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. 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 -
Upper airways
School age childen
Secondary

2. What are the ABCDE's of pain management?
Objective
Pt's with oxygenation and perfusion problems
Ask - Believe - Choose - Deliver - Empower
Loss of taste

3. Data validation assures
Abstract thinking
The result is accurate patient dB
Double check equip and patient
Communicate using hands and eyes.

4. 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

5. Types of hearing loss include
Fast and deep respirations seen in patient's with acidosis
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
Implementation
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli

6. What do rhonchi sound like?
Decreased arterial perfusion
Abstract thinking
Trend assessment (shift report)
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts

7. What is the correct approach when dealing with older adults?
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Irregular respirations (fast/slow) often seen at end of life
Having to use more than one pillow when sleeping
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response

8. The path of blood from the heart to the lungs is
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Broncial (heard over trachea)
To ID the problem

9. What are the components of a mental status exam that are not part of a regular assessment?
Have them do simple math problems
Stroke volume x's heart rate
Fluid volume deficit related to poor intake
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances

10. Another term for a focused assessment is
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Ongoing assessment
An 80 y/o patient that has emergency surgery
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances

11. When performing an interview with a patient with vision loss - select the correct questions for obtaining an accurate vision history
Secondary soureces (family - friends)
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Risk of falls increases
Pain

12. Would a nursing dx be part of the primary or secondary dx?
Secondary
Capillaries
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Risk of falls increases

13. Acceptable sources of assessment data when evaluating a confused patient would be
# of packs per day x # of years smoked
Secondary soureces (family - friends)
Inattention and acute increase/decrease in cognitive function
Trauma or illness

14. Hypogeusis is
Broncial (heard over trachea)
Secondary
Decreased sense of taste
EdFED- Q

15. Other factors that may indicate confusion using the CAM tool could be
Disorganized thinking and altered LOC
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
ID'ing status of exisiting problems and locating new issues
To ID the problem

16. When speaking with a patient with moderate hearing loss the RN should
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Communicate using hands and eyes.
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins

17. The purpose of an initial assessment is
Preschool is cause and effect - school age begins to use logical thought process.
To ID the problem
Maslow
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances

18. Inspiration sounds are heard longer than expiration sounds In What area?
Assess over all health status and identify the problem
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Vesicular (peripheral lung areas)
To ID the problem

19. What is intermittent claudication?
Having to use more than one pillow when sleeping
Viral infection
Pain in legs assoc w walking
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins

20. An infant is in which Paiget stage?
Trauma or illness
Inattention and acute increase/decrease in cognitive function
Daily
Sensory motor

21. Intermittent claudication is caused by?
Decreased arterial perfusion
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Pt's with oxygenation and perfusion problems
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve

22. Blood passes through the heart valves In what order?
Decreased sense of taste
Tricuspid - mitral and the aortic
Learning - memory and adaptation to stress
Have them do simple math problems

23. Examples of personal information
Hygeine - DOB - work hx
Double check equip and patient
Assess over all health status and identify the problem
Having to use more than one pillow when sleeping

24. What is cognition?
School age childen
The patient
Level of stress - risk for violence - anxiety level - patient unmet needs
The process of storing - learning - retrieving - and using info.

25. What does CAM stand for
Abstract thinking
The process of storing - learning - retrieving - and using info.
Confusion Assessment Method
Tricuspid - mitral and the aortic

26. In Which part of the nursing process will you find delegation?
Viral infection
Pain in legs assoc w walking
Implementation
Decreased arterial perfusion

27. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Broncial (heard over trachea)
Pain in legs assoc w walking
Wandering
Nurse

28. What is a definition of a delusion?
Interventions for which the nurse is accountable
Inattention and acute increase/decrease in cognitive function
Hemoglobin
A false - fixed belief that cannot be corrected through reasoning.

29. 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

30. Asking a patient what would you do if there is a fire in the wastebasket - is a way to assess their
Abstract thinking
Secondary
Ask - Believe - Choose - Deliver - Empower
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.

31. At What age do you begin to use logical thought process?
School age childen
Defining a baseline of cognitive function - any changes or deviations from norm.
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Immature immune system - structures close together lends to easy spreading from on area to another.

32. What are Piaget's stages of cognitive development
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Paradoxical reaction
Tricuspid - mitral and the aortic
Hearing loss

33. Ongoing assessments are useful in

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

34. What are Cheyne Stokes?
Irregular respirations (fast/slow) often seen at end of life
Have them do simple math problems
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Hygeine - DOB - work hx

35. Nursing interventions should be based on who's theory?
Loss of taste
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Decreased sense of taste
Maslow

36. Side effects of putting confused pts in restraints include
Abstract thinking
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Defining a baseline of cognitive function - any changes or deviations from norm.
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

37. 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
Irregular respirations (fast/slow) often seen at end of life
ID'ing status of exisiting problems and locating new issues
The patient

38. What would cause changes in congitive development later in life (middle adulthood)?
Trauma or illness
Bacterial infection
Fluid volume deficit related to poor intake
Secondary

39. Data gathered via instrumention (pulse ox) is considered
8.4
To simulate eating motions with the hands
Nurse
Objective

40. 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.
Pain
A personal experience that does whatever the person in pain says it does

41. Which patient would be most likely to experience sensory overload?
Symptoms
An 80 y/o patient that has emergency surgery
Knowing What to do/how to make a decision based upon available data.
Assess over all health status and identify the problem

42. At patient that state their shoes are tighter at the end of the day may be experiencing
Edema
Pt's with oxygenation and perfusion problems
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Pain

43. Are changes in vital signs a reliable indicator of chronic pain?
Hygeine - DOB - work hx
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
No
Loss of taste

44. If patient reports pain of 3 on scale of 0-10 - What is the appropriate class of pain reliever?
Medical
Non - opiod (ex: NSAID/acetominaphen)
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation

45. QUESTT is a tool for What type of an assessment?
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
Pain
8.4

46. Ageusia is
Loss of taste
Trauma or illness
Trend assessment (shift report)
Defining a baseline of cognitive function - any changes or deviations from norm.

47. When a patient has increased neutrophils - this may indicate what?
Bacterial infection
Focused
Inattention and acute increase/decrease in cognitive function
Stroke volume x's heart rate

48. 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)
Pt's underlying feelings
Implementation
Wandering

49. What scale is used to determine eating and feeding issues in adults with confusion
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Loss of taste
EdFED- Q
School age childen

50. Sleep deprivation can effect
Communicate using hands and eyes.
Pain
Learning - memory and adaptation to stress
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli