Question 2
Nursing fundamentals FINAL EXAM. A woman has had a breast removed to treat cancer. What type of loss will she most likely experience?
- a) Actual loss
- b) Perceived loss
- c) Maturational loss
- d) Anticipatory loss
Question 3
A nurse caring for critically-ill clients uses interventions to help clients maintain a sense of self. Which of the following are recommended interventions? Nursing fundamentals FINAL EXAM
- a) Disregard the client’s status.
- b) Do not use touch out of respect for the client’s privacy.
- c) Converse with the client about his life experience.
- d) Do not acknowledge or allow expression of negative feelings.
Question 4 Nursing fundamentals FINAL EXAM
A nurse providing palliative care for a dying man and his family. The nurse understands the goal of palliative care is what?
- a) To aggressively treat the disease
- b) To provide care for the dying in the home
- c) To aggressively treat the symptoms of the disease
- d) To support the family of the dying client
Question 5
A nursing student is writing an article for publication. What should be included at the very beginning to provide a brief summary of the article including the purpose of the study, a description of the subjects, data collection, data analysis, and a summary of important findings?
- a) Background
- b) Methods
- c) Discussion
- d) Abstract
Question 6
A nurse is caring for a client who is a celebrity in the area and unintentionally violates the principle of confidentiality. Which of the following would be considered a breach of confidentiality?
- a) Notifying the on-call physician about a lab result
- b) Sharing concerns about the client with the charge nurse
- c) Sharing information with a family friend who is very concerned about the client
- d) Discussing information about the client’s mobility with the physical therapist
Question 7
A child gains weight and becomes taller each year. What is this process called? Nursing fundamentals FINAL EXAM
- a) Development
- b) Orderly change
- c) Progression
- d) Growth
Question 11
Which statement by the nursing student demonstrates understanding of Florence Nightingale’s influence on nursing knowledge?
- a) Nightingale defined nursing practice as the continuation of medical practice.
- b) Nightingale differentiated between health nursing and illness nursing.
- c) Nightingale established training for nurses with a strict curriculum designed by doctors.
- d) Nightingale established a theoretical base for nursing that originated from medical practice.
Question 19
Which of the following is an example of intuitive thinking in nursing?
- a) A nurse notices subtle changes in a patient’s condition and intervenes before clinical signs of deterioration appear.
- b) A nurse reviews the latest evidence-based guidelines before developing a care plan.
- c) A nurse creates a step-by-step checklist to ensure the proper administration of a new medication.
- d) A nurse consults a physician to confirm the next steps for an unfamiliar patient situation.
Question 20
Which of the following statements by the nurse reflects ethnocentrism in nursing practice?
- a) “I believe my cultural practices are superior and should be adopted by everyone.”
- b) “Can you explain more about your cultural beliefs so I can provide better care?”
- c) “I understand that each client’s cultural background shapes their health practices.”
- d) “It is important to adapt nursing care to meet the unique cultural needs of clients.”
Question 21
A nurse promises the end of life client that she will keep her free of pain. However, the family wishes to try a treatment to prolong life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?
- a) Fidelity
- b) Veracity
- c) Justice
- d) Autonomy
Question 22
A nurse has a duty of nonmaleficence. Which of the following would be considered a contradiction to that duty?
- a) Providing comfort measures for a terminally ill client
- b) Assisting the client with ADL’s
- c) Allowing the immobile client to lay supine for 8 hours
- d) Providing all information related to procedures
Which of the following models of health and illness views health as a constantly changing state, with high-level wellness and death being on opposite ends of a graduated scale?
- a) Health-Illness Continuum
- b) Agent-Host-Environment Model
- c) Health Belief Model
- d) Health Promotion Model
120
A nurse is caring for a patient who has a sedentary lifestyle and poor dietary habits. Using the Health Promotion Model, which nursing intervention is the priority?
- a) Administering medication for hypertension.
- b) Assisting the patient to develop a plan for regular physical activity.
- c) Teaching the patient about the pathophysiology of diabetes.
- d) Referring the patient to a surgeon for weight loss surgery.
Question 121
A patient with a chronic illness is being treated in a community clinic. Which of the following is a characteristic of chronic illness?
- a) It has a rapid onset of symptoms.
- b) it lasts for a short period of time.
- c) It requires long-term management and care.
- d) It is always cured with medical treatment.
Question 122
When applying the Agent-Host-Environment Model, which of the following is considered the host?
- a) A person with a suppressed immune system.
- b) A virus causing an infection.
- c) A contaminated water source.
- d) A cold climate.
Question 137
While caring for a client near the end of life and unresponsive, a student talks to her. Another student asks why she is talking to someone who is dying. Which response would be accurate? Select all that apply.
- a) “Hearing is one of the last senses to go”.
- b) “I don’t know; the charge nurse told me to”.
- c) “It is proper to treat every patient with respect even when they are in the dying process”.
- d) “If I keep talking, maybe he/she will not die”.
- e) “It is appropriate to provide comfort in talking to a dying client”.
Question 138
The nurse is assessing his client’s self-concept. The client is status post-myocardial infarction and is due to be discharged tomorrow. Which of the following focuses will give the nurse the most information about the client’s self-concept? Select all that apply.
- a) Body image
- b) Gender identity
- c) Self-esteem
- d) Role performance
- e) Sexual orientation
Question 139
A client visits the health care facility for a scheduled physical assessment. What should the nurse do when physically assessing the quality of the client’s oxygenation? Select all that apply.
- a) Monitor the client’s respiratory rate.
- b) Note the amount of oxygen administered.
- c) Check the symmetry of the client’s chest.
- d) Observe the breathing pattern and effort.
- e) Check the devices used to deliver oxygen.
Question 140
What are some factors that affect micturition? Select all that apply.
- a) Medications
- b) Food and fluid intake
- c) Cultural Practice
- d) Developmental considerations
- e) Geographical location
Question 141
A graduate nurse starts a new job on an acute care nursing floor. Which statements below describe the nurse applying critical thinking to clinical reasoning and judgment in nursing practice? Select all that apply.
- a) The nurse is guided by standards, policies and procedures, ethics codes, and the state nurse practice act.
- b) The nurse demonstrates the use of the nursing process, problem solving, and the scientific method.
- c) The nurse identifies key problems, issues, and risks involved.
- d) The nurse includes the client only in the decision-making process.
- e) The nurse accepts the results of decisions made and does not open his or her mind to other options.
Question 142
For which persons are death certificates necessary? Select all that apply.
- a) Death from an infectious disease
- b) Death at home from a known disease
- c) Unexpected death
- d) Murder victims
- e) Death after age 65 years
