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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. What is the formula for determining pack years?
Preschool is cause and effect - school age begins to use logical thought process.
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Ask - Believe - Choose - Deliver - Empower
# of packs per day x # of years smoked

2. What is intermittent claudication?
Pain in legs assoc w walking
Bacterial infection
ID'ing status of exisiting problems and locating new issues
Having to use more than one pillow when sleeping

3. Diabetes is a _________ dx
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Level of stress - risk for violence - anxiety level - patient unmet needs
Medical
Interventions for which the nurse is accountable

4. When performing an interview with a patient with vision loss - select the correct questions for obtaining an accurate vision history
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Stroke volume x's heart rate
Loss of taste
The process of storing - learning - retrieving - and using info.

5. The assessment that includes the patient's overhall health status
Decreased arterial perfusion
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Initial assessment
Stroke volume x's heart rate

6. Ageusia is
Loss of taste
Level of stress - risk for violence - anxiety level - patient unmet needs
Pain in legs assoc w walking
Have them do simple math problems

7. Factors that may reduce the efficacy of pulse oximetry include
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Hearing loss
Secondary
The result is accurate patient dB

8. What is the correct approach when dealing with older adults?
Ongoing assessment
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Hemoglobin
To ID the problem

9. A patient that is easily fatigued may have a HgB lab value of?
No
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
8.4
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.

10. What are the components of an assessment?
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Symptoms
Toddler
Paradoxical reaction

11. What is the cognitive difference between a preschooler and schoolage child?
Trend assessment (shift report)
Bacterial infection
To ID the problem
Preschool is cause and effect - school age begins to use logical thought process.

12. What are the steps of the nursing process?
Daily
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Hemoglobin
Capillaries

13. What do rhonchi sound like?
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Having to use more than one pillow when sleeping
Focused
ID'ing status of exisiting problems and locating new issues

14. Blood passes through the heart valves In what order?
Tricuspid - mitral and the aortic
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Fast and deep respirations seen in patient's with acidosis
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

15. When performing an ongoing assessment for a patient with disturbed thinking the nurse should be sure to include
Level of stress - risk for violence - anxiety level - patient unmet needs
No
Adolescence
The process of storing - learning - retrieving - and using info.

16. Ongoing assessments are useful in

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17. When a patient has increased lymphocytes - this may indicate what?
Preschool is cause and effect - school age begins to use logical thought process.
Viral infection
Interventions for which the nurse is accountable
Snap - crackle - pops; velcro - bubble wrap

18. A potential adverse rx of chemically restraining a confused patient would be
EdFED- Q
Paradoxical reaction
Decision assessment
Have them do simple math problems

19. What is a component of the cognitive part of critical thinking skills?
Irregular respirations (fast/slow) often seen at end of life
Knowing What to do/how to make a decision based upon available data.
Loss of taste
Capillaries

20. What is the purpose of the nursing process?
The patient
Objective
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Serves to expedite dx and tx of actual and potential health problems

21. Data from the last 24/48 hours that included patterns would be a part of
A false - fixed belief that cannot be corrected through reasoning.
Assess over all health status and identify the problem
Decreased arterial perfusion
Trend assessment (shift report)

22. An ongoing assessment is performed
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Sensory motor
Tricuspid - mitral and the aortic
Daily

23. The fifth vital sign is
Pain
Loss of taste
Non - opiod (ex: NSAID/acetominaphen)
Medical

24. What are the ABCDE's of pain management?
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Ask - Believe - Choose - Deliver - Empower
Irregular respirations (fast/slow) often seen at end of life
Stroke volume x's heart rate

25. An example of a secondary source is
Immature immune system - structures close together lends to easy spreading from on area to another.
Family - spouse - someone other than a healthcare worker - previous medical records.
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Hygeine - DOB - work hx

26. Asking a patient what would you do if there is a fire in the wastebasket - is a way to assess their
Immature immune system - structures close together lends to easy spreading from on area to another.
Abstract thinking
Preschool is cause and effect - school age begins to use logical thought process.
No

27. All body system data is not necessary which type of assessment
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Hearing loss
Secondary
Focused

28. At What age do you begin to put thoughts into words?
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Serves to expedite dx and tx of actual and potential health problems
Toddler
Viral infection

29. What is a definition of a delusion?
Knowing What to do/how to make a decision based upon available data.
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Pain
A false - fixed belief that cannot be corrected through reasoning.

30. What is the difference between hallucination and delirium?
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Learning - memory and adaptation to stress
Pain

31. 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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32. At What age do you begin to use decision making?
Adolescence
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Secondary
Non - opiod (ex: NSAID/acetominaphen)

33. In Which part of the nursing process will you find delegation?
Decision assessment
Vesicular (peripheral lung areas)
Implementation
Symptoms

34. What is the nursing process?
Pain
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
The result is accurate patient dB
Daily

35. Kussamaul respirations describe

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36. What would cause changes in congitive development later in life (middle adulthood)?
Wandering
Trauma or illness
Decision assessment
The process of storing - learning - retrieving - and using info.

37. Where can you hear bronchovesicular breath sounds?
Secondary
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Pain
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.

38. What is responsible for transporting O2 in the blood
Hemoglobin
8.4
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)

39. Subjective data could include
Nursing dx
Wandering
Symptoms
Assess over all health status and identify the problem

40. Side effects of putting confused pts in restraints include
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Pain
Having to use more than one pillow when sleeping
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

41. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Nurse
School age childen
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Data collection - data validation - data organization - data analysis - and data reporting/recording.

42. If patient reports pain of 3 on scale of 0-10 - What is the appropriate class of pain reliever?
Immature immune system - structures close together lends to easy spreading from on area to another.
Non - opiod (ex: NSAID/acetominaphen)
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Daily

43. If an abnormal finding is revealed during assessment - the nurse should
Abstract thinking
Fluid volume deficit related to poor intake
Double check equip and patient
Assess over all health status and identify the problem

44. A nursing dx is best described as
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Double check equip and patient
Non - opiod (ex: NSAID/acetominaphen)
Irregular respirations (fast/slow) often seen at end of life

45. When noticing a patient with dementia has stopped eating - the RN's first response is?
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
To simulate eating motions with the hands
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Vesicular (peripheral lung areas)

46. Are changes in vital signs a reliable indicator of chronic pain?
No
EdFED- Q
Sensory motor
Symptoms

47. Data validation assures
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Knowing What to do/how to make a decision based upon available data.
The result is accurate patient dB
Immature immune system - structures close together lends to easy spreading from on area to another.

48. What is the difference between a nursing dx and a med dx?
Family - spouse - someone other than a healthcare worker - previous medical records.
Ask - Believe - Choose - Deliver - Empower
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Double check equip and patient

49. Sleep deprivation can effect
Pain
Bacterial infection
Learning - memory and adaptation to stress
Fast and deep respirations seen in patient's with acidosis

50. What scale is used to determine eating and feeding issues in adults with confusion
EdFED- Q
Pt's underlying feelings
Snap - crackle - pops; velcro - bubble wrap
Viral infection