Test your basic knowledge |

Nursing Fundamentals 3

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. Data gathered via instrumention (pulse ox) is considered
Preschool is cause and effect - school age begins to use logical thought process.
To ID the problem
Objective
Double check equip and patient

2. The site where gas exchange occurs is
Inattention and acute increase/decrease in cognitive function
Abstract thinking
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Capillaries

3. What does CAM stand for
Confusion Assessment Method
Decreased sense of taste
Paradoxical reaction
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

4. Which patient would be most likely to experience sensory overload?
An 80 y/o patient that has emergency surgery
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Decreased sense of taste

5. Would a nursing dx be part of the primary or secondary dx?
Secondary
Nurse
Toddler
No

6. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Ask - Believe - Choose - Deliver - Empower
To ID the problem
Nurse
Decision assessment

7. Fluid volume deficit is a __________ dx
A false - fixed belief that cannot be corrected through reasoning.
A personal experience that does whatever the person in pain says it does
Decreased sense of taste
Nursing

8. Describe the purpose of a mental status exam
Fast and deep respirations seen in patient's with acidosis
Defining a baseline of cognitive function - any changes or deviations from norm.
Pt's with oxygenation and perfusion problems
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)

9. What is the formula for cardiac output?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

10. The basis for a plan of care comes for which stage of the nursing process?
Nursing dx
The result is accurate patient dB
Level of stress - risk for violence - anxiety level - patient unmet needs
Decision assessment

11. When performing an ongoing assessment for a patient with disturbed thinking the nurse should be sure to include
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Maslow
Risk of falls increases
Level of stress - risk for violence - anxiety level - patient unmet needs

12. QUESTT is a tool for What type of an assessment?
Assess over all health status and identify the problem
The medication will not affect the patient's breathing.
Pain
Surgically implanted device for deaf or hard or hearing - also called bionic ear.

13. Keeping patient's belongings - shoes - suitcases and street clothes - etc. out of view are helpful for preventing: wandering?
Defining a baseline of cognitive function - any changes or deviations from norm.
Wandering
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Initial assessment

14. What are the components of an assessment?
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Capillaries
Nurse
Irregular respirations (fast/slow) often seen at end of life

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

17. Acceptable sources of assessment data when evaluating a confused patient would be
Family - spouse - someone other than a healthcare worker - previous medical records.
Pain in legs assoc w walking
Secondary soureces (family - friends)
Risk of falls increases

18. Data that is recorded for an immediate need (code blue or fall) would be included in
Upper airways
Decision assessment
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Irregular respirations (fast/slow) often seen at end of life

19. A patient failing to answer questions or displaying a reluctance to participate in group or family activities may be experiencing
Hearing loss
The process of storing - learning - retrieving - and using info.
A false - fixed belief that cannot be corrected through reasoning.
Pt's with oxygenation and perfusion problems

20. What scale is used to determine eating and feeding issues in adults with confusion
Serves to expedite dx and tx of actual and potential health problems
EdFED- Q
To ID the problem
A personal experience that does whatever the person in pain says it does

21. An example of a secondary source is
Pain in legs assoc w walking
Sensory motor
Family - spouse - someone other than a healthcare worker - previous medical records.
Adolescence

22. What do rhonchi sound like?
Symptoms
Nursing
Non - opiod (ex: NSAID/acetominaphen)
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts

23. What is a definition of a delusion?
Confusion Assessment Method
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Capillaries
A false - fixed belief that cannot be corrected through reasoning.

24. Two indicators that are REQUIRED for classification via the CAM tool include
Decreased arterial perfusion
Edema
Inattention and acute increase/decrease in cognitive function
Secondary soureces (family - friends)

25. Blood passes through the heart valves In what order?
Fluid volume deficit related to poor intake
Tricuspid - mitral and the aortic
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Pt's underlying feelings

26. What are the steps of the nursing process?
The patient
Medical
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve

27. Hypogeusis is
Decreased sense of taste
The patient
Pain on inspiration and expiration; superficial squeaking or grating
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.

28. Expiration sounds are heard longer than inspiration In What area?
Pt's with oxygenation and perfusion problems
Broncial (heard over trachea)
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Family - spouse - someone other than a healthcare worker - previous medical records.

29. When performing an interview with a patient with vision loss - select the correct questions for obtaining an accurate vision history
Preschool is cause and effect - school age begins to use logical thought process.
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
EdFED- Q
Snap - crackle - pops; velcro - bubble wrap

30. What is the nursing process?
Communicate using hands and eyes.
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Ongoing assessment
The process of storing - learning - retrieving - and using info.

31. The path of blood from the heart to the lungs is
Level of stress - risk for violence - anxiety level - patient unmet needs
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Having to use more than one pillow when sleeping
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.

32. Types of hearing loss include
Having to use more than one pillow when sleeping
Knowing What to do/how to make a decision based upon available data.
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
The patient

33. Nursing dx provides basis of
Toddler
Secondary soureces (family - friends)
Nursing dx
Interventions for which the nurse is accountable

34. A nursing dx is best described as
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Pain on inspiration and expiration; superficial squeaking or grating
Pain

35. What are Cheyne Stokes?
Irregular respirations (fast/slow) often seen at end of life
Capillaries
Have them do simple math problems
Edema

36. Factors that may reduce the efficacy of pulse oximetry include
Secondary soureces (family - friends)
Viral infection
Nursing dx
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

37. In Which part of the nursing process will you find delegation?
The patient
Risk of falls increases
Edema
Implementation

38. A patient that is easily fatigued may have a HgB lab value of?
8.4
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
# of packs per day x # of years smoked
Pain

39. Ageusia is
Fluid volume deficit related to poor intake
Loss of taste
Implementation
Disorganized thinking and altered LOC

40. What are the components of a mental status exam that are not part of a regular assessment?
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Interventions for which the nurse is accountable
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)

41. At What age do you begin to put thoughts into words?
Assess over all health status and identify the problem
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Double check equip and patient
Toddler

42. Name the 5 'W's' of assessing a change in LOC
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Preschool is cause and effect - school age begins to use logical thought process.
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Serves to expedite dx and tx of actual and potential health problems

43. What would cause changes in congitive development later in life (middle adulthood)?
Fast and deep respirations seen in patient's with acidosis
Nursing dx
Trauma or illness
Capillaries

44. Where can wheezes best be heard?
# of packs per day x # of years smoked
Upper airways
To ID the problem
Bacterial infection

45. Where can you hear bronchovesicular breath sounds?
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Viral infection
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Broncial (heard over trachea)

46. An example of a primary source is
The patient
Confusion Assessment Method
Trend assessment (shift report)
Implementation

47. What is cognition?
Risk of falls increases
The process of storing - learning - retrieving - and using info.
No
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

48. Inspiration sounds are heard longer than expiration sounds In What area?
Pt's underlying feelings
Immature immune system - structures close together lends to easy spreading from on area to another.
Vesicular (peripheral lung areas)
The result is accurate patient dB

49. What is responsible for transporting O2 in the blood
Hemoglobin
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Inattention and acute increase/decrease in cognitive function
Pt's with oxygenation and perfusion problems

50. Nursing interventions should be based on who's theory?
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Nursing
Maslow
Pain