FREE NURSING AND STUDY GAMES ABOUT

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FREE NURSING AND STUDY GAMES ABOUT

FUNDAMENTALS TEST 2

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -59 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A group of nurses is discussing the advantages of using computerized provider order entry (CPOE). Which of the following statements indicates that the nurses understand the major advantage of using CPOE?

Answer:

"CPOE reduces transcription errors.Question 2: Your patient has just been told that she has cancer, and she is crying. Which actions facilitate therapeutic communication? (Select all that apply.)

Answer:

Pulling the curtain to provide privacy; Offering to discuss information about her condition; Sitting quietly by her bed and hold her hand Question 3: Which of the following statements correctly describe the evaluation process?(Select all that apply.)

Answer:

Evaluation is an ongoing process.; Evaluation involves making clinical decisions.; Evaluation requires the use of assessment skills.

Question 4: A manager who is reviewing the nurses' notes in a patient's medical record finds the following entry, "Patient is difficult to care for, refuses suggestion for improving appetite." Which of the following directions does the manager give to the staff nurse

Answer:

Enter only objective and factual information about the patient.Question 5: A patient with limited English proficiency is going to be discharged on new medication. How does the nurse complete the discharge teaching?

Answer:

Obtains an interpreter to facilitate communication of medication information Question 6: During the review of systems in a nursing history, a nurse learns that the patient has been coughing mucus. Which of the following nursing assessments would be best for the nurse to use to confirm a lung problem? (Select all that apply.)

Answer:

Physical examination with auscultation of the lungs; Medical record summary of x-ray film findings Question 7: Mrs. Jones states that she gets anxious when she thinks about giving herself insulin. How do you use your understanding of intrapersonal communication to help with this?

Answer:

Coach her to give herself positive messages about her ability to do this Question 8: You are giving a hand-off report to another nurse who will be caring for your patient at the end of your shift. Which of the following pieces of information do you include in the report? (Select all that apply.)

Answer:

The patient's name, age, and admitting diagnosis; Allergies to food and medications; That the patient's pain rating went from 8 to 2 on a scale of 1 to 10 after receiving 650 mg of Tylenol Question 9: When does implementation begin as the fourth step of the nursing process?

Answer:

After the care plan has been developed Question 10: A nurse is reviewing a patient's list of nursing diagnoses in the medical record.The most recent nursing diagnosis is diarrhea related to intestinal colitis. This is an incorrectly

stated diagnostic statement, best described as:

Answer:

Identifying the medical diagnosis instead of the patient's response to the diagnosis.

Question 11: The nurse summarizes the conversation with the patient to determine if the patient has understood him or her. This is what element of the communication process?

Answer:

Feedback Question 12: When assessing a 45-year-old patient's sensory status, which of the following assessment findings does the nurse consider a normal part of aging?

Answer:

Presbyopia and the need for glasses for reading Question 13: The nurse has a patient who is short of breath and calls the health care provider using SBAR (Situation-Background-Assessment-Recommendation) to help with the communication. What does the nurse first address?

Answer:

The patient is short of breath.Question 14: The nurse completes an assessment of a 67-year-old female patient who comes to the clinic for the first time. During the examination the patient ' s temperature is 99.6°F (37.6°C), heart rate 80 beats/min, respiratory rate 18 breaths/min, and blood pressu

Answer:

A hearing deficit.Question 15: A patient has been on contact isolation for 4 days because of a gastrointestinal infection. He has had few visitors and few opportunities to leave his room. His ambulation is also still limited. Nursing measures to reduce sensory deprivation include: (Sel

Answer:

Helping him to a chair or bringing a flower into the room, & Sitting down, speaking, touching, and listening to his feelings and perceptions.Question 16: The nurse states, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" The nurse is using which therapeutic communication technique?

Answer:

Clarifying

Question 17: The nurse is assessing the character of a patient's migraine headache and asks, "Do you feel nauseated when you have a headache?" The patient's response is "yes." In this case the finding of nausea is which of the following?

Answer:

A concomitant symptom Question 18: When a nurse properly positions a patient and administers an enema solution at the correct rate for the patient's tolerance, this is an example of what type of implementation skill?

Answer:

Psychomotor Question 19: You are caring for an 80-year-old woman, and you ask her a question while you are across the room washing your hands. She does not answer. What is your next action?

Answer:

Move to her bedside, get her attention, and repeat the question while facing her Question 20: The home care nurse is instructing a nursing assistant about interventions to facilitate location of items for patients with vision impairment. Which strategy is not effective in enhancing a patient's impaired vision?

Answer:

Use of fluorescent lighting

Question 21: Which patient is most likely to experience sensory deprivation?

Answer:

A 14-year-old girl isolated in the hospital because of severe immune system suppression Question 22: A 72-year-old patient with bilateral hearing loss wears a hearing aid in her left ear.Which of the following approaches best facilitate communication with her?

Answer:

Face the patient when speaking; speak slower and in a normal volume.Question 23: A patient with a history of a hearing deficit comes to the medical clinic for a routine checkup. His wife died 2 years ago, and he admits to feeling lonely much of the time.Interventions the nurse uses to reduce loneliness include: (Select all that apply

Answer:

Providing information about local social groups in the patient's neighborhood. & Recommending that the patient consider making living arrangements that will put him closer to family or friends.