Which of the following actions should the client take when applying cold therapy after a sprain?

Limit the use of the cold pack to 20 minutes at a time

What are the S&S of right-sided heart failure?

Organ Distention, Ascites, Fatigue, GI Distress

Which of the following are signs and symptoms of malnutrition? Select all that apply

Dry, Dull Eyes, Nausea, Vomiting, Diarrhea, & Constipation, Weakness, Fatigue, Poor Dental Health

RN is assessing a pt who is diagnosed with hypothyroidism. Which clinical manifestations of this disease?

Thick nails, Poor skin turgor, Cool skin

Softening of the skin from prolong moisture.

What are different types of precautions for transmission based precautions?

Contact, Airborne, Droplet, Standard

What is an early sign of a paralytic ileus?

Foul Smelling Breath, Abdominal spasms, Constipation, Distended Stomach

S & S of volume overload. Select all that apply

Crackles upon suscultation, Sudden weight gain, Edema, Elevated BP and bound HR

When should a nurse withhold an opioid pain medication?

Depending on level of consciousness, Low respiratory rate

Which of the following are recommened Vaccines for older adults? Select all that apply

Hep A and B, Herpes Zoster, MMR, Varicella

Which of the following are parts of the colon? Select all that apply

Sigmoid, Trasnverse, Ascending, Descending

What does PERRLA stand for

Pupils, Equal, Round, Reactive, Light, Accommadation

What can be delgated to an LPN? Select all that apply

Reinforcing teaching, Tracheostomy care, Administering enteral feedings, Gathering data

Which one of the following is an example of Primary level of prevention?

Excercise and Nutrition Management

Which of the following increase a patient's chance of drug toxicity?

Impaired metabolism, Secretion of the drugs

Which foods are low in the mediterranean diet? Select all that apply

Dairy Foods, Red Meats, Processed Foods/ Saturated Fats

studbud

215 and 216 Final Exam Part 1

93 termsStudBud Administration85 plays

Imported from external platform

Flashcards93 cardsFPractice quizPHost liveL

Questions 93

Answers

1
When do you give your patient a bronchiodilator
At night
In the morning
After meals
Before meals
2
Which of the following actions should the client take when applying cold therapy after a sprain?
Apply a cold pack directly onto the skin
Limit the use of the cold pack to 20 minutes at a time
Discontinue use of the cold pack 12 hr following the injury
The use of the cold pack will help with repair of the ligments
3
S.M.A.R.T happens in what part of the nursing process?
Planning
Assessment
Analysis
Evaluation
4
What is an example of droplet transmission?
Flu
Whooping cough
TB
Pink Eye
5
Wholeness, quality of life, physical, mental, and social well-being. Define
Wellness
Physical wellness
Health
Therapeutic communication
6
Normal finding for pupil size
7-9 mm
3-5 mm
1-2 mm
5-7 mm
7
What are the S&S of right-sided heart failure?
Organ Distention
Ascites
Fatigue
GI Distress
8
What foods help lower cholesterol? Select all that apply
Fruits
Oatmeal
Yolk of Egg
Beans
9
What should you do if you cannot read the patient's handwritten prescription?
Call provider
Guess what it says
Call the family and ask patient
Google close prescription names
10
smoking, drinking, control of disease, medication complaince are Modifiable or Non modifiable?
Non modifiable
Modifiable
IDK
Neither
11
Which of the following are signs and symptoms of malnutrition? Select all that apply
Dry, Dull Eyes
Nausea, Vomiting, Diarrhea, & Constipation
Weakness, Fatigue
Poor Dental Health
12
What is the landmark for the four quadrants?
Between the ribs
Midline of the body
Abdominal muscles
The umbilicus
13
Just right of the sternum at the second intercoastal, what is located here?
Aortic Valve
Erb’s Point
Pulmonic Valve
Tricuspid Valve
14
Founder of modern nursing. Who is this?
Margaret Sanger
Clara Barton
Dorothea Dix
Florence Nightingale
15
RN is assessing a pt who is diagnosed with hypothyroidism. Which clinical manifestations of this disease?
Thick nails
Moist skin
Poor skin turgor
Cool skin
16
Frontal lobe controls what?
Regulates body temp.
Memory
Regulates sleep
Personality changes
17
Which of the following is an abnormal finding that should be documented and reported to the provider?
Borborygmus
Abdominal symmetry
Abdominal distension
Silver striae
18
When do you need to document after administration of medication to a patient?
Once you evaluated how the meds did
Immediately after
5-10 minutes after
Whenever you get a chance
19
What is maceration?
Softening of the skin from prolong moisture.
IDK
Skin lesions from moisture build up.
Dry and cracking of the skin
20
What are different types of precautions for transmission based precautions?
Contact
Airborne
Droplet
Standard
21
RN is assessing pt who suffered a right-sided ischemic cerebral vascular accident. Clinical manifestation anticipated?
Right-sided paralysis
Left-sided weakness
Hyperglycemia
Dysphagia
22
RN notes a 2 mm depression that disappears rapidly when assessing a pt's for edema.Which documentation is approiate?
+ 2 edema
+ 3 edema
+ 4 edema
+ 1 edema
23
What foods help with iron absorption?
Food sources high in Vitamin A
Food sources high in Vitamin D
Food sources high in Vitamin C
Food sources high in Vitamin B
24
Should a patient use a walker to stand up from a sitting position?
sometimes
maybe
no
yes
25
What is an example of airborne transmission?
MRSA
Covid
TB
Drawing Blood
26
What is an early sign of a paralytic ileus?
Foul Smelling Breath
Abdominal spasms
Constipation
Distended Stomach
27
S & S of volume overload. Select all that apply
Crackles upon suscultation
Sudden weight gain
Edema
Elevated BP and bound HR
28
What stage pressure ulcer is this?
4
2
1
3
29
What position should you place a patient in when doing an enema?
High Fowlers
Low Fowler's
Sim's Position
Supine
30
You approach a patient laying on the floor, what should you do first?
Assess for skin color
Assess for ya mom :)
Assess for injury
Assess for health
31
What is being performed in this image?
Extension
Abduction
Rotation
Flexion
32
When should a nurse withhold an opioid pain medication?
Depending on level of consciousness
High Blood Pressure
If you don't believe they are in pain
Low respiratory rate
33
Which of the following are recommened Vaccines for older adults? Select all that apply
Hep A and B
Herpes Zoster
MMR
Varicella
34
What does the endocrine system affect?
Temperature
Color
Mood
Moisture
35
Which of the following are parts of the colon? Select all that apply
Sigmoid
Trasnverse
Ascending
Descending
36
What does PERRLA stand for
Pupils, Eye width, Redness, Reactive, Light, Activeness
Pupils, Eye color, Reactive, Restrictive, Lenses, Action
People, Equal, Ristance, Restrictive, Loss, Accommodation
Pupils, Equal, Round, Reactive, Light, Accommadation
37
Alert and oriented involves which of the following? Select all that apply
Person
Time
Place
Event
38
What can be delgated to an LPN? Select all that apply
Reinforcing teaching
Tracheostomy care
Administering enteral feedings
Gathering data
39
What gait should you use to not put weight on an injuried leg?
Swing through gait
4 point gait
2 point gait
3 point gait
40
Which one of the following is an example of Primary level of prevention?
Excercise and Nutrition Management
Rehab Care
End of life care
Screening for illnesses
41
If radial pulse is irregular how long should you assess it for?
45 seconds
1 minute
30 seconds
15 seconds
42
Active immunity, passive immunity and specific immunity. Is what type of defense?
Tertiary Defense
Secondary Defense
Primary Defense
43
You are assessing a client's radial pulses on each side and they feel bounding. How would you document this finding?
+4
+2
+3
+1
44
What can we encourage the patient to do to thin respiratory secretions?
Hydrate
Medication
Blow nose
Evaluate nutrition
45
What is the correct side to hold a cane while ambulating?
The weak side
In front not to the side
The strong side
Whatever side
46
Which of the following increase a patient's chance of drug toxicity?
Low dose of the drug
Impaired metabolism
Secretion of the drugs
Giving patient correct dose
47
A RN is assessing a PT who reports pins and needles sensation to their right hand. Describe the sensation as?
Sprain
Dysesthesia
Paresthesia
Proprioception
48
Which foods are low in the mediterranean diet? Select all that apply
Dairy Foods
Olive Oil
Red Meats
Processed Foods/ Saturated Fats
49
What is the purpose of a mammogram?
To detect masses in the butt
To check for masses in the thighs
To detect masses in the head
To detect masses in the breast
50
Patient should be at what bed angle when assessing the JVD?
45 degrees
60 degrees
90 degrees
15 degrees
51
Which patient would be the highest risk of developing a pressure ulcer?
A client with a heart arrhythmia
A client with pneumonia
A client who had wrist surgery today
A client with 2 broken legs
52
S.O.L.E.R. What does this stand for?
Sit. Open. Lean. Eye Contact. Relax
Sitand. Opinionate. Likely leave the room. Eye roll at questions. Relax
Stand. Open. Lean on counter. Energetic. Reevaluate life chooses
Sit. Open Ended Questions. Likely respond. Eat a snack. Restate question
53
RN is assessing a pt for seasonal skin disorders. Which disorders will the rn include when assessing a pt during summer
Chicken pox
Insect bites
Acne flair-ups
Urticaria
54
Contains motor neurons involved in the comprehension of speech. What is this area called?
Frontal lobe
Broca's area
Hypothalamus
wernicke's area
55
Which of the following assessment findings are expected when auscultating the abdomen?
Vascular sounds
Bowel sounds heard every 1-3 min
Silent Abdomen
Borborygmi
56
What is Active Range of Motion?
Movement with assistance
Yoga, spin class, weights
Stretching with assistance
Independent movement without any assistance
57
True or False: you assess both carotid pulses at the same time.
False
True
58
Where should the nurse assess for the dorsalis pedis pulse?
Top of the foot, between the extensor tendons of the first & second toes
Bottom of the foot, between the extensor tendons of the first & second toes
Bottom of the foot, between the extensor tendons of the second & third toes
Top of the foot, between the extensor tendons of the second & third toes
59
Is S1 the lub or dub?
Dub
I don't know
Lub
60
RN is conducting an abdominal assessment. Which structures can be assessed by palpation in the right upper quadrant?
Duodenum
Stomach
Liver
Gallbladder
61
What assessment finding would you expect in a patient with COPD?
Tripod Position
Low SpO2 & Shortness of Breath
Barrel-Shaped Chest
Clubbed Fingers
62
Which of the following is a finding of scoliosis?
Lateral curvature of the spine
Exaggerated curvature of the thoracic spine
Exaggerated curvature of the lumbar spine
Lateral deviation of the head in relation to the spine
63
What test assess for balance?
ROM
Walking on tip toes or heels
Heel to Toe Walk
Romberg's Test
64
What are you assessing the cartoid for?
Bruit
Stridor
Wheezing
Murmur
65
Which of the following is the mediterranean diet linked too? Select all that apply
Reduced hypertension
Brazil Butt Lift
Weight Loss
Reduced deaths due to cancer
66
RN is assessing a pt who reports pain in the RUQ. Which diagnosis may be responsible for the patient's pain?
Pulmonary embolism
Cholecystitis
Gastric ulcer
Pancreatitis
67
Which of the following abdominal organs releases insulin to regulate blood sugar?
Appendix
Stomach
Pancreas
Gallbladder
68
Which is a primary function of the peripheral-vascular system?
Transporting oxygenated blood to all organs and tissues
Maintaining the immune system
Reabsorbing fat from the small intestine
Moving lymph in a closed circuit
69
What does FICA stand for when doing a spiritual assessment?
Finicials, Interpersonal, Critical, Address
Finicials, Implications, Community, Application
Faith, Implications, Community, Address
Faith, Interpersonal, Critical, Address
70
What additional checks should be done prior to giving insulin?
Proper units
Verify blood sugar
Second nurse to verify correct dosage
Don't document because it's not important
71
Which location will the nurse assess to determine if the patient is experiencing central cyanosis?
Fingers
Feet
Conjunctiva
Toes
72
Are these examples of therapeutic communication? Art therapy, Excercising, socializing with friends and pet therapy
True
False
73
RN is assessing a brachioradialis reflex by striking the brachioradialis tendon 3 to _____ cm above the wrist.
5
6
7
4
74
Which of the following are part of the 5 rights of Delegation? Select all that apply
Right Route
Right Person
Right Task
Right Circumstance
75
Left midclavicular line at the fifth intercostal. What is located here?
Dorsalis Pedis Pulse
Dorsal Pulse
Radial Pulse
Apical Pulse
76
What are the S&S of left-sided heart failure?
Confusion
Cough/Wet
Shortness of Breath
Pulmonary Symptoms
77
What is gynecomastia?
Extra breast tissue in men
Extra fat causing a muffin top
Having an extra nipple
Extra skin in men
78
What is the most common cause of COPD?
Diabetes
Alcohol
Hypoxia
Smoking
79
What is vitamin A good for? Select all that apply
Eyes
Tissue Growth
Assists in blood clotting
Immune system function
80
What is nystagmus?
Rapid back and forth movement of the eyes
Blinking rapidly
Yellowing of the eye
Eyes rolling back into the head
81
Fast deep breathing with no pausing.
Kussmual's
Cheyne Stokes
Stridor
Thrill
82
Which cultures avoid eye contact? Select all that apply
Native Americans
Arabs
Asian
Amish
83
Which of the following are essential components of therapeutic communication? Select all that apply
Empathy
Rushing
Judgemental
Honesty
84
What are the 4 C's of cultural assessment? Select all that apply? Not all maybe correct
What do you CALL the problem?
What is you CRITICAL concern of the problem?
What are your CONCERNS regarding the problem?
How do you COPE with the problem?
85
RN doc that pt is experiencing early symptoms of hypoxia.Which assessment finding supports rn's doc for this patient?
Clubbing of the fingers
Weight gain
Irritability
Fatigue
86
Which of the following is a ball and socket joint?
Elbow
Knee
Wrist
Shoulder
87
Where is the tail of Spence located?
Axillary
wrist
Back of head
Back of knee
88
A RN is preforming mouth care for a pt who is unconscious. Which action should the RN take?
Turn the clients head the the side
Inject a mouth rinse into the center of the pt's mouth
Place two fingers in the pt's mouth to open it
Brush the pt's teeth once per day
89
RN is assessing a pt who has difficulty swallowing as a result of a cerebral vascular accidence. Which is the priority?
Anxiety
Aspiration
Infection
Depression
90
What are normal lab values for potassium?
6-8 mEq/L
9-11 mEq/L
1-2 mEq/L
3.5-5 mEq/L
91
Is the point at which a person feels pain. Define
Pain Threshold
Pain Tolerance
Pain Modulation
Perception of Pain
92
How long is Tube Feeding good for while infusing?
12 hr
36 hr
8 hr
24 hr
93
Where is the final check when giving medication?
With the MAR at nurses station
With the Medication, MAR and patient at bedside
With the MAR and Patients family
With the medication and order at Pxsis

215 and 216 Final Exam Part 1 Flashcards | StudBud