100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
FINAL 116 NURSING FUNDAMENTALS Questions with complete solution 2024 $13.49   Add to cart

Exam (elaborations)

FINAL 116 NURSING FUNDAMENTALS Questions with complete solution 2024

 6 views  0 purchase
  • Course
  • PNR 116
  • Institution
  • PNR 116

FINAL 116 NURSING FUNDAMENTALS Questions with complete solution 2024 The nurse would write which of the following outcome statements for a client starting an exercise program? A. Client will walk quickly three times a day B. Client will be able to walk a mile C. Client will have no alteration i...

[Show more]

Preview 4 out of 102  pages

  • August 23, 2024
  • 102
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PNR 116
  • PNR 116
avatar-seller
Academia199
FINAL 116 NURSING FUNDAMENTALS
The nurse would write which of the following outcome statements for a client
starting an exercise program?
A. Client will walk quickly three times a day
B. Client will be able to walk a mile
C. Client will have no alteration in breathing during the walk
D. Client will progress to walking a 20-minute mile in one month - correct
answer ✔D. Client will progress to walking a 20-minute mile in one month


Which of the following items of subjective client data would be documented in
the medical record by the nurse?A. Client's face is pale
B. Cervical lymph nodes are palpable
C. Nursing assistant reports client refused lunch
D. Client feel nauseated - correct answer ✔D. Client feel nauseated


The client reports nausea and constipation. Which of the following would be
the priority nursing action?
A. Collect a stool sample
B. Complete an Abdominal assessment
C. Administer an anti-nausea medication
D. Notify the physician - correct answer ✔B. Complete an Abdominal
assessment


Which of the following descriptors is most appropriate to use when stating the
"problem" part of a nursing diagnosis?
A. Grimacing
B. Anxiety

,C. Oxygenation saturation 93%
D. Output 500 mL in 8 hours - correct answer ✔B. Anxiety


Which desired outcome written by the nurse is correctly written and
measurable?
A. Client will have a normal bowel pattern by April 2
B. The client will lose 4 lbs. within next 2 weeks
C. The nurse will provide skin care at least 3 times each day
D. The client will breathe better after resting for 10 minutes - correct answer
✔B. The client will lose 4 lbs. within next 2 weeks


The nursing diagnosis is Risk for impaired skin integrity related to immobility
and pressure secondary to pain and presence of a cast. Which of the
following desired outcomes should the nurse include in the care plan?
A. Client will be able to turn self by day 3
B. Skin will remain intact and without redness during hospital stay
C. Client will state pain relieved within 30 minutes after medication
D. Pressure will be prevented by repositioning client every 2 hours - correct
answer ✔B. Skin will remain intact and without redness during hospital stay


Once a nurse assesses a client's condition and identifies appropriate nursing
diagnoses, a:_______
A. Plan is developed for nursing care.
B. Physical assessment begins
C. List of priorities is determined.
D. Review of the assessment is conducted with other team members. - correct
answer ✔A. Plan is developed for nursing care.

,Planning is a category of nursing behaviors in which:
A. The nurse determines the health care needed for the client.
B. The Physician determines the plan of care for the client.
C. Client-centered goals and expected outcomes are established.
D. The client determines the care needed. - correct answer ✔C. Client-
centered goals and expected outcomes are established.


Priorities are established to help the nurse anticipate and sequence nursing
interventions when a client has multiple problems or alterations. Priorities are
determined by the client's:
A. Physician
B. Non Emergent, non-life threatening needs
C. Future well-being.
D. Urgency of problems - correct answer ✔D. Urgency of problems


When establishing realistic goals, the nurse:
A. Bases the goals on the nurse's personal knowledge.
B. Knows the resources of the health care facility, family, and the client
C. Must have a client who is physically and emotionally stable.
D. Must have the client's cooperation. - correct answer ✔B. Knows the
resources of the health care facility, family, and the client


The following statements appear on a nursing care plan for a client after a
mastectomy: Incision site approximated; absence of drainage or prolonged
erythema at incision site; and client remains afebrile. These statements are
examples of:
A. Nursing interventions
B. Short-term goals

, C. Long-term goals
D. Expected outcomes. - correct answer ✔D. Expected outcomes.


The planning step of the nursing process includes which of the following
activities?
A. Assessing and diagnosing
B. Evaluating goal achievement.
C. Performing nursing actions and documenting them.
D. Setting goals and selecting interventions. - correct answer ✔D. Setting
goals and selecting interventions.


The RN has received her client assignment for the day-shift. After making the
initial rounds and assessing the clients, which client would the RN need to
develop a care plan first?
A. A client who is ambulatory.
B. A client, who has a fever, is diaphoretic and restless.
C. A client scheduled for OT at 1300.
D. A client who just had an appendectomy and has just received pain
medication. - correct answer ✔B. A client, who has a fever, is diaphoretic
and restless.


Which type of assessment is performed to obtain data about an actual,
potential, or possible problem that has been identified or is suspected?
A.Initial assessment
B.Focused assessment
C.Global assessment
D.Special needs assessment - correct answer ✔B.Focused assessment

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Academia199. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79650 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart