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. When noticing a patient with dementia has stopped eating - the RN's first response is?
ID'ing status of exisiting problems and locating new issues
To simulate eating motions with the hands
Have them do simple math problems
Family - spouse - someone other than a healthcare worker - previous medical records.


2. What is the formula for cardiac output?

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3. Ongoing assessments are useful in

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4. The purpose of an initial assessment is
To ID the problem
Defining a baseline of cognitive function - any changes or deviations from norm.
Knowing What to do/how to make a decision based upon available data.
EdFED- Q


5. Factors that may reduce the efficacy of pulse oximetry include
Loss of taste
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Secondary soureces (family - friends)
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances


6. Subjective data could include
Defining a baseline of cognitive function - any changes or deviations from norm.
Symptoms
The medication will not affect the patient's breathing.
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)


7. At patient that state their shoes are tighter at the end of the day may be experiencing
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Edema
Double check equip and patient
The medication will not affect the patient's breathing.


8. 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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9. The site where gas exchange occurs is
Capillaries
Bacterial infection
Paradoxical reaction
Disorganized thinking and altered LOC


10. What do rales sound like?
Snap - crackle - pops; velcro - bubble wrap
Knowing What to do/how to make a decision based upon available data.
Inattention and acute increase/decrease in cognitive function
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.


11. What is a definition of a delusion?
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
A false - fixed belief that cannot be corrected through reasoning.
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Interventions for which the nurse is accountable


12. The order of air flow into the lungs is
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Nursing dx
Disorganized thinking and altered LOC
Loss of taste


13. If an abnormal finding is revealed during assessment - the nurse should
Pt's underlying feelings
Double check equip and patient
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.


14. Acceptable sources of assessment data when evaluating a confused patient would be
Secondary soureces (family - friends)
Broncial (heard over trachea)
The process of storing - learning - retrieving - and using info.
Adolescence


15. When performing an ongoing assessment for a patient with disturbed thinking the nurse should be sure to include
Pt's underlying feelings
Communicate using hands and eyes.
Level of stress - risk for violence - anxiety level - patient unmet needs
Paradoxical reaction


16. What is the cognitive difference between a preschooler and schoolage child?
Hemoglobin
Bacterial infection
Preschool is cause and effect - school age begins to use logical thought process.
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.


17. In Which part of the nursing process will you find delegation?
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Sensory motor
Double check equip and patient
Implementation


18. What is responsible for transporting O2 in the blood
Loss of taste
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Hemoglobin


19. What is the nursing process?
Upper airways
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
School age childen
Pain in legs assoc w walking


20. ABG's would be an important lab value for What types of patient's?

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21. A potential adverse rx of chemically restraining a confused patient would be
Paradoxical reaction
School age childen
8.4
Fluid volume deficit related to poor intake


22. What is intermittent claudication?
Toddler
Pain in legs assoc w walking
To ID the problem
Learning - memory and adaptation to stress


23. What is the purpose of the nursing process?
Nursing dx
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Secondary
Serves to expedite dx and tx of actual and potential health problems


24. A patient failing to answer questions or displaying a reluctance to participate in group or family activities may be experiencing
Ongoing assessment
Hearing loss
Symptoms
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.


25. When speaking with a patient with moderate hearing loss the RN should
Family - spouse - someone other than a healthcare worker - previous medical records.
A false - fixed belief that cannot be corrected through reasoning.
Capillaries
Communicate using hands and eyes.


26. A nursing dx is best described as
Nursing
Snap - crackle - pops; velcro - bubble wrap
Toddler
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.


27. Sleep deprivation can effect
Learning - memory and adaptation to stress
Irregular respirations (fast/slow) often seen at end of life
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Pain


28. What are the steps of the nursing process?
Vesicular (peripheral lung areas)
Tricuspid - mitral and the aortic
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Nurse


29. Where can you hear bronchovesicular breath sounds?
Risk of falls increases
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
A personal experience that does whatever the person in pain says it does
Trend assessment (shift report)


30. What are the ABCDE's of pain management?
Interventions for which the nurse is accountable
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
To simulate eating motions with the hands
Ask - Believe - Choose - Deliver - Empower


31. Hypogeusis is
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
EdFED- Q
Decreased sense of taste
School age childen


32. What is a component of the cognitive part of critical thinking skills?
Knowing What to do/how to make a decision based upon available data.
Double check equip and patient
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Have them do simple math problems


33. An ongoing assessment is performed
The patient
Having to use more than one pillow when sleeping
Daily
Secondary soureces (family - friends)


34. Two indicators that are REQUIRED for classification via the CAM tool include
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
An 80 y/o patient that has emergency surgery
The result is accurate patient dB
Inattention and acute increase/decrease in cognitive function


35. An example of a secondary source is
Daily
Family - spouse - someone other than a healthcare worker - previous medical records.
Immature immune system - structures close together lends to easy spreading from on area to another.
An 80 y/o patient that has emergency surgery


36. Describe the purpose of a mental status exam
Defining a baseline of cognitive function - any changes or deviations from norm.
To ID the problem
Initial assessment
Wandering


37. Blood passes through the heart valves In what order?
Have them do simple math problems
Medical
Pain
Tricuspid - mitral and the aortic


38. When a patient has increased lymphocytes - this may indicate what?
Communicate using hands and eyes.
Viral infection
An 80 y/o patient that has emergency surgery
Ongoing assessment


39. Kussamaul respirations describe

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40. What would cause changes in congitive development later in life (middle adulthood)?
Trauma or illness
Trend assessment (shift report)
Paradoxical reaction
Interventions for which the nurse is accountable


41. The path of blood from the heart to the lungs is
Defining a baseline of cognitive function - any changes or deviations from norm.
Learning - memory and adaptation to stress
Pain on inspiration and expiration; superficial squeaking or grating
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins


42. Diabetes is a _________ dx
Symptoms
Medical
Level of stress - risk for violence - anxiety level - patient unmet needs
Trauma or illness


43. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Fast and deep respirations seen in patient's with acidosis
A personal experience that does whatever the person in pain says it does
Nurse


44. At What age do you begin to use logical thought process?
School age childen
Double check equip and patient
Broncial (heard over trachea)
ID'ing status of exisiting problems and locating new issues


45. At What age do you begin to put thoughts into words?
Double check equip and patient
Decision assessment
The medication will not affect the patient's breathing.
Toddler


46. What is a chochlear implant?
Hemoglobin
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
The medication will not affect the patient's breathing.
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.


47. An example of a nursing dx would be
Fluid volume deficit related to poor intake
The result is accurate patient dB
Pt's with oxygenation and perfusion problems
Paradoxical reaction


48. QUESTT is a tool for What type of an assessment?
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Pain
Vesicular (peripheral lung areas)
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.


49. What is cognition?
The process of storing - learning - retrieving - and using info.
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Stroke volume x's heart rate
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response


50. What are Cheyne Stokes?
Irregular respirations (fast/slow) often seen at end of life
Symptoms
Focused
Objective