Fundamentals exam 1 test 2024 Questions With Correct Answers

Which nurse is most likely kept records on sanitation techniques and the effects on health?

Florence Nightingale

The nurse prescribe strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following?

Planning

An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?

Novice

A nurse assess a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?

autonomy

A nurse prepares the budget and polices for an intensive care unit. Which role is the nurse implementing?

Manager

The nurse has been working in the clinical setting for several years as an advanced practice nurse. However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire, which program should the nurse attend?

Doctor of Philosophy degree (PhD)

A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive?

Continuing education

A nurse identifies gaps between local and best practices/ Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

Quality improvement

A nurse has compassion fatigue. What is the nurse experiencing?

Burnout and secondary traumatic stress

A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying?

Patient advocate

The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action should the nurse-midwife take initially?

Offer to provide the newborn care

The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA?

Works under the guidance of an anesthesiologist

A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts?

Protects the public

A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. What should the nurse realize?

The individual nurse can influence legislative decisions

A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which is the nurse using?

Code of ethics

A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first?

Pass the National Council Licensure Examination

While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe?

Accountability

A nurse is teaching the staff about Benner's levels of proficiency. In which order should the nurse place the levels from beginning level to ending level?

1. Expert

2. Novice

3. Proficient

4. Competent

5. Advanced beginner

2,5,4,3,1

The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?

Diagnosis-related groups (DRGs) provide all fixed reimbursements of cost

A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?

Managed care causes providers to focus on prevention

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understand of the Affordable Care Act?

Adult children up to age 26 are allowed coverage on the parents plan

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?

Upon admission to the hospital

The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?

Restorative

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?

Preventative care

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter "A"

Act

The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data which information will the nurse utilize?

Healthcare Effectiveness Data and Information Set (HEDIS)

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

Skilled nursing

A nurse working in a community hospital's emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?

Tertiary care

A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?

Increased spread of communicable diseases

A nurse is using research findings to improve clinical practice. Which technique is the nurse using?

Performance improvement

Which finding indicates the best quality improvement process?

Staff identifies the wait time in the emergency department is too long

A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition . What is the health nurse's primary objective?

Education

A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring technology is doing the work. What is the nurses's best response?

"Technology use has to be combined with nursing judgement"

A nurse is competing a minimum data set. Which area is the nurse working?

Nursing center

A nurse is working as a public health nurse. What will be the nurse's primary focus?

needs of population

A nurse wants to become a specialist in public health nursing. Which educational requirement will the nurse have to obtain?

A graduate level education with a focus in public health science

A nurse is working as a community health nurse. Which action is a priority for this nurse?

provide direct care to subpopulations.

A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing?

community-based

The community health nurse is administering flu shots to children at a local playground. What is the rationale for the nurse's action?

to prevent community outbreak of illness

A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?.

its priority is health promotion

A nurse is using the Healthy People 2020 to establish goals for the community. Which goal is priority?

increase life expectancy

A nurse is working in community-based nursing. Which competency is priority for this nurse?

caregiver

A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use?

Epidemiologist

A nurse is providing screening at a health fair. Which finding indicates the person may be vulnerable patient who is most likely to develop health problems?

one who has excessive risks

The instructor is teaching students nurses about identifying members of vulnerable populations when the nursing student asks, "why it is that not all poor people are considered members of vulnerable populations?" How should the nurse respond?

"members of vulnerable groups frequently have a combination of risk factors"

The nurse is making a home visit to a Korean mother after the birth of a girl. The spouse is pressing different parts of the patient's hand and lower arm to relieve a headache. What is the nurse's next action?

Ask the mother and/ or spouse to explain the procedure

A nurse is assessing the social system of a community. Which area should the nurse assess?

volunteer programs

The nurse is working with a 16 year old pregnant female who tells the nurse that she needs an abortion. The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the adoption. What should the nurse, in the counselor role, do next?

provide referral to an abortion service

Before a patient with beginning stage of Alzhemier's disease is discharged, the community-based nurse is making a visit to the patient's home. The patient's daughter and family live in the home with the patient. What is the major focus of this visit?

demonstrate techniques for providing care

While conducting a community assessment, the nurse seeks data on the average household income and the number of residents on public assistance. In doing so, the nurse is evaluating which component of a community assessment?

structure

The nurse uses statistics on increased incidence of communicable disease to influence legislatures to pass a bill for mandatory vaccinations to enroll in school. Which type of nursing will the nurse use in this process?

public health nursing

The nursing instructor is teaching a class on nursing theory. One of the students asks, "Why do we need to know this stuff? It doesn't really affect patients." What is the instructors best response?

"Theories help explain why nurses do what they do"

The nurse is caring for a patient who does not follow the prescribe regimen for diabetes management. As a prescriber to Orem's theory, the nurse interviews the patient in an attempt to identify the cause of the patient's "noncompliance." What is the rationale for the nurse's behavior

Orem's theory is useful in designing interventions to promote self-care

A nurse is testing meditation for migraine headaches and the expected outcome of care when performing this intervention. Which type of theory is the nurse using?

prescriptive

The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anticoagulant enozaprin will reduce bruising at the injection site. This study involves a prescriptive theory. What is the nurses's rationale for involving a prescriptive theory?

it tests a specific nursing intervention

A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the nurse use nursing theory and the nursing process in practice?

nursing theory can direct how a nurse uses the nursing process

The nurse views the patient as an open system that needs help in coping with stressors. Which theorist is the nurse using?

Neuman

The nurse is caring for a patient diagnosed with essential hypertension. The health care provider prescribes blood pressure medication that the nurse administers. The nurse then monitors the patient's blood pressure for several days to help determine effectiveness. Which system component is the nurse evaluating?

Output

A patient is admitted with possible methicillin-resistant and is placed in isolation until cultures can be obtained and declared noninfectious. During the isolation process, the nurse encourages family visits. Which level of Maslow's hierarchy of needs is the nurse promoting when the family is encouraged to visit?

Third level

A nurse is caring for pediatric patients and using the developmental theory to plan nursing care. What is the focus of the nurse's care?

Humans have an orderly, productive process of growth and development

Upon assessment, the nurse notices that the patient's respirations have increased, and the tip of the nose and earlobe are becoming cyanotic. The nurse finds that the patient's pulse rate is over 100 beats per minute. According to Maslow's hierarchy of needs, which patient need should the nurse address first?

Physiological

Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?

Thinks about the patients and patients environments

The home health nurse listens to the patient's concerns about having "open heart" surgery. The nurse explains the different surgical procedures and other options, like cardiac rehabilitation. After several visits, the patient wants cardiac rehabilitation. The nurse notifies the health care provider and sets up a referral. Which theory is the nurse using?

Peplau's theory

The nurse is caring for a patient who is actively bleeding. The health care provider prescribes blood transfusion. The patient is a Jehovah's Witness and does not want blood products. The nurse contacts the health care provider to request alternative treatment. Which theory is the nurse using?

Leininger's theory

The patient tis terminally ill and receiving hospice care. The nurse cares for the patient by bathing, shaving, and repositioning him. The patient would like a catholic priest called to provide the Sacrament of the Sick. The nurse places a call and arranges for the priest's visit. Which theory does this nurse's care represent?

Henderson's theory

The patient is newly diagnosed with diabetes and will be discharged in the next day or so. The nurse is teaching the patient how to draw up self-administer insulin. Which theory is the nurse utilizing?

Orem's theory

A nurse is conducting research about the needs of depressed patients. The nurse writes the following: depression is a patient reporting a score above 7 on the Hamilton depression rating scale. What did the nurse write?

operational defintion

Which action indicates the nurse is using the nursing process in patient care?

Delivers nursing care using a systematic approach

A nurse is using theoretical knowledge in nursing practice to provide patient care. Which nursing behavior is an example of theoretical knowledge?

reads about different concepts

A nurse is using Maslow's hierarchy of needs tp prioritize care. Place the levels in order of basic priority to highest priory that the nurse will follow.

1. physiological

2.self-esteem

3. self-actualization

4. safety and security

5. love and belonging

1,4,5,2, 3

A nurse uses evidence-baed practice (EBP) to provide nursing care. What is the best rationale for the nurse's behavior

EBP is a guide for nurses in making clinical decisions

In caring for patients, what must the nurse remember about evidence-based practice

EBP is dependent on patient values and expectations

A nurse wants to change a patient procedure. Which action will the nurse take to easily find research evidence to support this change?

use the PICOT format for the search

The nurse has collected several research findings for EBP. Which article will be the best for the nurse to use?

an article that uses randomized control trials (RCT)

The nurse is reviewing a research article on patient care topic. Which area should entice the nurse to reach the article?

Introduction

The nurse is caring for a patient with chronic low back pain. The nurse wants to determine the best EBP regarding clinical guidelines for low back pain. What is the best database for the nurse to access?

AHRQ

A nurse writes the following PICOT question: How do patients with breast cancer rate their quality of life. How should the nurse evaluate this question?

A ture PCIOT questions regardless of the number of elements

A nurse is reviewing literature for an evidence-based practice study. Which study should the nurse use for he most reliable level of evidence that uses static's to show effectiveness?

Meta-analysis

A nurse is reviewing research studies for EBP. Which article should the nurse use for qualitative nursing research?

An article about emotional needs of dying patients and their families

A nurse develops the following PICOT questions: Do patients who listen to music achieve better control of their anxiety and pain after surgery when compared with patients who receive standard nursing care following surgery? Which information will the nurse as the C?

Who receive standard nursing care

The nurse uses a PICOT question to develop an EB change in protocol for certain nursing procedure. However, to make these changes throughout the entire institution would require more evidence than is available at this time. What is the nurses's best option?

Conduct a pilot study to investigate findings

The nurse is trying to identify common vernal themes relative to the effectiveness of cardiac rehabilitation from patients who have had heart attacks and have gone through cardiac rehabilitation programs. The nurse conducts interviews and focus groups. Which type of research is the nurse conducting?

Qualitative research

In conducting a research study, the nurse researcher guarantees the subject no information will be reported in any manner that will identify the subject and only the research team will have access to the information. Which concept is the nurse researcher fulfilling?

confidentiality

The nurse searcher is preparing to publish the findings and is preparing to add the limitations to the manuscript. Which area of the manuscript will the nurse researcher add this information?

conclusion

A nurse is trying to decrease the rate of falls on the unit. After reviewing the literature, a strategy is implemented on the unit. After 3 months, the nurse finds that the falls have decreased. Which process did the nurse institute?

performance improvement

A nurse identifies a clinical problem with pressure ulcers. Which step should the nurse take next in the research process?

Develop a hypothesis

After reviewing the literature, the EVP committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted. The results indicate over 40% reduction in falls. What is the committee's next step?

Communicate to staff the results of this project

A nurse is developing a care delivery outcomes to research project. Which population will the nurse study?

Patients

A nurse is implementing an EBP project regarding infection rates. After reviewing research literature, which other evidence should the nurse review?

Quality improvement data

A nurse is using the research process. Place in order the sequence that the nurse will follow

1. analyze results

2. conduct the study

3. identify clinical problems

4. develop research questions

5. determine how study will be conducted

3, 4, 5, 2, 1

In a natural disaster relief facility, the nurse observes that an older-adult male has a recovery plan, while a 25 year old male is still overwhelmed by the disaster situation. A nurse is planning care for both patients. Which factors will the nurse consider about the different coping reactions?

Maturational and situational factors

A women who was sexually assaulted a month ago presents to the emergency department with reports of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. Which medical problem will the nurse expect to see documented in the chart?

Post-traumatic stress disorder

The nurse teaches stress-reduction and relaxation training to health education groups of patients after cardiac by pass surgery. which level of intervention is the nurse using?

tertiary

A nurse is teaching guided imagery to a prenatal class. Which techniques did the nurse describe?

Using sensory peaceful words

After a natural disaster occurred, an emergency worker referred a family for crisis intervention services. One family member refused to attend the services, stating, "No way, im not crazy." What is the nurse's best response?

"Seeking this kind of help does not mean that you have a mental illness; it is a short-term problem-solved technique"

A preadolescent patient is experiencing maturational stress. Which area will the nurse focus on when planning care?

self-esteem issues

A nurse is caring for a patient with stress and is in the evaluation state of critical thinking model. Which actions will the nurse take?

Reassess patients stress related symptoms compare with expected outcomes

An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's report rule out a seizure disorder. It is determined the patient is using conversions. Which action should the nurse take next?

Obtain history of any recent life stressors

A senior college student visits eh college health clinic about a freshman student living on the same dormitory floor. The senior student reports that the freshman is crying and is not adjusting to college life. The clinic nurse recognizes this as a combination of situational maturational stress factors. Which is the best response by the nurse?

"Give the freshman student this list of university and community resources"

Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse has a strategy to prevent burnout. Which strategy will be best for the nurse to use?

Strengthen friendships outside the workplace