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PN 112L NURSING FUNDAMENTALS I Final Exam Key
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PN 112L NURSING FUNDAMENTALS I Final Exam Key
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Final Exam1. When asked to give an example of complementary therapies, the nurse gives:
Using imagery along with pain medication to increase comfort.
2. When the patient asked the nurse about the use of acupuncture for the control of back pain, the
nurse warned that acupuncture can put the patient at risk for:
Hepatitis
3. A nurse is caring for a patient admitted for electrolyte imbalance who has been practicing
Ayurveda, a traditional Hindu system of medicine. The nurse should inform the physician that
the patient is practicing this traditional form of medicine, because Ayurveda:
Uses purgatives as part of the treatment
4. An elderly Hispanic male was admitted with a severe headache and is anxious. The patient tells
the nurse that he was given the mal de ojo. The culturally competent nurse understands that
mal de ojo means that the patient believes that he:
Was given the evil eye, which is thought to cause weeping and headache.
5. A patient asks about the difference between imagery and meditation. The nurse explains that
imagery uses a visual stimulus that can decrease stress, whereas meditation:
Involves focusing on a single repetitive stimulus, altering consciousness.
6. A patient who is a heavy smoker has been told by the physician to stop smoking, but does not
want to use a smoking cessation patch. The nurse suggests that the most effective alternative is:
Hypnosis
7. A patient who is in labor is having anxiety and sobs with each contraction. The nurse decides to
use imagery to calm the patient by:
Having the patient close her eyes and picture herself in her favorite place.
8. A patient who has job-related stress and chronic back pain wants to start exercising but dislikes
physical activity. The nurse suggests that the most beneficial therapy for this patient is:
Yoga therapy
9. The home health nurse helps a patient schedule an appointment with a chiropractor because of
chronic back pain, instructing the patient that the chiropractor treatment will involve:
Manipulation of the spine
10. The nurse is assessing a patient and finds that the patient is taking ephedra for weight control.
The finding that is most likely attributable to ephedra is:
BP 180/98 mm Hg, pulse rate 130 beats/min
11. When an asthmatic patient asks the nurse about using aromatherapy oils for decreasing stress,
the nurse expresses concern to the patient about:
Possible allergic reaction to the oils.
12. The nurse is alert to avoid using blocks to effective communication that include: (Select all that
apply)
Changing the subject
Giving advice
Asking probing questions
Using Clichés
13. The nurse outlines the four phases of nociceptive pain as: (Select all that apply)
Transduction
Transmission
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, Modulation
Perception
14. A nurse says to a patient, “I am going to take your TPR, and then I’ll check to see whether you
can have PRN analgesic.” In considering factors that affect communication, the nurse has:
Used medical jargon, which might not be understood by the patient.
15. A nurse using active listening techniques would:
Use nonverbal cues such as leaning, forward, focusing on the speaker’s face, and slightly
nodding to indicate that the message has been heard.
16. When the patient says, “I don’t want to go home.” The nurse’s best therapeutic verbal response
would be:
“You don’t want to go home?”
17. To begin talking with a newly admitted patient about pain management, the nurse would most
appropriately state:
“Tell me about the pain you been having.”
18. When a patient begins crying during a conversation with the nurse about the patient’s upcoming
surgery for possible malignancy, the nurse’s most therapeutic response would be:
“Here is a tissue. I’d like to sit here for a while if you want to talk.”
19. To enhance the establishment of rapport with a patient, the nurse should:
Act in a trustworthy and reliable manner; respect the individuality of the patient.
20. The nurse has selected in outcome for the patient to eat all or the food on the breakfast tray
each day. Assessing that the patient has eaten all of the breakfast, The nurse would give positive
feedback by saying:
“Hurray! You finished your whole meal! What would you like for tomorrow?”
21. A 67-year-old woman had major abdominal surgery yesterday. She has IV lines, a urinary
catheter, and an abdominal wound dressing, and she is receiving PRN pain medication. The end
of shift report that best conveys the patient status is:
“Abdominal dressing dry, IVs—800 mL left in #6; NS running at 125 mL/hr; urine output
800 mL this shift; had morphine 15 mg for pain at 8:00 am and at 1:30pm. She’s
comfortable now. Vital signs are stable, no fever.
22. An aspect of computer uses in patient care in which the LPN may need to be proficient includes:
Input of data such as requests for radiographs or laboratory services.
23. The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she
explains the procedure to the patient. To best promote learning, her next step should be to:
Have the patient practice the procedure with the nurse helping.
24. In teaching an 82-year-old patient to perform a dressing change to be done at home after
discharge, the nurse would adjust the teaching session to:
Slow the pace and frequently ask questions to assess comprehension
25. The nurse is aware that the knowledge deficit of a postpartum patient with her first child can be
safely addressed by the community nurse after discharge is:
Weaning the child from breast-feeding. (Priority teaching what comes after d/c)
26. The nurse will choose the best time to continue postoperative teaching regarding wound care
and dressings, which would be:
When the patient is comfortable and receptive to the teaching.
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