Foundations Review Day!

Question 1

Rapid eye movement (REM) sleep involves the following characteristics?

Accepted Answer

Usually lasts about 90 minutes and 25% of total sleep time

Question 2

With the SBAR acronym, what does the letter A stand for?

Accepted Answer

Assessment

Question 3

A urine specific gravity of 1.025 is within normal limits?

Accepted Answer

True

Question 4

A pt. is hypotensive, dehydrated and tachycardic. Which type of IVF would be likely ordered for this pt?

Accepted Answer

0.9% NS at 500 mL/hr

Question 5

Which type of insulin would be given as "corrective" dose or for a sliding scale? Select all that apply

Accepted Answer

Rapid acting insulin like Lispro, Short acting insulin like Regular

Question 6

A pt. has orthostatic hypotension, right sided weakness and vertigo. Which nursing dx is most appropriate?

Accepted Answer

Risk for falls

Question 7

The nurse is administering an IM injection to a 150 pound man. Which needle length and gauge would be MOST appropriate?

Accepted Answer

22 gauge, 1 inch

Question 8

A pt. having an anxiety attack and breathing rapidly, would likely present with which ABG result?

Accepted Answer

pH 7.47, CO2 30, HCO3 23, PaO2 98

Question 9

When working with a confused and argumentative patient, which method would be best to use?

Accepted Answer

Utilize a sitter in the room to keep the patient safe

Question 10

Med math: Order: 1 liter Lactated Ringers over 5 hours, what rate per hour does nurse set pump to?

Accepted Answer

200 mL/hr

Question 11

A patient is having a tonic-clonic seizure. Which interventions should the nurse apply?

Accepted Answer

Note time seizure begins and ends and turn pt on side when seizure subsides

Question 12

If a patient has orthostatic hypotension, which of the following findings may the nurse likely see?

Accepted Answer

BP drop and HR rise when changing from lying to standing position

Question 13

True or false: A rectal temperature is 0.5 to 1 degree F higher than an oral temperature.

Accepted Answer

True

Question 14

A nurse administering insulin would choose which size syringe and site to administer the injection?

Accepted Answer

100 u/mL insulin syringe to abdominal tissue

Question 15

Delirium is a reversible condition and dementia is an irreversible condition. T or F

Accepted Answer

True

Question 16

Patient is unconscious and needs to receive enteral nutrition via a tube. Which type of tube would the nurse insert?

Accepted Answer

Dobhoff feeding tube

Question 17

Which priority assessments would the PACU nurse perform upon initial assessment of the post-op patient? Select all apply

Accepted Answer

Assess pain level, Assess pt's level of consciousness, Assess surgical incision site, Get set of vital signs, Auscultate breath sounds

Question 18

Which of the following is a correctly written outcome statement?

Accepted Answer

The patient will ambulate 10 steps without shortness of breath by discharge

Question 19

The pt is diagnosed with an upper GI bleed. His stool appears dark, loose and purplish in color. This is described as?

Accepted Answer

Melena

Question 20

When assessing the pt's IV, the nurse notices coolness, swelling and pain at IV site. Which term describes this?

Accepted Answer

Infiltration

Question 21

Which are potential complications for a pt. with long-term diabetes? Select all that apply

Accepted Answer

Diabetic nephropathy, Cardiovascular disease, Peripheral neuropathy, Diabetic retinopathy

Question 22

Which intervention is priority for an older pt. who has a history of falls and known to wander out of the room at night

Accepted Answer

Utilize bed alarms and keep bed in low position, Have nurses and UAP's check on the pt. frequently

Question 23

What are normal, expected changes seen with the older adult? Select all that apply

Accepted Answer

Decreased bowel motility, Diminished close-up vision, decreased coordination and reaction time

Question 24

True or False: A patient with type AB+ blood can receive any type of blood from a donor?

Accepted Answer

True

Question 25

Pt is diagnosed with diabetic ketoacidosis, which blood gas would likely represent this abnormality?

Accepted Answer

pH 7.25, C02 32, HCO3 15, PaO2 96

Question 26

Which type of anesthesia would be used for a brief procedure, where pt is conscious but drowsy and has reflexes intact?

Accepted Answer

Conscious sedation

Question 27

When utilizing medical asepsis, all living organisms are eliminated.

Accepted Answer

False

Question 28

Child weighs 15 kg. Order: 50 mg/kg 4 x per day. How much do you administer per dose?

Accepted Answer

750 mg

Question 29

Pt is c/o numbness/tingling in fingers and around mouth, has +Chvostek sign. What electrolyte abnormality is suspected?

Accepted Answer

Hypocalcemia

Question 30

Which set of data is considered subjective?

Accepted Answer

pain level 7/10, reports being tired and weak

Question 31

A nurse caring for a patient with C. Difficile infection should use which type of isolation precautions?

Accepted Answer

Contact precautions

Question 32

Which body system is most affected if patient experiencing extremely low sodium levels?

Accepted Answer

Neurological system

Question 33

The Morse scale will give the pt a score on how high of a risk they are for skin breakdown. True or False

Accepted Answer

False

Question 34

Which of these patients would be considered "at risk for falls"? Select all that apply

Accepted Answer

55 y.o. patient on diuretics and anti-hypertensives for heart failure, 32 y.o. patient with a fever and dehydration, 25 y.o. patient with broken ankle being discharged from ED with crutches, 21 y.o patient discharged after appendectomy earlier today

Question 35

How would the nurse describe this wound: open on sacrum, bone and muscle showing, yellow pus present, foul smelling

Accepted Answer

Stage 4 infected wound with purulent drainage

Question 36

Which of the following would be a justified reason for using an indwelling foley catheter?

Accepted Answer

Pt. is critically ill on a ventilator

Question 37

The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?

Accepted Answer

“I notice that you’re pacing. How are you feeling?”

Question 38

True or false: A pt who is "hypercarbic" has a high level of Carbon dioxide in the blood?

Accepted Answer

True

Question 39

Which set of vital signs would the nurse want to follow-up on first?

Accepted Answer

8 year old: BP 90/62, HR 92, T 101.4, RR 20

Question 40

The best way of avoiding accidents in the hospital when using equipment is the following:

Accepted Answer

Never operate equipment without proper instruction

Question 41

In reviewing the patient's electrolytes, which of the following should be reported to the provider?

Accepted Answer

Calcium 12.8 mg/dL

Question 42

The UAP reports to the nurse that the patient's blood pressure is 176/96. What is the nurse's response/intervention?

Accepted Answer

Go assess the patient

Question 43

The patient with bladder cancer underwent a cystectomy surgery. What type of drainage device would the pt. likely have?

Accepted Answer

Ileal conduit

Question 44

What are some interventions to implement to prevent Deep Vein Thrombosis on a immobile patient? Select all that apply

Accepted Answer

Get pt out of bed to chair with assistive device, Apply sequential compression devices, Administer subcutaneous heparin injections, Instruct pt on doing passive and active ROM exercises

Question 45

Order: Infuse 1 L of Lactated Ringers over 8 hours. Use tubing with gtt factor of 20. How many gtt/minute do you give?

Accepted Answer

42 gtt/minute

Question 46

True or false: Normal paO2 of oxygen is 80-10O mmHg

Accepted Answer

True

Foundations Review Day!

Questions 46

Foundations Review Day!

Questions 46