ADN 150 Final Exam Review Questions FULLY SOLVED & UPDATED

What answer choice is correct for the 3 spiritual needs? A. Need for love, need for sympathy, need for help B. Need for happiness, need for trust, need for carefulness C. Need for meaning/purpose, need for love/relatedness, need for forgiveness D. Need for change, need for purpose, need for belonging - answer-C. Need for meaning/purpose, need for love/relatedness, need for forgiveness Which is the best implementation for spiritual care? A. Telling the patient you do not believe in praying B. Praying with/for the patient C. Finding a new nurse for the patient D. Ignoring the patients wishes of praying - answer-B. Praying with/for the patient Primary source of heat loss is: A. Eliminating urine and feces B. Skin C. Evaporation of sweat D. Warming of humidifying inspired air - answer-B. Skin Cushing's Triad includes the presence of all these symptoms except: A. Bradycardia B. Widening pulse pressure C. Hypotension D. Irregular, decreased respirations - answer-C. Hypotension A patient who uses a fentanyl patch for chronic cancer pain complains of a rapid onset of pain. The patient rates this pain a 9 out of 10 and requests "something that works immediately." The patient is experiencing: A. Referred pain B. Neuropathic pain C. Somatic pain D. Breakthrough pain - answer-D. Breakthrough pain The nurse assesses a post-op patient who is receiving morphine via a PCA pump. Which information is most important to report to the health care provider? A. Patient complains of nausea after eating B. Patients respirations are 8/min C. Patient has not had a bowel movement in 2 days D. Patient has not voided since surgery. - answer-B. Patients respirations are 8/min What is the sense that perceives the solidity of objects and their size, shape, and texture? A. Olfactory B. Tactile C. Stereognosis D. Gustatory - answer-C. Stereognosis What is the conscious process of selecting, organizing, and interpreting data from the senses into meaningful information? A. Stimulus B. Sensory perception C. Kinesthesia D. Proprioception - answer-B. Sensory perception A nurse hears a client yelling for help from his room. The nurse runs to the client's room, the nurse's heart rate and oxygen demands have increased. What phase of the general adaptation syndrome (GAS) is best described by the nurse's physiologic changes? A. Alarm reaction B. Exhaustion C. Resistance D. Rest and recovery - answer-A. Alarm reaction A group of nursing students is learning about the body's response to stress. Which system is responsible for imitating the fight-or-flight response to stress? A. Parasympathetic nervous system B. Sympathetic nervous system C. Endocrine system D. Respiratory system - answer-B. Sympathetic nervous system Which muscle contraction exercise involves muscle contraction without shortening with either no movement or minimal shortening of muscle fibers such as what occurs when holding a yoga pose and contractions of the quadriceps and gluteal muscles? A. Isotonic exercise B. Isokinetic exercise C. Isometric exercise D. Aerobic exercise - answer-C. Isometric exercise What protective bed position involves a patient lying on their side with the lower arm behind them and the upper arm flexed at both the shoulder and the elbow with the main body weight being borne by the anterior aspect of the humerus, clavicle, and ilium? A. Fowler's position B. Sim's position C. Dorsal Recumbent position D. Prone position - answer-B. Sim's position A patient is experiencing dyspnea. What is the priority action for the nurse? A. Remove pillows from under the head B. Elevate the head of the bed C. Elevate the foot of the bed D. Take the patients' blood pressure - answer-B. Elevate the head of the bed While taking an adult's pulse, the nurse finds the patient's pulse to be 140 bpm. What should the nurse do next? A. Check the pulse again in 2 hours B. Check the patient's blood pressure C. Record the information D. Report the pulse rate to the primary care provider - answer-D. Report the pulse rate to the primary care provider What is the correct term for hair loss? A. Alopecia B. Baldness C. Halitosis D. Plaque - answer-A. Alopecia What is one benefit from bathing? A. To smell good B. To socialize C. To improve client-nurse relationship D. For the nurse to improve his/her skill - answer-C. To improve client-nurse relationship A nurse and doctor are discussing goals for a client who is post-operative. What type of communication is occurring between the nurse and doctor? A. Intrapersonal B. Interpersonal C. Organizational communication D. Small group - answer-B. Interpersonal A client who is post-operative complains of pain. The nurses uses a pain assessment scale asking the client to rate his pain from 1-10. This is an example of which type of question? A. Open question B. Closed question C. Validating question D. Reflective question. - answer-B. Closed question A nurse is inserting an oropharyngeal airway for a patient who vomits when it is inserted. Which action would be the first that should be taken by the nurse related to this occurrence? A. Turn the patient on the side and remove catheter B. Notify primary care provider C. Check the airway is the appropriate size for the patient D. Place patient on his or her back - answer-A. Turn the patient on the side and remove catheter The nurse assesses a client and detects the following findings: difficulty breathing, increased respiratory and pulse rates, and pale skin with regions of cyanosis. What condition would the nurse suspect as causing these respiratory alterations? A. Perfusion B. Hyperventilation C. Atelectasis D. Hypoxia - answer-D. Hypoxia When does an individual learn that the physical self is different from the environment? A. During preschool years B. During adolescence C. During school-age years D. During infancy - answer-D. During infancy The nurse is preparing to assess a client newly admitted to the behavioral health unit. Assessing the client's self-concept will focus questions related to? A. Body image B. History of hypertension C. Signs of infection D. Level of pain - answer-A. Body image A person who is experiencing snoring, and absence of breaths while sleeping may be suffering from what sleep disorder? A. Insomnia B. Obstructive sleep apnea C. Enuresis D. Hypersomnia - answer-B. Obstructive sleep apnea What is another name for sleep walking? A. Somnambulism B. Narcolepsy C. Parasomnia D. Insomnia - answer-A. Somnambulism The "S" in the ISBAR(R) reporting technique stands for: A. Specify B. System C. Situation D. Symptom - answer-C. Situation What information is not considered a breach of confidentiality or security? A. Discussing patient information in a public area with potential to be overheard B. Discussing patient information with another member of the team directly involved with patient's care C. Sharing passwords with other members of the staff D. Failing to log off a computer terminal after use - answer-B. Discussing patient information with another member of the team directly involved with patient's care A nurse is following the principles of medical asepsis when performing patient care in a hospital setting. Which nursing action performed by the nurse follows these recommended guidelines? A. The nurse carries the patients' soiled bed linens close to the body to prevent spreading microorganisms into the air. B. The nurse places soiled bed linens and hospital gowns on the floor when making the bed. C. The nurse moves the patient table away from the nurse's body when wiping it off after a meal. D. The nurse cleans the most soiled items in the patient's bathroom first and follows with the cleaner items. - answer-C. The nurse moves the patient table away from the nurse's body when wiping it off after a meal. The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile dressing change, a procedure that requires surgical asepsis. The nurse must: A. Keep splashes on the sterile field to a minimum. B. Cover the nose and mouth with gloved. hands if a sneeze is imminent. C. Use forceps soaked in a disinfectant. D. Consider the outer 1 inch of the sterile field as contaminated. - answer-D. Consider the outer 1 inch of the sterile field as contaminated. Which injection site utilizes the z track method? A. Subcutaneous B. Intramuscular C. Intradermal D. Intravenous - answer-B. Intramuscular A nurse is preparing discharge for a patient who has had abdominal surgery. What criteria does the patient need to exhibit that can ensure they can be discharged? A. Eat w/o nausea B. Bleeding cessation C. Have normal voiding/elimination D. Verbalize no pain - answer-C. Have normal voiding/elimination Which organization is the primary source of research for a nursing education? A. AACN B. Sigma theta tau international C. ANA D. NLN - answer-D. NLN A client has a pressure ulcer with a shallow, partial skin thickness, eroded area but no necrotic areas. The nurse would treat this area with which dressing? A. Alginate B. Hydrocolloid C. Dry gauze D. No dressing - answer-B. Hydrocolloid What type of incontinence is caused by the weakening of the pelvic floor muscle ? A. Urge B. Functional C. Stress D. Overflow - answer-C. Stress A patient who is scheduled to receive a hypertonic enema prior to the procedure. A hypertonic enema is classified as which type of enema ? A. Return-flow Enema B. Cleansing Enema C. Carminative Enema D. Retention Enema - answer-B. Cleansing Enema A nurse is preparing to teach a patient with asthma how to use his inhaler. Which teaching method would be the BEST choice to teach the patient this skill? A. Demonstration B. Lecture C. Discovery D. Panel session - answer-A. Demonstration The nurse is providing information for a client who will be providing self-care at home. The client states, "I don't think that I can do all of this. Its too much to learn." What is the best response by the nurse? A. "You will be just fine." B. "It's not difficult information, you just need to listen carefully to the instructions." C. "If you don't learn how to do it, who will take care of you?" D. "I understand that you feel overwhelmed with all of this information. Tell me what I can do to help." - answer-D. "I understand that you feel overwhelmed with all of this information. Tell me what I can do to help." What plays the most significant role in how people perceive themselves as sexual beings? A. Genitals B. Religion C. Culture D. Brain - answer-D. Brain In what order does the sexual response cycle occur? A. Orgasm, excitement, resolution, plateau B. Orgasm, plateau, excitement, resolution C. Excitement, plateau, orgasm, resolution D. Excitement, orgasm, resolution, plateau - answer-C. Excitement, plateau, orgasm, resolution A nurse is helping a patient reposition in bed & notices the patients heels are turning red. The nurse places the patient on precautions for skin breakdown. This would be an example of what type of planning? A. Initial Planning B. Standardized Planning C. Ongoing Planning D. Discharge Planning - answer-C. Ongoing Planning A nurse is writing the following outcome for a patient who is trying to stop smoking: " The patient states that he/she values a healthy lifestyle sufficiently to stop smoking". This is an example of what type of outcome? A. Cognitive B. Psychomotor C. Affective D. Physical change - answer-C. Affective Which is not a characteristic of a PPO? A. Provides an insurance company or employer with a health service at a discounted rate B. Provides clients with a choice of health care providers and services C. Tends to be slightly more expensive than HMO plan D. National health insurance program for adults over 65 - answer-D. National health insurance program for adults over 65 Which of these increases Basic Metabolic Rate (BMR)? A. Hyperthyroidism B. Short, overweight body build C. Age (older than 60) D. Hypothyroidism - answer-A. Hyperthyroidism The nursing process ensures that nurses are person centered rather than task centered. Rather than simply approaching a patient to take vital signs, the nurse thinks, "How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals? How can we better help her?" This demonstrates which characteristic of the nursing process? A. Systematic B. Interpersonal C. Dynamic D. Universally applicable in nursing situations - answer-B. Interpersonal A nurse makes a clinical judgment that an African American man in a stressful job is more vulnerable to developing hypertension than a White man in the same or similar situation. The nurse has formulated what type of nursing diagnosis? A. Actual B. Risk C. Possible D. Wellness - answer-B. Risk An RN on a surgical unit is behind schedule administrating medications. Which of the RN's other tasks can be safely delegated to a UAP? A. The assessment of a patient who has just arrived on the unit. B. Teaching a patient with newly diagnosed diabetes about foot care. C. Documentation of a patient's I&O on the flow chart. D. Helping a patient who has recently undergone surgery out of bed for the first time. - answer-C. Documentation of a patient's I&O on the flow chart. A nurse manager of a busy cardiac unit observes disagreements between the RNs and the LPNs related to schedules and nursing responsibilities. At a staff meeting, the manager compliments all the nurses on a job well done and points out that expected goals and outcomes for the month have been met. The nurse concludes the meeting without addressing the disagreements between the two groups of nurses. Which conflict resolution strategy is being employed by this manager? A. Collaborating B. Competing C. Compromising D. Smoothing - answer-D. Smoothing