Fundamentals In Nursing 1 Practice Test 1 PDF

CE 1: FUNDAMENTALS IN NURSING 1 D. Concept PRACTICE PT 5. What is the importance to Offer patient 1. Refers to a pattern of shared bedpan or urinal, and provide toilet tissue? understanding and assumptions about A. To alleviate p...

CE 1: FUNDAMENTALS IN NURSING 1 D. Concept PRACTICE PT 5. What is the importance to Offer patient 1. Refers to a pattern of shared bedpan or urinal, and provide toilet tissue? understanding and assumptions about A. To alleviate patient's anxiety and elicit reality and the world; worldview or widely cooperation from the patient. accepted value system. B. To alleviate fear and anxiety and promote A. Domain unnecessary exposure of the patient. B. Paradigm C. Patient feels more comfortable after C. Process voiding. Prevent interruption of bath. D. Metaparadigm D. Reduces transmission of microorganisms. Prevents allergic reaction 2. To facilitate removal of respiratory if latex gloves are used. secretions, why will the nurse encourage splinting the chest and abdomen? 6. Beliefs and values that define a way of thinking and are generally known and A. To build up pressure from the lungs understood by a group or discipline. B. To promote comfort A. Model C. To observe respiratory rate B. Conceptual framework. D. to increase stamina C. Philosophy 3. To achieve maximal expansion of the D. Concept upper and lower lung lobes, the nurse can teach the client this exercise technique. 7.What is the rationale for positioning a client on upright during feeding? A. Apical and basal expansion exercise A. Increases client's comfort and enjoyment B. Slow, shallow irregular breath exercises of meal, and as a result client's nutritional C. Long breaths with pause in between intake may increase. D. Rapid, shallow breaths with occasional B. Enables client to be as independent as sighs possible; provide assistive devices as needed to promote independence; involve 4. Representations of the interaction among family in mealtime if possible. and between the concepts showing patterns. They present an overview of the C. Upright position assists client with thinking behind the theory and may keeping food toward front of mouth before demonstrate how theory can be introduced swallowing, reducing aspiration. into practice. D. Enhances client's ability to bite, chew, A. Model and swallow as well as see food. B. Conceptual framework. 8. The patient is the center of the Nightingale model and incorporates holistic C. Philosophy view of the person. 1 RTD-G | RN 2025 A. Psychological, intellectual, and spiritual 4. Instruct client in how to flex knees and lift components hips upward. B. A unique individual filled with chattering 5. Place, hand palm up, closest to the hopes and advice. client's head, under client's sacrum, to assist lifting. As the client raises hips, use C. A & B other hand to slip in bedpan under client. D. None of the above A. 1,2,4,5 9. Rita conducted an admission interview. B. 1,2,3,4,5 Which of the following indicates that she is attentively listening to the client's C. 1,2,3,4 explanations? D. 1,3,4,5 A. “Can you explain what your symptoms 12. The following are the purposes of are like?” donning on gloves except for: B. “When was the last time you saw a A. To enable the nurse to handle or touch doctor for this?” sterile objects freely without contaminating C. “Uh-uh,” while nodding the head them. D. “I'm sorry, say that again?” B. To prevent transmission of potentially infective organisms from the nurse's hands 10. This increases blood flow and enhances to clients at high risk for infection. white blood cell infiltration to the wound. C. Minimizes contamination of underlying A. Moist heat application skin. B. Cold compress D. Wet gloves prevent transmission of C. Hot ice pack pathogens from the faucet by capillary action. D. Cryotherapy 13. Wipe client's anal are using several 11. A nurse is assisting a mobile client with layers of toilet tissue or perineal wipes, using a bedpan. Which of the following a wipe from mons pubis toward rectal area nurse must perform. Select all that apply. (for female client only); deposit 1. Remove upper bed linens just enough so contaminated tissue in bedpan. What is the they are out of the way, but not rationale for this action? unduly expose client. A. Reduces spread of offensive odors. 2. Remove bedpan cover, and place in B. Promotes comfort and reduces risk of accessible location. injury to client. 3. Place bedpan firmly against client's C. Cleansing from area of lesser buttocks and down into mattress. Be contamination to greater contamination reduces spread of microorganisms. sure that open rim of bedpan is facing toward foot of bed. D. Allows client to perform hand hygiene after wiping perineal area. 2 RTD-G | RN 2025 14. Therapeutic use of self involves what example of which phase of the nursing type of skills by the nurse? process? A. verbal communication A. Diagnosis B. nonverbal communication B. Implementation C. both verbal and nonverbal C. Assessment communication D. Evaluation D. primarily technical skills 18. A nurse is assisting a client who cannot 15. A nurse is assisting a client during eat independently. How would a nurse feeding. He stands close to the client. The assist the client during feeding? Select all rationale for this action is? that apply. A. Small pieces are easier to chew and 1. Put yourself in a comfortable position. minimize risk of aspiration. 2. Ask client about any religious or cultural B. Clients with cognitive or physical preferences before beginning feeding. impairments may not have the fine motor coordination 3. Ask in what order client would like to eat and cut food into bite-size pieces. needed to prepare tray for eating. 4. It may be helpful for disoriented, visually C. Prevents ingestion of incorrect or impaired, or easily fatigued clients to have incomplete meal. food identified by location on plate as if the D. Promotes psychologically comforting plate were a clock. and caring environment, which may A. 1,2,3 increase appetite. B. 1,3,4 16. Rita's client is non-verbal. Which of the following would be appropriate for the C. 1,2,4 client in this situation? D. 1,2,3,4 A. Using a picture board to facilitate 19. A nursing diagnosis appropriate for communication assisting patient with feeding is? B. Facing the client when speaking A. Impaired swallowing C. Employing an interpreter B. Ineffective Breathing Pattern D. Making sure that the language spoken is C. Altered Tissue Perfusion the client's dominant language D. Alteration in Comfort 17.The nurse is performing a dressing 20. A group of related ideas, statements, or change for a client and notices that there is concepts. It is often used interchangeably a new area of skin breakdown near the site with the conceptual model and with grand of the dressing. On closer examination, it theories. appears to be caused from the tape used to secure the dressing. This would be an A. Model 3 RTD-G | RN 2025 B. Conceptual framework. D. media for bacterial growth. C. Philosophy 25. A nurse is caring for a patient using an incentive spirometer. Which behaviors D. Concept observed by the nurse indicated that further 21. This nursing theorist introduced her teaching is necessary? Theory of Interpersonal Relations that puts A. Inhaled slowly and deeply using the emphasis on the nurse-client relationship spirometer as the foundation of nursing practice. B. Tilts the incentive spirometer in upright A. Faye Abdella position while breathing in B. Florence Nightingale C. Raises the inspiratory goal on the C. Hildegard Paplau spirometer once a day D. Virginia Henderson D. Takes several regular breaths and then uses the spirometer again 22. Statements that describe the relationship between the concepts. 26. On comparing Henderson's Theory and Nursing Process, what phase of nursing A. Domain process does documenting on how the B. Paradigm nurses can assist the individual, sick or well? C. Process A. Nursing Assessment D. Proposition B. Nursing Diagnosis 23. The closed-glove technique is used: C. Nursing Planning A. only when the hands have never passed through the gown cuffs D. Nursing Implementation B. when regloving without assistance 27.A nurse evaluates the fluid status of a during the procedure female client after 1 week of assisting her with feeding. Which of the following is an C. to assist a surgeon in donning sterile expected outcome? attire A. Gradual weight gain reflects improved D. as a method for correcting glove nutritional status. contamination B. Helps to determine whether client's 24. The clinical instructor asks her students nutritional and fluid needs are being met. the rationale for handwashing. The students are correct if they answered that C. Determines if client develops dysphagia handwashing is expected to remove: and becomes prone to aspiration. A. transient flora from the skin. D. Overfeeding may cause nausea and vomiting. Underfeeding may leave client B. resident flora from the skin. feeling hungry. C. all microorganisms from the skin. 28. An IPPB machine maybe used to augment deep breathing for patients with 4 RTD-G | RN 2025 specific respiratory problems. What does D. Every morning only IPPB in respiration stand for? 33. This nursing theorist emphasized the A. Intermittent Positive – Pressure reciprocal relationship between patient and Breathing nurse and viewed the professional function of nursing as finding out and meeting the B. Interment Positive-Position Breathing patient's immediate need for help C. Intermittent Post-Productive Breathing A. Ida Jean Orlando D. Intermediate Positive-Pressure Breathing B. Dorothy Johnson 29. Having the necessary ability, knowledge, C. Martha Rogers or skill to do something successfully is regarded as D. Dorothea Orem A. Complete 34. A nurse exhibits loyalty and willingness to give your time and energy to something B. Competent that she believes. This is: C. Character A. Conscience D. Condition B. Commitment 30. Often called the building blocks of C. Conscience theories. They are primarily the vehicles of thought that involve images. D. Character A. Model 35. Rita explains to a client that he will need to have a bowel prep before going to his B. Conceptual framework. esophagogastroscopy. She should focus on C. Philosophy improving which of the following? D. Concept A. Intonation 31. Which of theory was proposed by Dr. B. Simplicity Faye Abdella? C. Pace A. Environmental Theory D. Clarity B. Nursing Needs Theory 36. Mr. Brown underwent the procedure C. Caring Theory called hemorrhoidectomy. What Nursing Diagnosis can the nurse use to concentrate D. 21 Nursing Problems Theory on the healing process? 32. How many times client must perform IS A. Impaired skin integrity exercises? B. Impaired physical mobility A. Once a day C. Risk for injury B. Twice a day D. Disturbed sensory perception C. 5 to 10 times 5 RTD-G | RN 2025 37.Mrs. White gave birth to a baby boy of an incentive spirometry if she perform under normal spontaneous delivery. Due to which of the following? the large occiput of the baby, episiotomy A. Client inhale completely through mouth was done during the delivery. What can the and place lips tightly around the nurse suggest to help the repaired wound mouthpiece. from healing? B. Client exhales completely through mouth A. A warm bath and place lips tightly around the B. A sitz bath mouthpiece. C. Cold shower C. Client exhales completely through the mouth and place the lips tightly round the D. Apply ice pack mouthpiece while on supine position. 38. An older client must feed small D. Client take fast, deep breath like pushing amounts a time, assess biting, chewing and a straw. swallowing abilities. The rationale for this action is to? 41. Cryotherapy can be done to reduce acute swelling: A. Small pieces are easier to chew and minimize risk of aspiration. A. during the first two days immediately after the injury B. Clients with cognitive or physical impairments may not have the fine motor B. within the week after injury coordination needed to prepare tray for C. as long as the patient can tolerate eating. D. during the first five days after injury C. Prevents ingestion of incorrect or incomplete meal. 42. What is the rationale for auscultating the abdomen for bowel sounds? D. Promotes psychologically comforting and caring environment, which may A. Normal bowel sounds occur irregularly at increase appetite. the rate of 5 to 35 minute 39. The nurse is taking information for the B. Normal bowel sounds occur irregularly at client's database. The client is not very the rate of 25 to 45 minute talkative; is pale, diaphoretic, and restless C. A fecal-filled colon is palpated as a firm in the bed; and tells the nurse to just "leave rounded mass. A distended bladder can be me alone." Which of the following is palpated as smooth, round mass above the subjective data? symphysis pubis. A. Restlessness D. Determines if client can assist in B. Pale and diaphoretic positioning on bedpan or if totally dependent on nurse' help. C. Not talkative 43. Expected outcomes following D. "Leave me alone" completion of assisting with the use of bed 40. You would know that a client is pan/ urinal are. Select all that apply. performing the correct procedure in the use 6 RTD-G | RN 2025 1. Client is able to successfully defecate in patient because she knows patients bedpan. undergoing chemotherapy tend to get cold easily. 2. Perineal skin is clear and intact. B. Knowing Bonita is Hispanic like herself, 3. Client eliminates without pain. Carla considers ways she might incorporate 4. Auscultate abdomen for bowel sounds shared cultural beliefs about illness and and palpate for abdominal distention. disease in Bonita's care. 5. Assess client to determine level of C. Carla learns of a new drug trial that mobility and amount of assistance focuses on reducing the side effects of required. chemotherapy and wonders if Bonita might be a candidate. A. 1,2,3 D. Carla observes that Bonita is fatigued as B. 13,5 a result of her chemotherapy and attempts C. 1,2,4 to make her more comfortable so she may rest. D. 1,2,3,4,5 47.Prior to feeding a client, a nurse must 44. During the introductory phase of the assess which of the following client's helping relationship, there are specific condition? stages. Which of the following DOES NOT apply? A. Assess patient for confusion, malnutrition, cognitive impairment, and A. Opening the relationship decreased necessary motor skills. B. Clarifying the problem B. Assess patient's respiratory status, C. Structuring and formulating the contract including symmetry of chest wall expansion, respiratory rate and depth, D. Planning before the interview sputum production, and lung sounds. 45. What are we trying to reduce or C. Assess level of pain. eliminate when we are doing handwashing? D. Determine to what extent client is able to A. Viruses self-feed. Asses physical motor skills, level B. Bacteria of consciousness, visual acuity and peripheral vision, and mood. C. Fungi 48. This enhances blood pressure and heart D. All of the above rate. 46. Carla is a nurse caring for Bonita, a A. back massage cancer patient. Which of the following statements provides the best example of B. cold compress Henderson's philosophy in respect to C. warm compress Corina's care for her patient? D. muscle tension A. Although Bonita says she is comfortable, Carla places an extra blanket over her 7 RTD-G | RN 2025 49. In performing back massage, which pertaining to personal hygiene and healthful anatomical area must one begin living. These components of basic nursing care include all of the following except: A. Sacral area A. Move and maintain desirable postures B. Scapular region B. Communicates with others in expressing C. Right and left iliac crests emotions, needs, fears and opinions. D. The area between the right and left C. Do not involve the patient in decisions of shoulders care so that the patient may get better rest. 50. According to Nightingale's philosophy, a D. Learn, discover, or satisfy the curiosity nurse should consider which of the that leads to normal development and following factors when caring for a person health and use the available health who is ill? facilities. A. The person's emotional state 54. Mr. Right has an obstructive respiratory B. The environment in which the person disease. To improve his breathing efficiency, lives controlled breathing exercises were advised by the nurse. What technique would be C. The person's social network useful for him? D. All of the above A. Forceful exhalation against pursed-lips 51. This is used to treat localized B. Inhale deeply for 10 seconds inflammatory responses accompanied with acute pain. C. Exhale for 10 seconds A. Moist heat application D. Hold his breath for 10 seconds after inhalation B. Cold compress 55. During a treatment with Mrs. Green on C. Hot pack using cold packs for her acute D. Regular exercise inflammation, what should the nurse prevent? 52. In the communication process, encoding is defined as: A. checking temperature of solution of the cold pack A. A stimulus produced by a sender and responded to by the receiver. B. exposing the areas to be treated. B. The person who interprets the sender's C. securing the cap of the cold pack messageC. A person who generates the container tightly message D. directly exposing the client's skin with the D. The use of language or other signs and cold pack symbols for sending messages 56. On comparing Henderson's Theory and 53. Henderson identified 14 components of Nursing Process, what phase of nursing basic nursing care that reflects needs process does carrying out of treatment prescribed to the physician can be done by 8 RTD-G | RN 2025 the nurse? measure in reducing the risk of transmitting infectious diseases. A. Nursing Assessment A. Hand sterility B. Nursing Diagnosis B. Hand work C. Nursing Planning C. Hand disinfection D. Nursing Implementation D. Handwashing 57.What is known as clean technique which includes procedures used to reduce the 61. What is the rationale for palpating the number of organisms on hands? abdomen for distention? A. Aseptic Technique A. Normal bowel sounds occur irregularly at the rate of 5 to 35 minute B. Handwashing B. Normal bowel sounds occur irregularly at C. Medical Asepsis the rate of 25 to 45 minute D. Surgical Asepsis C. A fecal-filled colon is palpated as a firm 58. During a treatment with Mrs. Green on rounded mass. A distended bladder can be using cold packs for her acute palpated as smooth, round mass above the inflammation, what should the nurse do in symphysis pubis. the order of priority? D. Determines if client can assist in A. Check temperature of solution positioning on bedpan or if totally dependent on nurse' help. B. Position client carefully, exposing only the area to be treated. 62. A nurse is completing a plan of care for a client. The statement "client will be able C. Perform hand hygiene to walk 10 feet, twice a day without D. Prevent direct exposure of cold against shortness of breath" is which part of the the client's skin nursing process (in comparison to the decision-making process)? 59. In abdominal breathing exercises, one uses abdominal muscles to pull what A. Evaluate muscle and on which direction? B. Plan A. Diaphragm – downward C. Diagnose B. Gluteus maximus – upward D. Assess C. Rectus abdominis – inward 63. According to Henderson, this D. External oblique – outward metaparadigm is defined as the unique function of the nurse is to assist the 60. Is the act of cleaning one's hands with individual (sick or well) in the performance the use of any liquid with or without soap for of those activities contributing to health or the purpose of removing dirt or its recovery (or peaceful death) that he microorganisms. It is the most effective would 9 RTD-G | RN 2025 perform unaided if he had the necessary 66. To protect the patient against strength, will or knowledge. And to do this, colonization and, in some cases, against in such a way as to help him gain exogenous infection, by harmful germs independence as rapidly as possible. carried on your hands. A. Nursing A. W.H.O moment no. 4 B. Environment B. W.H.O moment no. 3 C. Person C. W.H.O moment no. 1 D. Health D. W.H.O moment no. 2 64. Prior to the use of incentive spirometry, 67.A nursing diagnosis appropriate for the a nurse must assess which of the following application of an incentive spirometry is? client's condition? A. Risk for Aspiration A. Assess patient's respiratory status, B. Risk for Deficient Fluid Volume including symmetry of chest wall expansion, respiratory rate and depth, C. Feeding Self-care Deficit sputum production, and lung sounds. D. Ineffective airway clearance B. Assess that GI tract is functional, and 68. During cold application, how frequent determine what type of diet client can will the nurse check the edematous skin? tolerate A. every 5 minutes C. Determine to what extent client is able to self-feed. Asses physical motor skills, level B. every 15 minutes of consciousness, visual acuity and C. as long as the patient can tolerate peripheral vision, and mood. D. every 2 minutes D. Assess that GI tract is functional and determine what type of diet client can 69. In order to gain the necessary tolerate. information about a client's situation, Rita must be able to ask open ended questions. 65. When interviewing a patient, there are Which of the following is an example of this long pauses of silence. The patient does not type of communication? respond to the Rita's questions. All of the following are appropriate responses to the A. “What brings you to the hospital? patient's silence EXCEPT: B. “Are you having pain?' A. Sitting quietly and observing the patient's C. “Does your pain feel better or worse behavior today?” B. The nurse should control his/ her own D. Is there anything I can do for you?” discomfort during quiet periods or conversational lulls 70. All of the following statements apply when drying the hands and arms EXCEPT: C. Using appropriate eye contact D. Asking the patient to answer the question at hand 10 RTD-G | RN 2025 A. Bend over slightly from the waist C. Philosophy B. Begin drying with the hand and move up D. Theory the arm 74. What is normally the most effective C. Dry thoroughly to avoid skin irritation position for coughing? D. Roll the towel before discarding into the A. Sitting position appropriate container B. Standing position 71. When learning how to implement the C. Supine position nursing process into a plan of care for a client, the student nurse realizes that part D. Prone position of the purpose of the nursing process is to: 75. Mr. Gray underwent the procedure A. Identify client needs and deliver care to called hemorrhoidectomy. What can the meet those needs. completing a plan of nurse do to facilitate the healing process care for a client. and reduce the inflammation post-surgery? B. Make sure that standardized care is A. Assist or offer a warm bath available to clients. B. Assist or offer a sitz bath C. Deliver care to a client in an organized C. Assist or offer a cold shower way. D. Apply ice pack D. Implement a plan that is close to the medical model. 76. A nursing diagnosis of Enhanced readiness for spiritual well-being has been 72. Which of the following is a n expected formulated for a particular family. Which of outcome during client teaching about the the following data clusters would support proper use of an incentive spirometry? this diagnosis? A. Patient will demonstrate correct use of A. The children have attended private the IS. school, and the parents are involved B. Patient does not achieve target volume minimally in school activities. and number of repetitions per hour. B. The family visits different congregations, C. Patient has not improved breath sounds. the parents have been reflecting on their own spiritual upbringings, and the children D. Client's weight is maintained or changes are questioning rituals of their friends and according to the nutritional care plan. friends' families. 73. A belief, policy, or procedure proposed C. The grandparents go to weekly services or followed as the basis of action. It refers and have formal interaction with clergy. to a logical group of general propositions used as principles of explanation. Theories D. The children attend Sunday school are also used to describe, predict, or classes, the parents take turns driving and control phenomena. doing errands during this time, and the parents have little interaction with A. Model congregational activities. B. Conceptual framework. 11 RTD-G | RN 2025 77.A nurse evaluates the weight of a female hospital this week. What was Mrs. Beige's client after 1 week of assisting her with breathing pattern while anxious? feeding. Which of the following is an expected outcome? A. Rapid, shallow breaths with occasional A. Gradual weight gain reflects improved sighs nutritional status. B. Long breaths with pause in between Define themselves and find meaning in their interactions with the world around them C. Slow, shallow irregular breaths B. Helps to determine whether client's D. Deep respirations with pauses or apnea nutritional and fluid needs are being met. 81. To protect you from colonization with C. Determines if client develops dysphagia patient germs and to protect the health- and becomes prone to aspiration. care environment from germ spread. D. Overfeeding may cause nausea and A. W.H.O moment no. 4 vomiting. Underfeeding may leave client B. W.H.O moment no. 2 feeling hungry. C. W.H.O moment no. 1 78. What is known as sterile technique, prevents contamination of an open wound, D. W.H.O moment no. 5 serves to isolate the operative area from the 82. To protect you from colonization or unsterile environment, and maintains a infection with patient's harmful germs and sterile field for surgery? to protect the health-care professionals. A. Aseptic Technique A. W.H.O moment no. 3 B. Handwashing B. W.H.O moment no. 2 C. Medical Asepsis C. W.H.O moment no. 1 D. Surgical Asepsis D. W.H.O moment no. 4 79. Rita understands that people 83. Which is not a critical element of the communicate in order to: planning stage of the nursing process? A. Express their wishes and desires to other A. Interpretation of data people B. Establishing priorities B. Respond to others and provide feedback during interactions C. Setting goals and developing expected outcomes C. Define themselves and find meaning in their interactions with the world around D. Documenting the planned nursing them approach D. Voice opinions and assert beliefs, values 84. The following re identified as part of the and decisions 14 components of Henderson's Theory 80. Mrs. Beige was anxious and worried that except: her husband did not come to visit her in the 12 RTD-G | RN 2025 A. Eat and drink adequately B. W.H.O moment no. 2 B. Worship according to one's faith C. W.H.O moment no. 1 C. Practice silence and not to express D. W.H.O moment no. 3 needs 88. What is the act of cleaning one's hands D. Avoid dangers in the environment and with the use of any liquid with or without avoid injuring others. soap for the purpose of removing dirt or microorganisms? 85. A nurse assesses the mobility of a client prior to assisting with the use pf bedpan. A. Aseptic Technique The rationale for this action is? B. Handwashing A. Normal bowel sounds occur irregularly at C. Medical Asepsis the rate of 5 to 35 minute D. Surgical Asepsis B. Normal bowel sounds occur irregularly at the rate of 25 to 45 minute 89. To facilitate the removal of respiratory secretions, why will the nurse encourage C. A fecal-filled colon is palpated as a firm patient to do forceful exhalation while the rounded mass. A distended bladder can be glottis is closed? palpated as smooth, round mass above the symphysis pubis. A. To build up pressure from the lungs D. Determines if client can assist in B. To promote comfort positioning on bedpan or if totally C. To observe respiratory rate dependent on nurse' help. D. To increase stamina 86. A nurse is checking over the past charting of the previous shift, paying special 90. A nurse is assisting an immobile client attention to how a particular client with using a bedpan. Which of the following responded to nursing interventions a nurse must perform. Select all that apply. throughout the day. The nurse is caring for 1. Remove top linens as necessary to turn this client and wants to see what has been client while minimizing exposure. effective, as well as what didn't work. This nurse is utilizing which of the steps of the 2. Remove bedpan cover, and place in decision-making process? accessible location. A. Implement 3. Place bedpan firmly against client's buttocks and down into mattress. Be sure B. Examine alternatives that open rim of bedpan is facing toward C. Set the criteria foot of bed. D. Evaluate the outcome 4. Keeping one hand against the bedpan, place the other around client's far hip. Ask 87.To protect the patient against infection the client to roll back onto the bedpan. with harmful germs, including his/her own germs, entering his/her body. 5. Place, hand palm up, closest to the client's head, under client's sacrum, to A. W.H.O moment no. 4 13 RTD-G | RN 2025 assist lifting. As the client raises hips, use 93. This nursing theorist stated in her theory other hand to slip in bedpan under client. that nursing care is required if the client is unable to fulfill biological, psychological, A. 1,2,3,4,5 developmental, or social needs. B. 1,3,4,5 A. Ida Jean Orlando C. 1,2,3,4 B. Dorothy Johnson D. 1,3,5 C. Martha Rogers 91. A nurse is assisting a client with D. Dorothea Orem movement limitations during feeding. Which of the following is the expected 94. Virginia Henderson believed the model outcomes following the completion of the of a person to be? procedure? A. Integrated whole in a constant of change A. Asses physical motor skills, level of because dynamic interrelationship of many consciousness, visual acuity and peripheral variables. vision, and mood. B. Biopsychosocial being in a changing B. Client's weight is maintained or changes environment. according to the nutritional care plan. C. Physical, intellectual, and spiritual C. Assess client's appetite, tolerance of attributes foods, cultural and religious preferences, D. Mind and body are inseparable. and food likes and dislikes. 95. This reduces blood flow to the acutely D. Assess that GI tract is functional, and injured part thereby reducing edema determine what type of diet client can formation. tolerate A. Moist heat application 92. What is the rationale for the repeated use of an incentive spirometry? B. Cold compress A. Ensures correct use of the spirometer C. Hot pack and patient's understanding of use. D. Regular exercise B. Maintains maximal inspiration; reduces 96. A nurse is providing a back rub to a risk for progressive collapse of individual client just after administering a pain alveoli. medication, with the hope that these two C. Improves lung expansion and promotes actions will help decrease the client's pain. clearing of airways, especially in patients Which phase of the nursing process is this with underlying lung disease. nurse implementing? D. Showing patient how to correctly place A. Implementation mouthpiece is reliable technique for B. Diagnosis teaching psychomotor skill and enables patient to ask questions. C. Evaluation D. Assessment 14 RTD-G | RN 2025 97.A nurse is removing a bedpan from an B. "You look upset. Is there anything you'd immobile client. Which of the following a like to talk about?" nurse must perform. Select all that apply. C. "Can I hang that phone up for you?" 1. Lower head of bed. D. "Well, it's a beautiful day outside. Let's 2. Elevate the head of the bed open the blinds." 3. Assist client with rolling onto side and off 100. A nurse evaluates the procedure on bedpan. Hold bedpan flat and steady while assisting client with the use of pan. Which client is rolling of it; otherwise, spillage will of the following are included in the occur. Place bedpan and contents on evaluation phase of the procedure? Select bedside chair. all that apply. 4. Wipe client's anal are using several layers 1. Evaluate the characteristics of stool, of toilet tissue or perineal wipes, wipe from Note color, odor, consistency, frequency, mons pubis toward rectal area (for female amount, shape, and constituents. Also client only); deposit contaminated tissue in assess characteristics of urine, if client bedpan. If necessary, wash perineal area voided in bedpan. with warm, soapy water, drying area 2. Evaluate client's ability to use bedpan. thoroughly. 3. Inspect client's perineal area and A. 1,2,3 surrounding skin while removing bedpan. B. 2,3,4 4. Evaluate client's overall activity tolerance C. 1,3,4 and comfort. D. 1,2,3,4 5. Weigh client daily (if nutrition has been inadequate). Determine client's 98. To protect you from colonization with patient germs that may be present on tolerance to diet. surfaces/objects in patient surroundings A. 1,2,3,4 and to protect the health-care environment B. 1,2,3,4,5 against germ spread. C. 1,3,4,5 A. W.H.O moment no. 4 D. 1,2,4,5 B. W.H.O moment no. 2 C. W.H.O moment no. 1 D. W.H.O moment no. 5 99. Rita enters a client's room and finds that the phone is lying in the client's lap, tissues are wadded up on the bed, and the client's eyes are red and watery. Her best response is: A. "Has your doctor been in to talk to you yet?" 15 RTD-G | RN 2025