Fundamental of Nursing 1

A nurse administering a cleansing enema to a client with fecal impaction should place a client in what position?

• On the left side with the head of the bed elevated 45 degrees

• On the right side of the body with the head of the bed

• On left sims position

• Right sims position

You are performing a physical examination on your patient. You have just taken his vital signs, height and weight. Which phase of nursing process do these activities describe?

• Assessment

• Planning

• Implementation

• Evaluation

The nurse prepare to administer medication by the buccal route. Where should the nurse place this medication?

• On the child's skin

• Between the client's cheek and gum

• Under the clients tongue

• Inject the IV y-port

Nurse Berri inspect a client's pupil size and determines that it's mm in the left eye and 3 mm in the right eye. Unequal pupils are known as:

• Anisocoria

• Ataxia

• Cataract

• Diplopia

The clinic nurse notes that following several eye exams, the physician has documented a diagnosis of a legal blindness in the client's chart. The nurse reviews the result of the Snellen chart test expecting to note which finding?

• 20/20

• 20/40

• 20/60

• 20/200

The nurse observe Mr. Adam begins to have increased difficulty in breathing. She elevates the head of the bed to the high fowler's position, which decreases hid respiratory distress. The nurse documents this breathing as:

• Tachypnea

• Eupnea

• Orthopnea

• Bradypnea

The four main concepts common to nursing that appear in each of the current conceptual models are:

• Person, nursing, environment, medicine

• Person, health, nursing, support system

• Person, health, psychology, nursing

• Person, environment, health, nursing

In Maslow's hierarchy of physiologic needs, the human need greatest priority is:

• love

• elimination

• nutrition

• oxygen

When scheduling segmental postural drainage treatments, the nurse should realize that the least priority appropriate time of the day to receive his treatment is:

• At bedtime

• After a meal

• Before a meal

• On awakening

Whose theory addresses the four modes of adaptation?

• Martha Rogers

• Sr. Callista Roy

• Florence Nightingale

• Jean Watson