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Fundamentals Of Nursing Iv: Nursing Process, Physical And Health Assessment And Routine Procedures (practice Mode)

25 Questions
Fundamentals Of Nursing Iv: Nursing Process, Physical And Health Assessment And Routine Procedures (practice Mode)

Mark the letter of the letter of choice then click on the next button. No time Limit. Correct answer will be revealed after each question. Good luck! Content Outline1. The nursing process2. Physical Assessment3. Health Assessment3. A Temperature3. B Pulse3. C Respiration3. D Blood pressure 4. Routine Procedures4. A Urinalysis specimen collection4. B Sputum specimen collection4. C Urine examination4. D Positioning pre-procedure4. E Stool specimen collection

Questions and Answers
  • 1. 
    She is the first one to coin the term “NURSING PROCESS” She introduced 3 steps of nursing process which are Observation, Ministration and Validation.
    • A. 

      Nightingale

    • B. 

      Johnson

    • C. 

      Rogers

    • D. 

      Hall

  • 2. 
    The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?
    • A. 

      APIE – 4

    • B. 

      ADPIE – 5

    • C. 

      ADOPIE – 6

    • D. 

      ADOPIER – 7

  • 3. 
    They are the first one to suggest a 4 step nursing process which are : APIE , or assessment, planning, implementation and evaluation. 1. Yura 2. Walsh 3. Roy 4. Knowles
    • A. 

      1,2

    • B. 

      1,3

    • C. 

      3,4

    • D. 

      2,3

  • 4. 
    Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?
    • A. 

      Organized and Systematic

    • B. 

      Humanistic

    • C. 

      Efficient

    • D. 

      Effective

  • 5. 
    Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?
    • A. 

      Organized and Systematic

    • B. 

      Humanistic

    • C. 

      Efficient

    • D. 

      Effective

  • 6. 
    A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client’s needs.
    • A. 

      Organized and Systematic

    • B. 

      Humanistic

    • C. 

      Efficient

    • D. 

      Effective

  • 7. 
    Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment? 1. Rhina is giving an objective data 2. Rhina is giving a subjective data 3. The source of the data is primary 4. The source of the data is secondary
    • A. 

      1,3

    • B. 

      2,3

    • C. 

      2.4

    • D. 

      1,4

  • 8. 
    Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?
    • A. 

      Actual

    • B. 

      Probable

    • C. 

      Possible

    • D. 

      Risk

  • 9. 
    Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?
    • A. 

      Actual

    • B. 

      Probable

    • C. 

      Possible

    • D. 

      Risk

  • 10. 
    Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?
    • A. 

      Actual

    • B. 

      Probable

    • C. 

      Possible

    • D. 

      Risk

  • 11. 
    Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?
    • A. 

      Actual

    • B. 

      Probable

    • C. 

      Possible

    • D. 

      Risk

  • 12. 
    Which of the following Nursing diagnosis is INCORRECT?
    • A. 

      Fluid volume deficit R/T Diarrhea

    • B. 

      High risk for injury R/T Absence of side rails

    • C. 

      Possible ineffective coping R/T Loss of loved one

    • D. 

      Self esteem disturbance R/T Effects of surgical removal of the leg

  • 13. 
    Among the following statements, which should be given the HIGHEST priority?
    • A. 

      Client is in extreme pain

    • B. 

      Client’s blood pressure is 60/40

    • C. 

      Client’s temperature is 40 deg. Centigrade

    • D. 

      Client is cyanotic

  • 14. 
    Which of the following need is given a higher priority among others?
    • A. 

      The client has attempted suicide and safety precaution is needed

    • B. 

      The client has disturbance in his body image because of the recent operation

    • C. 

      The client is depressed because her boyfriend left her all alone

    • D. 

      The client is thirsty and dehydrated

  • 15. 
    Which of the following is TRUE with regards to Client Goals?
    • A. 

      They are specific, measurable, attainable and time bounded

    • B. 

      They are general and broadly stated

    • C. 

      They should answer for WHO, WHAT ACTIONS, WHAT CIRCUMSTANCES, HOW WELL and WHEN.

    • D. 

      Example is : After discharge planning, Client demonstrated the proper psychomotor skills for insulin injection.

  • 16. 
    Which of the following is a NOT a correct statement of an Outcome criteria?
    • A. 

      Ambulates 30 feet with a cane before discharge

    • B. 

      Discusses fears and concerns regarding the surgical procedure

    • C. 

      Demonstrates proper coughing and breathing technique after a teaching session

    • D. 

      Reestablishes a normal pattern of elimination

  • 17. 
    Which of the following is a OBJECTIVE data?
    • A. 

      Dizziness

    • B. 

      Chest pain

    • C. 

      Anxiety

    • D. 

      Blue nails

  • 18. 
    A patient’s chart is what type of data source?
    • A. 

      Primary

    • B. 

      Secondary

    • C. 

      Tertiary

    • D. 

      Can be A and B

  • 19. 
    All of the following are characteristic of the Nursing process except
    • A. 

      Dynamic

    • B. 

      Cyclical

    • C. 

      Universal

    • D. 

      Intrapersonal

  • 20. 
    Which of the following is true about the NURSING CARE PLAN?
    • A. 

      It is nursing centered

    • B. 

      Rationales are supported by interventions

    • C. 

      Verbal

    • D. 

      At least 2 goals are needed for every nursing diagnosis

  • 21. 
    A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.
    • A. 

      Functional health framework

    • B. 

      Head to toe framework

    • C. 

      Body system framework

    • D. 

      Cephalocaudal framework

  • 22. 
    Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?
    • A. 

      Functional health framework

    • B. 

      Head to toe framework

    • C. 

      Body system framework

    • D. 

      Cephalocaudal framework

  • 23. 
    Which of the following statement is true regarding temperature?
    • A. 

      Oral temperature is more accurate than rectal temperature

    • B. 

      The bulb used in Rectal temperature reading is pear shaped or round

    • C. 

      The older the person, the higher his BMR

    • D. 

      When the client is swimming, BMR Decreases

  • 24. 
    A type of heat loss that occurs when the heat is dissipated by air current
    • A. 

      Convection

    • B. 

      Conduction

    • C. 

      Radiation

    • D. 

      Evaporation

  • 25. 
    Which of the following is TRUE about temperature?
    • A. 

      The highest temperature usually occurs later in a day, around 8 P.M to 12 M.N

    • B. 

      The lowest temperature is usually in the Afternoon, Around 12 P.M

    • C. 

      Thyroxin decreases body temperature

    • D. 

      Elderly people are risk for hyperthermia due to the absence of fats, Decreased thermoregulatory control and sedentary lifestyle.