,,,,
Thenurseisadmitting aninfant to the carearea.The parents andgrandmother arepresent.What should t
, , , ,,,,,, , ,,,,,,,,,, ,,,, ,, , , ,,, ,,,,,,,,,, , ,,,,, , , ,,,,,,,,,, , ,,,,,,,,,
he nurse use as the best source of data for this client?
,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,,
1. Medicalrecord fromthe childbirth ,,, ,,,,,,,,,, ,,, ,,,,,,,,, ,
2. Grandmother
3. Parents
4. Admittingphysician ,
CorrectAnswer:3 , ,
,Question 8 ,,,,,,,,,,
Anewlyadmittedclient isangrybecausenursingstaffcontinuetoaskthesamequestions. What should th
, , , , , , , , , , , , , , , ,,,,,,,,,, ,,,,,,,,,,
e nurse respond to this client?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. Inorder to make sure all of your information is complete, Ineed to ask these questions.
,,, ,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, , ,,,,,,,,,, ,,,,, ,,,,,,,,, ,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,
2. Youreright.Letmeknowiftheres anythingyou need rightnow. , , , , , , ,,, , ,,, ,,, ,
3. Ill be doneshortly, just give mea few more minutes. ,,,,, ,,, , ,,,,,,,,,, ,, ,,,,,,,, ,, , ,,,,,,,,,, ,,,,,, ,,,
4. Youshouldntbeupset.Wereonlydoingourjobs. Cor , , , , , , , , ,,,,,,,,,,
rect Answer: 2 ,,,,,,,,,, ,,,,,,,,,,
Question 9 ,,,,,,,,,,
The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to dire
,,,,,,,,,, , ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, ,,, ,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
ct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand gestures
,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, , ,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
)inconversationwithspouse. Whichmethodofdatacollectiondoes this documentation demonstrate?
, ,,, ,,, , , , , , , , ,,, ,,, ,,,,,,, ,,,
1. Examining
2. Interviewing
3. Listening
4. Observing
CorrectAnswer:4 , ,
Question 10 ,,,,,,,,,,
A nursehasworkedinthetraumacriticalcare areaforseveral years. Which noisemay become indiscrimi
,,,, , , , , , , ,,, ,,, , , ,,, ,,,,,, ,, , ,,, ,,,,,,,,,,
nate for this particular nurse? ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. Aclientwith audible breathing , , ,,,,,, ,,,,,
2. Moaning of aclient in pain ,,,,,,,,,, ,,,,,,,,, ,, ,,,, ,,,,,,,,, ,
3. Whirring o fventilators ,,,, ,,,
4. Co-
orkersdiscussingtheirclientsconditions Correct , , , , ,,,,,,,,,, ,,,,,,,,,,
Answer: 3 ,,,,,,,,,,
Question11 ,
Aclienthas beenusingthe call light routinely throughout the evening. Uponentering the room, the nurs
, , ,,, ,,,, , ,,,,,, ,,,,,, ,, ,,,,, ,,,, ,,,, ,,, ,,,, ,,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
e observes the following details. Organize them according to priority sequencing (1 is first priority
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,,
; 5 is least priority).
,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,,
StandardText: Click and drag the options below to movethem upordown. , ,,,,,,,,,, ,,,,,, ,,,,, ,,,,, ,,,,, ,,, ,,,,,,,,,, ,,, ,, , ,,,,,,,,,, ,, ,,
, Choice 1. The family is at the bedside. Choice ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,
2.TheIVpumpisrunningonbattery.
, , , , , , ,
Choice3.TheECGmonitorshowstachycardia. Choice 4 , , , , , , ,,,,,,,,,, ,,,,,,,,,,
. The client reports being restless.
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
Choice5.O2tubingisnotattachedtowallregulator. Corre , , , , , , , , , ,,,,,,,,,,
ct Answer: 3, 4, 5, 2, 1
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
Question 12 ,,,,,,,,,,
Duringaninitialinterview,theclientsays IdontunderstandwhyIhaveto havesurgery; Im really not th
, , , , , , ,,,,,, , , , ,,,, , , ,,, , ,,,,, ,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,,
at sick or in pain right now. How should the nurse respond to the client?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,, ,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,, ,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,,
1. Its OK to beworried. Surgery is a big step. ,,,, ,,,,,,,,,, ,,,,,,,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,,
2. What kind ofquestions do you have about your surgery? ,,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,, ,,, ,,,,,,,,, ,,,,
3. Ithink theseare things you should be asking yourdoctor.
, ,, ,,,,,,,, , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,
4. Haveyouhadsurgerybefore? C , , , , , ,,,,,,,,,
orrect Answer: 2 ,,,,,,,,,, ,,,,,,,,,,
Question 13 ,,,,,,,,,,
Thenurseis completing a health history with a client who has complications from chronic asthma. W
, , ,,,,, ,,,,,,,,,, ,, ,,,, ,,,, ,,,, ,,, ,,,, ,,,, ,,,,,, ,,,,, ,,,,,, ,,,,,,,,,, ,,,,,,,,,,
hich open-ended question should the nurse use?
,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,,, ,,,, ,,,,,,,,,, , ,,,,,,,,,
1. Howwould you describe yoursleep pattern? , ,,,,,,,,,, ,,,,,,,,,, ,,,,,,,,,, , ,,,,,,,,,,
2. Can you describe your coughing pattern? ,,,,,,,,,, ,,,,,, ,,, ,,,,, ,,,,,,,,,,
3. Isthere anything that makes yourbreathing worse?
,, ,,,, ,,,,,,,,,, ,,,,,,,,,, ,,,,, , ,,,,,, ,,,,
4. What medicationsareyouon? C , , , , ,,,,,,,,,,
orrect Answer: 1 ,,,,,,,,,, ,,,,,,,,,,
Question 14 ,,,,,,,,,,
The nurseis assessing a client levelo fpain. Which open-
,,, , ,,,,, ,,, ,,, ,, ,,,, , , ,,,,,,
ended question should thenurseusefor this situation? ,,,,, ,,,,,, ,,,,, , , , ,,,,,,,,,, ,,,,,,,,,,
1. Is your pain worse at night? ,, ,,,,,,,,, ,,,,,,,,,, ,,,,,,,,, ,,,,,,,,,,
2. What brought you to the clinic? ,,,,,,,,,, ,,, ,,,,, ,,,,, ,,,,,,,,,, ,,,,
3. Howhas the pain impacted your life? , ,,,,,,,,,, ,, ,,,,,,,,,, ,,,, ,,,,,,,,,,
4. Yourefeeling downabouthaving pain,arent you? , ,,, , , ,,, , ,
