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Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 1 Exam Questions with Correct Verified Answers, Already Passed! (Complete & Accurate)$11.49
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Nursing 101 Fundamentals of Nursing
Practice Exam 1, Part 1 Exam Questions
with Correct Verified Answers, Already
Passed! (Complete & Accurate)
Which data would be of greatest concern to the nurse when
completing the nursing assessment of a 68-year-old woman
hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
D. Haemoglobin of 13 g/dl - ANS ✓C. Capillary refill greater than 3
seconds and buccal cyanosis
Capillary refill greater than 3 seconds and buccal cyanosis indicate
decreased oxygen to the tissues which requires immediate
attention/intervention. Oriented to date, time and place, haemoglobin
of 13 g/dl are normal data.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing - ANS ✓C.
Assessing, diagnosing, planning, implementing, evaluating
Nursing 101 Fundamentals
, 2
Nursing
The correct order of the nursing process is assessing, diagnosing,
planning, implementing, evaluating.
Which of the following is the most important purpose of planning care
with a patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient
care - ANS ✓C. Making of individualized patient care
To be effective, the nursing care plan developed in the planning phase
of the nursing process must reflect the individualized needs of the
patient.
What nursing action is appropriate when obtaining a sterile urine
specimen from an indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe - ANS
✓D. Aspirate urine from the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile
syringe to obtain a urine specimen. Opening a closed drainage system
increase the risk of urinary tract infection.
Nursing 101 Fundamentals
, 3
Nursing
Jake is complaining of shortness of breath. The nurse assesses his
respiratory rate to be 30 breaths per minute and documents that Jake
is tachypneic. The nurse understands that tachypnoea means:
A. Pulse rate greater than 100 beats per minute
B. Blood pressure of 140/90
C. Respiratory rate greater than 20 breaths per minute
D. Frequent bowel sounds - ANS ✓C. Respiratory rate greater than 20
breaths per minute
A respiratory rate of greater than 20 breaths per minute is tachypnea.
A blood pressure of 140/90 is considered hypertension. Pulse greater
than 100 beats per minute is tachycardia. Frequent bowel sounds
refer to hyper-active bowel sounds.
Formulating a nursing diagnosis is a joint function of:
A. Patient and relatives
B. Nurse and patient
C. Doctor and family
D. Nurse and doctor - ANS ✓B. Nurse and patient
Although diagnosing is basically the nurse's responsibility, input from
the patient is essential to formulate the correct nursing diagnosis.
The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or
musical sound. The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
Nursing 101 Fundamentals
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