Exam 1 Nursing Fundamentals Fall 2024 Past Paper (Morning 2) PDF

Exam 1 Time Limit: 1hr Start Sep 17th 2024, 11:00 PNUR101: Nursing Fundamentals: Assessment & Basic Skills (Fall 2024)...

Exam 1 Time Limit: 1hr Start Sep 17th 2024, 11:00 PNUR101: Nursing Fundamentals: Assessment & Basic Skills (Fall 2024) Date: AM 30m (Morning 2) End Sep 17th 2024, 1:12 Instructor: AMI Exams Date: PM 1st Attempt: Sep 17th 2024, 11:20 AM My Performance Fail 30 / 46 34th Status Rank Percentile Attempt Details 53 / 76 69.7% 1hr 11m 5s Points Score Percentage Score Time Spent Roster Performance 75.7% 80.3% 14.7 Average Score Median Score Standard Deviation 0% 100% 49s Low Score High Score Average Time Spent Questions (50) 01 Multiple Choice What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination? Time Spent 70% or better 17s This is defined and set by each state Time Spent Designated as "pass" Within the 75th percentile 02 Multiple Choice A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating Time Spent aggressive communication? "Please let me know when you start to have pain." 29s Time Spent "Let's practice some guided imagery." "Let's try repositioning you." "I will only medicate you every 4 hours." 03 Multiple Choice What would be the best method for a literate, English-speaking patient on a ventilator to communicate his or her needs? Time Spent Eye blinking for "yes" and "no" 48s Magic slate or paper and pencil Time Spent Computer Message board or cards 04 Multiple Select What are some characteristics that cultures have in common? (Select all that apply.) Time Spent Economic practices 1m 36s Survival modes Time Spent Transportation systems Language Family systems 05 Multiple Select Which are examples of passive listening? (Select all that apply.) Time Spent The nurse nods frequently while the patient speaks. 50s The nurse maintains eye contact while listening to the patient. Time Spent The nurse occasionally interjects, "I see," when listening to the patient. The nurse gives verbal feedback to the patient. The nurse verbally interprets the meaning of what the patient has said. 06 Multiple Choice A new patient is being admitted to a long-term care facility. Who has primary responsibility for each patient's initial admission nursing history, physical assessment, and development of the care plan Time Spent based on the patient problem identified? Health care provider 2m 4s Time Spent Registered nurse Unlicensed assistive personnel Licensed practical nurse/licensed vocational nurse 07 Multiple Select What should a medical record provide for all health care providers? (Select all that apply.) Time Spent Care given to the patient 32s Care planned for the patient Time Spent A patient's nursing problems A patient's medical problems Details about any incident reports The patient's response to treatment 08 Multiple Choice What is a nursing program considered when certified by a state agency? Time Spent Accredited 58s Approved Time Spent Provisional Exemplified 09 Multiple Choice What is the basis for designing and selecting nursing interventions to meet patient needs? Time Spent Patient problem 53s Care plan Time Spent Health care provider's orders Nurse's notes 10 Multiple Choice A nurse is caring for a patient experiencing respiratory distress. The health care provider places an endotracheal tube. What is the most appropriate patient problem for this patient? Time Spent Ineffective coping 3m 45s Risk for infection Time Spent Altered nutrition: less than body requirements Impaired verbal communication 11 Multiple Choice The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation? Time Spent SOAP 1m 24s Block Time Spent CBE Focus 12 Multiple Choice How does an interdisciplinary approach to patient treatment enhance care? Time Spent By improving efficiency of care 50s By reducing the number of caregivers Time Spent By preventing the fragmentation of patient care By shortening hospital stay 13 Multiple Choice Who is the legal owner of the patient's medical record? Time Spent Patient 1m 5s Health care provider Time Spent Institution State 14 Multiple Choice When listening to a patient, what action by the nurse demonstrates disinterest and coldness? Time Spent Tightly crossing her arms 1m 10s Uncrossing her arms Time Spent Uncrossing her legs Facing the patient 15 Multiple Choice A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: Time Spent malpractice. 27s harm to the patient. Time Spent negligence. failure to follow the nurse practice act. 16 Multiple Choice During an admission assessment, the nurse collects objective and subjective data. What is an example of objective data? Time Spent The patient is jaundiced. 21s The patient states, "I am nervous." Time Spent The patient complains of palpitations. The patient denies dizziness when ambulating. 17 Multiple Choice Patient care emphasis on wellness, rather than illness, begins as a result of: Time Spent increased education concerning causes of illness. 3m 27s improved insurance payments. Time Spent decentralized care centers. increased number of health care givers. 18 Multiple Choice A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient's health, safety, and well-being. Given this knowledge, which of the following is most Time Spent necessary for the nurse to report? Unethical behavior of other staff members 1m 2s Time Spent A worker who arrives late Favoritism shown by nursing administration Arguments among the staff 19 Multiple Choice What should the nurse be sure to do when documenting in a patient's chart? Time Spent Include speculation. 59s Chart consecutively. Time Spent Leave blank spaces. Include retaliatory comments. 20 Multiple Select What are categories of inadequate documentation that may lead to a malpractice claim? (Select all that apply.) Time Spent Incorrectly recording the time of an event 37s Failing to record verbal orders Time Spent Charting events in advance Documenting an incorrect date Marking out and initialing charting errors 21 Multiple Choice How may a nurse caring for a pediatric patient best be perceived as nonthreatening? Time Spent Tightly crossing her arms 1m 14s Maintaining an open posture Time Spent Maintaining a tense posture Standing at the bedside 22 Multiple Choice A nurse is preparing a meal tray for a patient who is a Latter-Day Saint. What beverage should the nurse prepare? Time Spent Tea with all meals 1m 12s Coffee each morning Time Spent Cola beverages Fruit juice 23 Multiple Choice Which health belief system includes a belief of a supernatural force exerting influence to cause health or illness? Time Spent Folk 2m 57s Holistic Time Spent Biomedical Alternative/complementary 24 Multiple Choice Which of the following must the nurse recognize regarding the health care delivery system? Time Spent It includes all states. 1m 44s It affects the illness of patients. Time Spent Insurance companies are not involved. The major goal is to achieve optimal levels of health care. 25 Multiple Choice What expected outcome exemplifies accepted criteria? Time Spent Nurse will assess vital signs every day 1m 54s Resident will observe safety guidelines while smoking Time Spent Resident will take part in one activity daily for the next 90 days Nurse will monitor O2 saturation to maintain at greater than 90% 26 Multiple Select During a lunch break, an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of? (Select all that Time Spent apply.) HIPAA violation 1m 52s Time Spent Slander Libel Invasion of privacy Defamation 27 Multiple Choice The nurse is caring for a patient with a do-not-resuscitate (DNR) order. Although the nurse may disagree with this order, what is his or her legal obligation? Time Spent To question the health care provider 25s To seek advice from the family Time Spent To discuss it with the patient To follow the order 28 Multiple Choice What organized approach might the nurse use when performing a complete physical examination? Time Spent Maslow's hierarchy of needs 9s A head-to-toe assessment Time Spent Subjective data collection Objective data collection 29 Multiple Choice During an admission assessment, the nurse collects objective and subjective data. What is an example of objective data? Time Spent The patient complains of feeling depressed. 1m 56s The patient states, "I hear voices in my head." Time Spent The patient complains of auditory hallucinations. The patient is pacing back and forth while chanting. 30 Multiple Choice What communication technique should the nurse use when communicating with an unresponsive patient? Time Spent Avoid speaking directly to the patient. 2m 16s Assume verbal stimuli are heard. Time Spent Speak in a loud voice. Use simple words. 31 Multiple Select Florence Nightingale established a nursing school at Saint Thomas Hospital in London. What was it characterized by? (Select all that apply.) Time Spent Allowing all applicants who applied to be enrolled 1m 18s Offering formal and practical educational experiences Time Spent Keeping records of students' progress Focusing on sanitation and hygiene Retaining a registry of all graduates 32 Multiple Select What should the culturally sensitive nurse do for a Muslim woman being treated in the hospital? (Select all that apply.) Time Spent Assign only female staff to care for her. 54s Keep her head and extremities covered as much as possible. Time Spent Arrange for family to bring specially prepared pork dishes. Let her make decisions relative to her care. Allow privacy for prayer. 33 Multiple Choice A nurse is caring for an Orthodox Jewish woman immediately after she has given birth. What can the nurse expect regarding the spouse's participation in his wife's care? Time Spent He will share a bed with the patient. 54s He will ask to bathe with the patient. Time Spent He will touch the patient frequently. He will avoid physical contact with the patient. 34 Multiple Choice How can the nurse demonstrate warmth and acceptance when listening to a patient? Time Spent Tightly crossing her arms 59s Uncrossing her arms Time Spent Tightly crossing her legs Facing away from the patient 35 Multiple Choice What is required by the health care team to identify the needs of a patient and to design care to meet those needs? Time Spent The Kardex 2m 34s The health care provider's order sheet Time Spent An individualized care plan The nurse's notes 36 Multiple Choice Where did Florence Nightingale's original nursing education take place? Time Spent Saint Thomas 19s Kings College Hospital Time Spent Crimean Hospital Kaiserswerth School 37 Multiple Choice A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital? Time Spent Only offers protection while on duty. 2m 55s Is limited in the amount of coverage. Time Spent Is difficult to renew. Can be terminated at any time. 38 Multiple Choice All nurses should work to provide culturally appropriate nursing care. What is the integration of cultural knowledge into all aspects of care? Time Spent Cultural competence 3m 24s Transcultural nursing Time Spent Nursing process Team nursing 39 Multiple Select Which are official categories of patient problems? (Select all that apply.) Time Spent Actual 55s Risk Time Spent Wellness Syndrome Potential 40 Multiple Choice During an admission assessment, the nurse collects objective and subjective data. What is an example of objective data? Time Spent The patient complains of chest pain. 3m 54s The patient states, "I feel nauseous." Time Spent The patient complains of feeling faint. The patient is short of breath on exertion. 41 Multiple Choice What is the nurse required to do to adhere to the concept of confidentiality for the patient's medical record? Time Spent Provide information only to another nurse. 34s Provide information only to an attorney. Time Spent Share information only with the family. Have a clinical reason for reading the record. 42 Multiple Choice What is a fixed concept that describes how all members of an ethnic group act or think? Time Spent Variations within a cultural group 34s Identical practices Time Spent Holistic nursing Ethnic stereotypes 43 Multiple Choice A grieving young widow cries out, "Why was my husband killed? Why wasn't it me?" What is the nurse's best response? Time Spent Stating "You need to be strong for your children." 42s Silently placing her hand on the widow's arm. Time Spent Asking if there is anyone the widow needs to have notified. Stating "You are feeling overwhelmed about your husband's death." 44 Multiple Choice A patient does not speak English; therefore, the nurse cannot use words to provide comfort during a painful procedure. What is another intervention that may provide comfort to this patient? Time Spent Silence 1m 2s Listening Time Spent Touch Restating 45 Multiple Choice All of the following patients have been admitted to the acute care setting. On admission, which patient should receive a focused assessment? Time Spent 53-year-old admitted with a perforated ulcer 1m 19s 5-year-old admitted for the implant of grommets in the middle Time Spent ear 76-year-old admitted for a knee replacement 40-year-old admitted for possible bowel obstruction 46 Multiple Choice The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take? Time Spent Ask for another assignment. 3m 5s Leave work. Time Spent Transfer to another floor. Protest to the supervisor. 47 Multiple Select A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer's disease. What should this nurse take into consideration when caring Time Spent for the resident? (Select all that apply.) Cultural background has an important role in determining the 30s resident's status Time Spent The resident will be culturally sensitive to caregivers Home remedies may have value even if harmful The resident will have a strong sense of trust for health care workers Communication should involve gesturing whenever possible 48 Multiple Select When speaking to a person of a different culture, how should the nurse consider modifying his or her communication style? (Select all that apply.) Time Spent Speak slowly and with increased volume 1m 31s Use of touch Time Spent Use of eye contact Reference of address Meaning of gestures 49 Multiple Choice The nurse is caring for an African-American patient. Who would the nurse expect to be the primary decision maker in the patient's family? Time Spent Men 2m 1s Women Time Spent Clergy Grandparents 50 Multiple Choice The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse? Time Spent Compare values with those of the patient. 2m 28s Make a judgment. Time Spent Withhold an opinion. Give advice.