215 Final Review - YEAH!

Your patient is vegan and says she wants a better source of protein, the nurse would state what:

Patient states "I can't believe I lost my child in that drowning...no one will ever forgive me" What type of grief?

Which assessment finding would indicate a patient's infection is local?

How can the nurse promote a decrease in stress and increase coping in her patient who just found out she failed a test?

Your patient is concerned that he is eating too much fiber when he states "I eat beans with every meal".

You walk into the patient's room: tv volume is high, dinner tray is in their lap, phone is in their hand: Best action?

A patient who cannot answer questions fully with ALOC, and requires observation while drinking through a straw is:

You are reviewing your patient's labs, which one would indicate malnourishment?

The patient is the best report of pain.

The nurse knows extra checks must be done when giving which medications?

A patient must maintain two points of contact on the ground at all times to increase stability while using a cane.

Your patient is concerned about their stoma, it is beefy and red in color. What is the nurses first priority?

Which of the following responses indicates the client is in the anger phase of the Kubler Ross model?

These abbreviations are okay to use in healthcare:

This lab value would indicate that your patient may be clotting too much.

Your patient with MS is going to occupational therapy, what level of prevention is this?

Your patient is experiencing hyperkalemia. The system you are most concerned for is:

A patient is using a cane, moving it forward 6-10 inches, beside his good leg. This is correct?

Your patient is seizing. What do you do first:

Are your ready for this?

These are NOT signs of early hypoxia:

A family member is complaining about her husband thrashing about and making snoring and grunting sounds while sleeping:

A simple face mask can be as low as 2L/min.

In ADPIE, which letter indicates a reassessment of your interventions and if they worked?

Your patient just started taking O2 continuously and has very dry nares. The nurse can suggest:

Pt ambulates frequently, drinks at least 1L of water/day, eats PB&J on white bread daily, nursing education priority?

You would expect these signs and symptoms from a patient with fluid volume excess:

A nasal cannula can go from a rate of 1-6L/min.

Your pt is neutropenic and on protective precautions, which statement is of most concern for the nurse:

When the nurse assesses a patient who is experiencing grief in the GAS stages, which one indicates fight or flight?

Patient shows signs of vasodilation, BP of 80/65, HR of 132 and RR of 32. This is a result of:

The nurse knows that eustress is:

Which of the following ranges are correct for magnesium:

The ANA is a formal nursing organization that represents the interests of nurses in the US.

The nurse knows these are appropriate reasons for an indwelling catheter:

Elevating extremity, animal therapy, watching tv, acupressure, and massage are examples of non-pharmacological pain:

Your diabetic client wants to have a podiatrist check her feet out on a regular basis. The nurse would say:

Your patient has an exposed wound on the coccyx that is deep, extending into the muscle and tendon. What is this?

This medication order is written correctly: Oxycodone 5mg PO PRN

In the nursing process the nurse knows the very first thing to be done is:

Free pregnancy tests would be what level of prevention?

When the nurse identifies one patient needing help before a different patient this is what:

It's okay to keep your unconscious patient in a side-lying position while providing oral care.

Which would be an appropriate goal for a patient who falls.

The nurse knows that there are signs and symptoms indicating pain, these include:

Pt is exhibiting cool, clammy skin, relaxed facial muscles, incontinence, and cheyne-stokes breathing. What is happening

The nurse knows that these are risk factors for constipation:

The AMA is also a nursing organization.

Nurses should use hot water when performing hand hygiene.

Pt with chicken pox needs to go down for an MRI but is refusing to wear a mask during transport. Best response by RN:

Did you learn all of the things from this Quiz?

A non-rebreather mask cannot go to a flow rate more than 8L/min.

A nurse knows that patient's need to stay safe at home with their oxygen. What's the best education for these patients?

Enteric-coated and sublingual medications are fine to crush and put in an NGT.

Your patient has a diagnosis of HIV and wants to have visitors. The RN's best responses to this patient are:

The nurse knows that DM is not the only disease process that has a decrease in blood flow. The other disease process is:

Your female patient just started menopause and is sedentary. She is at greatest risk for:

This mask delivers an FiO2 of 80-95% at rates of 10-15L/min: