What part of your hand should be used to palpate for vibration?

Palmar Surface and Base of fingers

What is the goal of Healthy People 2020?

Establish national goals to reduce preventable health risks

What are the 5 rights of delegation?

Right Task, Circumstance, Person, Supervision, Direction/Communication

A nurse is caring for a young adult at a college health clinic. Which of the factions should the nurse take first?

Determine the client’s health risk

Which of the following is an example of closed ended questioning?

"Are you going to therapy tomorrow?"

Competent and caring professionals

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EXAM 1 STUDY GUIDE

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Questions 97

Answers

1
Autonomy, Beneficence, Fidelity, Justice, Nonmaleficence, and Veracity are all what type of principles of client care?
Basic
Ethical
2
What 3 things do you look for when obtaining respirations?
Rate, Depth, Rhythm
Depth, Length, Size
Rate, Reason, Time
3
Treatments performed through interactions with the patient is what type of care?
Direct Care
Indirect Care
4
What level of prevention aims to prevent consequences of a chronic illness/disability & to support optimal functioning.
Tertiary
Primary
Secondary
5
Do you palpate the carotid unilaterally or bilaterally?
unilaterally
bilaterally
6
What Image of Nursing influenced religion and the risks inherent to the practice of nursing?
Battle-Ax/Nurse Ratched
Florence Nightinggale
Angel of Mercy
7
<120-80mmHg is an expected reading for what?
Blood Pressure
Temperature
Respirations
8
The order of assessment of abdominal is: Inspect, Palpate, Percussion, Auscultation
False
True
9
What BMI range is for individuals who are heavy?
>25-29.5
20-23
Over 30
10
What does the D in ADPIE stand for?
Dilute
Diagnosis
Direction
Degree
11
When obtaining a clients height, they should be shoeless, and looking ahead w/ feet and shoulders on a hard surface.
True
False
12
At what visit would you determine that someone is hypertensive?
First
Third
Second
Fourth
13
What does the E in ADPIE stand for?
Evaluation
Engrave
Excess
Exit
14
What part of your hand should be used to palpate for vibration?
Dorsal Surface
Fingertips
Palmar Surface and Base of fingers
Fingers and thumb
15
Who is responsible for providing clear directions when delegating a task?
CNA
UAP
LVN
RN
16
What does the Q stand for in PQRST?
Quality
None of the above
Quest
Question
17
The ability to breathe w/o difficulty when in an upright position is known as what?
Fowler's
Normal Breathing
Dyspnea
Orthopnea
18
What is step apart of the general survey?
Observing
Assessing
19
What is the amount of force exerted within the arteries while the heart is actively pumping or contracting
Systolic Pressure
Diastolic Pressure
20
What is the commitment to tell the truth?
Beneficence
Justice
Veracity
Nonmaleficence
21
What is determining whether a change as occurred?
Critical Thinking
Clinical Judgement
22
Does acute or chronic get priority?
Acute
Chronic
23
What does the S stand for in PQRST?
Success
Situation
Severity
Speed
24
What does the T stand for in PQRST?
Temperature
Timing
Trial
Troubles
25
What is a normal rate for respirations?
1-5 breaths per minute
20-50 breaths per minute
12-20 breaths per minute
26
What does the I in ADPIE stand for?
Ignore
Implementation
Insulin
Induce
27
A patient has an irregular pulse, how long should you assess their pulse?
60 seconds
30 seconds x2
15 seconds x4
45 seconds
28
What is the goal of Healthy People 2020?
To bring healthy people together away from those who are not healthy
To congratulate healthy people in the year 2020
Establish national goals to reduce preventable health risks
Take the populations at risk away
29
Living in a safe environment, adequate income, & shelter are all apart of what level of Maslow's Hierarchy?
Love and Belonging
Physiological Needs
Self Actualization
Safety and Security
30
Love, affection, & social relationships are all apart of what level of Maslow's Hierarchy?
Love and belonging
Safety and Security
Self Actualization
Self esteem
31
What does the P stand for in PQRST?
Position
Pressure
Provocation
Pleasure
32
What is a general survey?
A study from multiple patients
A study of the whole person
A study of the issue the client is coming in for
A survey on how the clients visit was
33
What organization is directly responsible for regulating the practice of nursing in each state?
NCLEX
CNEA
The hospital
The State Board of Nursing
34
When palpating, you should palpate the tender area first because it is the area of concern.
False
True
35
What are the 5 rights of delegation?
Right Task, Circumstance, Person, Supervision, Direction/Communication
Right Task, Child, Person, Supervision, Location
Right Technology, Conduit, Person, Style, Direction/Communication
36
What is considered to be hypoxic when reading a pulse oximetry?
95
100
Above 90
Below 90
37
What does the A in RACE stand for regarding fire safety?
Answer
Alarm
Access
Ambulate
38
What is the force exerted when the heart is at rest in between each beat.
Diastolic Pressure
Systolic Pressure
39
What can be expected with an elevated temperature?
Elevated pulse
Normal Pulse
Decreased pulse
40
What is the right to make one's own personal choice even if those decisions might not be in that person's best interest
Beneficence
Fidelity
Autonomy
Veracity
41
What does the A in ADPIE stand for?
Assessment
Action
Airway
Access
42
What image of nursing transformed nursing to a respectable profession?
Angel of Mercy
Battle-Ax
Florence Nightingale
43
Physical appearance, Body structure, Mobility, Behavior, & Vital Signs are all apart of the general survey.
False
True
44
A nurse is caring for a young adult at a college health clinic. Which of the factions should the nurse take first?
Determine the client’s health risk
Give the client information about immunization against meningitis
Tell the client to have a TB skin test every 2 years
Teach the client about exercise recommendations
45
What does the E in RACE stand for regarding fire safety?
Evacuate
Extinguish
Exit
Excess
46
Which of the following is an example of closed ended questioning?
"How was your visit?"
"Are you going to therapy tomorrow?"
"Can you tell me how you feel about that"
"Tell me how you are"
47
What are the three levels of prevention in regards to health promotion?
None of the above
Start, Middle, End
Primary, Secondary, Tertiary
First, Second, Third
48
Who is responsible for assessing/implementing/initial education?
CNA
Anesthesiologist
Doctor
RN
49
What does the P in ADPIE stand for?
Prognosis
Pathway
Planning
Percussion
50
What is a nurse?
A halloween costume
Competent and caring professionals
Competent and uncaring professional
51
Advocacy, Responsibility, Accountability, Confidentiality are all basic principles of what?
Life
Nursing
None of the above
Ethics
52
What is one's overall view of themselves?
Personal Opinion
Pride
Self Concept
53
When does inspection begin?
Begins after vital signs are taken
Begins with the first interaction
Begins when the doctor says so
54
What part of your hand should be used to palpate for pulsation, position, texture, turgor, size, and/or consistency?
Fingertips
Fingers and Thumb
Dorsal Surface
Palmar Surface and Base of fingers
55
What are your main focuses when obtaining a pulse?
Rhythm
Quality Stregth
All of the above
Rate
56
Immunization program, child car set education, health education in school are examples of what level of prevention?
Tertiary
Primary
Secondary
57
A nurse is caring for a client who states, "I would like to go out on a date with you." What is an best response?
Tell the patient to talk to you when they are discharged
Inform the client that you are in a relationship
Inform the client that this is an inappropriate statement
Inform the client that you would love to go on a date.
58
Lab values and vital signs outside of normal range are an example of what type of risk?
External Risks
Internal Risks
59
Which of the following is NOT appropriate for delegation?
Changing and making beds
Sterile Tasks
Non-Invasive tasks
Vitals after initial assessment
60
A general survey is gathered from the first encounter with the patient?
False
True
61
What are factors that influence health?
Biological Factors
Culture/Religion
all of the above
Finances
62
A nurse at a health department is planning strategies related to heart disease. Which primary prev. should be included?
Developing a list of cardiac rehabilitation programs
Providing cholesterol screening
Teaching about a healthy diet
Providing information about antihypertensive medications
63
What is the fulfillment of promises?
Autonomy
Justice
Beneficience
Fidelity
64
When obtaining a client's weight, remember to have client take shoes off, but they can keep outer clothing on.
False
True
65
What part of your hand should be used to palpate an organ or mass?
Dorsal Surface
Fingertips
Palmar Surface
Fingers and Thumb
66
Risks in the environment is an example of what type of risk?
Internal Risks
External Risks
67
Documentation, interdisciplinary collaboration, management of patients environment is an example of what type of care?
Direct Care
Indirect Care
68
What is the reflective thinking process?
Clinical Judgement
Critical Thinking
69
Wong Baker Faces, Numeric Scale, FLACC scale are all used for what?
Rating Pain
Rating mobility
Rating how tired the client is
Rating the clients vital signs
70
What level of prevention Addresses the needs of the healthy clients to promote health and prevent disease?
Secondary
Tertiary
Primary
71
A patient has a pulse of 75. Is this normal or irregular?
Normal
Irregular
72
What is the commitment to do no harm?
Justice
Veracity
Nonmaleficence
Autonomy
73
Personal growth, fulfilling own potential are all apart of what level of Maslow's Hierarchy?
Safety and Security
Self Esteem
Self Actualization
Love and Belonging
74
What must be met first when dealing w/ Maslow's Hierarchy?
Basic Needs
Higher Needs
Your own needs
Other patients needs
75
What is a normal pulse oximetry reading?
90-100
80-100
95-100
85-100
76
What does the R in RACE stand for regarding fire safety?
Rescue
Refuse
Reuse
Resuscitate
77
What are the ABC's?
Assess, Breathing, Conduit
Answer, Book, Call
Airway, Breathing, Circulation
Access, Blockage, Call Light
78
What is action that promotes good for others without any self interest
Justice
Fidelity
Beneficence
Autonomy
79
What BMI range is for individuals who are underweight?
<18.5
>25-29.5
19-25
>30
80
Communicable disease screening, early detection, mammogram, physical exam, are examples of what level of prevention?
Primary
Tertiary
Secondary
81
What color probe do you use to obtain a temperature?
Yellow
Blue
Black
Red
82
What varies among individuals and among eras and countries.
Wellness
Neither
Health
Both Health and Wellness
83
Medication administration, IV insertion, Counseling are all examples of what type of care?
Direct Care
Indirect Care
84
What does the R stand for in PQRST?
Reason
Resuscitate
Religion
Region
85
Rehab, PT/OT, promoting independence after traumatic brain injury are examples of what level of prevention?
Secondary
Tertiary
Primary
86
Treatments performed away from the patient is what type of care?
Indirect Care
Direct Care
87
What does the C in RACE stand for regarding fire safety?
Contain
Call
Compose
88
What is fairness in care delivery and use of resources?
Justice
Beneficience
Fidelity
Autonomy
89
What image of nursing emerged as science and philosophy grew popular during the 17th century
Angel of Mercy
Florence Nightingale
Battle Ax/Nurse Ratched
90
What is considered to be a normal pulse rate?
30-70
90-120
100-150
60-100
91
What is the difference between the apical and the radial pulse rates?
Pulse Ox
Pulse Deficit
Pulse accumulation
92
What part of your hand should be used to palpate for temperature?
Palmar surface
Fingers and Thumb
Fingertips
Dorsal Surface
93
Self respect, personal worth, and social recognition are all apart of what level of Maslow's Hierarchy?
Safety and security
Love and Beloning
Self Esteem
Self Actualization
94
Oxygenation, Circulation, Elimination, Sleep, & Fluid balance are all apart of what level of Maslow's Hierarchy?
Love and Belonging
Self Esteem
Safety and Security
Physiological
95
What level of prevention focuses on conducting activities that help prevent a worsening health status.
Secondary
Tertiary
Primary
96
When preparing to use a tympanic thermometer, what step is most important for accuracy?
Pull pinna up and back
Pull pinna down and forward
Don't do anything to the ear
97
What is the purposeful use of communication to build and maintain helping relationships?
Therapeutic Communication
Competitive Listening

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