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WorksheetsNursing fundamentals exam 1 prep #1
Total questions: 30
Worksheet time: 45mins
A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role?
Instructing the client on specialized topics such as diabetes care
Providing knowledgeable and compassionate care to promote health and address illness
Coordinating and overseeing the care the client is receiving
Helping to develop nursing knowledge for clinical interventions
A nurse is giving change-of-shift report to an oncoming nurse using SBAR reporting. Which of the following entries by the nurse demonstrates the correct use of SBAR?
The client in room 1 is postoperative exploratory laparotomy surgery yesterday. No complications besides some post operate par
The client in room 1 has been experiencing breakthrough pain following an exploratory surgery yesterday. Vital signs are stable. Recommend calling the provider for a breakthrough dose if pain continues.
The client in room 1 states "pain is a 4 out of 10" despite pain medication. Vital signs are stable. No outward manifestations of distress. Plan to call the provider if it continues.
The client in room 1 had surgery and is experiencing pain post-operative. By the end of this shift, the client will have pain controlled, with a pain rating of no more than a 2 out of 10 without breakthrough pain, or need additional medications for breakthrough pain.
A newly licensed nurse is reviewing Benner's Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience?
Advanced beginner
Novice
Proficient
Competent
A nurse is teaching a group of nurses and asks which of the NLN integrating competencies is defined as having respect for diversity, holistic care, client-centered approach, and client advocacy. Which of the following competencies does this describe?
Human flourishing
Nursing judgement
Patient centered care
Spirit of integrity
A nurse is caring for a client who is in early labor and has a fetus in the posterior presentation. The client reports pain in her lower back with contractions. Which of the following pain management techniques is most likely to be effective in relieving lower back pain caused by this type of fetal presentation?
breathing techniques
effurage
counterpressure
therapeutic touch
A nurse is preparing to irrigate a client's open wound. In addition to gloves, which of the following personal protective equipment (PPE) should the nurse wear?
Gloves
A N95 respirator
A sterile gown
A face shield
A nurse is speaking with a client who is noncompliant in performing a daily blood glucose testing regimen. Which of the following responses should the nurse make?
"What is preventing your consistency with your daily blood glucose checks?"
"Explain why you are not doing your daily checks as prescribed."
"Do you understand the purpose of the daily checks?"
"It is important that you monitor your blood glucose, or you can have more health problems."
A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S. Department of Health and Human Services to address this epidemic?
Keep the issue private to avoid embarrassment.
Reduce efforts to explore alternative pain management practices until the opioid epidemic is over.
Continue to evaluate to determine if the use of opioids improves on its own.
Educate nurses and other health care personnel about naloxone.
A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care
The level of care a nurse provides that is the same for all nurses who have comparable education
Explanatory statements that describe the competent level of care for all nurses to follow in practice
A component of the nursing scope of practice that specifies the competent level of behavior expected in the professional role
Part of the nursing scope of practice that specifies a nurse's role in alleviating client suffering and promoting client healing
A nurse is providing education to a group of newly licensed nurses regarding the development of an identity as well as the behavioral characteristics associated with nursing. Which of the following components of practice addresses the identity and characteristics of nursing?
Clinical practice guidelines
Standards of professional performance
Standard to plan nursing care
Standards of care
A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL/hr. Which of the following should the nurse recognize as a possible complication related to the IV therapy?
The skin is cool over the IV site.
The client reports coughing and shortness of breath.
Petechiae is present over the IV site.
The client's blood pressure is lower than normal.
While waiting for a sterile procedure to begin, in which of the following positions should the nurse hold their hands and arms?
With hands clasped together in the back of the body at waist level
Folded across the chest with hands on the shoulders
At the sides of the body with hands pointing downward
With hands clasped together in front of the body above waist level
A nurse is preparing to suction a client's tracheostomy. Which of the following actions should the nurse take?
Set the suction pressure to 180 mm Hg.
Allow 1 min between each pass to reoxygenate the lungs.
Use a rotating motion when inserting the catheter from the tracheostomy.
Suction for 30 seconds with each pass.
A charge nurse is supervising a nurse providing care to several clients. For which of the following actions by the nurse should the charge nurse intervene?
The nurse provides clear liquids for a client who has a prescription for a regular diet as tolerated.
The nurse alters the steps in a procedure established in the clinical practice guidelines.
The nurse uses a governmental website to research data.
The nurse encourages a client who has been immobile for 24 hr to cough and deep breathe.
A nurse is preparing to obtain a temperature on an 18-month-old toddler during a well child examination. Which of the following actions should the nurse take?
Pull the pinna up and back before placing the tympanic thermometer in the ear canal.
Place the thermometer tip in the center of the toddler's axilla against their skin.
Insert the lubricated tip of a rectal electronic thermometer 2.5 cm (1 inch) into the toddler's rectum.
Place the tip of the oral electronic thermometer under the toddler's tongue in a posterior sublingual pocket.
A nurse is washing their hands with soap and water prior to repositioning a client in bed. Which of the following actions is the nurse required to take during this handwashing process?
Use a liquid soap preparation.
Remove rings and watches before handwashing.
Wash for at least 15 seconds.
Make sure that the water is hot.
Which of the following terms indicates that a medication is given via an injection?
enteral
transdermal
sublingual
parenteral
A nurse is caring for a client who has been hospitalized and is performing active range of motion (ROM) exercises. Which of the following body movements should indicate to the nurse that the client has full ROM of the shoulder?
Circumducting the shoulder in a 180° half circle
Flexing the shoulder by raising the arm from a side position to a 180° angle
Adducting the arm so that it lies next to the client's side
Abducting the arm to a 90° angle from the side of the body
Adducting is when
move a limb away from the midline
you move a limb towards the midline
A nurse is precepting a newly licensed nurse and suggests using the IDEAL method to structure the client's discharge planning. The client's caregiver is also in the room. Which of the following statements made by the newly licensed nurse demonstrates the correct the use of the IDEAL method?
"I will include the client and caregivers in the discharge discussion."
"I will provide education about the client's condition in a booklet."
"I will provide the client with a list of medications to take at home."
"I will set SMART goals for the client's recovery."
A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy?
The client asks for information that will help them improve their eating habits.
The client states they want to improve their current knowledge about their health.
The client states they understand their health care information and treatments.
The client requests a meeting with the nurse, the physical therapist, and the provider.
A nurse is assisting with the ambulation of a client who becomes lightheaded and begins to fall. Which of the following actions should the nurse take?
Wrap both arms around the client's arms and shoulders.
Protect the client's extremities while lowering them to the floor.
Move both feet together when the client begins to fall.
Extend one leg and allow the client to slide down the leg to the floor.
A nurse has created a table of evidence to organize findings from a literature search. Which of the following components of the table provides information for implementing a change in practice?
Recommendations
Title
Author
Research method
A nurse is collaborating with an interdisciplinary team to develop a plan of care for a client. Which of the following tools should the nurse use to guide the delivery of care?
A PICOT question
Hierarchy of evidence
Critical pathway
Qualitative research
A nurse is preparing to flush and change the dressing on a client's central venous catheter. Which of the following should the nurse identify as the primary purpose for using surgical asepsis when performing this intervention?
To assess skin integrity around the catheter site
To provide a clean, dry environment for the catheter
To promote the catheter's patency
To control the introduction of micro-organisms at the catheter site
Abducting is when
you move a limb away from the midline
you move a limb towards the midline
A nurse is developing a goal for a client to ambulate with assistance at least once by the end of the shift. The nurse should identify that this is an example of which of the following steps of the nursing process?
Evaluation
Implementation
Analysis
Planning
A charge nurse is reviewing client acuities and tasks to make the nursing staff's daily assignments. When using the Five Rights of Delegation, which of the following should the charge nurse use to ensure client safety?
right task
right directions
right scope
right supervision
A nurse is using evidence-based research to care for a client who has diabetes mellitus. Which of the following resources should the nurse use to manage the delivery of care?
An insulin manufacturer website
Clinical practice guidelines
An article published in a non-peer-reviewed journal
A podcast about living with diabetes mellitus
A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice?
Specifies the actions a nurse can perform
Provides reccomendations for nursing practice
Provides competencies for the nurse to achieve before receiving initial licensure
Serves as a contractual document between the nurse and their employer
