NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE, Exams of Nursing

Download NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE and more Exams Nursing in PDF only on Docsity! NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024  Which of the following technique involves the sense of sight? A.Inspection B.Palpation C.Percussion D.Auscultation  The first techniques used examining the abdomen of a client is: A.Palpation B.Auscultation C.Percussion D.Inspection  A technique in physical examination that is use to assess the movement of air through the tracheobronchial tree: A.Palpation B. Auscultation C.Inspection D.Percussion  An instrument used for auscultation is: NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.Percussion-hammer B.Audiometer C.Stethoscope D.Sphygmomanometer  Resonance is best describe as: A.Sounds created by air filled lungs B.Short, high pitch and thudding C.Moderately loud with musical quality D.Drum-like  Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions? A.Providing a back massage B.Feeding a client C.Providing hair care D.Providing oral hygiene  The nurse is preparing to take vital sign in an alert client NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Arterial line D.Rectal  A client who is unconscious needs frequent mouth care. When performing a mouth care, the best position of a client is: A.Fowler’s position B. Side lying C.Supine D.Trendelenburg  A client is hospitalized for the first time, which of the following actions ensure the safety of the client? A.Keep unnecessary furniture out of the way B.Keep the lights on at all time C.Keep side rails up at all time D.Keep all equipment out of view  A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client’s vital sign hereafter. What phrase of nursing process is being implemented here by the nurse? NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.Assessment B.Diagnosis C.Planning D. Implementation  It is best describe as a systematic, rational method of planning and providing nursing care for individual, families, group and community A.Assessment B. Nursing Process C.Diagnosis D. Implementation  Exchange of gases takes place in which of the following organ? A.Kidney B. Lungs C.Liver D.Heart NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024  The Chamber of the heart that receives oxygenated blood from the lungs is the? A.Left atrium B.Right atrium C.Left ventricle D.Right ventricle  A muscular enlarge pouch or sac that lies slightly to the left which is used for temporary storage of food… A.Gallbladder B.Urinary bladder C.Stomach D.Lungs  The ability of the body to defend itself against scientific invading agent such as baceria, toxin, viruses and foreign body A.Hormones B.Secretion C.Immunity NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 B. Teach client to be effective health consumer C.Worksite wellness D.None of the above  It is describe as a collection of people who share some attributes of their lives. A.Family B.Illness C.Community D.Nursing  Five teaspoon is equivalent to how many milliliters (ml)? A.30 ml B. 25 ml C.12 ml D.22 ml  1800 ml is equal to how many liters? A. 1.8 B. 18000 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C. 180 D. 2800  Which of the following is the abbreviation of drops? A.Gtt. B. Gtts. C.Dp. D.Dr.  The abbreviation for micro drop is… A.µgtt B.gtt C.mdr D.mgts  Which of the following is the meaning of PRN? A.When advice B.Immediately C.When necessary D.Now NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024  Which of the following is the appropriate meaning of CBR? A.Cardiac Board Room B.Complete Bathroom C.Complete Bed Rest D.Complete Board Room  1 tsp is equals to how many drops? A.15 B. 60 C.10 D.30  20 cc is equal to how many ml? A.2 B. 20 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A. Intramuscular B.Intradermal C.Subcutaneous D. Intravenous  The nurse is ordered to administer ampicillin capsule TIP p.o. The nurse shoud give the medication… A.Three times a day orally B.Three times a day after meals C.Two time a day by mouth D.Two times a day before meals  Back Care is best describe as: A.Caring for the back by means of massage B.Washing of the back C.Application of cold compress at the back D.Application of hot compress at the back  It refers to the preparation of the bed with a new set of linens A.Bed bath NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 B. Bed making C.Bed shampoo D.Bed lining  Which of the following is the most important purpose of handwashing A.To promote hand circulation B. To prevent the transfer of microorganism C.To avoid touching the client with a dirty hand D.To provide comfort  What should be done in order to prevent contaminating of the environment in bed making? A.Avoid funning soiled linens B.Strip all linens at the same time C.Finished both sides at the time D.Embrace soiled linen  The most important purpose of cleansing bed bath is: NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.To cleanse, refresh and give comfort to the client who must remain in bed B.To expose the necessary parts of the body C.To develop skills in bed bath D.To check the body temperature of the client in bed  The best position for examining the rectum is: NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Administer oxygen by Venturi mask at 24%, as needed D.Allow a 1 hour rest period between activities 2.The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as: A.Tachypnea B.Eupnca C.Orthopnea D.Hyperventilation 3.The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for: A. Instructing the patient about this diagnostic test B.Writing the order for this test C.Giving the patient breakfast D.All of the above 4. Mrs. Mitchell has been given a copy of her diet. The NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 nurse discusses the foods allowed on a 500-mg low sodium diet. These include: A.A ham and Swiss cheese sandwich on whole wheat bread B.Mashed potatoes and broiled chicken C.A tossed salad with oil and vinegar and olives D.Chicken bouillon 5.The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include: A.Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. B.Reporting an APTT above 45 seconds to the physician C.Assessing the patient for signs and symptoms of frank and occult bleeding D.All of the above 6. The four main concepts common to nursing that appear in each of the current conceptual models are: A.Person, nursing, environment, medicine B.Person, health, nursing, support systems NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Person, health, psychology, nursing D.Person, environment, health, nursing 7.In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is: A.Love B.Elimination C.Nutrition D.Oxygen 8. The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do? A.Discourage them from making a decision until their grief has eased B.Listen to their concerns and answer their questions honestly C.Encourage them to sign the consent form right away D.Tell them the body will not be available for a wake or funeral 9. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Malpractice D.None of the above 12. If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for: A.Slander B.Libel C.Assault D.Respondent superior 13. A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with: A.Defamation B.Assault C.Battery D.Malpractice NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 14.Which of the following is an example of nursing malpractice? A.The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia. B.The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. C.The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. D.The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor. 15. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? A.Decreased blood pressure and heart rate and shallow respirations B.Quiet crying NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Immobility, diaphoresis, and avoidance of deep breathing or coughing D.Changing position every 2 hours 16. A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 22.If a patient’s blood pressure is 150/96, his pulse pressure is: A.54 B.96 C. 150 D. 246 23.A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: A. Infection B.Hypothermia C.Anxiety D.Dehydration 24.Which of the following parameters should be checked when assessing respirations? A.Rate B.Rhythm C.Symmetry NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 D.All of the above 25.A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported? A.Respiratory rate only B.Temperature only C.Pulse rate and temperature D.Temperature and respiratory rate 26.All of the following can cause tachycardia except: A.Fever B.Exercise C.Sympathetic nervous system stimulation D.Parasympathetic nervous system stimulation 27.Palpating the midclavicular line is the correct technique for assessing A.Baseline vital signs B.Systolic blood pressure NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Respiratory rate D.Apical pulse 28.The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? A.Apical B.Radial C.Pedal D.Femoral 29.Which of the following patients is at greatest risk for developing pressure ulcers? A.An alert, chronic arthritic patient treated with steroids and aspirin B.An 88-year old incontinent patient with gastric cancer who is confined to his bed at home C.An apathetic 63-year old COPD patient receiving nasal oxygen via cannula D.A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.The patient should always feed himself D.The nurse should perform oral hygiene before assisting with feeding. 33.To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is: A.Less than 30 ml/hour B.64 ml in 2 hours C.90 ml in 3 hours D.125 ml in 4 hours 34.Certain substances increase the amount of urine produced. These include: A.Caffeine-containing drinks, such as coffee and cola. B.Beets C.Urinary analgesics D.Kaolin with pectin (Kaopectate) 35.A male patient who had surgery 2 days ago for head and NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate? A.Encourage the patient to walk in the hall alone B.Discourage the patient from walking in the hall for a few more days C.Accompany the patient for his walk. D.Consuit a physical therapist before allowing the patient to ambulate 36.A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be: A. Ineffective airway clearance related to thick, tenacious secretions. B.Ineffective airway clearance related to dry, hacking cough. C.Ineffective individual coping to COPD. D.Pain related to immobilization of affected leg. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 37.Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be: A.“Don’t worry. It’s only temporary” B.“Why are you crying? I didn’t get to the bad news yet” NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 of bed. D.Side rails are a reminder to a patient not to get out of bed NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 43.Examples of patients suffering from impaired awareness include all of the following except: A.A semiconscious or over fatigued patient B.A disoriented or confused patient C.A patient who cannot care for himself at home D.A patient demonstrating symptoms of drugs or alcohol withdrawal 44.The most common injury among elderly persons is: A.Atheroscleotic changes in the blood vessels B.Increased incidence of gallbladder disease C.Urinary Tract Infection D.Hip fracture 45.The most common psychogenic disorder among elderly person is: A.Depression B.Sleep disturbances (such as bizarre dreams) C.Inability to concentrate D.Decreased appetite NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 46.Which of the following vascular system changes results from aging? A. Increased peripheral resistance of the blood vessels B.Decreased blood flow C.Increased work load of the left ventricle D.All of the above 47.Which of the following is the most common cause of dementia among elderly persons? A.Parkinson’s disease B.Multiple sclerosis C.Amyotrophic lateral sclerosis (Lou Gerhig’s disease) D.Alzheimer’s disease 48.The nurse’s most important legal responsibility after a patient’s death in a hospital is: A.Obtaining a consent of an autopsy B.Notifying the coroner or medical examiner NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 a patient is receiving heparin. The normal activated partial thromboplastin time is 16 to 25 seconds and the normal prothrombin time is 12 to 15 seconds; these levels must remain within two to two and one half the normal levels. All patients receiving anticoagulant therapy must be observed for signs and symptoms of frank and occult bleeding (including hemorrhage, hypotension, tachycardia, tachypnea, restlessness, pallor, cold and clammy skin, thirst and confusion); blood pressure should be measured every 4 hours and the patient should be instructed to report promptly any bleeding that occurs with tooth brushing, bowel movements, urination or heavy prolonged menstruation. D. The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs. D. Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. According to this theory, other physiologic needs NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 (including food, water, elimination, shelter, rest and sleep, activity and temperature regulation) must be met before proceeding to the next hierarchical levels on psychosocial needs. B. The brain-dead patient’s family needs support and reassurance in making a decision about organ donation. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. However, the family’s concerns must be addressed before members are asked to sign a consent form. The body of an organ donor is available for burial. C. Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. In this case, the supervisor is the resource person to approach. D. Studies have shown that patients and nurses both respond well to primary nursing care units. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. They also seem to gain a greater sense of achievement and esprit de NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 corps. A. Assault is the unjustifiable attempt or threat to touch or injure another person. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. A. Oral communication that injures an individual’s reputation is considered slander. Written communication that does the same is considered libel . D. Malpractice is defined as injurious or unprofessional actions that harm another. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale . A. The three elements necessary to establish a nursing malpractice are nursing error (administering penicillin to a patient with a documented allergy to the drug), injury (cerebral damage), and proximal cause (administering the penicillin caused the cerebral damage). Applying a hot water bottle or heating pad to a NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C. The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. In the prone position, the patient lies on his abdomen with his face turned to the side. In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. In the lateral position, the patient lies on his side. D. All of these positions are appropriate for a rectal examination. In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. In Sims’ position, the patient lies on his left side with the left arm behind the body and his right leg flexed. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. B. During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sides—first with eyes open, then with eyes closed. The need to move the feet apart to maintain this stance is an abnormal finding. A. The pulse pressure is the difference between the systolic and diastolic blood pressure readings – in this case, 54. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 D. A slightly elevated temperature in the immediate preoperative or post operative period may result from the lack of fluids before surgery rather than from infection. Anxiety will not cause an elevated temperature. Hypothermia is an abnormally low body temperature. D. The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. D. Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Thus, a respiratory rate of 30 would be abnormal. A normal adult body temperature, as measured on an oral thermometer, ranges between 97° and 100°F (36.1° and 37.8°C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. Thus, an axillary temperature of 99.6°F (37.6°C) would be considered abnormal. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal . D. Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 rate of impulse conduction and blood flow through the coronary vessels. Fever, exercise, and sympathetic stimulation all increase the heart rate. D. The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at the fourth, fifth, or sixth intercostal space. Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. B. Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Age is also a factor. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture. D. “I know this will be difficult” acknowledges the problem and suggests a resolution to it. “Don’t worry..” offers some relief but doesn’t recognize the patient’s feelings. “..I didn’t get to the bad news yet” would be inappropriate at any time. “Your hair is really pretty” offers no consolation or alternatives to the patient. B. Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal growth and maternal tissues. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. D. Delivery of more than 2 liters of oxygen per minute to a patient with chronic obstructive pulmonary disease (COPD), who is usually in a state of compensated respiratory acidosis (retaining carbon dioxide (CO2)), can inhibit the hypoxic stimulus for respiration. An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. Circulatory overload and respiratory excitement have no relevance to the question. C. Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 fatigue, and cardiac dysrhythmias. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. D. Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patient’s ability to carry out these functions safely. Demonstrating the signal system and providing an opportunity for a return demonstration ensures that the patient knows how to operate the equipment and encourages him to call for assistance when needed. Checking the patient’s identification band verifies the patient’s identity and prevents identification mistakes in drug administration. D. Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. The other answers are incorrect interpretations of the statistical data. C. A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. D. Hip fracture, the most common injury among elderly NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 persons, usually results from osteoporosis. The other answers are diseases that can occur in the elderly from physiologic changes. A. Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors D. Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. These changes, in turn, increase the work load of the left ventricle. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Opening the door of the patient’s room leading into the hospital corridor D.Failing to wear gloves when administering a bed bath 3.Which of the following patients is at greater risk for contracting an infection? A.A patient with leukopenia B.A patient receiving broad-spectrum antibiotics NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.A postoperative patient who has undergone orthopedic surgery D.A newly diagnosed diabetic patient 4. Effective hand washing requires the use of: A.Soap or detergent to promote emulsification B.Hot water to destroy bacteria C.A disinfectant to increase surface tension D.All of the above 5.After routine patient contact, hand washing should last at least: A.30 seconds B.1 minute C.2 minute D.3 minutes 6. Which of the following procedures always requires surgical asepsis? A.Vaginal instillation of conjugated estrogen B.Urinary catheterization NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Nasogastric tube insertion D.Colostomy irrigation 7.Sterile technique is used whenever: A.Strict isolation is required B.Terminal disinfection is performed C.Invasive procedures are performed D.Protective isolation is necessary 8. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? A.Using sterile forceps, rather than sterile gloves, to handle a sterile item B.Touching the outside wrapper of sterilized material without sterile gloves C.Placing a sterile object on the edge of the sterile field D.Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container 9. A natural body defense that plays an active role in preventing infection is: NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Bleeding and clotting time D.Complete blood count (CBC) and electrolyte levels. 15. The primary purpose of a platelet count is to evaluate the: A.Potential for clot formation B.Potential for bleeding C.Presence of an antigen-antibody response D.Presence of cardiac enzymes 16. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? A. 4,500/mm³ B. 7,000/mm³ C. 10,000/mm³ D. 25,000/mm³ 17. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 experiencing: A.Hypokalemia B.Hyperkalemia C.Anorexia D.Dysphagia 18.Which of the following statements about chest X-ray is false? A.No contradictions exist for this test B.Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist C.A signed consent is not required D.Eating, drinking, and medications are allowed before this test 19. The most appropriate time for the nurse to obtain a sputum specimen for culture is: A.Early in the morning B.After the patient eats a light breakfast C.After aerosol therapy D.After chest physiotherapy NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 20.A patient with no known allergies is to receive penicillin every 6 hours. When administering the medication, the nurse observes a fine rash on the patient’s skin. The most appropriate nursing action would be to: A.Withhold the moderation and notify the physician B.Administer the medication and notify the physician C.Administer the medication with an antihistamine D.Apply corn starch soaks to the rash 21. All of the following nursing interventions are correct when using the Z-track method of drug injection except: A.Prepare the injection site with alcohol B.Use a needle that’s a least 1” long C.Aspirate for blood before injection D.Rub the site vigorously after the injection to promote absorption 22.The correct method for determining the vastus lateralis site for I.M. injection is to: A.Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.20G B.22G C.25G D.26G 26.Parenteral penicillin can be administered as an: A. IM injection or an IV solution B.IV or an intradermal injection C.Intradermal or subcutaneous injection D. IM or a subcutaneous injection 27.The physician orders gr 10 of aspirin for a patient. The equivalent dose in milligrams is: A.0.6 mg B.10 mg C.60 mg D.600 mg 28.The physician orders an IV solution of dextrose 5% in water at 100ml/hour. What would the flow rate be if the drop factor is 15 gtt = 1 ml? NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.5 gtt/minute B.13 gtt/minute C.25 gtt/minute D.50 gtt/minute 29.Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? A.Hemoglobinuria B.Chest pain C.Urticaria D.Distended neck veins 30.Which of the following conditions may require fluid restriction? A.Fever B.Chronic Obstructive Pulmonary Disease C.Renal Failure D.Dehydration NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 31. All of the following are common signs and symptoms of phlebitis except: A.Pain or discomfort at the IV insertion site B.Edema and warmth at the IV insertion site C.A red streak exiting the IV insertion site D.Frank bleeding at the insertion site 32.The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: A.Ask the patient if he/she has used ear drops before B.Have the patient repeat the nurse’s instructions using her own words C.Demonstrate the procedure to the patient and encourage to ask questions D.Ask the patient to demonstrate the procedure 33.Which of the following types of medications can be administered via gastrostomy tube? A.Any oral medications NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Is induced by the administration of an antitussive drug D.Can be inhibited by “splinting” the abdomen 37.An infected patient has chills and begins shivering. The best nursing intervention is to: A.Apply iced alcohol sponges B.Provide increased cool liquids C.Provide additional bedclothes D.Provide increased ventilation 38.A clinical nurse specialist is a nurse who has: A.Been certified by the National League for Nursing B.Received credentials from the Philippine Nurses’ Association C.Graduated from an associate degree program and is a registered professional nurse D.Completed a master’s degree in the prescribed clinical area and is a registered professional nurse. 39.The purpose of increasing urine acidity through dietary means is to: NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.Decrease burning sensations B.Change the urine’s color C.Change the urine’s concentration D. Inhibit the growth of microorganisms 40. Clay colored stools indicate: A.Upper GI bleeding B.Impending constipation C.An effect of medication D.Bile obstruction 41. In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? A.Assessment B.Analysis C.Planning D.Evaluation 42.All of the following are good sources of vitamin A except: NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.White potatoes B.Carrots C.Apricots D.Egg yolks 43.Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? A.Maintain the drainage tubing and collection bag level with the patient’s bladder B.Irrigate the patient with 1% Neosporin solution three times a daily C.Clamp the catheter for 1 hour every 4 hours to maintain the bladder’s elasticity D.Maintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity 44.The ELISA test is used to: A.Screen blood donors for antibodies to human immunodeficiency virus (HIV) B.Test blood to be used for transfusion for HIV antibodies NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 C.Leg muscles D.Upper arm muscles 48.Thrombophlebitis typically develops in patients with which of the following conditions? A. Increases partial thromboplastin time B.Acute pulsus paradoxus C.An impaired or traumatized blood vessel wall D.Chronic Obstructive Pulmonary Disease (COPD) 49.In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: 50.Immobility impairs bladder elimination, resulting in such disorders as A. Increased urine acidity and relaxation of the perineal muscles, NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 A.Respiratory acidosis, ateclectasis, and hypostatic pneumonia B.Appneustic breathing, atypical pneumonia and respiratory alkalosis C.Cheyne-Strokes respirations and spontaneous pneumothorax D. Kussmail’s respirations and hypoventilation NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 causing incontinence B.Urine retention, bladder distention, and infection C.Diuresis, natriuresis, and decreased urine specific gravity D.Decreased calcium and phosphate levels in the urine 1. D. In the circular chain of infection, pathogens must be able to leave their reservoir and be transmitted to a susceptible host through a portal of entry, such as broken skin. 2. C. Respiratory isolation, like strict isolation, requires that the door to the door patient’s room remain closed. However, the patient’s room should be well ventilated, so opening the window or turning on the ventricular is desirable. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. 3. A. Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. None of the other situations would put the patient at risk for contracting an infection; taking broad-spectrum antibiotics might actually reduce the infection risk. 4. A. Soaps and detergents are used to help remove bacteria NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 because of their ability to lower the surface tension of water and act as emulsifying agents. Hot water may lead to skin irritation or burns. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 health care worker attempts to cap a used needle. Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Wearing gloves is not always necessary when administering an I.M. injection. Enteric precautions prevent the transfer of pathogens via feces. 13.A. Nurses and other health care professionals previously believed that massaging a reddened area with lotion would promote venous return and reduce edema to the area. However, NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area. 14.B. Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. This is done by blood typing (a test that determines a person’s blood type) and cross- matching (a procedure that determines the compatibility of the donor’s and recipient’s blood after the blood types has been matched). If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. 15.A. Platelets are disk-shaped cells that are essential for blood coagulation. A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. It also is used to evaluate the patient’s potential for bleeding; however, this is not its primary purpose. The normal count ranges from 150,000 to 350,000/mm3. A count of 100,000/mm3 or less indicates a potential for bleeding; count of less than 20,000/mm3 is associated with spontaneous bleeding. 16.D. Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. Normal WBC counts range from 5,000 to 100,000/mm3. Thus, a count of 25,000/mm3 indicates leukocytosis. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 17.A. Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. Anorexia is another symptom of hypokalemia. Dysphagia means difficulty swallowing. 18.A. Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. A signed consent is not required because a chest X- ray is not an invasive examination. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. 19.A. Obtaining a sputum specimen early in this morning ensures an adequate supply of bacteria for culturing and decreases the risk of contamination from food or medication. 20.A. Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. Because of the NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 sensitivity studies. A 20G needle is usually used for I.M. injections of oil-based medications; a 22G needle for I.M. injections; and a 25G needle, for I.M. injections; and a 25G needle, for subcutaneous insulin injections. 26.A. Parenteral penicillin can be administered I.M. or added to a solution and given I.V. It cannot be administered subcutaneously or intradermally. 27. D. gr 10 x 60mg/gr 1 = 600 mg 28. C. 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute 29.A. Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donor’s and recipient’s blood). In this reaction, antibodies in the recipient’s plasma combine rapidly with donor RBC’s; the cells are hemolyzed in either circulatory or reticuloendothelial system. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Chest pain and urticaria may be symptoms of impending anaphylaxis. Distended neck veins are an indication of hypervolemia. 30.C. In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. Because of this, limiting the patient’s intake of oral and NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 I.V. fluids may be necessary. Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged. 31.D. Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Signs and symptoms of NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 phlebitis include pain or discomfort, edema and heat at the I.V. insertion site, and a red streak going up the arm or leg from the I.V. insertion site. 32.D. Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching. 33.D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. The nurse should seek an alternate physician’s order when an ordered medication is inappropriate for delivery by tube. 34.D. A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. The reaction can range from a rash or hives to anaphylactic shock. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Idiosyncrasy is an individual’s unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Synergism, is a drug interaction in which the sum of the drug’s combined effects is greater than that of their separate effects. NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 skill. She must successfully complete the licensing examination to become a registered professional nurse. 39.D. Microorganisms usually do not grow in an acidic environment. 40.D. Bile colors the stool brown. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Upper GI bleeding results in black or tarry stool. Constipation is characterized by small, hard masses. Many medications and foods will discolor stool – for example, drugs containing iron turn stool black.; beets turn stool red. 41.D. In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase. 42.A. The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). Animal sources include liver, kidneys, cream, butter, and egg yolks. 43. D. Maintaing the drainage tubing and collection bag level with the patient’s bladder could result in reflux of urine NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 into the kidney. Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. 44.D. The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS) 45. A. Total Parenteral Nutrition (TPN) requires the use of a large vessel, such as the subclavian or jugular vein, to ensure rapid dilution of the solution and thereby prevent complications, such as hyperglycemia. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis. 46.D. Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. Shaving the site of the intended surgery might cause breaks in the skin, thereby increasing the risk of infection; however, if indicated, shaving, should be done immediately before surgery, not the day before. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Tub bathing might transfer organisms to another body site rather than rinse NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024 them away. 47. C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Muscles of the abdomen, back, and upper arms may be easily injured. 48.C. The factors, known as Virchow’s triad, collectively predispose a patient to thromboplebitis; impaired venous return to the heart, blood hypercoagulability, and injury to a blood vessel wall. Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Arterial blood NURSING 101A FUNDAMENTALS OF NURSING EXAM 1-3 QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS NEW UPDATE 2023/2024