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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. An example of a nursing dx would be
Maslow
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Non - opiod (ex: NSAID/acetominaphen)
Fluid volume deficit related to poor intake

2. When speaking with a patient with moderate hearing loss the RN should
Communicate using hands and eyes.
Upper airways
Edema
Risk of falls increases

3. What is the cognitive difference between a preschooler and schoolage child?
Pt's with oxygenation and perfusion problems
Hemoglobin
Preschool is cause and effect - school age begins to use logical thought process.
Communicate using hands and eyes.

4. When a patient has increased lymphocytes - this may indicate what?
Viral infection
To ID the problem
Broncial (heard over trachea)
ID'ing status of exisiting problems and locating new issues

5. Data gathered via instrumention (pulse ox) is considered
Fast and deep respirations seen in patient's with acidosis
Objective
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation

6. What are Cheyne Stokes?
Have them do simple math problems
Irregular respirations (fast/slow) often seen at end of life
Clinical judement about a patient - family or community response to actual or potential health problems and life processes.
Trend assessment (shift report)

7. What factors may indicate plural rub?
Pain on inspiration and expiration; superficial squeaking or grating
Broncial (heard over trachea)
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins

8. What are the components of an assessment?
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Have them do simple math problems
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy

9. An example of a secondary source is
Decision assessment
Risk of falls increases
Nurse
Family - spouse - someone other than a healthcare worker - previous medical records.

10. Blood passes through the heart valves In what order?
Tricuspid - mitral and the aortic
Ongoing assessment
Wandering
Double check equip and patient

11. An infant is in which Paiget stage?
The result is accurate patient dB
No
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Sensory motor

12. In Which part of the nursing process will you find delegation?
Irregular respirations (fast/slow) often seen at end of life
School age childen
Paradoxical reaction
Implementation

13. Intermittent claudication is caused by?
Fluid volume deficit related to poor intake
Decreased arterial perfusion
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Upper airways

14. Two indicators that are REQUIRED for classification via the CAM tool include
Inattention and acute increase/decrease in cognitive function
8.4
Decision assessment
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts

15. The path of blood from the lungs to the heart is
Family - spouse - someone other than a healthcare worker - previous medical records.
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Secondary
Implementation

16. A patient failing to answer questions or displaying a reluctance to participate in group or family activities may be experiencing
Hearing loss
Decision assessment
Communicate using hands and eyes.
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli

17. 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.
Trend assessment (shift report)
Decreased sense of taste
Viral infection

18. Why are young children at greater risk for respiratory infection?
Stroke volume x's heart rate
Immature immune system - structures close together lends to easy spreading from on area to another.
Nursing
Risk of falls increases

19. The order of air flow into the lungs is
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -
Broncial (heard over trachea)
A personal experience that does whatever the person in pain says it does
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli

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

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21. What is responsible for transporting O2 in the blood
Symptoms
Double check equip and patient
Hemoglobin
Inattention and acute increase/decrease in cognitive function

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

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23. At What age do you begin to put thoughts into words?
A false - fixed belief that cannot be corrected through reasoning.
Toddler
Fast and deep respirations seen in patient's with acidosis
The patient

24. What is the formula for cardiac output?

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25. Where can you hear bronchovesicular breath sounds?
Objective
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.
The result is accurate patient dB
Nursing dx

26. What does CAM stand for
The patient
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Irregular respirations (fast/slow) often seen at end of life
Confusion Assessment Method

27. The assessment that includes the patient's overhall health status
Initial assessment
Immature immune system - structures close together lends to easy spreading from on area to another.
Capillaries
To ID the problem

28. Kussamaul respirations describe

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29. Asking a patient what would you do if there is a fire in the wastebasket - is a way to assess their
Medical
Abstract thinking
Initial assessment
Eye hygeine - accomodating factors - what was the level of decline - how long has it been

30. What is a definition of a delusion?
Pain in legs assoc w walking
Abstract thinking
Preschool is cause and effect - school age begins to use logical thought process.
A false - fixed belief that cannot be corrected through reasoning.

31. The purpose of an initial assessment is
8.4
To ID the problem
Disorganized thinking and altered LOC
The process of storing - learning - retrieving - and using info.

32. Inspiration sounds are heard longer than expiration sounds In What area?
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Vesicular (peripheral lung areas)
The result is accurate patient dB
The process of storing - learning - retrieving - and using info.

33. When performing an ongoing assessment for a patient with disturbed thinking the nurse should be sure to include
The result is accurate patient dB
Family - spouse - someone other than a healthcare worker - previous medical records.
Level of stress - risk for violence - anxiety level - patient unmet needs
Loss of taste

34. 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
Viral infection
Tricuspid - mitral and the aortic
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.

35. At What age do you begin to use logical thought process?
School age childen
Non - opiod (ex: NSAID/acetominaphen)
Trend assessment (shift report)
Defining a baseline of cognitive function - any changes or deviations from norm.

36. 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 -
The process of storing - learning - retrieving - and using info.
Nurse
Paradoxical reaction

37. Sleep deprivation can effect
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Data collection - data validation - data organization - data analysis - and data reporting/recording.
Ask - Believe - Choose - Deliver - Empower
Learning - memory and adaptation to stress

38. The site where gas exchange occurs is
The patient
Capillaries
Preschool is cause and effect - school age begins to use logical thought process.
Implementation

39. All body system data is not necessary which type of 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
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Focused

40. Nursing interventions should be based on who's theory?
Maslow
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Daily
Stroke volume x's heart rate

41. A patient that is easily fatigued may have a HgB lab value of?
Ask - Believe - Choose - Deliver - Empower
Nursing dx
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
8.4

42. Ageusia is
Loss of taste
Knowing What to do/how to make a decision based upon available data.
Viral infection
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.

43. Hypogeusis is
Decreased arterial perfusion
Upper airways
Wandering
Decreased sense of taste

44. The purpose of an intitial assement serves to?
Nursing
Having to use more than one pillow when sleeping
Confusion Assessment Method
Assess over all health status and identify the problem

45. When noticing a patient with dementia has stopped eating - the RN's first response is?
Secondary
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
To simulate eating motions with the hands
The medication will not affect the patient's breathing.

46. If an abnormal finding is revealed during assessment - the nurse should
Defining a baseline of cognitive function - any changes or deviations from norm.
Ongoing assessment
Broncial (heard over trachea)
Double check equip and patient

47. What is intermittent claudication?
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
Pain in legs assoc w walking
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Tricuspid - mitral and the aortic

48. 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
Pain
Having to use more than one pillow when sleeping
ID'ing status of exisiting problems and locating new issues

49. Another term for a focused assessment is
Stroke volume x's heart rate
Ongoing assessment
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital

50. What is cognition?
Secondary
Irregular respirations (fast/slow) often seen at end of life
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts
The process of storing - learning - retrieving - and using info.