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Fundamentals of Nursing Final Exam
Review, Exams of Nursing
A document about personal choices regarding life support when death is likely is a. a durable healthcare power of attorney b. a Do Not Resuscitate Order c. a living will d. Hospice Care - ANSWER C A federal insurance plan providing benefits for older persons and some younger persons with disabilities is called: a. Medicaid b. Medicare c. Blue Cross/ Blue Shield d. Coventry - ANSWER B A microbe that is harmful and causes infection is called: a. reservoir b.pathogen c. a non- pathogen d. host - ANSWER B A resident continues to ask you the same question over and over again each time you come into the room. You should: a. Tell the person you are tired of ANSWERing the same question b. Yell at the resident c. Report the behavior d. Be patient - ANSWER D A resident uses crutches to walk. Which does not promote safety? a. a physical therapist measures and fits the person with crutches b. comfortable bedroom slippers won c. clothes fit well d. crutch tips are attached to the end of crutches - ANSWER B A rule of conduct made by the government body is called: a. A law b. Libel
c. Tort d. Informed Consent - ANSWER A A safety device used to transfer a dependent resident from the bed to chair is called: a. posey vest b. hand roll c. transfer/gait belt d. foot board - ANSWER C A tube inserted into the stomach through a surgically create opening is called: a. a gastrostomy tube b. a jejunostomy tube c. a PEG tube d. a nasogastric tube - ANSWER C After urinating, the resident is assisted to: a. Wash their hands b. Get back in bed c. GIven something to drink d. Put in a diaper - ANSWER A An assisted living facility provides all of the following except: a. Housing b. Personal care c. Social activities d. 24 hour skilled nursing care - ANSWER D An infection of the bladder is called: a. cystitis b. pyelonephritis c. renal calculi d. dialysis - ANSWER A An official record of persons who have completed a Nursing Assistant training and competency evaluation programs. a. OBRA b. Civil law c. Protected nursing assistants records d. Nursing Assistant Registry - ANSWER D
a. arteries b. veins c. venulee d. capillaries - ANSWER A Catastrophic reactions involve a. false beliefs b. restless behavior c. seeing something that is not there d. extreme responses - ANSWER D Communication that uses written/spoken word is: a. nonverbal b. focusing c. body language d. verbal communication - ANSWER D Development is a. an involuntary movement b. a skill that must be completed c. changes in mental, emotional, and social function d. the physical changes that can be measured and that occur in steady, orderly manner
- ANSWER C Difficulty swallowing may be associated with: a. Congestive Heart Failure b. Parkinson's Disease c. Stroke d. Multiple Sclerosis - ANSWER C Direct Questions are used to: a. show the person you care about them b. make sure you understand what was said c. focus on specific information d. allow the person time to think - ANSWER C During which step of the nursing process is care provided? a. Assessment b. Evaluation c. Implementation
d. Planning - ANSWER C Exercises that move each muscle and joint care called? a. Rotation b. Adduction c. Range of Motion d. Abduction - ANSWER C Frequent urination at night is: a. dysuria b. nocturia c. urinary urgency d. polyuria - ANSWER B Hemoptysis is: a. mucous from the respiratory tract b. a black tarry stoll c. bloody stool d. infection - ANSWER C HIV can be spread by a. sneezing coughing b. insects c. holding hands and hugging d. unprotected anal, vaginal or oral sex as well as blood exposure to unbroken skin - ANSWER D In your role as a nursing assistant, you are able to: a. You can take verbal orders over the phone from doctors b. Give medications c. Insert a foley in the patients vagina or penis d. Report changes in the residents condition to the nurse - ANSWER D Increased signs, symptoms and behaviors of Alzheimers Disease during the hours of darkness is called a. night time fatigue b. sleep deprivation c. delirium d. sundowning - ANSWER D
c. Empathy d. Courtesy - ANSWER C Men often times have difficulty urinating because: a. kidneys atrophy b. bladder increases in size c. prostate gland enlarges d. urethra loses tone - ANSWER C Mr. Edwards is on strict bedrest. Which of the following statements is correct? a. he has a contracture b. good body alignment is important c. he can get up to use the bathroom only d. he has orthostatic hypotension - ANSWER B Mr. Kline is bedbound. How often should reposition him? a. at least every hour b. at least every two hours c. at least every four hours d. at least every shift - ANSWER B Mr. Poole's blood pressure measure remains above 150/100 mmHg. This is called. a. tachycardia b. hypertension c. hypotension d. anxiety - ANSWER B Mrs Jansen is dying. She is very very sad, She cries a lot. She rings her call bell at 2 a.m. and asks for the priest. You should: a. Ask her why she wants to see the patient b. Tell her to go back to sleep c. Tell her you will ask the nurse to call the priest in the morning d. Report her request to the nurse - ANSWER D Mrs. Cooper is on isolation precautions. Which is false? a. say hello from the doorway every 15 minutes b. spend as little time as you can in her room c. provide her with hobby materials d. treat her with respect, kindness and dignity - ANSWER B
Ms. Schnieder has an order for NPO after midnight. This means: a. fluids are restricted b. accurate records are kept of oral intake c. she can eat whatever she wants or drink whatever she wants d. she is encouraged to drink a variety of fluids - ANSWER A Muscle Atrophy is: a. the abnormal shortening of a muscle b. bending backward c. the decrease in size or wasting away of a muscle d. excessive straightening of a body part - ANSWER C Name on major contraindication to shaving a male resident with a straight razor ___________________. - ANSWER Blood Thinner Oral hygiene: a. is only done once daily b. is not important for the unconscious person c. causes pyorrhea d. prevents mouth odor and infection - ANSWER D Padding side rails on a bed serves a purpose. The purpose is: a. Restrain the patient b. Have somewhere to put the call button c. Keep the client warm d. Protect your client from possible injury - ANSWER D Painful or difficult urination is called a. dysuria b. micturition c. urinary urgency d. oliguria - ANSWER A Phantom pain is a. suddenly felt b. constant and severe c. felt at the site of tissue damage and in nearby areas d. is felt in the body part which is no longer there - ANSWER D Rectal temperatures are taken:
d. below the left nipple - ANSWER D The beginning sign of a pressure sore is: a. Coolness b. Discoloration c. Swelling d. Numbness - ANSWER B The BEST time to prepare for a disaster is: a. During your lunch b. When everyone has gone to bed c. During a tornado or hurricane d. Before it happens - ANSWER D The call bell or signal light should ALWAYS be: a. on the bedrail b. attached to the pillow c. within the patients reach d. on the arm of the chair - ANSWER C The following are risk factors for coronary artery disease. Which risk factor can not be changed a. lack of exercise b. smoking c. being overweight d. your mother and father both had heart attacks at 40 and 48 - ANSWER D The following statements are about restraint use. Which is false? a. the least restrictive method is used b. restraints require a doctors order c. restraints can cause serious harm d. restraints are used to discipline a person who is uncooperative with care - ANSWER D The goal of the healthcare team is to: a. Carry out the MDs orders b. Develop plans of care for residents c. Provide quality care d. Complain about the workload - ANSWER C
The largest art of the brain and the center of thought and intelligence is: a. midbrain b. brainstem c. cerebellum d. cerebellum - ANSWER D The loss of urine in response to a sudden, urgent need to void is called: a. mixed incontinence b. functional incontience c. overflow incontinence d. urge incontinence - ANSWER B The most common cause of COPD/emphysema is: a. Pollution b. Family History c. Asthma d. Smoking - ANSWER D The most common mental health problem is a. delirium b. alcoholism c. depression d. anxiety - ANSWER D The normal body temperature range for the rectal site is: a. 98.6 to 100.6 degrees F b. 96.6 to 98.6 degrees F c. 97.6 to 99.6 degrees F d. 99.6 to 101 degrees F - ANSWER A The nurse asks you to give Mrs. Jones a milk and molasses enema. Should you give the enema? - ANSWER No The nurse tells you to perform a procedure. Which is not true? a. The nurse must be available to ANSWER questions and supervise b. Do whatever the nurse tells you to do c. The procedure must be in your job description d. Your state must allow nursing assistants to perform the procedure - ANSWER B The period of heart muscle relaxation is called
d. an illness that is gradual - ANSWER C Those persons who provide basic nursing care under the supervision of a registered nurse or a licensed practical nurse are: a. Licensed practical nurse b. Case managers c. Assistive personnel d. The "health care team" - ANSWER C To prevent aspiration when providing oral care to the unconscious person, you should a. place a kidney basin under the persons chin b. clean the mouth using sponge swabs moistened with a cleaning agent c. explain the procedure to the persons and provide for privacy d. position the resident in a side-lying position with the head turned to the side. - ANSWER D To prevent shampoo from getting into your residents eyes, you should: a. Use a hand held nozzle b. Use dry shampoo c. Rinse the hair throughly d. Use a washcloth to cover the eyes - ANSWER D To residents share a room. One family wants to take pictures of the two residents together. A persons picture taken without permission is called: a. Assault b. Malpractice c. Negligence d. Invasion of Privacy - ANSWER D To use reagent strips correctly, you should: a. ask the nurse b. check the plan of care c. check your assignment flow sheet d. read and follow manufactures - ANSWER D True of False Accidents or errors in giving care should be reported to the nurse at the end of the shift.
- ANSWER False True or False
A flowsheet is only used by RNS and used to record frequent measurements or observations. - ANSWER True True or False A married couple is admitted to a nursing facility. They should be assigned to separate rooms. - ANSWER False True or False A resident can have a diagnosis of constipation and still stool - ANSWER True True or False Always use medical terms when you talk to the patient or resident. - ANSWER False True or False An oral temperature is the best route for a patient on oxygen - ANSWER False True or False Axillary temperatures are more reliable than oral temperatures. - ANSWER False True or False Conflict in the workplace can impact the quality of the care provided. - ANSWER True True or False Everyone likes to be touched - ANSWER False True or False Foley catheters treat the cause of urinary incontinence - ANSWER False True or False Giving your opinion, positive or negative, promotes effective communication - ANSWER True True or False HIV medications can make you very sick - ANSWER True
True or False Restraints are safe and are always used to prevent falls - ANSWER False True or False Restraints can increase a person's confusion or agitation - ANSWER True True or False The bed should be placed in low with the call bell in reach when providing patient care. - ANSWER False True or False The goal of bladder training programs is control of urination - ANSWER True True or False The healthy adult produces about 1500ml urine per day - ANSWER False True or False The most serious risk of restraint use is death - ANSWER True True or False The nursing progress never ends - ANSWER True True or False The plan of care for a resident tells you when to apply and remove heat/ice - ANSWER False True or False The skin is the body's first line of defense against disease - ANSWER True True or False The towel bar is the best place for the resident to hold on for support when the resident gets in or out of tub. - ANSWER False True or False To brush ones hair start at the scalp and brush toward the hair ends - ANSWER True
True or False Traction is removed when you make the persons bed - ANSWER False True or False Unless otherwise ordered, take vital signs with the resident standing - ANSWER False True or False Urinals when full should be placed on the overbed table - ANSWER False True or False Use of narcotic pain medications can cause constipation - ANSWER True True or False When transferring a patient, the weak side moves first - ANSWER True True or False When using a fracture pan, the larger end is placed under the buttocks - ANSWER True True or False You are giving male perineal care. To clean the tip of the penis, start at the meatus of the urethra and work outward. - ANSWER True True or False You can never refuse to perform a delegated task. - ANSWER False True or False You shouldn't tell the nurse if you are unable to hear a blood oxygen - ANSWER False True or False A back massage is safe for everyone - ANSWER False True or False A malignant tumor grows slowly and does not invade healthy tissue - ANSWER False
Hematuria means blood in the stool - ANSWER False True or False I will document appropriately, date, time, event and not leave anything out! - ANSWER True True or False If you call the resident by name and the respond. You know it is them. - ANSWER False True or False In healthy adults, respirations should be between 24- 30 - ANSWER False True or False Inappropriate sexual behaviors by the resident are always on purpose - ANSWER False True or False Listen and use silence when dealing with an angry person - ANSWER True True or False Most residents enjoy enemas - ANSWER False True or False Nursing Assistants are responsible for starting oxygen therapy - ANSWER False True or False Pain that is described as "chronic" means it is sudden onset - ANSWER False True or False Reporting and recording are done before you give the patient care - ANSWER False True or False Sodium causes the body to retain water - ANSWER True True or False Stroke is leading cause of disability in adults - ANSWER False
True or False Taking an apical pulse requires a stethoscope and some sort of clock - ANSWER True True or False The blood pressure cuff works best if applied over clothing - ANSWER False True or False The enema tubing is usually inserted 6 inches into the adult rectum - ANSWER True True or False Trochanter rolls prevent the hips from turning inward - ANSWER True True or False Urinary urgency is the loss of bladder control - ANSWER False True or False When residents are sick they are hungrier - ANSWER False True or False Women in nursing homes are not interested in shaving their underarms and legs - ANSWER False True or False You should always make yourself at home and sit on the resident bed while feeding - ANSWER False True or False You should pick your residents daily activities and make them go - ANSWER False What Act did Congress pass in 1987, to protect the quality of life, health and safety of nursing home residents? a. MedicareAct of 1987 b. Patients Bill of Rights c. EMTALA d. Omnibus Budget Reconciliation Act - ANSWER D
