FON F Flashcards

1
Q
  1. True or False: Much as diagnoses are identified and prioritized from assessment data, outcomes identification refers to the formulation of specific, measurable, achievable, realistic, and time-framed (SMART). The outcome must be clearly defined and understandable to all nursing team.

A. True
B. False

A

B. False

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2
Q
  1. Some of the risk factors associated with this type of sleep, are physical in nature, include disorders such as hypothyroidism, central nervous system dysfunction, and alterations of the client’s metabolism including diabetic ketoacidosis.

a. Parasomnia
b. Insomnia
c. Hypersomnia
d. REM Sleep

A

c. Hypersomnia

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3
Q
  1. Nurse Florence knew that this step in formulating NCP where a nurse includes monitoring, teaching, further assessing, reviewing NCP, incorporating physicians orders and monitoring cost effectiveness of interventions is called?

a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation

A

d. Implementation

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4
Q
  1. When writing an NCP the nurse must always think that the characteristic of well-stared outcome criteria are.

a. Specific, Measurable, Attainable,
Truthful, Time Bounded
b. Specific, Measurable, Possible, Realistic, Time Bounded
c. Specific, Measurable, Attainable,
Realistic, Time Bounded
d. Specific, Quantifiable, Attainable, Realistic, Time Bounded

A

c. Specific, Measurable, Attainable,
Realistic, Time Bounded

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5
Q
  1. What is the name of the assessment that focuses on past medical history, family history, the reason for admission, medications currently taking, previous hospitalization, surgeries, psychosocial assessment, nutrition, complete physical assessment?

A. Initial assessment
B. Focus assessment
C. Emergency assessment
D. Comprehensive assessment

A

A. Initial assessment

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6
Q
  1. It is a systematic method of planning and providing individualized nursing care.

A. Nursing Care Plan
B. Nursing Process
C. Nursing Diagnosis
D. Nursing Notes

A

B. Nursing Process

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7
Q
  1. True or False: Like physical assessment, the bath is given from head to toe. The first area to be washed is the inner canthus of each eye; the neck area is the face and neck, after which the bath is given downwards towards the toes.

a. True
b. False

A

a. True

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8
Q
  1. As the student nurse is formulating an NCP, she remembered that there are different types of Nursing Diagnosis EXCEPT.

A. Actual
B. Risk/Potential
C. Possible
D. Probable

A

D. Probable

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9
Q
  1. Observable and measurable information is known as .

A. Objective data
B. Subjective data
C. Visible data
D. Obscured data

A

A. Objective data

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10
Q
  1. As the nurse is assessing the client’s ability to perform hygiene measures the following measures are part of assessing the client EXCEPT:

A. they compare the client’s actual performance with established standards relating to these tasks
B. they may educate the client about the proper methods of performing the particular task
C. they may provide the client independent activities to be able to prepare them from doing their activities of daily living
D. they may include safety measures and the use of assistive devices to facilitate their self-care hygiene

A

C. they may provide the client independent activities to be able to prepare them from doing their activities of daily living

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11
Q
  1. The affected person wakes up without feeling that they are rested as well as day time sleepiness, irritability and problems in terms of cognitive functioning such as decreased levels of mental concentration and poor problem solving.

A. Parasomnia
B. Insomnia
C. Hypersomnia
D. REM Sleep

A

B. Insomnia

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12
Q
  1. The nurse has also utilized knowledge of the role the social worker plays in providing care to the child and family. The use of creativity provides the nurse with the ability to do the following EXCEPT:

A. Generate many ideas rapidly.
B. Be generally flexible and natural, that is, able to change viewpoints or directions in thinking rapidly and easily.
C. Create temporary solutions to problems.
D. Be independent and self-confident, even when under pressure.

A

C. Create temporary solutions to problems

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13
Q

It is the largest organ of our body, covering 18 square feet and weighing approximately 12 pounds. It is always susceptible to and at risk of injury and breakdown.

A. Bone
B. Skin
C. Intestine
D. Muscle

A

B. Skin

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14
Q
  1. What are the 3 parts of the nursing diagnosis (PES)?*

A. Patient
B. Problem
C. Signs and symptoms
D. Physical assessment
E. Etiology

A

B. Problem
E. Etiology
C. Signs and symptoms

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15
Q
  1. Particularly over boney prominences, areas of poor tissue perfusion, and areas affected with poor circulation, is a physical force associated with the development of skin breakdown.

A. Friction Ulcer
B. Pressure Ulcer
C. Ulceration
D. None of the above

A

B. Pressure Ulcer

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16
Q
  1. Our client’s hair can be washed with shampoo and conditioner in the shower, bathtub and in bed with a:

A. kelly pad
B. special bed tray or dry shampoo
C. basin
D. kidney basin

A

B. special bed tray or dry shampoo

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17
Q
  1. True or False: Differentiating Nursing Diagnosis from Medical Diagnosis Nursing diagnosis is a statement of nursing judgment that made by nurse, by their education, experience, and expertise, are licensed to treat.*

A. True
B. False

A

A. True

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18
Q
  1. What purpose does the nursing process serve?

A. Assisting family members in making important healthcare decisions
B. Providing nurses with a framework to aid them in delivering comprehensive care
C. Help other healthcare professionals know what is going on with the client
D. Organize information so the doctor knows what is wrong with the client

A

B. Providing nurses with a framework to aid them in delivering comprehensive care

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19
Q
  1. It is a type of bath that is given in the bed to the client by a nurse or another member of the health care team like an unlicensed assistive staff member such as a nursing assistant or a patient care technician.

A. complete bed bath
B. partial bath
C. sponge bath
D. tub bath

A

A. complete bed bath

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20
Q
  1. During this type of sleep some of the physiological changes that occur include decreases in terms of the person’s basal metabolic rate, intracranial pressure, blood pressure, cardiac rate and cardiac output in addition to the relaxation of the person’s muscles and their peripheral circulatory vasculature.

A. a. Parasomnia
B. b. Insomnia
C. Non REM
D. REM Sleep

A

C. Non REM

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21
Q
  1. What are the 4 types of nursing diagnosis?

A. Actual
B. Risk
C. Health promotion
D. Wellness
E. Safety

A

A. Actual
B. Risk
C. Health promotion
D. Wellness

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22
Q
  1. The systematic problem-solving approach towards providing individualized nursing care is known as.

A. Nursing care plan
B. Nursing process
C. Nurses practice act
D. Nursing method

A

B. Nursing process

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23
Q
  1. In this step of formulating NCP, the nurse is formulating goals to help the client with their problems.

A. Assessment
B. Nursing Diagnosis
C. Planning
D. Implementation

A

C. Planning

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24
Q
  1. In formulating Outcome Identification for writing NCP the nurse must consider that it must consist of the following EXCEPT:

A. Goals may be short term or long term:
B. Short Term Goal can be met in a short period (within days or less than a week)
C. Long Term Goal requires more time (several weeks or months)
D. Outcome Criteria are vague and they are written in a manner that they answer the questions: who, what actions, under what circumstance, how well and when.

A

D. Outcome Criteria are vague and they are written in a manner that they answer the questions: who, what actions, under what circumstance, how well and when.

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25
Q
  1. The following are CORRECT in Planning for formulating NCP EXCEPT:

A. Interventions are selected and written.
B. The nurse uses clinical judgment and professional knowledge to select appropriate interventions that will aid the client in reaching their goal.
C. Interventions should be examined for feasibility and adequacy to the client.
D. Interventions should be written clearly and specifically.

A

C. Interventions should be examined for feasibility and adequacy to the client.

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26
Q
  1. For Contaminated water it is often the reservoir for a number of parasites and other infections including the following EXCEPT.*

A. Legionnaires disease
B. Amebiasis
C. Helminths and ectoparasites
D. Schistosomiasis and giardiasis

A

C. Helminths and ectoparasites

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27
Q
  1. It is one that is given in the bed, but the client only needs the assistance of the nurse or another member of the health care team. The client themselves is able to perform some or most of the bathing tasks.

A. complete bed bath
B. partial bed bath
C. sponge bath
D. tub bath

A

B. partial bed bath

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28
Q
  1. Name the assessment process that collects data about a problem that has already been identified and determines if the problem still exists or any changes.

A. Focus assessment
B. Initial assessment
C. Emergency assessment
D. Non-invasive assessment

A

A. Focus assessment

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29
Q
  1. It is the last phase of the nursing process where a nurse make a judgement regarding the effectiveness of the nursing care if they meet the client’s goals based on the client’s behavioral responses.

A. Assessment
B. Nursing Diagnosis
C. Evaluation
D. Implementation

A

C. Evaluation

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30
Q
  1. When a nurse is thinking of the chain of infection includes the following EXCEPT:

A. infectious microorganism,
B. the reservoir or location where the pathogen lives,
C. the port of exit from the reservoir,
D. the mode of transition

A

D. the mode of transition

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31
Q
  1. True or False: Evaluation is a planned, ongoing, purposeful activity in which the nurse determines the client’s progress toward achievement of goals/outcomes and the effectiveness of the nursing care plan.

A. True
B. False

A

A. True

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32
Q
  1. Name the stage where you determine if the patient has achieved the expected outcomes.

A. Implementation
B. Evaluation
C. Assessment
D. Diagnosis

A

B. Evaluation

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33
Q
  1. A sleep disorder that interferes with sleep. There are a number of disturbances including sleep walking, sleep talking, grinding of the teeth that is referred to as bruxism, nocturnal enuresis and restless leg syndrome.

A. Parasomnia
B. Insomnia
C. Hypersomnia
D. REM Sleep

A

A. Parasomnia

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34
Q
  1. True or False: When skin is altered, the chance of infection, limb loss, and even death increases.

A. True
B. False

A

A. True

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35
Q
  1. Name the association established to develop, refine, and promote the taxonomy of nursing diagnostic terminology used by nurses.

A. North American Nursing Diagnosis Association International
B. American nurses association
C. Ethical Nursing Association
D. Humane Nursing Association

A

A. North American Nursing Diagnosis Association International

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36
Q
  1. It is not a living organism, instead, it is the abnormal folding of cellular proteins. It most often adversely affects the host’s brain and neural tissue. Other types can only be destroyed with sterilization, and are associated with high mortality and high morbidity rates.

A. Prions
B. Parasites
C. Proteins
D. Pathogens

A

A. Prions

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37
Q
  1. Nursing Process composed of different categories. What are these categories in chronological order?

A. Assessment, Outcome Identification, Nursing Diagnosis, Planning, Implementation, Evaluation
B. Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, Evaluation
C. Assessment, Nursing Diagnosis, Outcome Identification, Planning, Evaluation, Implementation,
D. Assessment, Medical Diagnosis, Outcome Identification, Planning, Implementation, Evaluation

A

B. Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, Evaluation

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38
Q
  1. When the nurse is prioritizing client’s problem in formulating NCP nurses must follow which type of model?

A. Maslow’s Hierarchy of order
B. Maslow’s Hierarchy of needs
C. Maslow’s Hierarchy of desires
D. Maslow’s Hierarchy of wants

A

B. Maslow’s Hierarchy of needs

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39
Q
  1. To keep the skin in its optimum healthy state, it must perform a list of vital functions. Functions include the following EXCEPT:

A. Thermoregulation
B. vitamin D synthesis and sensation
C. shield and breathing
D. protection and body image

A

C. shield and breathing

40
Q
  1. True or False: Oral hygiene is done at least twice a day and more often as needed. Oral hygiene consists of brushing the teeth, flossing the teeth, and rinsing the mouth. Partial and full dentures are also brushed and rinsed.

A. True
B. False

A

A. True

41
Q
  1. The primary purpose of bathing includes the following EXCEPT:

A. cleanse the body of all dirt, sweat, germs, exfoliated skin
B. It provides comfortable and refreshing feeling
C. cleansing protects our first level defense against infection
D. it also promotes good circulation and client comfort

A

B. It provides comfortable and refreshing feeling

42
Q
  1. True or False: Creativity is required when the nurse encounters a new situation or a client situation in which traditional interventions are not effective.

A. True
B. False

A

A. True

43
Q
  1. When student nurse Paulina was asked regarding a part of the skin that contains tough connective tissue, hair follicles, and sweat glands. What would be her answer?

A. Epidermis
B. Dermis
C. Subcutaneous layer
D. Hypodermis

A

B. Dermis

44
Q
  1. true or False: In making Implementation it must consists of doing and documenting and evaluating activities.

A. True
B. False

A

B. False

45
Q
  1. true or False: In making Implementation it must consists of doing and documenting and evaluating activities.

A. True
B. False

A

B. False

46
Q
  1. True or False: All admitted patient who stays in the hospital more than twelve (12) hours should have a nursing plan of care.

A. True
B. False

A

B. False

47
Q
  1. The following are part of the ten affective components of critical thinking EXCEPT:

A. Confidence
B. Contextual perspective
C. Creativity
D. Curiosity

A

D. Curiosity

48
Q
  1. There are a wide variety of different factors that influence and impact on our clients’ hygiene habits and routines these include the following EXCEPT:

A. cultural practices and beliefs
B. religious practices and beliefs
C. professional and educational belief
D. client’s level of growth and development

A

C. professional and educational belief

49
Q
  1. Some adverse respiratory system effects relating to immobility include the thickening of respiratory secretions, the pooling of respiratory secretions and an increased inability of the client to mobilize and expectorate these secretions, all of which can lead to.

A. atelectasis
B. hypostatic pneumonia
C. respiratory tract infections
D. All of the above

A

D. All of the above

50
Q
  1. Kubler Ross’s Stages of Grieving: This theory is perhaps the most popular of all

theories and conceptual frameworks relating to grief and loss. This theory has five stages in this sequential order.

A. Denial, Bargaining, Anger, Depression, Acceptance
B. Denial, Anger, Bargaining, Depression, Acceptance
C. Denial, Anger, Depression, Bargaining, Acceptance
D. Denial, Depression, Anger, Bargaining, Acceptance

A

B. Denial, Anger, Bargaining, Depression, Acceptance

51
Q
  1. Compromised skin can have numerous causes and problems and when nurse Paulina was asked by her client regarding the common problem that the skin encounters that cause skin breakdown, her response would be:

A. Friction and shear
B. Moisture and pressure
C. Trauma
D. All of the above

A

D. All of the above

52
Q
  1. It involves the differentiation of statements of fact, judgment, and opinion. The process requires the nurse to think creatively, use reflection, and engage in analytical thinking.

A. Critical care
B. Critical thinking
C. Critical reasoning
D. Critical judgement

A

B. Critical thinking

53
Q
  1. What do we call to the step which the nurse perform in formulating NCP where the nurse interpret and analyze clustered data?

A. Assessment
B. Nursing Diagnosis
C. Planning, Implementation
D. Evaluation

A

B. Nursing Diagnosis

54
Q
  1. They are measures that are used to prevent the spread of infection among all patients whether or not they have a known infection. It protect health care workers and patients from the spread of infection secondary to contaminated blood and other bodily fluids.

A. Standard Precautions
B. Minimum health standard
C. Standard Health Protocol
D. Standard Health Measures

A

A. Standard Precautions

55
Q

Nursing Diagnosis focuses on curing pathology and stays the same as long as the disease is present.

A. True
B. False

A

B. False

56
Q
  1. It refers to formulating and documenting measurable, realistic and client-focused goals that will provide the basis for evaluating nursing diagnosis.

A. Assessment
B. Nursing Diagnosis
C. Outcome Identification
D. Implementation

A

C. Outcome Identification

57
Q
  1. Some of the physiological changes that occur during this type of sleep include increased brain activity dreams, and a decrease in terms of muscular and reflex activity.

A. Parasomnia
B. Insomnia
C. Non REM
D. REM Sleep

A

D. REM Sleep

58
Q
  1. True or False: Shaving for patients is often not risky except when the patient is taking an anticoagulant blood thinner which places them at risk for nicks and bleeding.

A. True
B. False

A

A. True

59
Q
  1. Typically, it is caused by large anatomical structures such as the tongue and the collapse of the oropharynx when the client is sleeping. Also, it results from some deficit of the central nervous system such as an insult to the brain stem, which occurs as the result of the combination of both central and results from multiple related disorders and diseases.

A. Parasomnia
B. Sleep Apnea
C. Hypersomnia
D. REM Sleep

A

B. Sleep Apnea

60
Q
  1. It consists of washing and drying the patient’s entire body and removing all medical equipment such as indwelling urinary catheters and intravenous lines. The deceased patient’s hands and legs are gently placed in good alignment, the eyes and the jaw are held closed and the body is then wrapped in a shroud after an identification tag has been placed on the client’s greater toe and on the outside of the shroud prior to transfer to the morgue.

A. Post Anesthesia
B. Post Mortal Care
C. Post Mortem Care
D. Post Natal care

A

C. Post Mortem Care

61
Q
  1. True or False: The reservoir is the environment within which the pathogen lives, grows, and reproduces. Reservoirs can include humans, animals, water, soil, and insects.

A. True
B. False

A

A. True

62
Q
  1. What do you call to the symptoms or covert data that nurses gathered to the clients upon formulating NCP, it includes sensations, feelings, values, beliefs, attitudes, and perception of personal health status and life situations?

A. Objective Data
B. Subjective Data
C. Signs and Symptoms
D. Relevant Data

A

B. Subjective Data

63
Q
  1. Nurse Paul knew that this part of our skin provides a waterproof barrier and creates our skin tone?

A. Epidermis
B. Dermis
C. Subcutaneous layer
D. Hypodermis

A

A. Epidermis

64
Q
  1. This kind of procedure washed with the bath and more often as needed. Diabetics and other patients at risk for infections should get this special care and monitoring.

A. Hair care
B. Foot Care
C. Perineal Care
D. Mouth Care

A

B. Foot Care

65
Q
  1. With all types of baths, the water temperature must be checked to ensure that it is safe. The following are highly important to prevent accidents EXCEPT:

A. shower chair
B. tub chair and grab bars
C. wheel chair
D. nonskid bath or shower mat

A

C. wheel chair

66
Q
  1. Complete the sentence- A
    is performed to identify a life-threatening problem (choking, stab wound, heart attack).

A. Initial assessment
B. Focus assessment
C. Emergency assessment
D. Critical assessment

A

C. Emergency assessment

67
Q
  1. In this step of the nursing process, you prioritize the diagnosis in order of importance and figure out what nursing interventions need to take place to accomplish these as well as goals to achieve your care plan.

A. Planning
B. Implementation
C. Assessment
D. Evaluation

A

A. Planning

68
Q
  1. This step of the nursing process includes the systematic collection of all subjective and objective data about the client in which the nurse focuses holistically on the client- physical, psychological, emotional, sociocultural, and spiritual. Name this step.

A. Assessment
B. Planning
C. Implementation
D. Diagnosis

A

A. Assessment

69
Q
  1. There are a variety of approaches for decreasing pain in adult and pediatric patients that are non-pharmacological.
    These types of strategies are often over-looked, but can be effective for alleviating pain when used either alone or in combination with other non-pharmacological or pharmacological measures. Among the non-pharmacological management includes the following:

A. Heat or Cold and Massage
B. Therapeutic touch and Decreasing environmental stimuli
C. Range of motion or physical therapy and Repositioning
D. All of the above

A

D. All of the above

70
Q
  1. This step begins after the care plan has been made and is recognized as the step where the nurse performs the interventions to achieve goals.

A. Planning
B. Assessment
C. Diagnosis
D. Implementation

A

D. Implementation

71
Q
  1. When giving a health teaching to her client student nurse Paulina stated that the following are strategies to promote and maintain skin integrity:

A. Moisturize dry skin to maximize lipid barriers, moisturize at minimum twice daily.
B. Avoid hot water during bathing, this will increase dry, cracked skin.
C. Protect skin with a moisture lotion or barrier as indicated.
D. All of the above

A

D. All of the above

72
Q
  1. It is defined as the absence of disease causing microorganisms. It is often referred to as clean which is more than sanitary. This techniques are used to maintain cleanliness in the area.

A. Medical Asepsis
B. Surgical Asepsis
C. Sterile Technique
D. Nursing Asepsis

A

A. Medical Asepsis

73
Q
  1. In this type of Nursing Diagnosis, client does not experience the problem currently but may develop the problem.

A. Actual
B. Risk/Potential
C. Possible
D. Probable

A

B. Risk/Potential

74
Q
  1. Student Nurse Paul is assigned in the operating room area and he was told to observe and maintain the absence of all microorganisms in his area. Upon his recall it is often referred to as sterile. This techniques are used to maintain sterile asepsis. What is this approach?

A. Medical Asepsis
B. Surgical Asepsis
C. Sterile Technique
D. Nursing Asepsis

A

B. Surgical Asepsis

75
Q
  1. True or False: Independent interventions are those activities that nurses are licensed to initiate on the basis of their knowledge and skills.

A. True
B. False

A

A. True

76
Q
  1. It is a systematic approach in the collection of client’s data.

A. Assessment
B. Nursing Diagnosis
C. Planning, Implementation
D. Evaluation

A

A. Assessment

77
Q
  1. True or false: Intrinsic and extrinsic factors affect skin integrity, but prolonged extrinsic factors make the skin more vulnerable to become injured or impaired.

A. True
B. False

A

A. True

78
Q
  1. In Formulating Nursing Diagnosis it must composed of which component.

A. Problem Statement, Signs and Symptoms
B. Problem Statement, Etiology, Signs and Symptoms
C. Problem Statement, Etiology, Relevant Factor
D. Statement, Etiology, Signs and Symptoms

A

B. Problem Statement, Etiology, Signs and Symptoms

79
Q
  1. This is the step of the nursing process where you do the PES?

A. Planning
B. Implementation
C. Assessment
D. Nursing Diagnosis

A

D. Nursing Diagnosis

80
Q
  1. It lives on or in a host and they get their nutrition from the host. This infections are most common in tropical third world nations, but they can also occur in some developed countries such as America.

A. Prions
B. Parasites
C. Proteins
D. Pathogens

A

B. Parasites

81
Q
  1. What do you call to the signs or overt data that nurses gathered to the clients upon formulating NCP, it can be obtained through observation or physical examination?

A. Objective Data
B. Subjective Data
C. Signs and Symptoms
D. Relevant Data

A

A. Objective Data

82
Q
  1. Student nurse Paulino knew that as the result of immobility, the urinary system can be adversely affected with:

A. urinary retention and urinary stasis
B. renal calculi and urinary incontinence
C. A only
D. A and B

A

D. A and B

83
Q
  1. It referred to as our body clock. In essence, humans take on cyclical 24-hour periods of time that are associated not only with sleep, but also in terms of their hormone secretion, their bodily temperature and other physiological and other psychological variations.

A. Parasomnia
B. Sleep Apnea
C. Hypersomnia
D. Circadian Rhythm

A

D. Circadian Rhythm

84
Q
  1. It can occur as the result of immobility and the lack of exercise that is needed to promote normal bowel functioning. These bowel alterations are further confounded when the client is not getting adequate fluid intake. And the expected problem that will be encountered by a client will be:

A. Constipation and Impaction
B. Difficult to evacuate feces
C. A and B
D. A only

A

C. A and B

85
Q
  1. Skin impairments can range from superficial to tissue level of destruction at bone level. The following are key components to evaluate during skin assessment:

A. Color and Texture
B. Moisture and Integrity
C. Location
D. All of the above

A

D. All of the above

86
Q
  1. True or False: Humans who serve as reservoirs may or may not be adversely affected with infection despite the fact that they serve as the environment within which the pathogenic microorganisms’ lives, grows, and reproduces as the habitat for the pathogen.

A. True
B. False

A

A. True

87
Q
  1. Like bathing of the skin, it prevents infections, odors and irritation. It is done with the bed bath, shower or tub bath and it is done more often for patients affected with incontinence and diaphoresis.

A. Hair care
B. Foot Care
C. Perineal Care
D. Mouth Care

A

C. Perineal Care

88
Q
  1. It is defined as the mode or means with which a microorganism is moved and transmitted via inhalation into the respiratory tract by the susceptible host. These infections are found in droplets and dust.

A. Airborne Transmission
B. Contact Transmission
C. Vector-Born Transmission
D. Droplets Transmission

A

A. Airborne Transmission

89
Q
  1. True or False: Muscles are adversely affected with weakness and atrophy as the result of immobility. These hazards of immobility cannot be prevented with range of motion exercises and in bed exercises such as isotonic, isometric and isokinetic muscular exercises.

A. True
B. False

A

B. False

90
Q
  1. The purpose of Nursing Process include the following EXCEPT:

A. As RN’s, we use the nursing process to organize & deliver nursing care
B. It is used to identify, diagnose & treat human responses to health & illness
C. It provides a framework for nurses to think critically & make sound, reasonable decisions
D. Registered Nurse will formulate the plan after assessment information from all appropriate disciplines has been reviewed.

A

D. Registered Nurse will formulate the plan after assessment information from all appropriate disciplines has been reviewed.

91
Q
  1. Nurses has the ability to assess the client’s ability to perform their activities including the following EXCEPT:

A. personal hygiene
B. mobility and ambulation
C. isometric exercises and stretching
D. toileting, and personal care and hygiene

A

C. isometric exercises and stretching

92
Q
  1. Nurse Florence is assigned at the medical ward and she was told to always perform the best and most effective way to prevent the spread of infection if it is done correctly and properly. It can be done with friction and regular soap and water or special alcohol-based hand sanitizing antimicrobial solution, for at least 20 seconds.

A. Hand drying
B. Handwashing
C. Hand sanitation
D. Hand disinfection

A

B. Handwashing

93
Q
  1. It is a bath that the clients are usually able to take themselves, but they may still need assistance, so it is important for the nursing staff member to be available and present to help the client as needed.

A. complete bed bath
B. partial bed bath
C. sponge bath
D. tub bath

A

D. tub bath

94
Q
  1. Information verbalized or stated by the client is called .

A. Objective data
B. Subjective data
C. Integral data
D. Holistic data

A

B. Subjective data

95
Q
  1. Patients able to perform full joint movement on their own and without the assistance of another should be encouraged to do so several times a day to promote circulatory functioning and also to maintain full joint mobility. In order to function well the client needs to perform Range of Motion exercises which can be:

A. Active
B. Active assisted
C. Passive
D. All of the above

A

D. All of the above

96
Q
  1. In the health care setting, there are three different types of baths. They are:

A. complete bed bath, partial bath and a sponge bath
B. complete bed bath, partial bath and a tub or shower bath
C. complete bed bath, partial bath and a travel bath
D. complete bed bath, sponge bath and a tub or shower bath

A

B. complete bed bath, partial bath and a tub or shower bath