Fundamentals of Nursing NCLEX Practice Quiz 4

Fundamentals of Nursing NCLEX Practice Quiz 4 (20 Items) ScienceMedicineNursing Jemila_Haynes Save Nclex questions for Fundamentals o...71 terms Maggie84_Preview Nursing 101 Fundamentals of Nursin...49 terms grace_ramirez Preview Fundamentals of Nursing NCLEX Qu...30 terms agee_tPreview Fundam Teacher lesl Critical thinking and the nursing process have which of the following in common? Both:

• Are important to use in nursing practice
• Use an ordered series of steps
• Are patient-specific processes
• Were developed specifically for nursing
• Are important to use in nursing practice

In which step of the nursing process does the nurse analyze data and identify client problems?

• Assessment
• Diagnosis
• Planning outcomes
• Evaluation
• Diagnosis

In which phase of the nursing process does the nurse decide whether her actions have successfully treated the client's health problem?

• Assessment
• Diagnosis
• Planning outcomes
• Evaluation

Evaluation

What is the most basic reason that self-knowledge is important for nurses? Because it helps the nurse to:

• Identify personal biases that may affect his thinking and actions
• Identify the most effective interventions for a patient
• Communicate more efficiently with colleagues, patients, and families
• Learn and remember new procedures and techniques
• Identify personal biases that may affect his thinking and actions

Arrange the steps of the nursing process in the sequence in which they generally occur.

• Assessment
• Evaluation
• Planning outcomes
• Planning interventions
• Diagnosis

Assessment, Diagnosis, Planning Outcomes, Planning Interventions, Evaluation How are critical thinking skills and critical thinking attitudes similar? Both are:

• Influences on the nurse's problem solving and decision making
• Like feelings rather than cognitive activities
• Cognitive activities rather than feelings
• Applicable in all aspects of a person's life
• Influences on the nurse's problem solving and decision making

The nurse is preparing to admit a patient from the emergency department. The transferring nurse reports that the patient with chronic lung disease has a 30+ year history of tobacco use. The nurse used to smoke a pack of cigarettes a day at one time and worked very hard to quit smoking. She immediately thinks to herself, "I know I tend to feel negatively about people who use tobacco, especially when they have a serious lung condition; I figure if I can stop smoking, they should be able to. I must remember how physically and psychologically difficult that is, and be very careful not to let be judgmental of this patient." This best illustrates:

• Theoretical knowledge
• Self-knowledge
• Using reliable resources
• Use of the nursing process
• Self-knowledge

Which organization's standards require that all patients be assessed specifically for pain?

• American Nurses Association (ANA)
• State nurse practice acts
• National Council of State Boards of Nursing (NCSBN)
• The Joint Commission
• The Joint Commission

Which of the following is an example of data that should be validated?

• The urinalysis report indicates there are white blood cells in the urine.
• The client states she feels feverish; you measure the oral temperature at 98°F.
• The client has clear breath sounds; you count a respiratory rate of 18.
• The chest x-ray report indicates the client has pneumonia in the right lower lobe.
• The client states she feels feverish; you measure the oral temperature at 98°F.

Which of the following is an example of appropriate behavior when conducting a client interview?

• Recording all the information on the agency-approved form during the interview
• Asking the client, "Why did you think it was necessary to seek health care at this time?"
• Using precise medical terminology when asking the client questions
• Sitting, facing the client in a chair at the client's bedside, using active listening
• Sitting, facing the client in a chair at the client's bedside, using active listening

The nurse wishes to identify nursing diagnoses for a patient. She can best do this by using a data collection form organized according to: Select all that apply.

• A body systems model
• A head-to-toe framework
• Maslow's hierarchy of needs
• Gordon's functional health patterns
• Maslow's hierarchy of needs
• Gordon's functional health patterns

The nurse is recording assessment data. She writes, "The patient seems worried about his surgery. Other than that, he had a good night." Which errors did the nurse make? Select all that apply.

• Used a vague generality
• Did not use the patient's exact words
• Used a "waffle" word (e.g., appears)
• Recorded an inference rather than a cue
• Used a vague generality
• Used a "waffle" word (e.g., appears)
• Recorded an inference rather than a cue

A patient is admitted with shortness of breath, so the nurse immediately listens to his breath sounds. Which type of assessment is the nurse performing?

• Ongoing assessment
• Comprehensive physical assessment
• Focused physical assessment
• Psychosocial assessment
• Focused physical assessment

The nurse is assessing vital signs for a patient just admitted to the hospital. Ideally, and if there are no contraindications, how should the nurse position the patient for this portion of the admission assessment?

• Sitting upright
• Lying flat on the back with knees flexed
• Lying flat on the back with arms and legs fully extended
• Side-lying with the knees flexed
• Sitting upright

For all body systems except the abdomen, what is the preferred order for the nurse to perform the following examination techniques?

• Palpation
• Auscultation
• Inspection
• Percussion

Inspection, Palpation, Percussion, Auscultation The nurse is assessing a patient admitted to the hospital with rectal bleeding. The patient had a hip replacement 2 weeks ago. Which position should the nurse avoid when examining this patient's rectal area?

• Sims'
• Supine
• Dorsal recumbent
• Semi-Fowler's
• Sims'

How should the nurse modify the examination for a 7-year-old child?

• Ask the parents to leave the room before the examination.
• Demonstrate equipment before using it.
• Allow the child to help with the examination.
• Perform invasive procedures (e.g., otoscopic) last.
• Demonstrate equipment before using it.

The nurse must examine a patient who is weak and unable to sit unaided or to get out of bed. How should she position the patient to begin and perform most of the physical examination?

• Dorsal recumbent
• Semi-Fowler's
• Lithotomy
• Sims'
• Semi-Fowler's