FINAL 116 NURSING FUNDAMENTALS Questions with complete solution 2024
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Course
PNR 116
Institution
PNR 116
FINAL 116 NURSING FUNDAMENTALS Questions with complete solution 2024 The nurse would write which of the following outcome statements for a client starting an exercise program?
A. Client will walk quickly three times a day
B. Client will be able to walk a mile
C. Client will have no alteration i...
FINAL 116 NURSING FUNDAMENTALS
The nurse would write which of the following outcome statements for a client
starting an exercise program?
A. Client will walk quickly three times a day
B. Client will be able to walk a mile
C. Client will have no alteration in breathing during the walk
D. Client will progress to walking a 20-minute mile in one month - correct
answer ✔D. Client will progress to walking a 20-minute mile in one month
Which of the following items of subjective client data would be documented in
the medical record by the nurse?A. Client's face is pale
B. Cervical lymph nodes are palpable
C. Nursing assistant reports client refused lunch
D. Client feel nauseated - correct answer ✔D. Client feel nauseated
The client reports nausea and constipation. Which of the following would be
the priority nursing action?
A. Collect a stool sample
B. Complete an Abdominal assessment
C. Administer an anti-nausea medication
D. Notify the physician - correct answer ✔B. Complete an Abdominal
assessment
Which of the following descriptors is most appropriate to use when stating the
"problem" part of a nursing diagnosis?
A. Grimacing
B. Anxiety
,C. Oxygenation saturation 93%
D. Output 500 mL in 8 hours - correct answer ✔B. Anxiety
Which desired outcome written by the nurse is correctly written and
measurable?
A. Client will have a normal bowel pattern by April 2
B. The client will lose 4 lbs. within next 2 weeks
C. The nurse will provide skin care at least 3 times each day
D. The client will breathe better after resting for 10 minutes - correct answer
✔B. The client will lose 4 lbs. within next 2 weeks
The nursing diagnosis is Risk for impaired skin integrity related to immobility
and pressure secondary to pain and presence of a cast. Which of the
following desired outcomes should the nurse include in the care plan?
A. Client will be able to turn self by day 3
B. Skin will remain intact and without redness during hospital stay
C. Client will state pain relieved within 30 minutes after medication
D. Pressure will be prevented by repositioning client every 2 hours - correct
answer ✔B. Skin will remain intact and without redness during hospital stay
Once a nurse assesses a client's condition and identifies appropriate nursing
diagnoses, a:_______
A. Plan is developed for nursing care.
B. Physical assessment begins
C. List of priorities is determined.
D. Review of the assessment is conducted with other team members. - correct
answer ✔A. Plan is developed for nursing care.
,Planning is a category of nursing behaviors in which:
A. The nurse determines the health care needed for the client.
B. The Physician determines the plan of care for the client.
C. Client-centered goals and expected outcomes are established.
D. The client determines the care needed. - correct answer ✔C. Client-
centered goals and expected outcomes are established.
Priorities are established to help the nurse anticipate and sequence nursing
interventions when a client has multiple problems or alterations. Priorities are
determined by the client's:
A. Physician
B. Non Emergent, non-life threatening needs
C. Future well-being.
D. Urgency of problems - correct answer ✔D. Urgency of problems
When establishing realistic goals, the nurse:
A. Bases the goals on the nurse's personal knowledge.
B. Knows the resources of the health care facility, family, and the client
C. Must have a client who is physically and emotionally stable.
D. Must have the client's cooperation. - correct answer ✔B. Knows the
resources of the health care facility, family, and the client
The following statements appear on a nursing care plan for a client after a
mastectomy: Incision site approximated; absence of drainage or prolonged
erythema at incision site; and client remains afebrile. These statements are
examples of:
A. Nursing interventions
B. Short-term goals
, C. Long-term goals
D. Expected outcomes. - correct answer ✔D. Expected outcomes.
The planning step of the nursing process includes which of the following
activities?
A. Assessing and diagnosing
B. Evaluating goal achievement.
C. Performing nursing actions and documenting them.
D. Setting goals and selecting interventions. - correct answer ✔D. Setting
goals and selecting interventions.
The RN has received her client assignment for the day-shift. After making the
initial rounds and assessing the clients, which client would the RN need to
develop a care plan first?
A. A client who is ambulatory.
B. A client, who has a fever, is diaphoretic and restless.
C. A client scheduled for OT at 1300.
D. A client who just had an appendectomy and has just received pain
medication. - correct answer ✔B. A client, who has a fever, is diaphoretic
and restless.
Which type of assessment is performed to obtain data about an actual,
potential, or possible problem that has been identified or is suspected?
A.Initial assessment
B.Focused assessment
C.Global assessment
D.Special needs assessment - correct answer ✔B.Focused assessment
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