risk of inability to tolerate activity

Which skills can the nurse delegate to assistive personnel (AP)? Select all that apply

Assist with care of an established tracheostomy tube., Reposition a patient with a chest tube.

select all that apply

N95 respirator mask, Disposable gown, Gloves

Cutting corns are calluses with a razor blade

speaks in a loud voice and becomes irritable when the nurse arrives to help

place a bed alarm device on bed

The nurse is caring for a patient with an artificial airway. What arereasons to suction the patient? SATA.

The patient has excessive coughing., There is a sawtooth pattern on the patient’s EtCO2 monitor., The patient has visible secretions in the airway.

death caused by medication error

lysine, phenylalanie, histidine

saliva, serosanguineous drainage

storage of food, Production of hydrochloric acid, Secretion of intrinsic factor

Perform chest compressions., Place the patient supine., Ask someone to bring the AED to the room for immediate defibrillation.

Which assessment does the nurse use as a clinical marker of vascular volume in a patient at high risk of ECV deficit?

Fullness of neck veins when supine

Elevate the head of the bed to 45 degrees.

Which nursing action is appropriate in surgical hand asepsis?

scrubbing hands for 3-5 minutes

An IV fluid is infusing more slowly than ordered. Which factors could cause this slowing?

kinking in the tubing, Infiltration at VAD site, Patient lying on tubing

Offer smaller and more frequent meals

select all that apply

Patient’s current behavior, Serum electrolytes, Current medications, Presence of fever, Health care provider’s order

Which factor is the greatest risk of injury for an adolescent?

automobile accidents, suicide, and substance abuse

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PNP FINAL

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there was too much damn information to fit in less than 100 questions... sorry y'all lol

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Questions 85

Answers

1
-read-
impaired skin condition
chronic pain
risk of ineffective cerebral tissue blood flow
risk of inability to tolerate activity
2
Which skills can the nurse delegate to assistive personnel (AP)? Select all that apply
Initiate oxygen therapy via nasal cannula.
Assist with care of an established tracheostomy tube.
Reposition a patient with a chest tube.
Perform nasotracheal suctioning of a patient.
3
select all that apply
N95 respirator mask
Disposable mask
Disposable gown
surgical mask
Gloves
Face shield or goggles
4
Partial thickness loss with exposed dermis is a stage two pressure injury.
True
False
5
Which oral care activity is ineffective at removing plaque on the teeth?
Using fluoride toothpaste
Electric toothbrushes
Using waxed floss
Using foam swabs
6
What condition with the nurse document after observing that the patient has inflamed gums?
dental caries
periodontis
xerostomia
gingivitis
7
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Applying adhesive tape
Cutting corns are calluses with a razor blade
Using oval corn pads
Using over-the-counter liquid preparations
8
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standard
contact
droplet
airborne
9
-READ THE PROMPT-
allergies
fall risk
DNR
hypothermia
10
Which nursing action is being depicted in the picture?
Cleaning the teeth
You're getting the oral cavity
Removing oral secretions
Performing the tracheobronchial suctioning
11
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reduces friction and pulling on the skin
Redistributes pressure
Keeps the skin cool and dry
Encourages movement
12
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speaks in a loud voice and becomes irritable when the nurse arrives to help
very drowsy, loses attention when the nurse asks questions
moves nervously in bed, swears and grimaces when trying to cough
maintains eye contact with the nurse, is calm during the nurse’s assessment
13
The sterile gown acts as a barrier to decrease shedding of microorganisms from skin surfaces into the air.
False
True
14
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place patient in a belt restraint
provide one-on-one supervision
place wrist restraints on patient
place a bed alarm device on bed
15
The nurse is caring for a patient with an artificial airway. What arereasons to suction the patient? SATA.
It has been 3 hours since the patient was last suctioned.
The patient has excessive coughing.
There is a sawtooth pattern on the patient’s EtCO2 monitor.
The patient has visible secretions in the airway.
The patient has clear breath sounds.
16
What is the most contaminated part of your used PPE?
gown
mask
gloves
goggles
17
What technique does the nurse use when providing cuticle care for a patient?
Uses a plastic stick for cleaning
They cuticles with nail scissors
Uses a nail brush for cleaning
Soaks the patient's fingers in hot water while cleaning
18
A stage one pressure injury has a blanchable arrhythmia and intact skin.
True
False
19
-read-
Ice chips
Applies water-based moisturizer to the lips
Uses chlorhexidine gluconate mouthwash
Uses lemon glycerin sponges
20
-READ THE PROMPT-
patient suicide within the hospital
wrong surgical procedure was performed
death caused by medication error
sexual assault within the hospital
21
-read-
lysine
phenylalanie
histidine
alanine
22
-read-
gastric juices
stool
Urine
saliva
serosanguineous drainage
23
-read-
Mucus secretion
storage of food
Production of hydrochloric acid
Absorption of nutrients
Secretion of intrinsic factor
24
-read-
Apply oxygen via nasal cannula.
Perform chest compressions.
Place the patient supine.
Educate the family about the need for CPR.
Ask someone to bring the AED to the room for immediate defibrillation.
25
What vitamin does not have antioxidant properties?
d
a
e
c
26
-read-
improves ventilation
prevents shoulder dislocation
relieves the pressure on heels
prevents hyperextension of knee
27
-READ THE PROMPT-
avoid needle sharing
using a walker or cane
practicing hand hygiene
performing rang-of-motion exercises
28
What process do particles move out from an area of greater concentration to one of lesser through special carrier?
Passive diffusion
Osmosis
Pinocytosis
Active Transport
29
-READ THE PROMPT-
suffocation
anxiety
injury
communication impairment
30
What finding would indicate that the tracheostomy tube has become dislodged?
Patient speaking to nurse
SpO2 reading of 96%
Respiratory rate of 18 breaths/minute
Clear breath sounds
31
Which assessment does the nurse use as a clinical marker of vascular volume in a patient at high risk of ECV deficit?
Fullness of neck veins when supine
Fullness of neck veins when upright
skin tuggor
Dryness of mucus membranes
32
-read-
Elevate the head of the bed to 45 degrees.
Encourage the patient to use the incentive spirometer.
Start oxygen at 2 L/min via nasal cannula.
Notify the health care provider.
33
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Malabsorbtion
Intestinal irritation
Parasites
Infection
34
Which nursing action is appropriate in surgical hand asepsis?
scrubbing hands for 3-5 minutes
keeping the hands below the elbows
washing underneath finger rings
allowing the rinse water to flow from elbows to hands
35
Elements do proteins contain that makes them different from carbohydrates?
nitrogen
carbon
hydrogen
oxygen
36
When delegating IO measurement to assistive personnel, thenurse instructs them to record what information for ice chips?
1/3 the volume
2/3 the volume
double the volume
1/2 the volume
37
What kind of injection does the picture display?
intradermal
intramuscular
subcutaneous
intravenous
38
Which factor increases the risk of injury when applying heat therapy to a wound for a pediatric patient?
Alteration in nerve pathways
Rupture and systemic infection
Decreased peripheral circulation
thin layers of skin
39
-read-
Tell the patient to bear down
Stop the installation
Continue the installation and administer pain medication
Ask patient to take a deep breath
40
Watch about elimination problem is associated with abdominal fullness, cramping, distention, and severe sharp pain?
Hemorrhoids
Fecal incontinence
Flatulence
Diarrhea
41
The nurse assesses pain and redness at a VAD site. Which action is taken first?
Report the situation to the health care provider.
Discontinue the IV infusion.
Apply a warm, moist compress.
Aspirate the infusing fluid from the VAD.
42
An IV fluid is infusing more slowly than ordered. Which factors could cause this slowing?
Roller clamp is wide open
Iv has come out of patients arm
kinking in the tubing
Circulatory overload
Infiltration at VAD site
Patient lying on tubing
43
Which type of laxative acts by causing the stool to absorb water and swell?
stimulant
emollient
bulk-forming
lubricant
44
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Sure that the patient eats alone
Provide a low fiber diet
Offer smaller and more frequent meals
Instruct the patient to skip breakfast
45
-read-
incubation stage
illness stage
prodromal stage
viral stage
46
Which group is at the HIGHEST risk of lead poisoning?
older adults
infants
adolescents
adults
47
Which pressure injury is expected to show through granulation and reepithelialization?
stage 2
stage 3
unstageable
stage 4
48
The trochanter roll aids in prevention of external rotation of the hips when patient is in the supine position.
True
False
49
A nurse is performing wound care. When would the nurse administer pain medication to the patient?
Before the procedure
20 minutes before the procedure
After the procedure
An hour before the procedure
50
select all that apply
Patient’s current behavior
Age
Serum electrolytes
Current medications
Presence of fever
Health care provider’s order
51
Which factor is the greatest risk of injury for an adolescent?
automobile accidents, suicide, and substance abuse
accidents at home
poisoning and child abduction
physiological changes of aging
52
HBV and HCV are the infections most commonly transmitted by contaminated needles.
False
True
53
-read-
viral meningitis
HCV
tuberculosis
pneumonia
54
What condition is caused by tooth decay?
gingivitis
dental caries
xerostomia
peridontal disease
55
The emergency department nurse hears that a tornado hit the east side of town.Which action should the nurse take first?
evacuate patients
restore esential services
contact the American Red Cross
prepare for an influx of patients
56
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Proteins
Total fat
Minerals
Vitamins
Fiber
Carbohydrates
57
The risk of motor vehicle accidents is higher among 16- to 19-year-old drivers than any other age-group
False
True
58
The nurse is preparing medication for her patients right ear. Which abbreviation reflects the prescription?
OD
OS
AD
AS
59
What category describes selenium?
Inorganic substance
Antioxidant
Trace elements
Vitamin
60
The portal of exit for the influenza virus is which area of the body?
mucous membranes
respritory tract
blood
reproductive tract
61
-read-
Lift the patient's hip off of the bed and slide the bed pan under them
Elevate the head of the bed to a 45° angle after patient is on bedpan
Make sure patient has a nurse call system to notify when they are done
Adjust the head of the bed so that it is lower than the feet
62
Which dressing with the nurse use for a patient with a clean stage three pressure injury?
Composite film
Adherent film
Nothing
Calcium alginate
63
-read-
apply hard traction to the skin next to the wound
Use adhesive remover to loosen the tape
Loosen ends
Pull the tape in the direction of hair growth
Gently pull the outer and against the skin surface
Gently pull the outer and perpendicular to the skin surface
64
-read-
if palpable mass is detected.
if patient reports rectal beleeding
if there is a family history of polyps
no bowel elimination problems
65
Which term suggest intake for individuals based on experimentally determined estimate of nutrient intakes?
Adequate intake
Recommended dietary allowance
Tolerable upper intake level
Estimated average requirement
66
Which foot problem does the nurse anticipate if the patient reports using oval corn pads to treat corns?
infection
ulceration
abrasions
burns
67
The nurse creates a step by step procedure for making the bed. Which is correct?
Tucking the top she in at the corners
Raising the bed before changing the linen
Discarding of soiled linens in hamper
Straightening the linen if it becomes loose or wrinkled
Shaking soiled linens
Placing soiled linens in special linen bags before hamper
68
-READ THE PROMPT-
showing how to operate electrical equipment
teaching bicycle safety
teaching about safe use of equipment for play and work
instructing about safety durring specific sports
69
-READ THE PROMPT-
free flow protection devices should be used
place a tag on faulty equipment
make a regular habit of doing safety checks on equipment
do not operate the equipment without instructions
70
-read-
2
1
3
4
71
Daily values are based on percentages of a diet consisting of how many kilo calories per day?
3000
1000
2500
2000
72
Which dressing with the nurse use to protect and absorb moisture for a pressure injury?
gauze
hydrogel covered in foam
adherent film
calcium alginate
73
Which part of the tooth weekends with aging, causing patient to be more prone to infection?
neck
mandible
enamel
periodontal membrane
74
-read-
Irritable bowel syndrome
food allergy
Allergy to maltose
lactose intollerance
75
in which part od the skin does the normal flora reside?
epidermis
subcutaneous tissue
collagen fibers
dermis
76
What health promotion strategy would be classified as passive?
clean water laws
nutrition programs
exercise programs
wearing seat belts
77
-read-
airborne
contact
protective environment
droplet
78
Which pressure injury has obscured for skin thickness and tissue loss?
1
unstageable
4
3
79
What pressure injury has a persistent non-blanchable deep red or maroon discoloration?
stage 1
unstageable
stage 2
deep-tissue
80
select all that apply
Notify the patient’s health care provider of assessment findings.
Document assessment findings and interventions in the patient’s MR.
Assess the injection site.
Apply ice to the site for relief of burning pain.
Administer an oral medication for pain.
This is a normal finding, so nothing needs to be done.
81
What factor leads to skin maceration?
exessive use of soap
dry razors
constant moisture
repeated trauma
82
-read-
Scant amount of sanguineous drainage noted on the dressing.
Clear but slightly diminished breath sounds on the right sideof the chest.
New, vigorous bubbling in the water-seal chamber.
Pain score of 2 one hour after the administration of the analgesic
83
Which physiological component of the immune system requires biotin as a vital nutrient?
mucous
t-cells
GI tract
skin
84
-read-
Obtain one fecal smear from an early morning bowel movement
Get three fecal smears when blood is present visibly
collect three fecal smears from three separate bowel movements
Get three fecal smears from one bowel movement
85
Instruction is beneficial to a patient with dry skin?
Add moisture to the air by using a humidifier
Is more frequently
Use of topical antibiotics
apply antiseptic lotion and spray

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