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100 Item Exam on Fundamentals of
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100 Item MEDICAL 100 Item Exam on

SURGICAL Nursi… Fundamentals …
 
Examination Nursing

100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical and

Health Assessment and Routine Procedures

100 Item Exam On Fundamentals Of Nursing : Nursing Process, Physical and Health
Assessment and Routine Procedures

FUNDAMENTALS OF NURSING TEST IV

By : Budek
http://www.pinoybsn.tk

Content Outline

1. The nursing process

2. Physical Assessment
3. Health Assessment
3.a Temperature
3.b Pulse
3.c Respiration
3.d Blood pressure
4. Routine Procedures
4.a Urinalysis specimen collection
4.b Sputum specimen collection
4.c Urine examination
4.d Positioning pre-procedure
4.e Stool specimen collection

1. She is the first one to coin the term “NURSING PROCESS” She introduced 3 steps of 
nursing process which are Observation, Ministration and Validation.

A. Nightingale
B. Johnson
C. Rogers
D. Hall

2. The American Nurses association formulated an innovation of the Nursing process. Today,
how many distinct steps are there in the nursing process?

A. APIE – 4
B. ADPIE – 5
C. ADOPIE – 6
D. ADOPIER – 7

3. They are the first one to suggest a 4 step nursing process which are : APIE , or
assessment, planning, implementation and evaluation.

1. Yura
2. Walsh
3. Roy
4. Knowles

A. 1,2
B. 1,3
C. 3,4
D. 2,3

4. Which characteristic of nursing process is responsible for proper utilization of human

resources, time and cost resources?
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100 Item MEDICAL 100 Item Exam on Fundamentals of Fundamentals of Edited Carl Balita
 

SURGICAL Nursi… Fundamentals … Nursing Test Nursing (3) - 100… Question and
Examination Nursing Items - Answers Answers
A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

5. Which characteristic of nursing process addresses the INDIVIDUALIZED care a client

must receive?

A. Organized and Systematic

B. Humanistic
C. Efficient
D. Effective

6. A characteristic of the nursing process that is essential to promote client satisfaction and
progress. The care should also be relevant with the client’s needs.

A. Organized and Systematic

B. Humanistic
C. Efficient
D. Effective

7. Rhina, who has Menieres disease, said that her environment is moving. Which of the

following is a valid assessment?

1. Rhina is giving an objective data
2. Rhina is giving a subjective data
3. The source of the data is primary
4. The source of the data is secondary

A. 1,3
B. 2,3
C. 2.4

D. 1,4
8. Nurse Angela, observe Joel who is very apprehensive over the impending operation. The
client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a
diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?

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

9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF
ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen
her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?

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

10. Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is
experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY
ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her
diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type
of Diagnosis is this?

A. Actual

B. Probable
C. Possible
D. Risk
11. Nurse Angela knew that Stephen Lee Mu Chin, has
incision near the diaphragm. She knew that this will con
 incision near the diaphragm. She knew that this will con
on. She then should develop what type of Nursing diagn

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

12. Which of the following Nursing diagnosis is INCORR

A. Fluid volume deficit R/T Diarrhea

B. High risk for injury R/T Absence of side rails
C. Possible ineffective coping R/T Loss of loved one
D. Self esteem disturbance R/T Effects of surgical remo

13. Among the following statements, which should be g

A. Client is in extreme pain

B. Client’s blood pressure is 60/40
 
C. Client’s temperature is 40 deg. Centigrade
D. Client is cyanotic

14. Which of the following need is given a higher priorit

B.
A. Secondary
The client has attempted suicide and safety precauti
B. Tertiary
C. The client has disturbance in his body image because
D.
C. Can
The be A and
client B
is depressed because her boyfriend left he
D. The client is thirsty and dehydrated
19. All of the following are characteristic of the Nursing
15. Which of the following is TRUE with regards to Clien
A. Dynamic
B.
A. Cyclical
They are specific, measurable, attainable and time b
C.
B. Universal
They are general and broadly stated
D. Intrapersonal
C. They should answer for WHO, WHAT ACTIONS, WHA
WHEN.
D. Example
20. Which of isthe: After discharge
following is trueplanning,
about theClient demons
NURSING
for insulin injection.
A. It is nursing centered
B.
16.Rationales
Which of arethe supported
following isbya interventions
NOT a correct statement
C. Verbal
D.
A. Atleast
Ambulates 2 goals are needed
30 feet for every
with a cane nursing
before diagnosis
discharge
B. Discusses fears and concerns regarding the surgical
21. A framework for
C. Demonstrates health
proper assessment
coughing that evaluates
and breathing techni
body and environment in relation with the ability
D. Reestablishes a normal pattern of elimination of

A.
17.Functional
Which of health framework
the following is a OBJECTIVE data?
B. Head to toe framework
C. Body system framework
A. Dizziness
D. Cephalocaudal framework
B. Chest pain
C. Anxiety
C. Anxiety
22. Client has undergone Upper GI and Lower GI series.
D. Blue nails
framework is used in this situation?

A.
18.Functional health
A patient’s chartframework
is what type of data source?
B. Head to toe framework
A. Primary
C. Body system framework
D. Cephalocaudal framework

23. Which of the following statement is true regarding

A. Oral temperature is more accurate than rectal temper

B. The bulb used in Rectal temperature reading is pear
C. The older the person, the higher his BMR
D. When the client is swimming, BMR Decreases

24. A type of heat loss that occurs when the heat is

A. Convection
B. Conduction
C. Radiation
D. Evaporation

25. Which of the following is TRUE about temperature?

A. The highest temperature usually occurs later in a

B. The lowest temperature is usually in the Afternoon,
C. Thyroxin decreases body temperature
D. Elderly people are risk for hyperthermia due to the
thermoregulatory control and sedentary lifestyle.

26. Hyperpyrexia is a condition in which the temperature

A. 40 degree Celsius
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