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. What are Cheyne Stokes?
Nurse
Irregular respirations (fast/slow) often seen at end of life
Nursing
The medication will not affect the patient's breathing.

2. 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)
Decreased sense of taste
Upper airways
Fluid volume deficit related to poor intake

3. When speaking with a patient with moderate hearing loss the RN should
Defining a baseline of cognitive function - any changes or deviations from norm.
To ID the problem
Communicate using hands and eyes.
Trauma or illness

4. What is the difference between hallucination and delirium?
Wandering
Knowing What to do/how to make a decision based upon available data.
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Edema

5. What are the ABCDE's of pain management?
Ask - Believe - Choose - Deliver - Empower
Upper airways
Objective
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve

6. The path of blood from the heart to the lungs is
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Implementation
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation

7. What are the steps of the nursing process?
Non - opiod (ex: NSAID/acetominaphen)
Ask - Believe - Choose - Deliver - Empower
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Hygeine - DOB - work hx

8. Fluid volume deficit is a __________ dx
Sensory motor
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Nursing
EdFED- Q

9. What is the difference between a nursing dx and a med dx?
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Symptoms
Ask - Believe - Choose - Deliver - Empower
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)

10. An infant is in which Paiget stage?
Decision assessment
Tricuspid - mitral and the aortic
Sensory motor
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances

11. What scale is used to determine eating and feeding issues in adults with confusion
Have them do simple math problems
ID'ing status of exisiting problems and locating new issues
Pain
EdFED- Q

12. An example of a nursing dx would be
Immature immune system - structures close together lends to easy spreading from on area to another.
Fluid volume deficit related to poor intake
# of packs per day x # of years smoked
Serves to expedite dx and tx of actual and potential health problems

13. The fifth vital sign is
Pain
Irregular respirations (fast/slow) often seen at end of life
Viral infection
Upper airways

14. An example of a secondary source is
Secondary
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Family - spouse - someone other than a healthcare worker - previous medical records.
Stroke volume x's heart rate

15. What are the components of a mental status exam that are not part of a regular assessment?
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Inattention and acute increase/decrease in cognitive function
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Objective

16. Expiration sounds are heard longer than inspiration In What area?
Focused
Broncial (heard over trachea)
No
Nursing dx

17. The purpose of an initial assessment is
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Medical
To ID the problem
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)

18. An example of a primary source is
The patient
Wandering
Vesicular (peripheral lung areas)
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve

19. If patient reports pain of 3 on scale of 0-10 - What is the appropriate class of pain reliever?
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Pt's with oxygenation and perfusion problems
Non - opiod (ex: NSAID/acetominaphen)
Knowing What to do/how to make a decision based upon available data.

20. What is cognition?
EdFED- Q
The process of storing - learning - retrieving - and using info.
Edema
Level of stress - risk for violence - anxiety level - patient unmet needs

21. 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

22. A patient that is dying is on morphine. The family is concerned the prs breathing will stop. What is the correct RN response?

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

23. Data from the last 24/48 hours that included patterns would be a part of
Paradoxical reaction
Capillaries
Trend assessment (shift report)
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

24. What is the formula for determining pack years?
ID'ing status of exisiting problems and locating new issues
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Nurse
# of packs per day x # of years smoked

25. A nursing dx is best described as
Pain in legs assoc w walking
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Daily
Non - opiod (ex: NSAID/acetominaphen)

26. Data validation assures
The result is accurate patient dB
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Medical
Have them do simple math problems

27. What is the purpose of the nursing process?
Ask - Believe - Choose - Deliver - Empower
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
Immature immune system - structures close together lends to easy spreading from on area to another.

28. Why are young children at greater risk for respiratory infection?
Immature immune system - structures close together lends to easy spreading from on area to another.
Learning - memory and adaptation to stress
To simulate eating motions with the hands
The patient

29. At patient that state their shoes are tighter at the end of the day may be experiencing
Edema
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
A personal experience that does whatever the person in pain says it does
Preschool is cause and effect - school age begins to use logical thought process.

30. What is a chochlear implant?
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Fast and deep respirations seen in patient's with acidosis
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Risk of falls increases

31. Hypogeusis is
Loss of taste
Hygeine - DOB - work hx
Decreased sense of taste
Stroke volume x's heart rate

32. Subjective data could include
Symptoms
Disorganized thinking and altered LOC
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Vesicular (peripheral lung areas)

33. The order of air flow into the lungs is
Inattention and acute increase/decrease in cognitive function
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Edema
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.

34. Kussamaul respirations describe

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

35. Diabetes is a _________ dx
Implementation
Having to use more than one pillow when sleeping
Medical
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation

36. What does CAM stand for
The result is accurate patient dB
Pain
Loss of taste
Confusion Assessment Method

37. Describe the purpose of a mental status exam
Communicate using hands and eyes.
Vesicular (peripheral lung areas)
Defining a baseline of cognitive function - any changes or deviations from norm.
Broncial (heard over trachea)

38. 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.
Disorganized thinking and altered LOC
Pt's with oxygenation and perfusion problems

39. Side effects of putting confused pts in restraints include
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
To ID the problem
Confusion Assessment Method
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

40. The assessment that includes the patient's overhall health status
Abstract thinking
Initial assessment
Paradoxical reaction
ID'ing status of exisiting problems and locating new issues

41. The basis for a plan of care comes for which stage of the nursing process?
Confusion Assessment Method
The medication will not affect the patient's breathing.
Double check equip and patient
Nursing dx

42. Where can wheezes best be heard?
Paradoxical reaction
Hemoglobin
Fluid volume deficit related to poor intake
Upper airways

43. Examples of personal information
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Confusion Assessment Method
Hygeine - DOB - work hx
Daily

44. What is the correct approach when dealing with older adults?
Trauma or illness
Immature immune system - structures close together lends to easy spreading from on area to another.
Initial assessment
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response

45. Keeping patient's belongings - shoes - suitcases and street clothes - etc. out of view are helpful for preventing: wandering?
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Upper airways
Wandering
Focused

46. Other factors that may indicate confusion using the CAM tool could be
Bacterial infection
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Hemoglobin
Disorganized thinking and altered LOC

47. Another term for a focused assessment is
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Pain
Ongoing assessment
Objective

48. What is a component of the cognitive part of critical thinking skills?
Stroke volume x's heart rate
Confusion Assessment Method
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Knowing What to do/how to make a decision based upon available data.

49. When using restraints in a confused patient
Risk of falls increases
Broncial (heard over trachea)
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.

50. Ongoing assessments are useful in

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