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 does CAM stand for
Confusion Assessment Method
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
8.4
The result is accurate patient dB

2. Data gathered via instrumention (pulse ox) is considered
Fluid volume deficit related to poor intake
Broncial (heard over trachea)
Objective
Pain

3. If an abnormal finding is revealed during assessment - the nurse should
Double check equip and patient
Ongoing assessment
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)
Anteriorly @ intercostal spaces 1 and 2. Posteriorly between the scapulae.

4. 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
Family - spouse - someone other than a healthcare worker - previous medical records.
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

5. What are the steps of the nursing process?
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Nares - nasopharynx - trachea - bronchi - broncioles - alveoli
Confusion Assessment Method
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

6. When a patient has increased lymphocytes - this may indicate what?
Have them do simple math problems
8.4
Viral infection
Bacterial infection

7. The path of blood from the lungs to the heart is
Secondary soureces (family - friends)
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Have them do simple math problems
Maslow

8. Subjective data could include
Defining a baseline of cognitive function - any changes or deviations from norm.
Symptoms
Immature immune system - structures close together lends to easy spreading from on area to another.
Vesicular (peripheral lung areas)

9. Hypogeusis is
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Decreased sense of taste
Disorganized thinking and altered LOC

10. Nursing dx provides basis of
Interventions for which the nurse is accountable
Tricuspid - mitral and the aortic
Immature immune system - structures close together lends to easy spreading from on area to another.
Trend assessment (shift report)

11. What is the formula for determining pack years?
Toddler
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
Decreased arterial perfusion
# of packs per day x # of years smoked

12. Data validation assures
Immature immune system - structures close together lends to easy spreading from on area to another.
Initial assessment
To simulate eating motions with the hands
The result is accurate patient dB

13. When speaking with a patient with moderate hearing loss the RN should
Abstract thinking
Focused
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Communicate using hands and eyes.

14. An example of a secondary source is
Preschool is cause and effect - school age begins to use logical thought process.
Irregular respirations (fast/slow) often seen at end of life
Family - spouse - someone other than a healthcare worker - previous medical records.
Loss of taste

15. QUESTT is a tool for What type of an assessment?
Nursing
Decreased sense of taste
Pain
Abstract thinking

16. What is pain?
Hygeine - DOB - work hx
A personal experience that does whatever the person in pain says it does
Pt's underlying feelings
Assess over all health status and identify the problem

17. What is a component of the cognitive part of critical thinking skills?
Vesicular (peripheral lung areas)
Knowing What to do/how to make a decision based upon available data.
Upper airways
Interventions for which the nurse is accountable

18. At patient that state their shoes are tighter at the end of the day may be experiencing
8.4
Edema
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response

19. What is the correct approach when dealing with older adults?
Functional decline - cardiovascular distress - incontinence - pressure ulcers - aggitation - muscle atrohpy
Nursing dx
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Pain

20. What is a chochlear implant?
Surgically implanted device for deaf or hard or hearing - also called bionic ear.
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Pt's underlying feelings
Pain

21. An example of a nursing dx would be
Confusion Assessment Method
To simulate eating motions with the hands
Fluid volume deficit related to poor intake
Objective

22. Would a nursing dx be part of the primary or secondary dx?
Secondary
Eye hygeine - accomodating factors - what was the level of decline - how long has it been
8.4
Viral infection

23. An example of a primary source is
Snap - crackle - pops; velcro - bubble wrap
The patient
Med dx often involves problems with organ systems or disease and is the reason for admission to the hospital
Best heard over large airways due to secretions in lungs - sounds like gurgles - snorts

24. Nursing interventions should be based on who's theory?
Maslow
Decreased sense of taste
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)

25. Once a medical dx has been made - who is accountable for the reporting s/s of complications?
To simulate eating motions with the hands
Medical
Bacterial infection
Nurse

26. What are Piaget's stages of cognitive development
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)
Tricuspid - mitral and the aortic
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Capillaries

27. At What age do you begin to put thoughts into words?
Pain
An 80 y/o patient that has emergency surgery
Toddler
Stroke volume x's heart rate

28. 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)
Capillaries
Pain
Nailpolish - skin color - too bright light - poor peripheral blood flow - patient is too cold - low HgB levels -

29. At What age do you begin to use decision making?
Implementation
Irregular respirations (fast/slow) often seen at end of life
Adolescence
Nursing dx

30. If patient reports pain of 3 on scale of 0-10 - What is the appropriate class of pain reliever?
Pulmonary artery - left atrium - mitral valve - left ventricle - aortic valve
Non - opiod (ex: NSAID/acetominaphen)
Sensorineural (auditory or cortical nerve - or brain stem malfunction) - conductive (bones in middle ear) - mixed (damage to inner/middle/outer ear or auditory nerve)
Pain

31. Data that is recorded for an immediate need (code blue or fall) would be included in
Inattention and acute increase/decrease in cognitive function
Decision assessment
Nursing
Risk of falls increases

32. What is the purpose of the nursing process?
Serves to expedite dx and tx of actual and potential health problems
Communicate using hands and eyes.
Assess over all health status and identify the problem
Sensory motor

33. What are the components of a mental status exam that are not part of a regular assessment?
Edema
Long and s/t memory - attention - ability to calculate problems/abstract thinking - delusions/perceptual disturbances
Hearing loss
Fast and deep respirations seen in patient's with acidosis

34. What are the ABCDE's of pain management?
Ask - Believe - Choose - Deliver - Empower
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Objective
Upper airways

35. Sleep deprivation can effect
Snap - crackle - pops; velcro - bubble wrap
The process of storing - learning - retrieving - and using info.
Pain
Learning - memory and adaptation to stress

36. Another term for a focused assessment is
Loss of taste
The patient
Ongoing assessment
Pt's underlying feelings

37. What would cause changes in congitive development later in life (middle adulthood)?
Objective
Trauma or illness
Symptoms
Nursing

38. A patient that is easily fatigued may have a HgB lab value of?
8.4
Bacterial infection
Delerium has stimulus that is misinterpreted - whereas a halluciantion has no stimulus.
Daily

39. The purpose of an initial assessment is
To ID the problem
Immature immune system - structures close together lends to easy spreading from on area to another.
Disorganized thinking and altered LOC
The process of storing - learning - retrieving - and using info.

40. Keeping patient's belongings - shoes - suitcases and street clothes - etc. out of view are helpful for preventing: wandering?
The patient
Wandering
Edema
Risk of falls increases

41. At What age do you begin to use logical thought process?
Trend assessment (shift report)
School age childen
Sup/inferior vena cava - into the r/atrium - tricuspid - rt ventricle - pulmonary veins
Viral infection

42. One way to test a person's cognitive ability and abstract thinking ability would be to
Toddler
Have them do simple math problems
Approach from front - walk slow - stand to side - crouch low - offer hand - call by name - wait for response
Symptoms

43. The site where gas exchange occurs is
Ongoing assessment
Capillaries
A systematic method for organizing and delivering effective and efficient goal centric nursing care based on problem solving principles.
Tricuspid - mitral and the aortic

44. Name the 5 'W's' of assessing a change in LOC
Irregular respirations (fast/slow) often seen at end of life
Fluid volume deficit related to poor intake
To simulate eating motions with the hands
Wind (hypoxia/pneumonia) - water (UTI/dehydration) - wound (infection/sepsis) - walk (DVT - showering clots) and weird (new drugs)

45. Kussamaul respirations describe

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

46. Inspiration sounds are heard longer than expiration sounds In What area?
8.4
# of packs per day x # of years smoked
Toddler
Vesicular (peripheral lung areas)

47. 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
Ongoing assessment
Wandering
Ask - Believe - Choose - Deliver - Empower

48. What scale is used to determine eating and feeding issues in adults with confusion
Daily
EdFED- Q
Confusion Assessment Method
Focused

49. When a patient has increased neutrophils - this may indicate what?
Assess over all health status and identify the problem
Bacterial infection
Toddler
ADPIE - Assessment - Dx - Planning - Implentation and Evaluation

50. Asking a patient what would you do if there is a fire in the wastebasket - is a way to assess their
Pain in legs assoc w walking
Abstract thinking
No
Sensory motor (birth - 2 years) - Preoperational (2-7) - Concrete operational (7-11) - Formal operational (11- adult)