1. Jake is complaining of shortness of breath. The nurse assesses his
respiratory rate to be 30 breaths per minute and documents that
Jake is tachypneic. The nurse understands that tachypnea means:
A. Pulse rate greater than 100 beats per minute
B. Blood pressure of 140/90
C. Respiratory rate ...
1 jake is complaining of shortness of breath the nurse assesses his respiratory rate to be 30 breaths per minute and documents that jake is tachypneic the nurse under
FUNDAMENTALS
PNLE: IN
Fundamentals in Nursing
NURSING
Exam 1 EXAM 1
Text Mode – Text version of the exam
1. Jake is complaining of shortness of breath. The nurse assesses his
respiratory rate to be 30 breaths per minute and documents that
Jake is tachypneic. The nurse understands that tachypnea means:
A. Pulse rate greater than 100 beats per minute
B. Blood pressure of 140/90
C. Respiratory rate greater than 20 breaths per minute
D. Frequent bowel sounds
2. The nurse listens to Mrs. Sullen’s lungs and notes a hissing sound
or musical sound. The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular
3. The nurse in charge measures a patient’s temperature at 101
degrees F. What is the equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C
4. Which approach to problem solving tests any number of solutions
until one is found that works for that particular problem?
A. Intuition
B. Routine
C. Scientific method
D. Trial and error
5. What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing
This study source was downloaded by 100000838690865 from CourseHero.com on 05-23-2023 02:46:10 GMT -05:00
, 6. During the planning phase of the nursing process, which of the
following is the outcome?
A. Nursing history
B. Nursing notes
C. Nursing care plan
D. Nursing diagnosis
7. What is an example of a subjective data?
A. Heart rate of 68 beats per minute
B. Yellowish sputum
C. Client verbalized, “I feel pain when urinating.”
D. Noisy breathing
8. Which expected outcome is correctly written?
A. “The patient will feel less nauseated in 24 hours.”
B. “The patient will eat the right amount of food daily.”
C. “The patient will identify all the high-salt food from a prepared
list by discharge.”
D. “The patient will have enough sleep.”
9. Which of the following behaviors by Nurse Jane Robles
demonstrates that she understands well th elements of effecting
charting?
A. She writes in the chart using a no. 2 pencil.
B. She noted: appetite is good this afternoon.
C. She signs on the medication sheet after administering the
medication.
D. She signs her charting as follow: J.R
10. What is the disadvantage of computerized documentation of the
nursing process?
A. Accuracy
B. Legibility
C. Concern for privacy
D. Rapid communication
11. The theorist who believes that adaptation and manipulation of
stressors are related to foster change is:
A. Dorothea Orem
B. Sister Callista Roy
This study source was downloaded by 100000838690865 from CourseHero.com on 05-23-2023 02:46:10 GMT -05:00
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