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WorksheetsFundamenals Final review
Total questions: 63
Worksheet time: 46mins
Which nursing statement is a good example of the therapeutic communication technique of focusing?
“I’m having a difficult time understanding what you mean.”
“Describe one of the best things that happened to you this week.”
“You mentioned your relationship with your father. Let’s discuss that further.”
“Your counseling session is in 30 minutes. I’ll stay with you until then.”
The three stages of the body’s physiological reaction to stress, including alarm, resistance and exhaustion.
acculturative stress
pressure
frustration
general adaptation syndrome
The General Adaptation Syndrome (GAS) is how your body responds to
stress
anger
emotion
pain
During stress, you are most likely to get sick during which stage?
alarm
resistance
exhaustion
During this stage of GAS, your SYMPATHETIC nervous system is activated.
alarm
resistance
exhaustion
During this stage of GAS, your body BEGINS USING all of its resources to COMBAT STRESS.
alarm
resistance
exhaustion
What can stress cause?
Heart issues
Mental health issues
Stomach issues
All of the above
Last stage of grief is
anger
denial
acceptance
A and B
the stage when one is beginning to turn to religion
denial
acceptance
anger
bargening
Which is NOT part of stages of Grief
Death
Denial
Anger
Acceptance
During which stage of the body's stress response are hormones released?
Resistance
Alarm
Fatigue
Recovery
Experiencing grief is normal and healthy.
True
False
Anger is the first stage in the stages of grieving.
True
False
Denial is the first stage in the stages of grieving.
True
False
Acceptance is the last stage in the stages of grieving.
True
False
Which of the following is not a sign that the end of life is near?
restlessness and agitation
drowsiness
new or worsening rash
pauses or other changes in breathing
What is aphasia?
A language disorder caused by damage to the brain
A speech disorder that affects articulation
A speech disorder that affects voice
A language disorder diagnosed at birth
Which of the following is an expressive deficit of aphasia?
Difficulty comprehending conversation
Difficulty following directions
Difficulty with naming and word retrieval
Choose ALL the appropriate ways to overcome the communication barrier of a person with aphasia/speech impediment:
encourage them to take their time
ask short answer questions
speak slowly and clearly
use braille
Difficulty breathing is called:
apnea
dysrhythmia
dsypnea
orthostatic
Which oxygen delivery system would you use for the LOWEST flow of oxygen?
Simple face mask
Nasal cannula
Non-rebreather
Partial non-rebreather
4. A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following
actions by the student should should the nurse intervene?
A. Removing the inner cannula and cleaning using universal precaution
B. Suctioning the tracheostomy tube before performing tracheostomy care.
C. Changing the old tracheotomy ties and securing the tube in place.
D. Replacing the inner cannula and cleaning the site
6. A patient with a tracheostomy needs to be suctioned. What would you do first before suctioning the patient?
A. Have the patient bear down
B. Assist the patient into Sim's position
Disconnect pulse oximetry
D. Hyperoxygenate the patient before suctioning
Which sleep disorder is potentially dangerous in which the person stops breathing for short periods of time during sleep.
Delayed Sleep Phase Syndrome
Insomnia
Sleep Apnea
Parasomnia
How many stages of development are there in Erik Erikson's theory?
9
8
10
7
What age is Autonomy vs. Doubt?
Young adult
Elementary and middle school years
Late adulthood
Toddler
Kids feel good about being productive, or they feel inferior for failing to do so.
They look back on their lives and either see a sense of worth or failure.
A 38-year-old woman quits her high-paying marketing job to focus on her children and become a school counselor. What stage would Erikson consider this to be:
Identity vs. Role Confusion
Generativity vs. Stagnation
Integrity vs. Despair
Industry vs. Inferiority
Which of the individual's below is in the identity versus confusion stage?
All of the following are domains of learning EXCEPT
aptitude
affective
cognitive
psychomotor
The most common used domain. It deals with the intellectual side of learning.
ability
cognitive
affective
psychomotor
Analyze
COGNITIVE
AFFECTIVE
PSYCHOMOTOR
Manipulate
COGNITIVE
AFFECTIVE
PSYCHOMOTOR
Valuing
COGNITIVE
AFFECTIVE
PSYCHOMOTOR
Evaluation
COGNITIVE
AFFECTIVE
PSYCHOMOTOR
Student is motivated to learn new material...
COGNITIVE
AFFECTIVE
PSYCHOMOTOR
Student accepts constructive criticism easily...
COGNITIVE
AFFECTIVE
PSYCHOMOTOR
A 15-month-old child weighs 26 lbs. and is 35 inches. What type of car seat below is considered the SAFEST for this child to use while riding in a motor vehicle?*
rear-facing
forward-facing
booster seat
seat belt
Males and females start puberty at the same time.
true
false
During early adolescence, youth undergo growth spurts in height, weight, and body proportions.
true
false
Chemicals called hormones start off puberty changes.
TRUE
FALSE
The adult human body contains approximately _________ % of water.
25%
60%
75%
100%
Which of the following is a normal range for serum K+?
2.5-3.5
3.5-5.0
5.0- 10.2
10-20
If your client has a K+ level of 2.5, this would be considered:
hypokalemia
hyperkalemia
hyponatremia
hypernatremia
A serum sodium level of 152 would be considered :
hypomagnesemia
hypermagnesemia
hyponatremia
hypernatremia
Which of the following are signs/symptoms of fluid volume excess? SELECT ALL THAT APPLY
tented skin turgor with sluggish recoil
hypotension
JVD and anasarca
crackles and orthopnea
high blood pressure
Electrolyte imbalances may cause dysrhythmias.
true
false
Normal pH of arterial blood gases (ABGs)
7.0- 8.5
7.15 - 7.25
7.35 - 7.45
7.5 - 8.5
The two body systems/organs that help to maintain or regulate acid-base balance are which of the following?
lungs and pancreas
brain and large intestine
kidneys and lungs
kidneys and heart
The kidneys help to regulate the ________ in the body.
acid- or oxygen & CO2
base- or bicarbonate
hypovolemia and dehydration are the same
true
false
hypovolemia is also known as
fluid volume deficit or decreased fluid in vascular compartment
fluid volume excess or excess of fluid in vascular compartment
A patient with tented skin turgor, dry mucous membranes and decreased urinary output is under your care. Which nursing intervention should be included in his plan of care?
Administer IV and oral fluids
Monitoring WBC
Accessing color, odor and amount of sputum
Clustering activities throughout the day
Mary Jean, a first year nursing student, was rushed to the clinic department due to hyperventilation. Which nursing intervention is the most appropriate for the client who is subsequently developing respiratory alkalosis?
Administering IV fluids
Encouraging slow, deep breaths
Preparing to administer sodium bicarbonate
Administering oxygen via nasal cannula
Lab tests revealed that your patient’s sodium level is 170 mEq/L. Which clinical manifestation would you expect to assess?
Tented skin turgor and thirst
Muscle twitching and tetany
Fruity breath and Kussmaul respirations
Muscle weakness and paraesthesia
Lee Angela’s lab test just revealed that her chloride level is 96 mEq/L. As a nurse, you would interpret this serum chloride level as:
High
Low
Within normal range
Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte imbalance?
Intake and output
Skin turgor
Cardiac rate and rhythm
Osmotic pressure
When assessing a patient for signs of fluid overload, the nurse would expect to observe:
Vesicular lung sounds
Bounding pulses
Flat neck veins
Poor skin turgor
Normal serum sodium concentration ranges from:
120-125 mEq/L
125-130 mEq/L
135-145 mEq/L
140-148 mEq/L
Nursing interventions for a patient with hyponatremia include:
Restricting fluid intake
Restricting sodium intake
Encouraging water intake
Administering hypotonic IV fluids
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
“I wouldn't worry about these voices. The medication will make them disappear.”
“My sister has the same diagnosis as you and she also hears voices.”
“I understand that the voices seem real to you, but I do not hear any voices.”
“Why not turn up the radio so that the voices are muted.”
