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. Are changes in vital signs a reliable indicator of chronic pain?
Viral infection
Secondary
To ID the problem
No

2. Sleep deprivation can effect
Trauma or illness
No
Decreased arterial perfusion
Learning - memory and adaptation to stress

3. What is a chochlear implant?
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
The process of storing - learning - retrieving - and using info.
Level of stress - risk for violence - anxiety level - patient unmet needs
Decision assessment

4. A patient failing to answer questions or displaying a reluctance to participate in group or family activities may be experiencing
Hearing loss
Assess over all health status and identify the problem
Decision assessment
Pain

5. Keeping patient's belongings - shoes - suitcases and street clothes - etc. out of view are helpful for preventing: wandering?
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Fast and deep respirations seen in patient's with acidosis
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Wandering

6. An ongoing assessment is performed
A false - fixed belief that cannot be corrected through reasoning.
Double check equip and patient
Daily
Serves to expedite dx and tx of actual and potential health problems

7. Which patient would be most likely to experience sensory overload?
Tricuspid - mitral and the aortic
An 80 y/o patient that has emergency surgery
Ongoing assessment
Defining a baseline of cognitive function - any changes or deviations from norm.

8. Ageusia is
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Loss of taste
Data collection - data validation - data organization - data analysis - and data reporting/recording.
To simulate eating motions with the hands

9. 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
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Pain
Ask - Believe - Choose - Deliver - Empower

10. What factors may indicate plural rub?
An 80 y/o patient that has emergency surgery
Viral infection
Decision assessment
Pain on inspiration and expiration; superficial squeaking or grating

11. One way to test a person's cognitive ability and abstract thinking ability would be to
Have them do simple math problems
Fluid volume deficit related to poor intake
Pt's with oxygenation and perfusion problems
Ask - Believe - Choose - Deliver - Empower

12. QUESTT is a tool for What type of an assessment?
Pain
Daily
EdFED- Q
Symptoms

13. If patient reports pain of 3 on scale of 0-10 - What is the appropriate class of pain reliever?
EdFED- Q
Pt's with oxygenation and perfusion problems
Non - opiod (ex: NSAID/acetominaphen)
Wandering

14. When using restraints in a confused patient
Nursing dx
Risk of falls increases
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Edema

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. At What age do you begin to use logical thought process?
School age childen
Pt's underlying feelings
Defining a baseline of cognitive function - any changes or deviations from norm.
Interventions for which the nurse is accountable

17. What is the difference between a nursing dx and a med dx?
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
The medication will not affect the patient's breathing.
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response

18. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
Focused
Nurse
Viral infection
Defining a baseline of cognitive function - any changes or deviations from norm.

19. Would a nursing dx be part of the primary or secondary dx?
Implementation
Pain in legs assoc w walking
Secondary
Sensory motor

20. Data gathered via instrumention (pulse ox) is considered
Broncial (heard over trachea)
Irregular respirations (fast/slow) often seen at end of life
Ask - Believe - Choose - Deliver - Empower
Objective

21. What do rales sound like?
Tricuspid - mitral and the aortic
Snap - crackle - pops; velcro - bubble wrap
Preschool is cause and effect - school age begins to use logical thought process.
Decision assessment

22. What is the formula for determining pack years?
Have them do simple math problems
# of packs per day x # of years smoked
Symptoms
Non - opiod (ex: NSAID/acetominaphen)

23. Nursing dx provides basis of
Serves to expedite dx and tx of actual and potential health problems
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Interventions for which the nurse is accountable

24. What are the components of an assessment?
The medication will not affect the patient's breathing.
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Inattention and acute increase/decrease in cognitive function
Trauma or illness

25. All body system data is not necessary which type of assessment
Communicate using hands and eyes.
Medical
Focused
Objective

26. Diabetes is a _________ dx
EdFED- Q
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
Medical
Double check equip and patient

27. The order of air flow into the lungs is
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
Risk of falls increases

28. 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

29. When noticing a patient with dementia has stopped eating - the RN's first response is?
Medical
Decreased sense of taste
Ongoing assessment
To simulate eating motions with the hands

30. What scale is used to determine eating and feeding issues in adults with confusion
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Pain on inspiration and expiration; superficial squeaking or grating
EdFED- Q
Focused

31. The assessment that includes the patient's overhall health status
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Initial assessment
Viral infection
Toddler

32. The purpose of an intitial assement serves to?
Pain in legs assoc w walking
Assess over all health status and identify the problem
A personal experience that does whatever the person in pain says it does
School age childen

33. Hypogeusis is
Decreased sense of taste
To simulate eating motions with the hands
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Double check equip and patient

34. 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

35. 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
Paradoxical reaction
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Abstract thinking

36. Types of hearing loss include
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
Knowing What to do/how to make a decision based upon available data.
Nursing
Sensory motor

37. The basis for a plan of care comes for which stage of the nursing process?
Nursing dx
Decreased sense of taste
The result is accurate patient dB
Objective

38. Two indicators that are REQUIRED for classification via the CAM tool include
Paradoxical reaction
Toddler
Inattention and acute increase/decrease in cognitive function
The result is accurate patient dB

39. Expiration sounds are heard longer than inspiration In What area?
Broncial (heard over trachea)
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
No
# of packs per day x # of years smoked

40. At What age do you begin to put thoughts into words?
Toddler
Decreased sense of taste
The result is accurate patient dB
Communicate using hands and eyes.

41. An infant is in which Paiget stage?
Pain in legs assoc w walking
Capillaries
Sensory motor
Surgically implanted device for deaf or hard or hearing - also called bionic ear.

42. What is intermittent claudication?
Nursing
Loss of taste
Pain in legs assoc w walking
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.

43. Kussamaul respirations describe

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

44. When a patient has increased lymphocytes - this may indicate what?
Hearing loss
Defining a baseline of cognitive function - any changes or deviations from norm.
Viral infection
Immature immune system - structures close together lends to easy spreading from on area to another.

45. Name the 5 'W's' of assessing a change in LOC
Non - opiod (ex: NSAID/acetominaphen)
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Upper airways

46. What is the correct approach when dealing with older adults?
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Hemoglobin
Upper airways
Trauma or illness

47. What is a definition of a delusion?
A false - fixed belief that cannot be corrected through reasoning.
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
8.4
To ID the problem

48. Data from the last 24/48 hours that included patterns would be a part of
Trend assessment (shift report)
Hemoglobin
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Initial assessment

49. 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.
Assess over all health status and identify the problem
Ongoing assessment
Defining a baseline of cognitive function - any changes or deviations from norm.

50. Another term for a focused assessment is
Ongoing assessment
Upper airways
A personal experience that does whatever the person in pain says it does
To simulate eating motions with the hands