Fundamentals of Nursing

A client working in a steel factory complains of being uncomfortable with the level of noise at work. What information shouldn't he nurse provide this client?

- "Wear protective ear devices"

An RN is conducting classes for nursing students. A student asks the RN about the importance of projecting a professional image. What should the RN's response include?

- "it helps the nurse represents his or her school",- "It helps maintain the safety of the client", -"It helps protect the rights o the nurse"

A female candidate for nursing wishes to enroll in courses offered to women by the YWCA. Which course would she be able to pursue in the YWCA?

- A 3-month program to train women in simple nursing care

Which of the following clients admitted to a healthcare center, should the nurse identify as belonging to a "vulnerable" category?

- A 65-year-old diabetic, -A 79-year-old man with goiter, -A 15-year-old mentally illy boy with tetanus

What nursing interventions should the nurse perform for a client who is receiving nutritional support through tube feedings?

- Administer water in case of inadequate hydration, -Replace the feeding bag according to hospital policy, -Check for signs such as dry mouth or fever

An advanced practice nurse is interested in achieving an ANCC certificate. To do this, which course should the nurse specialize in?

- Adult nursing

Which are the environmental issues affecting health that the nurse should be aware of?

- Air pollutants, -Toxic chemicals, -Radon poisoning

Which is a feature of Medicare?

- Allows payment through monthly premiums

Which of the following activities is a nurse involved in during the implementation phase?

- Applying nursing knowledge and skills to promote and maintain health, - Assisting the client and family with activities of daily living, -Following the rules prescribed by the RN

A nurse caring for a client recognizes the client's need for spiritual support. Which intervention should the nurse perform?

- Ask the client to contact a spiritual leader

A client who works as a carpenter sustained serious injuries to his hands in an accident and is now spending many sleepless nights worries about how his injury will affects his future. What should the nurse do?

- Assess the client to regain positive self-esteem by encouraging independence

A Buddhist client with depression visits the healthcare center. Which principles of Buddhism can the nurse use to help the client overcome depression?

- Attain pain-free existence

A client who is recovering from surgery has been prescribed supplemental nourishment. When should the nurse provide supplemental nourishment?

- Between meals

A nurse is required to monitor the health status of a community. Which factors should the nurse consider to determine community health?

- Birth rate, -Mortality rate, -Teen pregnancy

How does cultural sensitivity help a nurse provide better care?

- By understanding and accepting others behaviors.

Which has been the most influential among the latest nursing trends?

- Changes in nursing education, -Limitations on payment for healthcare, -Lifestyle factors and greater life expectancy

A student nurse is taking care of clients in along-term care facility. Which category of clients would require long-term care?

- Clients with chronic illnesses

The nurse is caring for a client who was exposed to extreme heat during an accidents in a factory. What nursing intervention is important to ensure that the client meets the need for temperature regulation?

- Closely monitor the client's temperature

Which should the nurse identify as being regulated by the Food and Drug Administration (FDA)?

- Complex medical devices, -Medications, -Radiation-emitting products

A nurse in maternity ward has been assigned the responsibility of teaching clients the precautions and practices to be followed for healthy living. Which activity is the nurse expected to perform to achieve this task?

- Conduct prenatal classes during pregnancy

A nurse is caring for an elderly client in a home care setting. What is the nurse's responsibility during the routine nutritional care in this case?

- Conducting nutritional screenings and counseling

A client with constipation is prescribed a high-fiber diet. What are the problems associated with a high-fiber diet?

- Cramping and diarrhea

Which of the following benefits are obtained as a result of using a Telehealth service?

- Decreased unscheduled visits to the healthcare provider

The daughter of a client who is being sustained on a life support system mentions to the nurse that the client has written a living will. What does the living will allow the client to do?

- Demand that no artificial life-sustaining methods be used in his case

A nurse is assigned to asses the condition of a client with hypertension. Which step of the nursing process should the nurse perform before she develops goals for care and possible activists to meet them?

- Diagnosis

A client with gastric ulcer has been prescribed a bland diet by the healthcare provider. What instructions should the nurse provide to this client?

- Eat smaller, more frequent meals, -Avoid lying down for 1 hour after meal, -Avoid the intake of milk-based foods

A nurse working in a healthcare center in the U.S has observed that many clients have bad eating habits. What are some of the programs the nurse can implement to improve the diet of these clients?

- Educate clients about healthy choices for school lunches, -Facilitate work sure nutritional programs, -Encourage home-delivered meals for the elderly

A nurse is teaching a group of corporate executives about the available incentive programs that encourage employees to practice healthy habits. Which health practice should the nurse discuss?

- Employee undergoes regular physical examinations

What precautions should a nurse take while using food trays to help a client met nutritional needs in a healthcare setting?

- Ensure that the client's name band matched the name on the food tray, -Ensure that the client's information is checked against the posted diet list, -Ensure that the tray is labeled with the client's name and room number

When Florence Nightingale entered the battlefield near Scutari, Turkey, she and the nurses had few supplies and little outside support. Which intervention did nightingale insist on, which immediately reduced the mortality rate?

- Establishing sanitary conditions

A nurse is caring for a Muslim-Arab female client. Which is the most expected reaction of the client when the nurse is conducting an assessment?

- Exhibits no facial expressions

A nurse who has been newly recruited to a healthcare facility is expected to give competent and efficient care to the clients.for what kinds of offense could a nurse be health liable?

- Failing to report defective or malfunctioning equipment, -Failing to meet established standards of safe care for clients, -Failing to prevent injury to clients, other employees, and visitors.

A nurse is caring for a client with a chronic disease at the client's home. Why should the nurse put greater emphasis on teaching the client and family?

- Family members may need to operate sophisticated equipment

What symptoms present in a client would determine brain death?

- Fixed or dilated pupils

A nurse is caring for a client with end-stage renal disease. Fluid intake is restricted in this client. Which of the following is the most important factor that should be monitored by the nurse?

- Flood intake and output

A client's family requires the help of a representative in obtaining required services. Which service is the representative required to perform?

- Helping the client's family find housing

Which is the main functions of the World Health Organization (WHO)?

- Helps countries during natural disasters

Several individuals influenced nursing during the medieval and ancient periods. Which individual established the first gerontological facility?

- Hippocrates

Which change did the Greeks bring about in the field of nursing?

- Hospitals or hotels were set up to care for the sick.

The nurse has advised the client to perform various physical activities. What are the benefits of physical activity?

- Improves flexibility, -Increases levels of good cholesterol, -Helps manage diabetes

Which factor should the nurse recognize as a general abuse of infection?

- Invasion by harmful microorganisms

A 70-year-old woman completes a health history for her annual physical exam. Which factor has the greatest effect on bone density loss ins postmenopausal women?

- Loss of estrogenic hormones

What type of diet is prescribed for a client with pancreatic and gallbladder disease?

- Low-fat diet

A nurse is taking a health history and is aware that the clique not believes in a health belief system dominated by supernatural forces. Which health belief system is dominated by supernatural forces?

- Magico-religious

After heart surgery, a client has severe weakness. What nursing intervention ensures that the client's nutritional status is maintained?

- Maintaining calorie counts

Which is a feature of chiropractic therapy?

- Manipulation of the spinal column and joints

Which is a role of an advanced practice nursing in a Community health center?

- Maternal and prenatal care

Which type of diet should the nurse order for a client with oral problems?

- Mechanical soft diet

A client wants to know how the nurse would effectively dispose of biohazardous materials. What should the nurse's response include?

- Medical equipment companies provide containers and bags

Which office of the Office of Public Health and Science (OPHS) provides health information to both consumers and healthcare professionals?

- National health information center

Many nursing programs base their curricula on nursing theories. These theoretical frame works provide reasons and purposes for nursing actions. What is the Florence Nightingale's theory of nursing called?

- Natural healing

The nurse is caring for a group of older adults. Which nursing intervention for these clients basic physiologic needs?

- Performing a safety check in the home environments

What attributes should the nurse possess for a successful career?

- Personal convictions , -Flexibility , -Good education

What should the nurse keep in mind when serving food to a client in a healthcare facility?

- Present the food in an attractive and appetizing manner

A nurse is caring for employees at an automobile spare parts factory. Which intervention is most applicable for this nurse?

- Preventing accidents

Some principles of the Nightingale schools of nurses are still taught today. What key principles are as increasingly important today, as in Nightingale's time, in a healthcare system in which client's conditions are more medically complex and clients move quickly from one healthcare system to another?

- Prevention is better than cure, - Working as a member of a team , -Teaching is a part of nursing

A nurse is appointed to care for a Muslim client. What beliefs for practices should the nurse base ware of when dealing with this client?

- Prohibit pork and alcohol

Which os a role of the American Public Health Association (APHA)?

- Provides better personal and environmental health

Which of a focus area of nursing research supported by the National Institute of Nursing Research (NINR)?

- Reduction of risks for disease and disability

Which type of nurse supervises the care of clients in a skilled nursing facility (SNF)?

- Registered nurse (RN)

A nurse in the pediatric care unit of a hospital discovers that the scale for weighing babies is giving errors in its readings. What should the nurse do?

- Report errors in the weighing scale to the concerned authorities

An LV/LPN is newly appointed in a hospital. Which function would this nurse be involved in?

- Reporting a client's condition to the RN

A licensed practical nurse caring for a client understands that the planning phase of the nursing process. Which steps are involved in the planning phase?

- Reporting information gained from assessment/data collection

A client has experienced a stroke. Which fo the following human needs is addressed first?

- Safety and security

The nurse is legally bound to report any suspected abuse in clients. A client reports spousal battering. Which is the primary basic need that the nurse knows is threatened by abuse?

- Safety and security

Which is the responsibility of hate United States Public Health Service (USPHS)?

- Sanitation control

A nurse is assigned to care for a client who has been rendered homeless due to a natural disaster. Which should the nurse identify as the primary need of the client?

- Security and safety

which need should the nurse identify as a second-level needs for client sin a general ward according to Maslow's hierarchy of needs?

- Security and safety

A client has been admitted into care in a unconscious state with hypothermia. Which of the following symptoms should the nurse identify as the body's mechanisms to regulate the body temperature?

- Shivering, -Goose flesh, -Perspiration

Which is the standard set by the Occupational Safety and Health Administration (OSHA) for ensuring education and protection of health care workers?

- Standard to prevent musculoskeletal disorders

Which body has legislative power to initiate, regulate, and enforce the provisions of the Nurse Practice Act?

- State Board of Nursing

A client is opting for treatment using Therapeutic Touch. Which action will be performed by a Therapeutic Touch practitioner?

- Teaching the client about the energy field

A nurse is trying to identify which of her client has achieved self-actual inaction. what characteristics should the nurse observes the client for?

- The client is comfortable enough to plan ahead and be creative, -The client is able to cope with life's situations, deal with failure, and be free of anxiety. , -The client has a sense of humor, is self-controlled and deals with stress in productive ways.

An LPN has recently moved to a new state and is seeking employment. What law does the LPN need to be aware of?

- The nurse must hold a license to practice nursing.

A nurse is assigned to work in a healthcare facility in an area with a culture with which she is unfamiliar. Which assessments should the nurse perform as part of transcultural nursing?

- The nurse's own cultural background, -Language and communication patterns of the client, -Religious beliefs and practices of the client

Which of the following are the rights of a hospitalized client regarding nursing care?

- To know the identity of nurses, including the student nurses, -To know the financial implications of treatment choices and available payment methods, -To have all communications and records pertaining to the client's healthcare treated as confidential

A nurse is practicing at a healthcare center. Why would the nurse require additional education and skills while working in this environment?

- To specialize in a particular field

Which is included in the 10 leading health indicator in the United States?

- Tobacco use

An Asian couple visits the healthcare center with heir 2-year-old child's, who has a mild temperature. In relation to beliefs about personal space and touching, what approach should the nurse take when caring for this client?

- Touch the child on the arm

The National Association for Practical Nurse Education and Services (NAPNES) has listed some of the standards of nursing practice of the LV/LPN, including which of the following?

- Using appropriate knowledge skills, and abilities, -Using principles of nursing to meet clients needs , -Executing principles of crisis intervention to maintain safety

Nurses work in a variety of healthcare facilities. Which of the following types of healthcare facilities include community services?

- Walk in care, - Home healthcare, -Care in schools and facilities

Nursing during wartime has long been important. During which was did the first emergency training of nurses occur?

- World War I

Which is included in the 10 leading caused of morbidity and mortality in the united states?

- cancer

The client comes to urgent care and provides the nurses with a brief history. Which illness should the nurse identify as acute?

- cold

A nurse was practicing as an LPN without a license. What does his offense amount to?

- felony

A nurse photographs a cancer client without his knowledge or prior permission and sends the photographs to a healthcare magazine. What does this action on the part of the nurse amount to?

- libel

A nurse administers the wrong medication to a client, and the client is harmed as a result of this medication. For what type of offense might the night be liable?

- malpractice

A client wants to know the reason for the higher percentage of non-whites diagnosed with mental illness in the United States. What should be included in the nurse's response?

- poverty

A client has a health belief that the physical and biomedical processes control life. Which health belief are the physical and biomedical processes studied and manipulated to control life?

- scientific

A nurse is providing respite care for a client. Which of the following services will the nurse provide?

-Part-time supervision of client with chronic medical conditions, -Relief for the primary caregivers of the client, -Part-time supervision of clients with mental illness

There are several types of nursing education that lead to licensure as a practical/vocational nurse. Which practical/vocational nursing schools are eligible to take licensure examination?

-State, -Commonwealth, - Territory, -Province