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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. Blood passes through the heart valves In what order?
Capillaries
Non - opiod (ex: NSAID/acetominaphen)
Nursing dx
Tricuspid - mitral and the aortic

2. Side effects of putting confused pts in restraints include
Trend assessment (shift report)
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Secondary

3. Orthopnea is described as?
Disorganized thinking and altered LOC
# of packs per day x # of years smoked
Implementation
Having to use more than one pillow when sleeping

4. What is the formula for cardiac output?

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5. What are the ABCDE's of pain management?
Inattention and acute increase/decrease in cognitive function
Ask - Believe - Choose - Deliver - Empower
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
A personal experience that does whatever the person in pain says it does

6. When a patient has increased lymphocytes - this may indicate what?
Paradoxical reaction
A false - fixed belief that cannot be corrected through reasoning.
Viral infection
Tricuspid - mitral and the aortic

7. At What age do you begin to use decision making?
Pain
Adolescence
Edema
The result is accurate patient dB

8. Data that is recorded for an immediate need (code blue or fall) would be included in
Snap - crackle - pops; velcro - bubble wrap
Nurse
Decision assessment
Secondary

9. The fifth vital sign is
8.4
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Defining a baseline of cognitive function - any changes or deviations from norm.
Pain

10. Where can wheezes best be heard?
Pain on inspiration and expiration; superficial squeaking or grating
Decision assessment
Upper airways
Irregular respirations (fast/slow) often seen at end of life

11. Types of hearing loss include
Assess over all health status and identify the problem
Focused
Capillaries
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)

12. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Snap - crackle - pops; velcro - bubble wrap
Disorganized thinking and altered LOC
Nurse
Bacterial infection

13. A patient that is easily fatigued may have a HgB lab value of?
8.4
Broncial (heard over trachea)
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
A false - fixed belief that cannot be corrected through reasoning.

14. What is a definition of a delusion?
Having to use more than one pillow when sleeping
Loss of taste
A false - fixed belief that cannot be corrected through reasoning.
Vesicular (peripheral lung areas)

15. What are Piaget's stages of cognitive development
Maslow
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Confusion Assessment Method
Stroke volume x's heart rate

16. Fluid volume deficit is a __________ dx
Bacterial infection
Hearing loss
Nursing
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation

17. What do rales sound like?
EdFED- Q
Secondary soureces (family - friends)
Preschool is cause and effect - school age begins to use logical thought process.
Snap - crackle - pops; velcro - bubble wrap

18. At What age do you begin to put thoughts into words?
Pt's underlying feelings
Loss of taste
Toddler
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

19. Asking a patient what would you do if there is a fire in the wastebasket - is a way to assess their
Secondary soureces (family - friends)
Defining a baseline of cognitive function - any changes or deviations from norm.
Abstract thinking
A personal experience that does whatever the person in pain says it does

20. What is the difference between a nursing dx and a med dx?
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
Hearing loss
Defining a baseline of cognitive function - any changes or deviations from norm.
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital

21. What are Cheyne Stokes?
Medical
Trend assessment (shift report)
Learning - memory and adaptation to stress
Irregular respirations (fast/slow) often seen at end of life

22. What is the nursing process?
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Tricuspid - mitral and the aortic
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Snap - crackle - pops; velcro - bubble wrap

23. What is the purpose of the nursing process?
Tricuspid - mitral and the aortic
Pain in legs assoc w walking
Decision assessment
Serves to expedite dx and tx of actual and potential health problems

24. The order of air flow into the lungs is
Hearing loss
No
Knowing What to do/how to make a decision based upon available data.
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli

25. Hypogeusis is
Toddler
The patient
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Decreased sense of taste

26. Subjective data could include
Communicate using hands and eyes.
Hygeine - DOB - work hx
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Symptoms

27. What is a chochlear implant?
Upper airways
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Secondary
Disorganized thinking and altered LOC

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

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29. What are the components of an assessment?
Upper airways
Maslow
Implementation
Data collection - data validation - data organization - data analysis - and data reporting/recording.

30. An ongoing assessment is performed
Edema
Trend assessment (shift report)
Daily
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

31. When using restraints in a confused patient
Have them do simple math problems
Risk of falls increases
Upper airways
Loss of taste

32. Data gathered via instrumention (pulse ox) is considered
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Objective
Trauma or illness
Surgically implanted device for deaf or hard or hearing - also called bionic ear.

33. Examples of personal information
Daily
Non - opiod (ex: NSAID/acetominaphen)
Hygeine - DOB - work hx
Data collection - data validation - data organization - data analysis - and data reporting/recording.

34. When noticing a patient with dementia has stopped eating - the RN's first response is?
To simulate eating motions with the hands
Hygeine - DOB - work hx
Preschool is cause and effect - school age begins to use logical thought process.
Double check equip and patient

35. A nursing dx is best described as
Decreased arterial perfusion
The process of storing - learning - retrieving - and using info.
Toddler
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.

36. Another term for a focused assessment is
Fluid volume deficit related to poor intake
Pt's underlying feelings
Ongoing assessment
Having to use more than one pillow when sleeping

37. Describe the purpose of a mental status exam
Adolescence
Vesicular (peripheral lung areas)
Decision assessment
Defining a baseline of cognitive function - any changes or deviations from norm.

38. Where can you hear bronchovesicular breath sounds?
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Preschool is cause and effect - school age begins to use logical thought process.
Broncial (heard over trachea)
Snap - crackle - pops; velcro - bubble wrap

39. What are the steps of the nursing process?
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Capillaries
Ask - Believe - Choose - Deliver - Empower

40. At What age do you begin to use logical thought process?
Decreased sense of taste
Hygeine - DOB - work hx
Risk of falls increases
School age childen

41. What is the correct approach when dealing with older adults?
Family - spouse - someone other than a healthcare worker - previous medical records.
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
No
Medical

42. When performing an interview with a patient with vision loss - select the correct questions for obtaining an accurate vision history
Family - spouse - someone other than a healthcare worker - previous medical records.
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Immature immune system - structures close together lends to easy spreading from on area to another.
Eye hygeine - accomodating factors - what was the level of decline - how long has it been

43. One way to test a person's cognitive ability and abstract thinking ability would be to
Have them do simple math problems
Double check equip and patient
Sensory motor
Medical

44. What scale is used to determine eating and feeding issues in adults with confusion
Toddler
Nursing
EdFED- Q
Hygeine - DOB - work hx

45. Kussamaul respirations describe

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46. Nursing dx provides basis of
Hemoglobin
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Having to use more than one pillow when sleeping
Interventions for which the nurse is accountable

47. An example of a secondary source is
Vesicular (peripheral lung areas)
The medication will not affect the patient's breathing.
Paradoxical reaction
Family - spouse - someone other than a healthcare worker - previous medical records.

48. What is responsible for transporting O2 in the blood
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
A false - fixed belief that cannot be corrected through reasoning.
Hemoglobin
The process of storing - learning - retrieving - and using info.

49. Expiration sounds are heard longer than inspiration In What area?
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Inattention and acute increase/decrease in cognitive function
Ongoing assessment
Broncial (heard over trachea)

50. QUESTT is a tool for What type of an assessment?
Secondary soureces (family - friends)
Pain
# of packs per day x # of years smoked
Interventions for which the nurse is accountable