Faculty of Nursing

Fundamental of Nursing II
First Exam
Student Name:

Unviersity No.:

Section:

....

Question (1) :
Circle the most appropriate answer in the following questions:
1. One of the following is the purpose of nursing process:a. To determine whether the client's health status has changed
b. To coordinate the nurses activities
c. To identify actual or potential health care problems
d. To set priorities
2. One of the following is intermittent evaluation:a. Evaluate the client's condition at the time of discharge
b. Evaluate the client's condition immediately after implementing a nursing orders
c. Evaluate the client's condition at specified intervals
d. Evaluate the client's condition during implementing the nursing orders
3. All the following are the characteristics of nursing process except:a. It is client - centered
b. It is goal directed
c. It is cylic and dynamic
d. It is nurse goal directed
4. The primary source of data is the one of the following:a. The client
b. The support person
c. The client record
d. Literature / journals
5. A clinical judgment about individual, family or community responses to actual
and potential health problems is:a. Assessing phase
b. Diagnosing phase
c. Planning phase
d. Evaluating phase

6. The process of the implementing phase are the following except:a. Reassess of the client
b. Formulate goals / desired out come
c. Determine the nursing orders
d. Delegate and supervise the nursing strategies
7. A remittent fever means:a. A body temperature alternated at regular intervals between periods of
fever and a period of normal
b. A body temperature fluctuated in a wide range, while remains above
normal
c. A body temperature fluctuated with an interspersed with a period of
normal temp
d. A body temperature fluctuated minimally but always remain abnormal
8. All of the following are the components of the nursing orders except:a. Date and time
b. Action verb
c. Condition
d. Content are
9. The transfer of heat from surface of one object to the surface of another without
contact is:a. Evaporation
b. Convection
c. Conduction
d. Radiation
10. The purpose of reassessing of the client in evaluation phase is:a. To gather data
b. To formulate the nursing diagnosis
c. To implement nursing strategies
d. To assess the client's condition that might change
11. The purpose of problem - focused assessment is:a. To establish a complete data base for identification reference an future comparison
b. To determine the status of a specific problem identified in as earlier
assessment
c. To identify life threatening problems
d. To compare the client's current status to base line data
12. The process of the planning phase is:a. Reassessing the client
b. Establishing client's desired out come
c. Delegating and supervising the nursing orders
d. Documenting the nursing orders

13. The components of the nursing goal statement are the following except:a. The subject
b. The action verb
c. The condition
d. The time element
14. All of the following are disadvantages of the pen- ended questions except:a. It takes time
b. It is difficult to document and require skills in recording
c. It lets the interviewee doing and talking
d. It requires skill in controlling the interview
15. The assessment is performed within specified time after the client admission to
the health care agency is called:a. Time lapsed assessment
b. Problem focused assessment
c. Emergency assessment
d. Initial assessment
16. All the following are advantages of closed-ended question except:a. It takes short time
b. It requires less effort from the interviewee
c. It allows more chance for the client to express feelings and believes
d. Responses are easily documented
17. A cognitive / perceptual pattern is:a. Describes the client perception pattern of health and well-being
b. Describe sensory-perceptual and cognitive perceptual
c. Describes the client's self-concept pattern and perception of self
d. Describes the client's general coping pattern and the effectiveness of the
pattern
18. One of the following is an example for goal condition:a. Using aseptic technique
b. Carries out
c. Before discharge
d. 2500ml of fluid
19. All of the following are factors affecting body temperature except:a. Diurnal variation
b. Basal metabotic rate
c. Body exercise
d. Hormones

20. The signs and symptoms at the time nursing assessment of the client are called:a. Actual diagnosis
b. A risk diagnosis
c. A possible diagnosis
d. A syndrome diagnosis
Question (2) :
Circle the True for the correct answer and False for the incorrect answer for the
following statements:1. Hourly assessment the client's vital signs in an ICU is and example for problemfocused assessment.

4. Nursing process is a systematic or rational of planning and providing

individualized nursing care

5. A standardized nursing care is a specified care for groups of clients with

common health needs

6. A surface body temperature is the skin, subcutaneous tissue, and fat, rises of
falls, while not influence by environmental factors

2. Assessing is a process of gathering information about client's health status.

3. Documenting data is consist of factual and interpret data.

7. Thyroxin, muscle activity, and fever and affecting factors of the heat production.

Question (3):
List the components of the nursing diagnosis statements.
1.
2.
3.

Good Luck