Fundamentals In Nursing Final

Front 1

Primitive medical interventions were based on the belief that illness was caused by the presence of :

Back 1

GOOD AND EVIL

Front 2

Earliest form of organized health care given by a designated group of people was by the ancient civilization of:

Back 2

Babylonia or Babylonians

Front 3

National Council of State Boards of Nursing performs a job analysis to determine the scope of practice fo LPN"S

Back 3

Every Three Years

Front 4

Flo Nightengale's nursing school was in St. Thomas London. I was characterized by 4 things

Back 4

1. Offered formal and practical educational experiences
2. Kept records of student progres
3. Focused on hygeine and sanitation
4. Retained a registry of all graduates

Front 5

An Anxious patient / in regards to personal space

Back 5

"Personal Space" is the area within 18" of the patient and it is designated as an "Intimate Zone"

Front 6

Patients with aphasia who cannot understand a spoken word or written message is said to have:

Back 6

RECEPTIVE APHASIA

Front 7

A term that describes an individual's perception or understanding of a particular word or phrase

Back 7

Connotation

Front 8

Nurse listens to supervisor, she has crossed arms in front of her chest and has crossed legs, it is an example of :

Back 8

Closed posture

Front 9

When speking to a person of a different culture, a nurse would modify communication styles in five ways:

Back 9

1. Methods of greeting
2.Meaning in touch
3. Sognificance of eye contact
4. prefererence of address
5. Meaning of gestures

Front 10

Patient has difficulty breathing in the Supine position and the patient admits that he sleeps in a recliner, at home

Back 10

These are the cardinal signs of: Respiratory Disease

Front 11

When ausculating a chest, the nurse hears crackles in both lower lobes, In order to further assess this finding, the patient would be asked to:

Back 11

Cough

Front 12

Older patient has no hair on lower legs, nurse should asses further for the sufficiency of:

Back 12

ARTERIAL FLOW

Front 13

Assesing a female for risk factors of coronary artery disease; nurse should inquire about 4 things:

Back 13

1.Family history illness
2. diet
3. excersise
4.smoking

Front 14

Physical exam assessment techniques

Back 14

Inspect
Palpatate
Auscaulate
Perccussion
IPAPER

Front 15

Best defense against malpractice claims aasosiated with nursing care is

Back 15

Acurate Documentation

Front 16

Twenty four hour charting that helps to determine staffing needs id designed to determine what kind of levels?

Back 16

Acuity Levels (how sick patient's are)

They will determine staffing needs

Front 17

Soap chart means :
Subjective Data
Objective Data
Assessment
Planning

Back 17

The P stands for "P"
Planning

Front 18

Innadequate documentation that may lead tro a malpractice claim would include 4 things

Back 18

1. Incorrectly recording time of an event
2.failing to record verbal orders
3.charting events in advance
4.doccumenting an incorrect date

Front 19

Nurse should not hold eye contavt with a Korean man, because asians believe that;

Back 19

Prolonged eye contact is
Disrespectful

Front 20

Cultural Characteristics relative to management of time :

Back 20

Unwillingness to leave a current activity to avoid being late for another is called
ELASTICITY

Front 21

Mexican Americans: There culture al beliefs should be considered, they might consult a folk healer or a :

Back 21

Corondero for health advice

Front 22

NCLEX Q:
4 Characteristics that all Cultures have in common:
(language is not something that have in common)

Back 22

1.Economic practices
2.Survival Modes
3.Transportation systems
4.Family systems

Front 23

Muslim woman that ia being treated in hospital: Cultural sensitivity should be considered:

Back 23

1. assigh a female staff
2. keep head and extremeties covered as much as possible
3. allow privacy for prayer
(note that muslim men will be the primary decision makers concerning her care, they also avoid pork)

Front 24

Nurse makes documentation
Before
During
After a transfer to ensure

Back 24

Continuity of Care

Front 25

Haitian American patient's
percieve mystical and healing powers in

Back 25

Leaves

Front 26

Stress of hospital admission by a newly admitted older adult patient:

Back 26

Assess patient for Dimensia or confusion

Front 27

Reducing the stress for hospital admin: 3 apply

Back 27

*Show patient how bedside equipt works
*Give example of explanation policies
* involve patient in the plan of care

Front 28

Nurse adheres to discharge standards set by the joint commission on accredidation of Health Care organizations (JCAHO) this includes that a patient will recieve instruction relative to:

Back 28

*Medications
*Rehabilitation Techniques
*referral to community agencies
* Med equipt to be used
(NO Info on HEALTH INSURANCE )

Front 29

Fifth Vital sign is :

Back 29

PAIN

Front 30

Axillary temperature is 96.2'
Nurse is aware that the TRUE temp should be

Back 30

add two, 98.2'

Front 31

For a caregiver to record a daily log for Blood pressure readings they must:

Back 31

Apply cuff at approximately 2 inches above anticubital fossa
apply cuff snugly.

Don't reinflate cuff immediately if you don't get a reading
Don't assess pulse with the bell

Front 32

Factors that will influence pulse rate are:

Back 32

Age
sex
emotion
temperature
physical activity

Front 33

Distressed patient, antibiotic has not been effective in controlling infection; nurse should ex[plain that some bacteria are capable of defending themselves against antibiotics by :

Back 33

Forming a capsule

Front 34

Type of aseepsis that destroy's ALL microorganism's and their spores is:

Back 34

Surgical Asepsis

Front 35

In regards to Infection Control, some microorganisms have these characteristics

Back 35

*Involved in their own living process
*Are pathogens and cause disease
*are non pathogenic and do not cause disease
* May be iinfectious
*Can enter body via skin, air or blood

Front 36

Organisms must have the proper :

Back 36

Food
Oxygen
water
light
P.H. In order to live

Front 37

Bacilli are rod shaped bacteria,

Back 37

long rods

Front 38

PASS acronym for fire extinguisher:

Back 38

Pull pin
Aim
Spray
Sweep The final "S" stands for Sweep

Front 39

Bioterrism/ several types of agents thatt are used as weapons, one that does not seriously damage or kill the target population but only impairs them is a:

Back 39

Incapacitating agent

Front 40

In regards to radiation exposure, multiple gygers indivcate measurement of radiation. The number of GY an individual willabsorb befor becoming ill with radiation syndrom is:

Back 40

0.75

Front 41

Ambulating a patient with a left-sided weakness two things to remember:

Back 41

Keep leg behind the patient's knee
Use a gait belt

Front 42

While using a Posey vest, or SRD problems that might increase a patients risk of problems include:

Back 42

Immobility
Restlessness
Risk for impairde circulation
Risk for skin impairment
Incontinence

Front 43

Most common cause of muscloskeletal disorders in nurses involves a movement that requires:

Back 43

Nurse to twist and lift at the same time

Front 44

When a fall occurs, nurse needs to document the incident and :

Back 44

Innitiate an incident report

Front 45

To maintain a wide base of support, the nurse will stand with the feet seperated by the distance if:

Back 45

1 1/2 times the thength if the nurses shoe

Front 46

The proper order for Nursing activities should include"

Back 46

*Inform patient of activity
*Roll up head of the bed
*Dangle Patients at side of bed
*Apply a gait belt
*Assist patient to stand

Front 47

The center point in the illustration of a body describes the point as:

Back 47

The center of gravity

Front 48

Nurse will avoid dragging the patient accross the bed linens to decrease thepotential risk of skin injury by :

Back 48

Friction

Front 49

In order to prevent skin breakdown in a wheel chair the nurse should instruct the patient to :

Back 49

Shift every 15 minute

Front 50

A safety precaution aganst the breakage of dentures is to

Back 50

Place water in the emesis basin before cleaning dentures

Front 51

Appropriate guidelines for giving a back rub should include:

Back 51

Observing the skin for abnormalities

Front 52

When discussing signs and symptoms we know that: Signs are Objective Data that is percieved by the nurse

Back 52

Signs are: observed and seen

Front 53

Examples of a sign:

Back 53

Rash
Vital Signs
Lab Results

Front 54

Symptoms are Subjective Data

Back 54

Symtoms are what is percieved by the patient that we cannot visibly observe

Front 55

Examples of Symptoms:

Back 55

Pain
nausea
verigo
anxiety

Front 56

Etiology: A disease of an unknown etiology has:

Back 56

An unknown cause

Front 57

5 classifications of a disease are:

COARF

Back 57

Chronic
organic
acute
remission
functional

Front 58

Cardinal sign of infection include:
PSLRH
Port st lucie is real hot

Back 58

pain
swelling
redness
heat
loss of function

Front 59

Imprtance of nursing physical assessment is to determeine patient's

Back 59

Health and Illness

Front 60

Best position to place patient in for an enema is the

Back 60

LEFT Sims

Front 61

When placing a patient's dentures in his mouth the nurse should place the :

Back 61

Top dentures in first

Front 62

When cleaning a patient's dentures the nurse must remember to line the sink with a :

Back 62

Wash Cloth, it prevent's breakage

Front 63

A cool water bath is known as a tepid bath, it is given for what reason?

Back 63

Reduce Fever

Front 64

Purpose of a backrub is to:

Back 64

promote relaxation, relieve muscle tension, and stimulate circulation

Front 65

Vital signs should be assessed :
(choose only one)

Back 65

When a patient's condition changes

Front 66

When assesing a patient's core temp, the least invasive route is :

Back 66

Tympanic/ear

Front 67

Assess a patients pulse:

BRACFP

Back 67

Brachial
Radial
Apicil
Coratid
Femoral
Pedal

Front 68

An Acute illness is an illness that :

Back 68

Comes on suddenly

Front 69

A chronic illness is one that :

Back 69

lasts over a patient's lifetime

Front 70

Pressure ulcer stages:

Back 70

Stage I. Non Blanchable Errythema
stage II.Partial thickness skin los
stage III. Full thickness skin loss, necrosis of subcut tissue
stage IV. Full thickness loss extensive tissue damage

Front 71

The majority of falls occiur during :

Back 71

Transfer

Front 72

Three patient situations that would aler the nuse to pay special attention to oral hygeine:

Back 72

Vomiting
NPO
Immobility

Front 73

It is true that

Back 73

before bathing a patient you should ask them if they would like soap on their face.

Front 74

Bathing patients : It is important to:

Back 74

Encourage patient's to do as much as they can.

Front 75

Remember: when making a bed the top cover should have a :

Back 75

Toe pleat in order to prevent foot drop

Front 76

OSHA

Back 76

Branch fed govt. to protect employees against employee hazards

Front 77

OBRA

Back 77

Certifies nursing assistants

Front 78

CDC

Back 78

Centers for disease control, located in Georgia

Front 79

RACE

Rescue
Alarm
Control
Evacuate

Back 79

Should follow these speps for fire

Front 80

An external disaster:

Back 80

one that occurs in the community

Front 81

An internal disaster is one that:

Back 81

Occures inside a facility

Front 82

SDR Devices

Back 82

Used to protect patient from harming themselves and to maintain safety

Front 83

Acute radiation poisoning occurs when there is MORE than

Back 83

0.75 gyr's of radiation absorbed

Front 84

Perineal care, nurse must wash the:

Back 84

Meatus first and then the sides

Front 85

The ABC fire extinguisher

Back 85

Is the type that that may be used for all fires

Front 86

Patient recieves 8 oz of coffee and 4 0z of Orange juice. How many cc's are there?

Back 86

8 0z and 4 oz = 12 0z
*1 mL = 1 cc
30 mL's = 1 oz
So Convering 12 oz to milliliters by using ratio and proportion.
1 Oz : 30 mL :: 12 Oz : X Ml's

Front 87

Seven items that should be included in a patient's health history

Back 87

Previous hospitalizations
allergies
habits and lifestyle
sleep patterns
excersise
nutrition

Front 88

Ahscultate

Back 88

to listen

Front 89

systolic

Back 89

First reading of BP/ contraction

Front 90

dyspnea

Back 90

Difficulty breathing

Front 91

When BP changes a s a result of sitting or lying down

Back 91

Orthostatic hypotension

Front 92

pulse pressure

Back 92

difference between the systolic and diastolic reading. Subtract both numbers to get the pulse pressure reading.

Front 93

Tachycardia

Back 93

heart rate above 100

Front 94

Bradycardia

Back 94

heart rate below 60

Front 95

ausculation

Back 95

act of listening

Front 96

Inflamation

Back 96

response to infection

Front 97

etiology

Back 97

disease

Front 98

edema

Back 98

swelling

Front 99

Types of domestic violence include severl types of abuse :

Back 99

Physical
Sexual
Emotional
Financial
Verbal

Front 100

When assessing a patient's apical pulse:

Back 100

nurse will need to assess the pulse for 1 full min.

Front 101

When providing ROM upper extremety excersises, the nurse should:

Back 101

Complete 5 rotations for each excersise

Front 102

4 things that could affect a patients oral temp reading

Back 102

Drinking hot or cold liquids
oral surgery
recent mouth care
Mouth breathers on Oxygen

Front 103

When asessing an axillary temp with a mercury filled glass thermometer, you would keep in place for

Back 103

10 minutes

Front 104

Single most effective way to prevent the spread of infection

Back 104

Handwashing

Front 105

CPR to an adult victim you must continue CPR until:

Back 105

Help arrives
Can't physically perform any more
Environment becomes unsafe
Patient starts breithing

Front 106

Nurse is assigned to four patients the patient that should be assessed first would be:

Back 106

The patient who is recieving O2 and had difficulty breathing last night

Front 107

Waste basket is on fire; according to race the nurse assists patient outside room, the next action would be to:

Back 107

Activate Alarm

Front 108

Patient care with wrist restraints: Nurse should allow muscle excersise and check for circulation

Back 108

EVERY 2 hours

Front 109

90' angled position of bed is

Back 109

Fowlers

Front 110

Patient BP has dropped and is very low, best position for patient is in a :

Back 110

Trendelenburg position

Front 111

Communication with an aolder adult should

Back 111

Allow time for processing information

Front 112

Exudate is

Back 112

Fluid, cells and other debris that has been slowly discharged (drainage)

Front 113

Difficulty breathing is

Back 113

dyspnea

Front 114

Decreased skin turgor

Back 114

Abnormal

Front 115

Fruity breath

Back 115

abnormal

Front 116

pupils that are round and reactive to light are

Back 116

normal

Front 117

Barrel chest

Back 117

abnormal

Front 118

two seconf capillary refil

Back 118

normal

Front 119

Adventitious breath sounds
adventitious means abnormal

Back 119

abnormal

Front 120

no abdominal sounds are

Back 120

abnormal

Front 121

Bilateral palpable pedal pulses are

Back 121

normal

Front 122

2+ pitting edema is abnormal

Back 122

abnormal

Front 123

wheezing

Back 123

abnormal

Front 124

Cyanosis

Back 124

abnormal

Front 125

respirations of 38

Back 125

abnormal

Front 126

Heart rate of 74

Back 126

normal

Front 127

Blood pressure of 160/90

Back 127

abnormal

Front 128

Without regular ROM excersises a patient could be at risk for

Back 128

contracture

Front 129

When considering the use ofa SRD the nurse must always get

Back 129

a physicians order

Front 130

Inter-facility transfer

Back 130

moving patient from one facility to the next

Front 131

Intra-facility transfer

Back 131

moving patient from one unit to another

Front 132

Common patient rections to hospitilizations include:

Back 132

Fear of unknown
Loss of Identity
Disorientation
Separation anxiety
Lonlieness