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Back to Basics
Back to Basics
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Fundamentals Quiz!
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71 cards
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Questions
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1
Phenylketonuria is
a condition that requires phototherapy
is caused by the mother's substance abuse
more prevelant in the Jewish population
an inherited disorder
2
The nurse knows that exophthalmos is related to which condition
Disorders of the thyroid
Portal hypertension
COPD
Diabetes Mellitus
3
There is a high chance of DVT after orthopedic surgery
True
False
4
Xanthelasma is an agressive form of eye cancer
False
True
5
After diabetes education, which of the following requires followup from the nurse?
I will keep a log of my blood sugars
I will check my sugar in the morning before breakfast
I will work at reducing my carbs and eliminating sugars from my diet
I will make sure to eat within two hours of taking my Aspart
6
The patient has a 20g IV insertion with LR running at 50gtts/hr. Which of these symptoms require immediate action
The IV site is red, swollen and warm to the touch
The IV site clean, dry and intact
The IV site is patent and the flow has been consistent
The patient is complaining of a headache
7
When educating a patient on the use of crutches, which of the following would indicate that further teaching is needed?
The stoppers and the handgrips are intact
The patient wears appropriate footwear
Patient stands with the crutches 8-10in to the front & side of each foot
The axillary bar measures 1/2 to 2 inches below the axilla
8
What are the three types of restraints as defined by the TJC? (Select all that apply)
Medical or surgical restraint
Behavioral restraint
Chemical restraint
Environmental restraint
9
Which healthscreenings are important for the middle-aged population? (Select all that apply)
Hepatitis C
Breast Cancer
Diabetes
Colon Cancer
10
Educating your patients to prevent falls and possible injury includes which of the following? (Select all that apply)
Dangle their feet and get up slowly
Wear a helmet at all times
Wear shoes that are flat with nonskid soles
Turn all the lights off before going to bed
Remove clutter from pathways
Use of assistive devices
11
Amenorrhea is a sign of menopause
True
False
12
Signs and symptoms of menopause are (Select all that apply)
Emotional lability
Night sweats and hot flashes
Changes in menstruation
Allergies to dairy
Skin and hair changes
Increased metabolism and weight loss
13
Your patien's IV just infiltrated. She has been receiving IV Vanc. The nurse knows this can cause
Distruction of the tissues
The patient to have a heart attack
An increase in blood sugar
a migraine headache
14
The nurse knows that signs and symptoms of extravasation may take up to three days to appear?
False
True
15
During a home assessment, you notice which environmental risk factor for a fall?
An extension cord tucked behind the couch
A bath mat in the tub
A night-light in the hallway
A throw rug in the hallway
16
What should the nurse do before cleaning the patients dentures?
Soak them in hot water and one tablespoon of bleach overnight
Soak them in hydrogen peroxide for one hour prior to cleaning
Place a towel in the bottom of the sink
Have the patient pre-clean their teeth with a toothpick
17
Which priority nursing intervention should be implemented for the 87-year-old, ambulatory patient with HTN and dementia.
Placing the call bell within reach
Placing the appropriate colored, nonskid socks on the patient
Lowering the bed to the lowest setting
Placing a fall risk band on the patient
18
Your patient orders a Kosher meal. Which tray would require follow up from the nurse?
Fish, salad, corn, iced tea and apple pie
Brisket, rice, cabbage and water
Steak, squash, green beans and a coke
Baked chicken, sweet potatoes, peas and milk
19
The patient presents with a black, hairy tongue. The nurse suspects
the patient has inhaled chemicals
the patient has a superinfection
thrush
candidiasis
20
What will you teach your patient with cholecystitis about their diet?
Drink 24 ounces of water every hour
Avoid fatty, fried foods
Eat plenty of raw vegetables
Avoid low-fat dairy
21
A PKU is a standard newborn and infant screening performed by obtaining blood from the babys palm
False
True
22
The seminiferous tubules are responsible for the prodction of
Estrogen
insulin
spermatogenesis
follicle-stimulating hormone
23
When planning nutrition for the COPD patient, the nurse understands that
COPD patients are at risk for obesity
Low protein, nutiritional shakes are a good substitute for a meal
The patient needs more calories
The patient should be on a carb and sugar restricted diet
24
Who do you expect to see in the care plan meeting for your patient with dysphagia? (Select all that apply)
Speech therapist
Charge nurse
Custodian of records
Dietician
25
All are examples of culturally sensitive nursing interventions except:
Explain to the patient that we only observe the sabbath on Sunday.
Respect the patient's religious beliefs about death and cleansing the body
Incorporate religious or spiritual significances to the patient.
Make sure the patients dietary indiscretions are understood.
26
When educating the patient on O2 therapy, it is important for the nurse to follow up on which statement?
I will make sure my travel tanks are full when planning an outing
I will hang my "Oxygen in Use" sign on the front door
I will only smoke half of a cigarette when I am connected to my oxygen
I will monitor my oxygen saturation
27
Crutches are padded across the axillary bar so that the patient can rest his or her weight on them comfortably.
False
True
28
Ostomy powder is used to eliminate odor from the bag
False
True
29
When feeding your patient with dysphagia, you should first
Check the tray against the doctors order
Make the patient feed themselves
Lay a protective covering over the patient's chest
Recline the wheelchair
30
Only women can get breast cancer
True
False
31
Which of the following is NOT an airborne illness?
Varicella
SARS
Hepatitis
Tuberculosis
32
Your patient with diarrhea is losing electrolytes
False
True
33
The patient was just diagnosed with erectile dysfunction. Which action by the nurse would be considered appropriate?
Tell him, "It is not a big deal, lots of men have that."
Have the patient look up the treatment on google
Educate the patient on lifestyle modifications and available medications
Tell the patient's wife to work on her appearance
34
Your patient is at an increased risk for fracture if he/she
is six months post partum
is a post-menopausal female
drinks too much milk
is a male over 35
35
When giving your adult patient ear drops, you should pull the pinna of the ear up and back.
True
False
36
When your patient is constipated you should encourage roughage.
True
False
37
Which risk factors contribute to a patient's fall risk? (Select all that apply)
Fever of 99.7
Young and healthy, avid runner
Dehydration
Previous injury or surgery
Medications, such as diuretics and hypnotics
Age over 65
38
Your patient has glaucoma. Which is an expected finding?
Loss of peripheral vision
Pain and swelling in both eyes
Patient reports seeing halos around lights
A curtain being lifted over the eye
39
Elbows should be flexed 15-30 degrees when using axillary crutches.
True
False
40
The nurse should always apply humidification to oxygen therapy greater than 2L
False
True
41
If I am experiencing hypoglycemia, drinking orange juice will bring up my blood sugar quickly
False
True
42
The physician has ordered eye drops TID. The nurse knows that before she can administer the drops, she must first
Cleanse the eye lids with alcohol
Block the entrance to the lacrimal gland by placing a finger over it
Don sterile gloves
Remove the patient's contact lenses
43
The nurse recognizes all of the following as risk factors for thyroid storm except
Chronic otitis media
Severe emotional distress
Exposure to drugs or dyes containing iodine
Recent thyroid surgery
44
When inserting a catheter into the male patient, it is important to perfrom pericare first.
True
False
45
Contraception is the responsibility of both sexual partners
False
True
46
Self-administered testicular exams should begin at age 15
True
False
47
What statement concerning hearing aids by the patient would require follow up from the nurse.
My hearing aids should be cleaned daily
I need to wear my hearing aids every day, even when I am swimming
I keep my hearing aids in a special case at night.
My batteries need to be changed routinely
48
When changing the colostomy bag, the nurse should assess the following (select all that apply)
The contents of the colostomy bag (COACH)
The stoma, which should be dry and light pink
The skin around the stoma for irritation
Integrity of the colostomy bag
49
When applying a wet-to-dry dressing, all of the following are appropriate except for
Wet the dressing with sterile water
Don gloves
Cover dressing with dry, sterile gauze
Cover exposed areas of the wound with the wet dressing
50
A patient arrives to the ED with an injury to the right foot. The nurses first action should be
Check capillary refill
Soak the foot in an ice bath
Get the patient ready to be casted
Send the patient to radiology for an x-ray
51
You suspect Digoxin toxicity when your patient reports to you
the absence of peripheral vision
complete darkness in both eyes
yellow and green halos
a feeling as though a curtain has been lifted over the eye
52
When educating your patient about home safety, which statement by the patient indicates more teaching is needed?
I will test all of my fire alarms
Now that I have a grab bar in my shower, I do not need a mat
I will use a flashlight when I am outside after dark
I will eleminate scatter rugs
53
Being empathetic is an important aspect of your patients care.
False
True
54
Your patient has MRSA which action should the nurse take?
Have the patient clean their room with bleach
Leave a stethoscope in the patient's room
Call the charge nurse and request a fitting for an N95 mask STAT
Open the patient's door so the air can circulate through the room
55
Which of the following are considered risk factors for pressure injuries? (Select all that apply)
Lowered mental awareness
Increased protein
Immobility
Healthy, balanced diet
Malnutrition
Moisture
56
A patient with MRSA should be placed on droplet precautions
True
False
57
When placing a catheter in the female patient, you should place the patient in the following position
side lying
lithotomy
Supine
dorsal recumbant
58
Your incontinent patient should be monitored for skin breakdown once a day.
True
False
59
Your patient is in skeletal traction. When assessing the pin sites, which observation is of the least concern?
Serous drainage
Warm to the touch
Inflammation and pain
Low grade fever of 99.9
60
The patient presents to the ED with a history of chemicals being sprayed in his eyes. What is your priority intervention
Sit the patient in a wheelchair immediately
Irrigate the patient's eyes with sterile normal saline
Perform PERRLA examination STAT
Ask the patient to keep their eyes closed at all times
61
The nurse expects the doctor to order Milk of Magnesia for her patient with diarrhea
True
False
62
Hearing aids are very affordable.
False
True
63
The nursing careplan is the framework for nusing documentation
False
True
64
When using an assisitive device, such as a cane or a walker, the patient should look ahead when walking
True
False
65
When checking residuals for a patient with a G-tube, the nurse should always (select all that apply)
Call the physician with a STAT report on the aspirated contents
COACH the aspirated contents
Dump the contents into an emesis basin and send to the lab for PH testing
Do a focused abdominal assessment
66
Post thyroidectomy, the nurse knows the patient is at a higher risk for
Thyroid storm
Post operative bleeding
Acute bradycardia
Pulmonary embolism
67
Judaism permits the consumption of cow meat.
True
False
68
Restraints increase a sense of security for the patient
True
False
69
The patient 6 hrs postop left hip TJR. He is complaining of increased pain. Which nursing intervention is appropriate?
Elevate the left extremity and apply ice to the underside of the hip
Turn the patient on their left side and give 2ml Morphine IM q 6
Perform ROM exercises to the left extremitiy to promote healing
Assess the patient's entire left extremity
70
Discharge instructions for a patient who has just had a vasectomy include (select all that apply)
Ice application
Wear tight-fitting underwear
Abstain from sex for one week
Acetaminophen or ibuprofen
71
Your patient is incontinent. What are your primary nursing interventions? (Select all that apply)
Apply calamine lotion as a skin protectant
Encourage the patient to drink plenty of water
Scrub the patient with antibacterial soap to avoid skin breakdown
Make sure the patient is changed every two hours