Fundamentals Review
1. Of the following statements, which one is an example of an appropriately written nursing diagnosis? A) Risk for change in body image related to cancer B) Cardiac output decreased related to motor vehicle accident C) Ineffective airway clearance related to increased secretions D) Potential for injury related to improper teaching in the use of crutches
Points Earned: 1.0/1.0
Correct Answer(s): C
2. The nurse begins the assessment of a client that has come to the emergency department experiencing chest pain by asking the client about: A) A family history of heart problems B) Medications currently being taken at home C) Questions or concerns about hospitalization D) The onset, severity, and duration of the chest pain
Points Earned: 1.0/1.0
Correct Answer(s): D
3. The nurse realizes that which of the following stated client needs has the highest priority? A) A client’s reaction to facial scarring after an automobile accident B) A client who is crying hysterically upon hearing of her son’s death C) A homeless client’s fear that his belongings will be stolen while he is hospitalized D) An asthmatic client’s concern regarding the lack of insurance to pay for her medications
Points Earned: 1.0/1.0
Correct Answer(s): D
4. Which of the following statements made by a nursing student concerning the use of critical thinking and client care requires follow-up by the nursing instructor? A) “I feel its good practice to always have alternative interventions in mind.” B) “I trust my feelings about a client’s needs since I work hard at knowing my client.” C) “I always try to keep an open mind about what interventions my client will require.” D) “I will wait until my assessment is completed before determining the client’s needs.”
Points Earned: 1.0/1.0
Correct Answer(s): B
5. Which of the following statements by the nurse best defines ‘nursing diagnoses’ for a client? A) “It is the basis
Points Earned: 1.0/1.0
Correct Answer(s): C
2. The nurse begins the assessment of a client that has come to the emergency department experiencing chest pain by asking the client about: A) A family history of heart problems B) Medications currently being taken at home C) Questions or concerns about hospitalization D) The onset, severity, and duration of the chest pain
Points Earned: 1.0/1.0
Correct Answer(s): D
3. The nurse realizes that which of the following stated client needs has the highest priority? A) A client’s reaction to facial scarring after an automobile accident B) A client who is crying hysterically upon hearing of her son’s death C) A homeless client’s fear that his belongings will be stolen while he is hospitalized D) An asthmatic client’s concern regarding the lack of insurance to pay for her medications
Points Earned: 1.0/1.0
Correct Answer(s): D
4. Which of the following statements made by a nursing student concerning the use of critical thinking and client care requires follow-up by the nursing instructor? A) “I feel its good practice to always have alternative interventions in mind.” B) “I trust my feelings about a client’s needs since I work hard at knowing my client.” C) “I always try to keep an open mind about what interventions my client will require.” D) “I will wait until my assessment is completed before determining the client’s needs.”
Points Earned: 1.0/1.0
Correct Answer(s): B
5. Which of the following statements by the nurse best defines ‘nursing diagnoses’ for a client? A) “It is the basis