Funds Exam 1 Practice Questions PDF

\#\#\# Clinical Reasoning & Infection Control (90 questions) 1\. \*\*What is clinical reasoning?\*\* \- A) A method of delegating tasks \- B) A way of thinking that helps nurses make decisions \- C) A type of therapeutic intervention \- D) A form of patient-centered documentation \*\*Answer:\*...

\#\#\# Clinical Reasoning & Infection Control (90 questions) 1\. \*\*What is clinical reasoning?\*\* \- A) A method of delegating tasks \- B) A way of thinking that helps nurses make decisions \- C) A type of therapeutic intervention \- D) A form of patient-centered documentation \*\*Answer:\*\* B 2\. \*\*How does a registered nurse utilize clinical reasoning in patient care?\*\* (SATA) \- A) Identifying patient problems \- B) Developing intervention strategies \- C) Delegating tasks to non-licensed staff \- D) Evaluating patient outcomes \*\*Answer:\*\* A, B, D 3\. \*\*What are the steps of the clinical decision-making process?\*\* \- A) Assessment, diagnosis, planning, intervention, and evaluation \- B) Diagnosis, treatment, discharge, follow-up, and evaluation \- C) Goal setting, planning, implementation, evaluation, and documentation \- D) History-taking, diagnosis, treatment, and discharge \*\*Answer:\*\* A 4\. \*\*Critical thinking in nursing assessment involves:\*\* (SATA) \- A) Applying previous knowledge to new situations \- B) Using intuition instead of objective data \- C) Evaluating data to identify potential risks \- D) Relying solely on the physician's assessment \*\*Answer:\*\* A, C 5\. \*\*What are the components of a 3-part nursing diagnostic statement?\*\* \- A) Patient complaint, treatment plan, expected outcomes \- B) Nursing diagnosis, related factors, defining characteristics \- C) Symptoms, diagnosis, medical history \- D) Intervention, assessment, documentation \*\*Answer:\*\* B 6\. \*\*Which of the following is a sign of a localized infection?\*\* \- A) Fever \- B) Redness at the wound site \- C) Chills \- D) Hypotension \*\*Answer:\*\* B 7\. \*\*Which are signs of systemic infection?\*\* (SATA) \- A) Tachycardia \- B) Localized redness \- C) Fever \- D) Lymph node enlargement \*\*Answer:\*\* A, C, D 8\. \*\*Which action breaks the chain of infection?\*\* \- A) Reusing gloves \- B) Proper hand hygiene \- C) Wearing the same mask for all patients \- D) Skipping vaccinations \*\*Answer:\*\* B 9\. \*\*When should standard precautions be applied?\*\* \- A) Only for patients with known infections \- B) Only during surgical procedures \- C) For all patient interactions \- D) Only in cases of respiratory symptoms \*\*Answer:\*\* C 10\. \*\*Which of the following are included in sterile technique?\*\* (SATA) \- A) Keeping hands below the waist \- B) Using sterile gloves \- C) Maintaining a sterile field \- D) Allowing items to touch clean surfaces \*\*Answer:\*\* B, C 11\. \*\*What are essential components of a nursing concept map?\*\* \- A) Diagnosis, nursing interventions, patient family history \- B) Patient's primary complaints, nursing diagnoses, expected outcomes \- C) Medications, physical therapy goals, dietary restrictions \- D) Diagnostic tests, doctor's notes, lab results \*\*Answer:\*\* B 12\. \*\*Which nursing interventions are preventive for healthcare-associated infections?\*\* (SATA) \- A) Monitoring patient vitals \- B) Proper hand hygiene \- C) Regular patient education on hygiene \- D) Immediate use of antibiotics \*\*Answer:\*\* B, C 13\. \*\*How does poor nutrition affect the infectious process?\*\* \- A) Weakens immune response \- B) Decreases susceptibility to infections \- C) Enhances wound healing \- D) Prevents all infections \*\*Answer:\*\* A 14\. \*\*What factors must a nurse consider when restraining a patient?\*\* (SATA) \- A) Restraints should only be used as a last resort \- B) Restraints are always applied when a patient is agitated \- C) The need for frequent reassessment \- D) Clear documentation of reasons for restraints \*\*Answer:\*\* A, C, D 15\. \*\*Which are components of the nursing process?\*\* \- A) Assessment, planning, implementation, evaluation \- B) Documentation, prescribing, ordering labs, discharge \- C) Testing, analysis, intervention, reporting \- D) Diagnosis, billing, treatment, reporting \*\*Answer:\*\* A 16\. \*\*Which signs indicate a fever related to systemic infection?\*\* (SATA) \- A) Increased heart rate \- B) Elevated body temperature \- C) Localized swelling \- D) Low respiratory rate \*\*Answer:\*\* A, B 17\. \*\*Which actions prevent cross-contamination?\*\* \- A) Using a sterile technique \- B) Touching sterile items with unwashed hands \- C) Wearing sterile gloves for every procedure \- D) Changing gloves between patient tasks \*\*Answer:\*\* A, D 18\. \*\*What is the purpose of documenting infection control measures?\*\* \- A) To follow hospital protocol \- B) To bill insurance accurately \- C) To provide accurate patient information and track progress \- D) To comply with healthcare regulations \*\*Answer:\*\* C 19\. \*\*Identify the purposes of isolation precautions.\*\* (SATA) \- A) To protect patients and healthcare workers \- B) To reduce pathogen transmission \- C) To promote faster patient recovery \- D) To allow for easier patient transfers \*\*Answer:\*\* A, B 20\. \*\*Which steps are critical in maintaining a sterile field?\*\* (SATA) \- A) Avoid touching sterile items with bare hands \- B) Keep sterile items within the sterile area \- C) Disinfect used sterile items for later use \- D) Ensure items are used only once \*\*Answer:\*\* A, B, D \-\-- \#\#\# Vital Signs and Mobility (10 questions) 91\. \*\*Which vital signs are essential for assessing thermoregulation?\*\* (SATA) \- A) Temperature \- B) Pulse \- C) Respiratory rate \- D) Blood pressure \*\*Answer:\*\* A, C 92\. \*\*What actions should a nurse take when a patient has abnormal vital signs?\*\* (SATA) \- A) Reassess the vital signs \- B) Document findings and alert the healthcare provider \- C) Ignore the changes if not life-threatening \- D) Perform relevant nursing interventions \*\*Answer:\*\* A, B, D 93\. \*\*How does limited mobility impact patient health?\*\* (SATA) \- A) Increases risk of pressure ulcers \- B) Decreases risk of infection \- C) Reduces circulation \- D) Impacts respiratory function \*\*Answer:\*\* A, C, D 94\. \*\*Which techniques are used to ensure safety when ambulating a patient?\*\* \- A) Using a gait belt \- B) Assisting from behind only \- C) Keeping pathways clear \- D) Using the least restrictive assistance necessary \*\*Answer:\*\* A, C, D 95\. \*\*What are nursing interventions to prevent complications of immobility?\*\* (SATA) \- A) Turning the patient regularly \- B) Encouraging deep breathing exercises \- C) Decreasing fluid intake \- D) Applying compression devices \*\*Answer:\*\* A, B, D 96\. \*\*What is the importance of documenting mobility interventions?\*\* \- A) Provides a legal record of care \- B) Ensures continuity of care \- C) Helps determine the need for more staff \- D) Tracks progress in patient recovery \*\*Answer:\*\* A, B, D 97\. \*\*Which techniques ensure accurate vital sign assessments?\*\* (SATA) \- A) Use properly calibrated equipment \- B) Measure in a quiet environment \- C) Document findings promptly \- D) Use the same site for all vital signs \*\*Answer:\*\* A, B, C 98\. \*\*What are common complications of immobility?\*\* (SATA) \- A) Deep vein thrombosis \- B) Improved respiratory function \- C) Pressure injuries \- D) Muscle atrophy \*\*Answer:\*\* A, C, D 99\. \*\*Which signs indicate compromised perfusion?\*\* (SATA) \- A) Decreased blood pressure \- B) Cyanosis \- C) Edema \- D) Bradycardia \*\*Answer:\*\* A, B, C 100\. \*\*Which actions are included in safe patient transfers?\*\* (SATA) \- A) Use of assistive devices when needed \- B) Asking the patient to stand independently \- C) Securing bed and wheelchair brakes \- D) Ensuring the nurse's proper body mechanics \*\*Answer:\*\* A, C, D \-\-- Here is a 100-question nursing exam review with multiple-choice (MC) and select-all-that-apply (SATA) questions, based on the topics in your study guide. \-\-- \#\#\# Clinical Reasoning, Nursing Process, and Infection Control 1\. \*\*Which of the following is the first step in the nursing process?\*\* \- A) Planning \- B) Diagnosis \- C) Assessment \- D) Implementation \*\*Answer:\*\* C 2\. \*\*What are key components of critical thinking?\*\* (SATA) \- A) Experience \- B) Discipline \- C) Persuasiveness \- D) Confidence \*\*Answer:\*\* A, B, D 3\. \*\*What does a comprehensive care plan include?\*\* \- A) Documentation of outcomes \- B) Discharge plan \- C) Nursing interventions \- D) All of the above \*\*Answer:\*\* D 4\. \*\*Which of the following describes medical asepsis?\*\* \- A) Eliminating all pathogens \- B) Using clean techniques to reduce microorganisms \- C) Isolating the operative field from unsterile environments \- D) Applying sterile techniques \*\*Answer:\*\* B 5\. \*\*Select the chain of infection elements.\*\* (SATA) \- A) Susceptible host \- B) Pathogen \- C) Mode of entry \- D) Medication route \*\*Answer:\*\* A, B, C 6\. \*\*In what situations is hand hygiene essential?\*\* (SATA) \- A) Before contact with every patient \- B) After touching a sterile field \- C) Before donning gloves \- D) After removing PPE \*\*Answer:\*\* A, C, D 7\. \*\*What are the primary modes of pathogen transmission in healthcare?\*\* \- A) Respiratory droplets and direct contact \- B) Waterborne pathogens \- C) Sexual transmission \- D) Soil contamination \*\*Answer:\*\* A 8\. \*\*The correct order of the nursing process is:\*\* \- A) Assessment, diagnosis, planning, implementation, evaluation \- B) Planning, assessment, implementation, diagnosis, evaluation \- C) Implementation, evaluation, diagnosis, assessment, planning \- D) Diagnosis, assessment, planning, implementation, evaluation \*\*Answer:\*\* A 9\. \*\*What is the purpose of a risk-for nursing diagnosis?\*\* \- A) To document an actual health problem \- B) To identify potential health issues \- C) To select independent nursing interventions \- D) To measure patient outcomes \*\*Answer:\*\* B 10\. \*\*Aseptic technique includes which of the following?\*\* (SATA) \- A) Sterile gloves \- B) Alcohol hand rubs \- C) Clean, disposable supplies \- D) Single-use PPE \*\*Answer:\*\* A, B, D \-\-- \#\#\# Vital Signs and Mobility 11\. \*\*Which statement best describes the importance of vital sign monitoring?\*\* \- A) It helps determine medication needs. \- B) It provides baseline data for health status. \- C) It is only useful during the initial assessment. \- D) It can replace a physical exam. \*\*Answer:\*\* B 12\. \*\*Which temperature site is least accurate?\*\* \- A) Oral \- B) Rectal \- C) Axillary \- D) Temporal \*\*Answer:\*\* C 13\. \*\*What does a low respiratory rate indicate?\*\* \- A) Increased perfusion \- B) Risk of hypoventilation \- C) Improved oxygen saturation \- D) Tachypnea \*\*Answer:\*\* B 14\. \*\*Factors affecting blood pressure include:\*\* (SATA) \- A) Cardiac output \- B) Age \- C) Pain \- D) Skin color \*\*Answer:\*\* A, B, C 15\. \*\*Orthostatic hypotension is defined as:\*\* \- A) A drop in blood pressure when moving from lying to standing \- B) A rise in heart rate after exercise \- C) Fluctuations in blood pressure throughout the day \- D) An increase in blood pressure during activity \*\*Answer:\*\* A \-\-- \#\#\# Nursing Interventions and Patient Safety 16\. \*\*Which are nurse-initiated interventions?\*\* (SATA) \- A) Repositioning a patient to prevent skin breakdown \- B) Administering IV antibiotics \- C) Educating patients on hand hygiene \- D) Ordering diagnostic tests \*\*Answer:\*\* A, C 17\. \*\*What is the purpose of ROM exercises?\*\* \- A) To reduce pain in injured muscles \- B) To maintain or increase joint flexibility \- C) To reduce fatigue \- D) To decrease blood pressure \*\*Answer:\*\* B 18\. \*\*Which is true regarding assistive devices?\*\* \- A) Walkers are used primarily for cardiovascular exercises. \- B) Canes are always used on the patient\'s weaker side. \- C) Gait belts are used to support patient transfers. \- D) Crutches provide no benefit in partial weight-bearing patients. \*\*Answer:\*\* C 19\. \*\*Restraints should be used when:\*\* (SATA) \- A) Alternative methods have failed \- B) There is risk of harm to self or others \- C) They are part of the standard protocol \- D) A provider\'s order is in place \*\*Answer:\*\* A, B, D 20\. \*\*Which are potential complications of immobility?\*\* (SATA) \- A) Pressure injuries \- B) Increased cardiac output \- C) Urinary stasis \- D) Muscle atrophy \*\*Answer:\*\* A, C, D \-\-- \#\#\# Infection Control and Safety Measures 21\. \*\*Identify airborne diseases that require specific precautions.\*\* (SATA) \- A) Tuberculosis \- B) Measles \- C) Mumps \- D) Influenza \*\*Answer:\*\* A, B 22\. \*\*What is the primary function of a sterile field?\*\* \- A) To prevent cross-contamination \- B) To provide comfort during procedures \- C) To replace the use of gloves \- D) To improve procedural efficiency \*\*Answer:\*\* A 23\. \*\*When donning PPE, which piece is worn first?\*\* \- A) Mask \- B) Gloves \- C) Gown \- D) Goggles \*\*Answer:\*\* C 24\. \*\*Signs of infection may include:\*\* (SATA) \- A) Fever \- B) Increased white blood cell count \- C) Low blood pressure \- D) Pain and swelling \*\*Answer:\*\* A, B, D 25\. \*\*Which of the following are sterile techniques?\*\* (SATA) \- A) Surgical hand scrub \- B) Routine handwashing \- C) Sterile gloving \- D) Creating a sterile field \*\*Answer:\*\* A, C, D \-\-- \#\#\# Health Promotion and Patient Education 26\. \*\*Which of the following statements about patient education is true?\*\* \- A) It is only necessary for newly diagnosed patients. \- B) It is the provider\'s sole responsibility. \- C) It enhances patient autonomy and adherence. \- D) It is primarily for hospital discharge purposes. \*\*Answer:\*\* C 27\. \*\*What are essential components of effective patient education?\*\* (SATA) \- A) Clear language \- B) Respect for cultural beliefs \- C) Providing all information at once \- D) Visual aids \*\*Answer:\*\* A, B, D 28\. \*\*Nurses can help prevent pressure injuries by:\*\* (SATA) \- A) Repositioning the patient every two hours \- B) Ensuring adequate hydration \- C) Decreasing nutritional intake \- D) Assessing skin regularly \*\*Answer:\*\* A, B, D 29\. \*\*Which measures are included in fall prevention strategies?\*\* (SATA) \- A) Keeping bed rails up \- B) Using nonslip footwear \- C) Locking wheels on beds and chairs \- D) Restraining patients who are at high risk \*\*Answer:\*\* A, B, C 30\. \*\*The purpose of a health history is to:\*\* \- A) Diagnose medical conditions \- B) Develop a baseline for patient health \- C) Substitute for a physical examination \- D) Provide legal documentation \*\*Answer:\*\* B Certainly! Here are 40 additional multiple-choice and select-all-that-apply (SATA) questions to round out the exam review. These questions focus on critical areas from infection control, safety, mobility, assessment, and patient education based on key points from your study guide. \-\-- \#\#\# Infection Control and Asepsis 1\. \*\*Which of the following are components of surgical asepsis?\*\* (SATA) \- A) Sterile gloves \- B) Alcohol-based hand rub \- C) Creating a sterile field \- D) Handwashing with plain soap \*\*Answer:\*\* A, C 2\. \*\*Which of the following infections require contact precautions?\*\* (SATA) \- A) MRSA \- B) Chickenpox \- C) Clostridioides difficile (C. diff) \- D) Tuberculosis \*\*Answer:\*\* A, C 3\. \*\*Infection control measures for airborne precautions include:\*\* \- A) Gown, gloves, and a surgical mask \- B) N95 respirator and negative pressure room \- C) Face shield and regular mask \- D) Isolation in a positive pressure room \*\*Answer:\*\* B 4\. \*\*Which type of precaution is required for a patient with influenza?\*\* \- A) Airborne \- B) Contact \- C) Droplet \- D) Standard \*\*Answer:\*\* C 5\. \*\*The nurse knows that healthcare-associated infections (HAIs) are commonly caused by:\*\* (SATA) \- A) Catheter use \- B) Improper hand hygiene \- C) Medication errors \- D) Use of personal protective equipment \*\*Answer:\*\* A, B 6\. \*\*Which patients are at higher risk for infections?\*\* (SATA) \- A) Elderly patients \- B) Newborns \- C) Patients on long-term antibiotics \- D) Healthy adolescents \*\*Answer:\*\* A, B, C 7\. \*\*What is the primary purpose of droplet precautions?\*\* \- A) To prevent the spread of pathogens by airborne transmission \- B) To protect against pathogens spread by large droplets \- C) To isolate patients with bloodborne infections \- D) To prevent transmission of all microorganisms \*\*Answer:\*\* B \-\-- \#\#\# Vital Signs and Patient Assessment 8\. \*\*When assessing the pulse, the nurse should document:\*\* (SATA) \- A) Rate \- B) Rhythm \- C) Depth \- D) Strength \*\*Answer:\*\* A, B, D 9\. \*\*A patient with a fever may also exhibit which of the following symptoms?\*\* (SATA) \- A) Increased heart rate \- B) Decreased respiratory rate \- C) Chills \- D) Sweating \*\*Answer:\*\* A, C, D 10\. \*\*The apical pulse is best assessed:\*\* \- A) At the radial artery \- B) At the fifth intercostal space at the midclavicular line \- C) On the neck over the carotid artery \- D) Below the sternum \*\*Answer:\*\* B 11\. \*\*The nurse is preparing to assess blood pressure. Important considerations include:\*\* (SATA) \- A) Using the correct cuff size \- B) Placing the cuff over the elbow \- C) Having the patient sit quietly for five minutes \- D) Ensuring the arm is at heart level \*\*Answer:\*\* A, C, D 12\. \*\*Which is the primary purpose of oxygen saturation monitoring?\*\* \- A) To measure the percentage of oxygen in the air \- B) To assess the oxygen level in the patient's blood \- C) To determine lung capacity \- D) To monitor blood pressure \*\*Answer:\*\* B 13\. \*\*When assessing respiratory rate, the nurse should observe:\*\* (SATA) \- A) The depth of each breath \- B) Rhythm and regularity of breaths \- C) Capillary refill \- D) Effort or use of accessory muscles \*\*Answer:\*\* A, B, D \-\-- \#\#\# Mobility, Immobility, and Patient Safety 14\. \*\*Which of the following are complications of immobility?\*\* (SATA) \- A) Pneumonia \- B) Pressure injuries \- C) Constipation \- D) Improved muscle tone \*\*Answer:\*\* A, B, C 15\. \*\*When assisting a patient with a walker, the nurse should:\*\* (SATA) \- A) Ensure the patient's elbows are slightly bent \- B) Position the walker so all four legs are stable before stepping \- C) Walk beside the patient, holding onto the walker \- D) Encourage the patient to place weight on the walker as they walk \*\*Answer:\*\* A, B 16\. \*\*When transferring a patient, the nurse should consider:\*\* (SATA) \- A) The use of assistive devices \- B) Proper body mechanics \- C) The patient's weight and mobility level \- D) Moving the patient independently if they are non-ambulatory \*\*Answer:\*\* A, B, C 17\. \*\*Which intervention is essential to prevent deep vein thrombosis (DVT) in immobile patients?\*\* \- A) Frequent turning and repositioning \- B) Applying a hot compress to legs \- C) Encouraging patient to remain still \- D) Using graduated compression stockings \*\*Answer:\*\* D 18\. \*\*A gait belt should be used when:\*\* \- A) The patient is unable to bear weight \- B) Assisting with ambulation or transfer \- C) Positioning a patient in bed \- D) The patient has a leg fracture \*\*Answer:\*\* B \-\-- \#\#\# Nursing Interventions and Health Promotion 19\. \*\*Nurse-initiated interventions are examples of:\*\* (SATA) \- A) Repositioning a patient \- B) Prescribing medications \- C) Encouraging coughing and deep breathing \- D) Ordering diagnostic tests \*\*Answer:\*\* A, C 20\. \*\*Which of the following describes primary prevention in health promotion?\*\* \- A) Treating an illness once it develops \- B) Screening for early signs of disease \- C) Educating on proper hand hygiene \- D) Prescribing antibiotics for infections \*\*Answer:\*\* C 21\. \*\*What are the key components of a SMART goal in nursing?\*\* (SATA) \- A) Specific \- B) Measurable \- C) Adjustable \- D) Realistic \*\*Answer:\*\* A, B, D 22\. \*\*Which nursing intervention is appropriate for a patient experiencing pain?\*\* \- A) Reassess pain level after medication administration \- B) Document pain level without intervention \- C) Avoid positioning changes until pain resolves \- D) Encourage deep breathing exercises only \*\*Answer:\*\* A 23\. \*\*A patient education session about managing hypertension should include:\*\* (SATA) \- A) Encouraging low-salt diets \- B) Advising to avoid exercise \- C) Explaining the importance of medication adherence \- D) Discussing ways to reduce stress \*\*Answer:\*\* A, C, D \-\-- \#\#\# Personal Hygiene and Skin Integrity 24\. \*\*What are critical assessments for skin integrity?\*\* (SATA) \- A) Color and moisture \- B) Temperature \- C) Muscle tone \- D) Turgor \*\*Answer:\*\* A, B, D 25\. \*\*When bathing a patient, the nurse should:\*\* (SATA) \- A) Move from the cleanest areas to less clean areas \- B) Use hot water for comfort \- C) Apply lotion to dry skin \- D) Perform skin assessment during the bath \*\*Answer:\*\* A, C, D 26\. \*\*What are risk factors for developing pressure injuries?\*\* (SATA) \- A) Decreased mobility \- B) Incontinence \- C) Low-calorie diet \- D) Moist skin \*\*Answer:\*\* A, B, D 27\. \*\*Which are appropriate interventions for a patient with impaired skin integrity?\*\* (SATA) \- A) Turn the patient every two hours \- B) Maintain hydration and nutrition \- C) Avoiding pressure points \- D) Use restrictive clothing to prevent injury \*\*Answer:\*\* A, B, C \-\-- \#\#\# Nursing Diagnosis and Clinical Judgment 28\. \*\*When writing a nursing diagnosis, which components are required?\*\* \- A) Problem, cause, and supporting evidence \- B) Goal, intervention, and outcome \- C) Assessment, plan, and implementation \- D) Subjective data, objective data, and evaluation \*\*Answer:\*\* A 29\. \*\*Which diagnosis would be appropriate for a patient with difficulty breathing?\*\* \- A) Activity intolerance \- B) Impaired gas exchange \- C) Fluid volume deficit \- D) Ineffective thermoregulation \*\*Answer:\*\* B 30\. \*\*The nurse knows that a \"risk-for\" diagnosis indicates:\*\* \- A) A current health problem \- B) A potential for developing a problem \- C) An intervention that is no longer needed \- D) A long-term patient