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FPCC Exam 2 Flashcards | StudBud
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FPCC Exam 2
FPCC Exam 2
112 terms
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Answers
1
What should you do if a pulse ox reading is off
Assess for hypercapnia
Confirm probe placement
Place probe on wrist
Assess for hypoxemia
2
When should a nurse document pt care
Only when requested by provider
Before preforming an intervention
At the end of shift
Immediately after providing care
3
What should NOT be included in pt documentation
Personal opinions and assumptions of pt
Objective observations and pt condition
Patient response to interventions
Nursing interventions preformed
4
What percent of exhaled air is O2
5%
17%
52%
21%
5
What does an EGD look at
The small intestine by way of anus
The large intestine by way of anus
The small intestine by way of the mouth
The stomach by way of mouth
6
Peak flow monitor
Best of 3 tries recorded
10x an hour when awake
Semifowler/fowler position
Exhale quickly
Inhale slowly
Hold 3-5 seconds
7
What does pink and frothy sputum mean
Dust/soot inhalation
Pneumococcal pneumonia, TB, presence of blood
Pulmonary edema
Bacterial infection/ lung infection
Viral infection or common cold
Small to large amounts of blood
8
When should opioids be used
Mild pain
Mild to moderate pain
Moderate to severe pain
Only for severe pain
9
Gas exchange problems may have effort on exhale/expiratory grunting
True
False
10
Which factor does not affect bowel elimination
Room temperature
Fluid intake
Exercise
Medications
11
Ileostomy stool will be solid and formed
True
False
12
What does white or clear sputum mean
Small to large amounts of blood
Pulmonary edema
Dust/soot inhalation
Bacterial infection
Viral infection or common cold
Pneumococcal pneumonia, TB, presence of blood
13
What should you do when receiving a telephone order
Have a second nurse listen with you
Writing the order down and verify later
Immediately enter the order into the EHR
Implement the order without documentation
14
What does yellow stool mean?
Certain foods or lower GI bleeding
Considered normal
Obstruction
Certain foods or irritable bowl syndrome (IBS)
Metabolic condition/ liver issues
Medications or upper GI bleeding
15
What does albumin assess
Acute glucose
Chronic protein
Acute protein
Chronic glucose
16
What does green stool mean?
Certain foods or irritable bowl syndrome (IBS)
Metabolic condition/ liver issues
Certain foods or lower GI bleeding
Medications or upper GI bleeding
Obstruction
Considered normal
17
How should a nurse correct a written mistake
Remove incorrect page and replace with new one
Draw a single line through mistake, initial, write correction
Erase and rewrite
Use white out
18
What is downtime charting used for?
Manual documentation when EHR is unavailable
Shortened documentation to save time
Electronic documentation during system updates
None of the above
19
What is ventilation
Exhalation
Mechanical inhalation
Gas exchange
Respiration
20
What % O2 is ambient air
8%
21%
100%
78%
21
Allergic reactions and asthma can cause what kind of issue
Gas exchange
Airway
Breathing
Respiratory
22
Complications of diarrhea
Skin break down
Bowel obstruction
Metabolic acidosis
Dehydration
Vagal response
Fecal impaction
23
Which oxygen delivery device is best for post op/short term?
Venturi mask
Simple face mask
Nonrebreather mask
Nasal cannula
24
Hyperventilation manifestations
Coach pt to slow or hold breath
Suction PRN
Open airway
Ventilate pt
Relaxing/calming techniques
Use rebreather mask
25
How much liquid stool would a nurse collect for a sample
5 - 10 mL
30 - 60 mL
10 - 15 mL
15 - 30 mL
26
Why would you use parenteral nutrition
High stress physiologic states
Digestion and absorption problems
Really sick (excessive vomiting)
Diarrhea
27
Flushing out the stomach is
Decompression
Periop
Lavage
Compression
28
What does pre albumin assess
Acute glucose
Acute protein
Chronic protein
Chronic glucose
29
What should a stoma look like
Dry
Moist
Brick red
Pink
30
Venturi face mask FiO2 rate
24-50%
70-100%
40-60%
24-44%
31
What intervention is NOT appropriate for respiratory acidosis?
Maintain open airway
Encourage deep breathing
Administer sedatives
Provide oxygen therapy if needed
32
What position should a pt be in for an enema
Supine
High Fowler
Sims
Prone
33
What can all masks do?
Humidify and warm air
Break down skin
Be used log term
Allow pt to eat and cough
34
What does red stool mean?
Metabolic condition/ liver issues
Medications or upper GI bleeding
Considered normal
Certain foods or irritable bowl syndrome (IBS)
Obstruction
Certain foods or lower GI bleeding
35
What does HIPAA protect?
Patient health information privacy and security
Patient billing records only
Electronic Health Records (EHRs) only
Only verbal patient information
36
What does the P mean in PQRST
Palliate
Pattern
Provoke
Pain
37
What are risks and complications from parenteral feeding
Give by gravity
Renal failure
Becoming hyperglycemic
Sepsis (blood infection)
Becoming hypoglycemic
Fluid imbalance
38
Peristalsis in the GI is the sequential movement squeezing waste forward
True
False
39
The biggest danger with opioids is over sedation
False
True
40
Manifestations of fecal impaction
Abdominal distention
Vomiting
Anorexia
Unable to pass stool
Rectal pain
Oozing loose stool
41
Incentive spirometer
Inhale slowly
Hold 3-5 seconds
Semifowler/fowler position
Exhale quickly
10x an hour when awake
Best of 3 tries recorded
42
Occurrence/ incident reports should:
Be made when pt or visitor falls
Be included in pt EHR chart
Be made when there is a fatal med error
Be made when there is a non fatal med error
43
What does black stool mean?
Metabolic condition/ liver issues
Obstruction
Medications or upper GI bleeding
Certain foods or lower GI bleeding
Considered normal
Certain foods or irritable bowl syndrome (IBS)
44
What does hemoptysis sputum mean
Viral infection or common cold
Dust/soot inhalation
Small to large amounts of blood
Pulmonary edema
Bacterial infection/ lung infection
Pneumococcal pneumonia, TB, presence of blood
45
What is FACTual charting
Factual
Accurate
True
Complete
Accredited
Timing
46
What is enteral feeding
Clear liquid diet
PEG tube
NG tube
IV (central line, Cath port, etc.)
47
What procedure should you do to ensure NG tube placement
Ultrasound
X ray
Tracheostomy
CT scan
48
What are the 3 ways to collect sputum
Expectorated (coughing sputum up)
Thorocentesis
Expectorated (Suction)
Bronchoscope
49
What does the R mean in PQRST
Respiration
Referred
Radiates
Response
50
Treatments for incontinence
Assist with toileting
Topical medication
Fecal collection device
Hygiene care
51
Which can you delegate
Expectorated (Suction)
Expectorated (coughing sputum up)
Bronchoscope
Thorocentesis
52
Bronchoscope
Gargle cold ice water
Used to remove foreign objects or small tumors
Used to collect samples
Monitor for crackles
Monitor for HR drop
Monitor after for gag reflex after
53
What is respiration
Ventilation
Inhalation
Mechanical inhalation
Gas exchange
54
Manifestations of aspiration
Wet vocalizations
Coughing and tearing
Signs of O2/airway problem
Bradycardia
Burning or tingling
Stroke
55
Which lab value is used to assess long-term blood glucose control?
Prealbumin
Serum albumin
Blood urea nitrogen
Hemoglobin A1c
56
Valsalva maneuver is when a pt bears down and has a vasovagal response, usually fainting/passing out
False
True
57
Nasal cannula flow rate
1-6 LPM
>5 LPM
5-10 LPM
6-15 LPM
58
Which oxygen delivery device provides up to 100% oxygen concentration?
Venturi mask
Trachea collar
Nasal cannula
Simple face mask
Nonrebreather mask
High pressure nasal cannula
59
Which are temporary/reversible
Sigmoidostomy
Double barrel stoma
Loop stoma
Iliostomy
60
What is tripoding?
Sitting leaning forward to ease breathing
Using three types of oxygen devices at once
A breathing exercise
Using three pillows for sleep
61
What does A1C assess
Acute protein
Acute glucose
Chronic glucose
Chronic protein
62
You can give parenteral feedings by gravity
True
False
63
What are risk factors for constipation
Schedule
Medications
Inactivity
Bowel obstruction
64
Which of the following is NOT a guideline for factual charting?
Use only approved abbreviations
Document patient response to interventions
Correct mistakes with white-out
Use clear and objective language
65
What does the Q mean in PQRST
Quiet
Question
Quality
Quantity
66
Which is a physical biological dependence
Dependence
Psychosocial
Tolerance
Addiction
67
What is the go to nursing solution for any breathing, airway, or gas exchange problem?
Teach breathing techniques
Elevated HOB
Evaluate spO2
Keep a humidifier on in the room
68
What are risk factors for nutritional problems
Regular exercise
Chronic illness
No public transportation near by
Eating 3 meals a day
No one in the home knows how to cook
High socioeconomic status
69
What does the T mean in PQRST
Timing
Trigger
Tripod
Turn
70
Hypoventilation interventions
Coach pt to hold breath
Ventilate pt
Suction PRN
Rebreather mask
Narcotic reversal
Supplemental O2
71
Which is the most appropriate example of documentation for an assessment
The wound is a little red, dressing was changed
The wound is healing well, the pt seems fine
The wound looks bad, pt is uncomfortable
The wound measures 5cm x 3cm with serous drainage and no sign of infection
72
What should you avoid before an occult blood test
Eating for 24 hours prior
Red meat
Aspirin/NSAIDS
Bowel movement
73
What are early signs of hypoxia?
Tachycardia, restlessness, pallor
Cyanotic skin, confusion, stupor
Bradycardia, extreme fatigue
Hypotension, cyanosis, coma
74
Which diet only has liquids such as broth, tea, and jello
Puréed
Mechanical soft
Full liquid
Clear liquid
75
When should a nurse complete an occurrence report?
Only when a physician requests it
Whenever an incident results in harm or potential harm
At the end of each shift
Only for patient falls
76
What does the S mean in PQRST
Side effects
Subjective
Severity
Suctioning
77
What does white/clay stool mean?
Considered normal
Metabolic condition/ liver issues
Obstruction
Certain foods or lower GI bleeding
Certain foods or irritable bowl syndrome (IBS)
Medications or upper GI bleeding
78
What types of enemas need to stay in the body for while to be effective?
Soap suds
Fleet
Oil
Medicated
79
Atelectasis and secretions can cause what kind of issue
Airway
Gas exchange
Breathing
Respiratory
80
How many enemas can you safely administer
4
2
1
3
81
Hyperventilation I can put your body in respiratory acidosis
False
True
82
What is occult blood testing
Guiac or FOBE
O&P
Fecal Immunochemical test (FIT)
“Hidden” blood
83
What does rust color sputum mean
Viral infection or common cold
Bacterial infection/ lung infection
Pneumococcal pneumonia, TB, presence of blood
Dust/soot inhalation
Pulmonary edema
Small to large amounts of blood
84
What are reasons for nutritional alterations
Dysphagia
Dentition (look at patients teeth, can they bite and eat?)
Appetite (are they hungry) & bowel elimination
Increased energy needs (illness, sick, fever)
Food insecurity
Cultural, ethical, or religious reasons
85
Downtime charting is used when you have time to sit down and chart between pt care
True
False
86
Which ostomies are continent
Ileostomy
Colonostomy
Kock pouch
Ileoanal pouch
87
What does foul smelling sputum mean
Pulmonary edema
Small to large amounts of blood
Bacterial infection/ lung infection
Pneumococcal pneumonia, TB, presence of blood
Viral infection or common cold
Dust/soot inhalation
88
Late hypoxia signs
Elevated BP
Cyanosis skin and mucous membranes
Cardiac dysrhythmia
Adventitious lung sounds (wheezing/crackles)
Pale skin and mucus membranes
Hypotension
89
Incontinence causes
Diarrhea
Cognitive changes
Loss of feeling or neuromuscular control
Renal dysfunction
90
Brain and muscle problems can cause what kind of issue
Breathing
Gas exchange
Respiratory
Airway
91
Complications of NG tube
Skin break down
Gastric mucosa irritation
Metabolic acidosis
Metabolic alkalosis
92
You can delegate pulse ox reading for an unstable patient
True
False
93
What position should the HOB be at to facilitate maximum lung expansion?
90 degrees
30 degrees
15 degrees
45 degrees
94
At LEAST what position should the HOB be at for eating?
30 degrees
90 degrees
45 degrees
15 degrees
95
Tracheostomy care interventions
Assess for stenosis (narrowing of airway from increased pressure)
Change securement device every 24 hrs
Oral care frequently
Assess stoma every 8 hrs
1-2 finger looseness
Change securement device every 72 hrs
96
Which oxygen delivery device provides the most precise oxygen concentration?
Venturi mask
Nonrebreather mask
Nasal cannula
Simple face mask
97
What do you need to do for a thorocentesis
Take deep breaths during procedure
Tripod or laying on side for procedure
No activity for 72 hours
Position wound side down
Tell pt to be very still
Monitor HR
98
Complications of constipation
Bowel obstruction
Metabolic acidosis
Fecal impaction
Skin break down
Dehydration
Vagal response
99
What does yellow/green sputum mean
Bacterial infection
Pulmonary edema
Viral infection or common cold
Pneumococcal pneumonia, TB, presence of blood
Dust/soot inhalation
Small to large amounts of blood
100
What is parenteral feeding
NG tube
Clear liquid diet
PEG tube
IV (central line, Cath port, etc.)
101
Chest physiotherapy
Percussion
Auscultation
Cough
Vibration
Posturing
Palpitation
102
What does CPOE stand for
Certified physician order entry
Computerized provider order entry
Coordinated patient order evaluation
Clinical patient observation entry
103
What is in a liquid diet
Mashed potatoes
Jello
Ice cream
Broth
104
When does oxygen induced hypoxia occur
Improperly using a rebreather mask
When a patient’s O2 is removed and they are no longer able to oxygenate
When a chronic lung disease patient is given too much O2
When a patient is over sedated and given O2
105
What is the correct way to confirm patient identification before a procedure?
Checking the patient’s wristband and verifying full name & DOB
Asking a family member
Asking the patient for their name only
Relying on room number
106
Outcome of chest physiotherapy
Drainage
Increased HR
Vesicular breath sounds
Increased O2
107
What does black sputum mean
Pulmonary edema
Bacterial infection
Dust/soot inhalation
Viral infection or common cold
Pneumococcal pneumonia, TB, presence of blood
Small to large amounts of blood
108
Which nursing action ensures safe oxygen administration?
Monitoring for oxygen toxicity
Keeping the patient in a supine position
Always setting oxygen flow to 10 L/min
Using an airtight mask for all patients
109
What is a common intervention for a patient at risk for aspiration?
HOB raised
Thicken foods
Holding breath while eating
Chin-tuck while swallowing
Large sips of water between bites
Lying flat while eating
110
Hypoventilation I can put your body in respiratory acidosis
False
True
111
Early hypoxia symptoms
Nasal flaring
Diminished lung sounds
Tachypnea
Bradypnea
Bradycardia
Tachycardia
112
What should a stroke pt be assessed for before eating
Bowel sounds
Swallow screening
NG tube
Liquid diet
