Exam (elaborations) Fundamentals Final Review NUR 1022C (NUR1022C)

.Fundamentals Final Review


Question 1
A nurse manager has a staff nurse who observes certain religious holidays. The manager tries to make
sure that these observances can be met if possible. Which value is the manager practicing?
1. Human dignity
2. Social justice
3. Autonomy
4. Altruism


Question 2
Parents of a terminally ill child have decided to remove their child from life support, a decision that has
met with little positive support. Which nursing action demonstrates autonomy regarding the parents’
decision?
1. Showing respect for the family
2. Respecting the parents’ decision
3. Referring the parents to social services
4. Asking to be assigned to a different client


Question 3
A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. Which
statement should the nurse make that demonstrates the theory of principles-based reasoning?
1. “This client is of sound mind and is capable of making his own decisions regarding health care.
It really is his decision to make.”
2. “I need to try and help the family understand the client’s decision so they can work through
this situation together.”
3. “This client’s health is so deteriorated that the treatment is not saving his life. It is prolonging
the ultimate outcome, which is his death.”
4. “The client understands his decision and the advanced stage of his disease. If he quits treatment, he
will die.”


Question 4

, .Fundamentals Final Review
A decision has been made for an older client to receive aggressive cancer therapy despite
knowing that the therapy will actually be more harmful than the disease and subject the client to
harmful chemicals. With which ethical principle is this nurse caring for this client struggling?
1. Autonomy
2. Justice
3. Beneficence
4. Nonmaleficence


Question 5
When completing a community assessment, the community health nurse will take several aspects into
account. What is the first stage of this assessment that the nurse will complete?
1. Learn about the people in the community.
2. Understand the major illnesses present in the community.
3. Identify the boundaries of the community.
4. Make sure resources are available in the community.


Question 6
A public health nurse is working with a group of home health nurses in an isolated, mountainous region
where access to smaller communities and individuals is quite difficult, especially in the winter and early
spring—seasons when the health needs of these individuals are quite high. The public health nurse has set
up video conferencing and video clinics for these home health nurses regarding various client teaching
and health promotion activities. What activity did the public health nurse conduct?
1. Community-based nursing
2. Parish nursing
3. Telenursing
4. Collaborative health care


Question 7
The nurse is providing care to a group of clients. For which situation would the nurse’s use of critical
thinking be a priority?
1. Administering IV push meds to critically ill clients
2. Educating a home health client about treatment options
3. Teaching new parents car seat safety

, .Fundamentals Final Review
4. Assisting an orthopedic client with the proper use of crutches


Question 8
A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3°F,
chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory
compromise?
1. Deductive reasoning
2. Inductive reasoning
3. Socratic questioning
4. Critical analysis


Question 9
The nurse who just moved from an urban area to a sparsely populated rural area understands that certain
customs and practices the nurse follows may be quite foreign to the people in the new area. Which
attitude of critical thinking is the nurse demonstrating?
1. Fair-mindedness
2. Insight into egocentricity
3. Intellectual humility
4. Intellectual courage to challenge the status quo and rituals


Question 10
The nurse implements a quicker way to set up and initiate an intravenous infusion while still following
safe practice. Which attitude of critical thinking is this nurse practicing?
1. Independence
2. Intellectual courage to challenge the status quo or rituals
3. Integrity
4. Confidence


Question 11
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.

, .Fundamentals Final Review
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.


Question 12
The nurse provides a back rub to a client after administering a pain medication with the hope that these
two actions will help decrease the client’s pain. Which phase of the nursing process is this nurse
implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation


Question 13
The nurse is admitting an infant to the care area. The parents and grandmother are present. What should
the nurse use as the best source of data for this client?
1. Medical record from the child’s birth
2. Grandmother
3. Parents
4. Admitting physician


Question 14
The nurse documents: “Client avoids eye contact and gives only vague, nonspecific answers to direct
questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand gestures) in
conversation with spouse.” Which method of data collection does this documentation demonstrate?
1. Examining
2. Interviewing
3. Listening
4. Observing


Question 15