Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. An infant is in which Paiget stage?
The patient
Snap - crackle - pops; velcro - bubble wrap
Sensory motor
Pt's with oxygenation and perfusion problems


2. A patient failing to answer questions or displaying a reluctance to participate in group or family activities may be experiencing
Irregular respirations (fast/slow) often seen at end of life
Hearing loss
No
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation


3. Where can you hear bronchovesicular breath sounds?
Knowing What to do/how to make a decision based upon available data.
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Assess over all health status and identify the problem
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -


4. Name the 5 'W's' of assessing a change in LOC
Paradoxical reaction
ID'ing status of exisiting problems and locating new issues
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)


5. Factors that may reduce the efficacy of pulse oximetry include
A false - fixed belief that cannot be corrected through reasoning.
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Focused


6. The path of blood from the heart to the lungs is
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
EdFED- Q
Inattention and acute increase/decrease in cognitive function


7. When speaking with a patient with moderate hearing loss the RN should
Capillaries
Communicate using hands and eyes.
Having to use more than one pillow when sleeping
Hemoglobin


8. When a patient has increased lymphocytes - this may indicate what?
Pain
Viral infection
Pt's underlying feelings
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation


9. What does CAM stand for
Hygeine - DOB - work hx
Edema
Confusion Assessment Method
Capillaries


10. Other factors that may indicate confusion using the CAM tool could be
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Decreased arterial perfusion
Disorganized thinking and altered LOC
Decision assessment


11. The fifth vital sign is
Adolescence
Objective
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Pain


12. All body system data is not necessary which type of assessment
Edema
Level of stress - risk for violence - anxiety level - patient unmet needs
Focused
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy


13. The assessment that includes the patient's overhall health status
Abstract thinking
Initial assessment
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)


14. If an abnormal finding is revealed during assessment - the nurse should
Double check equip and patient
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Decision assessment
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve


15. What is the correct approach when dealing with older adults?
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Medical
Pain in legs assoc w walking
The patient


16. At What age do you begin to use decision making?
Adolescence
Assess over all health status and identify the problem
Abstract thinking
Broncial (heard over trachea)


17. What do rales sound like?
Snap - crackle - pops; velcro - bubble wrap
A personal experience that does whatever the person in pain says it does
Preschool is cause and effect - school age begins to use logical thought process.
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances


18. Nursing interventions should be based on who's theory?
Nursing
Maslow
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Focused


19. When a patient has increased neutrophils - this may indicate what?
Bacterial infection
Serves to expedite dx and tx of actual and potential health problems
Decreased sense of taste
Loss of taste


20. What is the cognitive difference between a preschooler and schoolage child?
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Preschool is cause and effect - school age begins to use logical thought process.


21. Ongoing assessments are useful in

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22. What is the nursing process?
Ongoing assessment
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Decision assessment
Nursing dx


23. One way to test a person's cognitive ability and abstract thinking ability would be to
Fluid volume deficit related to poor intake
Edema
Have them do simple math problems
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)


24. When performing an interview with a patient with vision loss - select the correct questions for obtaining an accurate vision history
A false - fixed belief that cannot be corrected through reasoning.
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Nursing dx
The medication will not affect the patient's breathing.


25. Side effects of putting confused pts in restraints include
Disorganized thinking and altered LOC
Objective
Nursing dx
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy


26. What is the difference between hallucination and delirium?
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Level of stress - risk for violence - anxiety level - patient unmet needs
Adolescence


27. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Nurse
Knowing What to do/how to make a decision based upon available data.
Decreased sense of taste
Broncial (heard over trachea)


28. The basis for a plan of care comes for which stage of the nursing process?
The process of storing - learning - retrieving - and using info.
Nursing dx
Viral infection
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins


29. What is responsible for transporting O2 in the blood
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Hemoglobin
Tricuspid - mitral and the aortic
Pt's with oxygenation and perfusion problems


30. A patient that is dying is on morphine. The family is concerned the prs breathing will stop. What is the correct RN response?

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31. The purpose of an initial assessment is
Nursing
To ID the problem
Ongoing assessment
Secondary


32. Inspiration sounds are heard longer than expiration sounds In What area?
Vesicular (peripheral lung areas)
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Bacterial infection
# of packs per day x # of years smoked


33. What would cause changes in congitive development later in life (middle adulthood)?
Having to use more than one pillow when sleeping
Trauma or illness
Communicate using hands and eyes.
Implementation


34. Ageusia is
Loss of taste
Inattention and acute increase/decrease in cognitive function
Hemoglobin
Family - spouse - someone other than a healthcare worker - previous medical records.


35. What is a chochlear implant?
Daily
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
To simulate eating motions with the hands


36. When dealing with a confused patient - should the nurse acknowledge the patient's underlying feelings or the content of the delusion?

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37. Examples of personal information
8.4
Maslow
Learning - memory and adaptation to stress
Hygeine - DOB - work hx


38. What scale is used to determine eating and feeding issues in adults with confusion
8.4
EdFED- Q
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
The process of storing - learning - retrieving - and using info.


39. Hypogeusis is
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Snap - crackle - pops; velcro - bubble wrap
Decreased sense of taste
Initial assessment


40. An example of a nursing dx would be
Ongoing assessment
The process of storing - learning - retrieving - and using info.
Fluid volume deficit related to poor intake
Eye hygeine - accomodating factors - what was the level of decline - how long has it been


41. Intermittent claudication is caused by?
Have them do simple math problems
Decreased arterial perfusion
School age childen
Hearing loss


42. If patient reports pain of 3 on scale of 0-10 - What is the appropriate class of pain reliever?
Nursing
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Non - opiod (ex: NSAID/acetominaphen)
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -


43. At patient that state their shoes are tighter at the end of the day may be experiencing
Trauma or illness
Fluid volume deficit related to poor intake
Vesicular (peripheral lung areas)
Edema


44. Kussamaul respirations describe

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45. The purpose of an intitial assement serves to?
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
The medication will not affect the patient's breathing.
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Assess over all health status and identify the problem


46. Data that is recorded for an immediate need (code blue or fall) would be included in
Decision assessment
Nursing dx
Loss of taste
Interventions for which the nurse is accountable


47. Blood passes through the heart valves In what order?
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Tricuspid - mitral and the aortic
Have them do simple math problems


48. What is the formula for cardiac output?

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49. Expiration sounds are heard longer than inspiration In What area?
Daily
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
ID'ing status of exisiting problems and locating new issues
Broncial (heard over trachea)


50. Why are young children at greater risk for respiratory infection?
Immature immune system - structures close together lends to easy spreading from on area to another.
Pain on inspiration and expiration; superficial squeaking or grating
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response