Fundamentals of Nursing Practice Proctored Exam 1 Practice Questions

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• Apical
• Carotid
• Radial
• Brachial

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• The patient’s core temperature has dropped too low.
• Vasodilation is working to lower the body temperature.
• The patient is exhausted from shivering.
• The patient’s infection has spread to the bloodstream.

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• Ask the patient about his usual blood pressure results.
• Apply a cool washcloth to the patient's forehead.
• Administer oxygen at 2 L/minute via nasal cannula.
• Document the findings in the patient's medical record.

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• Temperature, pulse, blood pressure
• Pulse, respirations, oxygen saturation
• Temperature, pulse, respirations
• Respirations, blood pressure, pain

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• Axillary
• Orally
• Rectally
• Forehead

(Select All that Apply.)

• Autonomy
• Authority
• Prioritization
• Responsibility
• Accountability

(Select All that Apply.)

• Careful delegation
• Team communication
• Case management
• Time management
• Priority setting

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• Professional shared governance
• Nursing care delivery model
• Interprofessional communication
• Continuing staff education

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• Professional shared governance
• Nursing care delivery model
• Interprofessional communication
• Continuing staff education

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• Perform a focused patient assessment.
• Conduct the patient’s health history.
• Create the nursing care plan for the patient.
• Administer prescribed medications.

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• The nurse requests that the primary health care provider examines the patient.
• The patient has a fractured right leg with a cast that was applied 2 days ago.
• The patient’s toes are cool and pale and the patient reports that the foot feels numb.
• The patient is reporting severe pain 1 hour after pain medication was given.

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• The hospital is affiliated with a nationally recognized medical school.
• The hospital participates in nursing research and implements the findings.
• The hospital is owned by a religious order that offers daily prayer services.
• The hospital receives federal grant funding for advanced medical research.

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• The nurse braids the patient’s long hair to prevent tangles.
• The nurse checks the policy manual before changing the central line dressing.
• The nurse counts the patient’s pulse before administering digoxin.
• The nurse directs the nursing assistant to obtain the patient's weight.

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• The hospice RN works closely with the patient’s daughter to ensure that the patient’s dying requests are met.
• The RN cares for the same five patients every day during their stay following joint replacement surgery.
• The RN, the LPN, and the nursing assistant work together to provide all the care needed by eight patients for the shift.
• The RN coordinates care of the patient with the physician assistant to ensure that the clinical pathway is followed.

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• The nurse checks if the hospital policy allows the licensed practical nurse to perform venipuncture before delegating the task.
• The nurse confirms that the patient’s urine output is entered into the medical record by the nursing assistant by the end of the shift.
• The nurse ensures that the scale is accurate before directing the nursing assistant to obtain the patient’s weight.
• The nurse directs the nursing assistant to ambulate the patient at least 20 feet in the hallway using the gait belt before lunch.

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• Accountability
• Responsibility
• Empowerment
• Delegation

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• The patient who is nauseated and vomiting after receiving narcotic pain medication.
• The patient who is waiting for discharge teaching in order to go home.
• The patient with chest pain after two doses of sublingual nitroglycerin.
• The constipated patient who needs to use the toilet after receiving a laxative.

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• Perceived constipation related to expectation of daily bowel movements.
• Impaired bowel elimination related to abdominal muscle weakness.
• Risk for constipation related to irregular defecation habits.
• Constipation related to side effects of pain medication.