1.
The five phases of nursing, Includes:
A) Planning
B)
Evaporation
C)
All of the above
2.
The five phases of nursing, Excludes
A)
Assessment
B)
Nursing outlook
C)
Nursing diagnosis
3.
When used effectively, the nursing process
offers several important advantages:
A)
Provides a consistent and orderly professional structure.
B)
Administering antibiotic to toddlers
C)
Form general adjustment to the profession
4.
Assessment involves
A)
Data collection used to
identity a patient’s actual and potential health needs
B)
Historic and behavioral pattern of patient in
recent time
C)
Health history and bodily movement of patient in
recent time
5.
According to American Nurses Association
guidelines, data should accurately reflect the patient’s
A)
Behavioral pattern, motive and recent activity
B)
Life experiences and his pattern of living
C)
The need for independence and free life choices
6.
When obtaining a health history from a patient,
ask first about:
A)
Health insurance coverage
B)
Tailor your approach
C)
Biographic data.
7.
The accuracy and completeness of your patient’s
answers largely depends on
A)
Your skill as an interviewer
B)
Your skill as a peace maker
C)
Your skill as data analyst
8.
To obtain
the most benefit from a health history interview, ensure that the patient:
A)
Feels needed and persistent
B)
Feels comfortable, respected and understand that he can trust
you.
C)
Pertinent laboratory and medical information
9.
Generally, in asking the patient question, it
should include:
A)
Allow the patient time to think and reflect
B)
Allow the patient time to go home and get all
information
C)
Allow the patient time to conduct himself
properly
10.
Generally, in asking the patient question, it
should exclude:
A)
Encourage the patient to talk
B)
Encourage patient to describe a particular
experience
C)
None of the above
11.
Physical surroundings, psychological atmosphere,
interview structure and questioning style can all affect the interview flow and
outcome:
A) True
B)
False
C)
Maybe
12.
------------ to help prevent interruption, while
interviewing patient
A)
Force the door
B)
Open the door
C)
Close the door
13.
Interview techniques to avoid, include:
A)
Moving up and down with patient
B)
Asking ‘’why’’ or ‘’how’’ questions
C)
Forcing patient to speak on family health
history
14.
Interview techniques to avoid, exclude:
A)
Giving advice
B)
Changing the subject matter
C)
None of the above
15.
Begin by introducing--------------------
A)
The hospital to the patient
B)
Yourself to the patient
C)
The doctor to the patient
16.
You will need to take ------------- so that you
can accurately remember what the patient tells you:
A)
Your phone
B)
Some note
C)
Care of your health
17.
Making
eye contact and not backing the patient indicate:
A)
Understanding that will assure the patient that you are listening
B)
Understanding and assessment of the patient’s
body language
C)
Understanding of the patients health history and
needs
18.
The first technique in your physical assessment
sequence is:
A)
Percussion
B)
Palpation
C)
Inspection
19.
Health history includes two types of questions:
A)
Open-ending and closed-endeavor
B)
Open-limit and closed-limit
C)
Open-ended and closed-ended
20.
The health history has:
A)
Four major sections
B)
Five major sections
C)
Six major sections
21.
Obtaining health history, these include the
major sections:
A)
Biological date
B)
Health and illness patterns
C)
Emotional issues and mode swing
22.
Obtaining health history, these exclude the major
sections:
A)
Role and relationship patterns
B)
Summary of health history data
C)
Character detection
23.
The four techniques of physical assessment:
A)
Introduction, preparation, palpation,
auscultation
B)
Inspection, palpation, prerecession,
adulteration
C)
Inspection, palpation,
percussion, auscultation
24.
When palpating the abdomen, begin by palpating:
A)
Deeply
B)
Firmly
C) Lightly
25.
As you palpate each body system, evaluate the
following features (For 65 – 69)
Texture_________
A)
Rough or moving?
B)
Rough or straight?
C)
Rough or smooth?
26.
Temperature_______________
A)
Warm, hot or cold?
B)
Wet, hot or few?
C)
Warm, dry or cold?
27.
Moisture _________________
A)
Dry, warm or most?
B)
Dry, wet or moist?
C)
Drag, warm or moist?
28.
Motion _________________
A) Still or vibrating?
B)
Sink or vibrant?
C)
Stem or vibrating?
29.
Consistency of structures __________
A)
Sand or fluid-filled?
B)
Still or filled-fluid?
C)
Solid or fluid-filled?
30.
Percussion technique helps you to locate:
A)
Organ borders, identify organ shape and position, and determine
if an organ is solid or filled with fluid or gas
B)
Organic bones, identify organ condition and
waste, and determine if an organ is solid or filled with fluid or gas
C)
All of the above
31.
Percussion requires:
A)
Organic bones, identify organ condition and
waste, and determine if an organ is solid or filled with fluid or gas
B)
A skilled touch and an ear trained to detect slight variation in
sound
C)
Still or filled-fluid to properly detect slight
variation in sound
32.
You can perform percussion using :
A)
Soft-sound or hard method
B)
Left or right method
C)
Direct or indirect method
33.
Auscultation is:
A)
Usually the first assessment step
B)
Usually the finest assessment step
C)
Usually the last assessment step
34.
To prevent the spread of infection among
patient:
A)
Clean the heads and end pieces of the stethoscope with alcohol
or a disinfectant after every use
B)
Clean the hands and legs of the stethoscope with
drinking water or a disinfectant after every use
C)
Clean the pin and bags of the stethoscope with
alcohol or a disinfectant after every use
35.
As you practice percussion, you will recognize:
A)
Different movements
B)
Different sounds
C)
None of the above
36.
You will base your nursing diagnosis not on?
A)
A double
sign or symptom but on clear-movement
of assessment findings
B)
A single sign or symptom but on cluster of assessment findings
C)
A multiple sign or symptom but on cluster of
assignment findings
37.
NANDA international define nursing diagnosis as:
A)
A clinical judgement about individual or
national responses to actual health problems or life processes
B)
A clinical judgement about individual, family or community
responses to actual or potential health problems or life processes
C)
A critical judgement about people or community
responses to actual or health problems or life processes
38.
Nursing diagnoses provide the basis for the
selection of nursing interventions to achieve:
A)
invoice for which the nurse is accountable
B)
incomes of all for which the nurse is
accountable
C)
Outcomes for which the nurse is accountable
39.
The first step in developing a nursing diagnosis
is to:
A)
Identify the patients problem
B)
Identify the parents problem
C)
Identity the parents problem
40.
Expected outcomes are defined as:
A)
Goals the patient should reach as a e result of planned nursing
interventions
B)
Goals set by the medical team for each patient
C)
What the patient and his family ask you to
accomplish
41.
In identifying the problem, it can either be:
A)
Actual or potential
B)
Fix or non-fix
C)
Real or imaginary
42.
The diagnostic statement consists of:
A)
A nursing diagram and the etiology (cause)
related to it
B)
A nursing diagnosis and the etiology (cause) related to it
C)
A nursing perfection and the etiology (cause)
related to it
43.
Etiology is:
A)
A stress reliever or something that brings about
a response, effect, or change.
B)
A stressor or something that brings about a response, effect, or
change
C)
A strengthener or something that brings about a
response, effect, or change
44.
A stressor is:
A)
Results from the presence of a stress agent or the absence of an
equilibrium factor
B)
Results from the presentation of a stress agent
or the absence of an equilibrium factor
C)
Results from the presence of a stress agent or
the influence of an equilibrium factor
45.
Causative agents may include:
A) Birth defect
B)
Physical movement
C)
No one of the above
46.
Causative agents may exclude:
A)
Injuries
B)
Lifestyle
C) Bad breath
47.
One system of categorizing diagnoses uses:
A)
Marshal’s hierarchy of needs
B)
Maslow’s hierarchy of needs
C)
Mashing’s hierarchy of needs
48.
A written care plan serves as:
A)
A communication tool among different team members that helps ensure continuity of
care
B)
A communication tool among health care team members that helps
ensure continuity of care
C)
A commandment
tool among health care team members that helps ensure continuity of care
49.
The plan consist of two parts namely:
A)
Patient outcomes and expected incomes
B)
Patient incomes and expected outcomes
C)
Patient outcomes and expected outcomes
50.
Maslow’s hierarchy of needs (For 90-94)
Self-actualization:
A)
Recognition and modernization of one’s
potential, growth, health and autonomy
B)
Recreation and realization of one’s potential,
greater strength, health and autonomy
C)
Recognition and realization of one’s potential, growth, health and
autonomy
51.
Self-esteem:
A)
Sense of self-worth, self-respect, indebtedness
, dignity, privacy and self-reliance
B)
Sense of self-worth, self-respect, independence, dignity,
privacy and self-reliance
C)
Sense of self-worth, self-respect, independence,
dignity, practice and self-reliance
52.
Love and belonging:
A)
Affiliation, affection, intimacy, support and reassurance
B)
Affiliation, affection, intimacy, systems and
reassurance
C)
Affliction, affection, intimacy, support and
reassurance
53.
Safety and security:
A)
Safety from physiologic and psychological threat, protection,
continuity, stability and lack of danger
B)
Safety from philosophical and psychological
threat, protection, continuity, stability and lack of danger
C)
Safety from physiologic and psychological
threat, protection, community help, stability and lack of danger
54.
Physiologic needs:
A)
Oxygen, food, investigation, temperature
control, movement, rest and comfort
B)
Oxygen, food, elimination, temperature control, movement, rest
and comfort
C)
Oxygen, food, elimination, temperature comfort,
movement, rest and comfort
55.
Before you implement a care plan:
A)
Review your intervention options and then weigh their potential
to succeed
B)
Review your intervention optimal and then weigh
their potential to fail
C)
Reserve your intervention options and then weigh
their potential to fail
56.
Ensuring a successful care plan include:
A) Be realistic
B)
Be a coach
C)
None of the above
57.
Ensuring a successful care plan exclude
A)
Tailor your approach
B)
Avoid vague terms
C)
Reading out loud to the patient
58.
Your care should help the patient attain
A)
The highest functional leverage possible while
posting minimal risk and not creating new problems
B)
The lowest functional level possible while
posting minimal risk and not creating new problems
C)
The highest functional level possible while posing minimal risk and
not creating new problems
59.
The implementation phase is when you put your
care plan into:
A)
Forms
B)
Groups
C) Action
60.
While you coordinate implementation, you should
also seek help from:
A)
The parent, the patient’s family and other
caregivers
B)
The patient, the patient’s neighbor and other
caregivers
C)
The patient, the patient’s family and other caregivers
61.
After enough time has elapsed for the care plan
to effect desired changes, you are ready for?
A)
Evaporation
B)
Exaggeration
C)
Evaluation
62.
_________ is the final step in the nursing
process:
A)
Evaporation
B)
Exaggeration
C)
Evaluation
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