Nur 325 Fundamentals Final Exam Review 2022

NUR 325 FUNDAMENTALS FINAL EXAM REVIEW 2022. This is an all-inclusive guide to NURS 325 to score A+. The nurse is teaching a new mother about the sleep requirements of a neonate. Which comment by the patient indicates a correct understanding of the teaching? Selected Answer: b. “I will ask my mom to come after the first week, when the baby is more alert.” Answers: a. “I can’t wait to get the baby home to play with the brothers and sisters.” b. “I will ask my mom to come after the first week, when the baby is more alert.” c. “I won’t be able to nap during the day because the baby will be awake.” d. “I can get the baby on a sleeping schedule the first week while my mom is here.”  Question 2 A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which statement made by the new graduate nurse requires the preceptor to intervene? Selected Answer: c. “Nursing assessment data are used only to provide information about the effectiveness of your medical care.” Answers: a. “Nurses use data from their patient’s physical assessment to determine a patient’s educational needs.” b. “I will use the information from my assessment to figure out if your antihypertensive medication is working effectively.” c. “Nursing assessment data are used only to provide information about the effectiveness of your medical care.” d. “Information gained from physical assessment helps nurses better understand their patients’ emotional needs.”  Question 3 The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient states, “I just don’t feel like going to work. I have no energy, and I can’t eat or sleep.” The patient shows no interest in taking part in the care by saying, “What’s the use?” Which response by the nurse is best? Selected Answer: b. It sounds like you have lost hope. Answers: a. It sounds like you have lost the ability to sleep. b. It sounds like you have lost hope. c. It sounds like you have lost your appetite. d. It sounds like you have lost energy.  Question 4 The nurse is suctioning a patient with a tracheostomy tube. Which action will the nurse take? Selected Answer: b. Limit the length of suctioning to 10 seconds. Answers: a. Liberally lubricate the end of the suction catheter with a watersoluble solution. b. Limit the length of suctioning to 10 seconds. c. Set suction regulator at 150 to 200 mm Hg. d. Apply suction while gently rotating and inserting the catheter.  Question 5 A woman is in labor and refuses to receive any sort of anesthesia medication. Which alternative treatment is best for this patient? Selected Answer: b. Relaxation and guided imagery Answers: a. Pudendal block (regional anesthesia) b. Relaxation and guided imagery c. Transcutaneous electrical nerve stimulation (TENS) d. Herbal supplements with analgesic effects  Question 6 A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis? Selected Answer: d. “It is important to do breathing exercises every hour to prevent atelectasis.” Answers: a. “Atelectasis affects only those with chronic conditions such as emphysema.” b. “If I develop atelectasis, I will need a chest tube to drain excess fluid.” c. “Hyperventilation will open up my alveoli, preventing atelectasis.” d. “It is important to do breathing exercises every hour to prevent atelectasis.”  Question 7 Which patient is most in need of a nurse’s referral to adoption services? Selected Answer: a. An infertile couple religiously opposed to artificial insemination Answers: a. An infertile couple religiously opposed to artificial insemination b. A woman considering abortion for an unwanted pregnancy c. A woman who suffered miscarriage during her first pregnancy d. An infertile couple who has been attempting conception for 3 months  Question 8 Having misplaced a stethoscope, a nurse borrows a colleague’s stethoscope. The nurse next enters the patient’s room and identifies self, washes hands with soap, and states the purpose of the visit. The nurse performs proper identification of the patient before auscultating the patient’s lungs. Which critical health assessment step should the nurse have performed? Selected Answer: c. Cleaning stethoscope with alcohol Answers: a. Draping stethoscope around the neck b. Running warm water over stethoscope c. Cleaning stethoscope with alcohol d. Rubbing stethoscope with betadine  Question 9 A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement? Selected Answer: d. Raising the head of the bed Answers: a. Withholding narcotic pain medication b. Administering laxatives to the patient c. Preparing to administer a barium enema d. Raising the head of the bed  Question 10 A nurse is inserting an indwelling urinary catheter for a male patient. Which action will the nurse take?