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N209 Final Exam Review Flashcards | StudBud
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N209 Final Exam Review
N209 Final Exam Review
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Fundamentals of Nursing Practice final review
Flashcards
65 cards
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Practice quiz
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Host live
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Questions
65
Answers
1
A nurse is teaching a surgical patient about postoperative p.r.n. pain control, what should be included?
We will bring pain medications, you don't need to ask
you won't have much pain, so tough it out.
even if you have pain, you can get addicted to the medication
you need to ask for the medication, before the pain becomes severe
2
Where on the foley catheter do you inflate the balloon?
A
B
C
none of the above
3
What must you have to administer TPN to a patient?
blood pressure cuff
urine test strips
electronic infusion pump
blood glucose monitor
4
A patient is ordered Demerol 500 mg IM STAT, the nurse looks on Medscape and sees that the normal dose is 50-100 mg
The nurse should administer the recommended amount
The nuse should administer the amount ordered
The nurse should contact the doctor about the order
The nurse should check with another nurse
5
What is the purpose of the assessment phase of the nursing process?
to help the patient identify realistic outcomes for health problems
to identify patient problems to create nursing diagnoses using patient data
to teach interventions that relieve health problems
to use patient data to evaluate patient care outcomes
6
Which of the following would indicate a complication in the skin of an older adult?
expression lines
thinning and loss of elasticity
ecchymosis
wrinkling
7
What is the term used to describe a change that takes place in response to a stressor in an effort to restore balance?
adaptation
environmental threat
homeostasis
fight or flight
8
If a fire is observed in a patient's room, after removing the patient, what is the next action?
Call for help
activate the fire alarm
Extinguish the fire
close the door to confine the fire
9
Most drugs are excreted via the
lungs
kidneys
liver
saliva
10
What is important to remember when using a nasal cannula to deliver oxygen to a patient?
It can create a risk of suffocation
It can be increased to 8 liters per minute to increase oxygenation
It can cause dry mucosa and skin irritation
It can cause anxiety to claustrophbic
11
Which is a properly written nursing diagnosis for a patient with pneumonia?
Ineffective airway clearance as manifested by coughing
ineffective airway clearance related to the inability to clear secretions
ineffective airway clearance related to history of smoking
ineffective airway clearance related to pneumonia
12
Which of the following statements best describes the therapeutic action of a drug?
It is caused un intentionally by the drug
Occurs with a high dosage or impaired metabolism or excretion
It usually occurs as a respponse to prolonger administration of a drug
Physiological response expected from a drug
13
Which patient would require special consideration related to perineal care?
young adult male who had a hernia repair
young woman who had cosmetic surgery
middle aged woman with a urinary catheter
middle aged man with a nasogastric tube
14
A nurse is doing a sterile dressing change on a confused patient, if the patient touches the open dressing kit ...
The nurse should get a fresh sterile kit and start over
The nurse should wash the patient's hand before starting over
The nurse should restrain the patients wrist
The nurse should hurry to finish the dressing change
15
Which of the following would be the S entry in a SOAP note?
Pt is guarding her abdomen occasionally moaning
Pt. states that she is having abdominal pain rated 8/10
Hydromorphone 2 mg po administered with good relief
Based on previous records patient has a history of recent abdominal pain
16
If a patient has trouble sleeping and is tired all day which is the best advice?
take a nap when tired
Keep a routine of sleeping and waking
watch TV before bed
eat a high protein snack before bedtime
17
If a patient asks for aspirin for a headache, what is the next step the nurse must take?
Ask the visitors if they have any aspirin for the patient
state that an order is legally required and check with the doctor
Ask the family to bring some from home
Give them the aspirin, it is OTC
18
Which of the following stimuli would increase patient responses when waking up on a post-op unit?
ambulating and coughing
lights and noise
anxiety
pain
19
After asking which medications a patient is taking, what else should be asked to assess for drug interactions?
type and amounts of food eaten
effects of prescribed medications
use of herbal supplements
daily intake and output
20
When planning strategies for pain control in older patients the nurse should be aware that:
Denial of pain may occur
Pain is a natural outcome of the aging process
Sensitivity to pain increases with age
Narcotic use should be avoided
21
A patient who has fallen and injured his wrist carefully cradles it with the other hand. Which response is this?
affective
psychologic
behavioral
physiologic
22
A patient is watching TV while the nurse is providing pateint education. The outcome of the teaching will likely be___
The stimulus for the communication is unclear
The message will be misunderstood
The receiver will accurately interpret the message
The communication will be reciprocal
23
Which of the following effects of aging should the nurse consider during a urinary assessment?
increased bladder muscle tone may reduce the capacity of the bladder
diminished ability of the kidneys to concentrate urine may result in UTI
decreased bladder contractility leading to urine retention and stasis & UTI
neuromuscular problems may result in bladder control being too much trouble
24
The nurse is preparing to administer Heparin 5,000 units subq BID. Which action is correct?
Pull the skin taut and administers the injection at a 15 degree angle.
pinch the skin, administers the injection and massage the injection site.
pinch the skin and administer the injection at a 45 or 90 degree angle.
Pull the skin taut and administer at a 45 or 90 degree angle.
25
A patient has just returned to the unit to begin intermittent tube feedings, what is your priority concern?
risk for constipation
hypergycemia
risk for aspiration
fluid volume overload
26
Which of the following behaviors by the nurse best demonstrates active listening?
Maintaining a open posture and making eye contact
Catching up on charting during the conversation with the patient
Giving feedback on what the patient has discussed
Making notes during the communication process
27
A client's bed partner reports that the client has irregular snoring and silence followed by a snort, this indicates
snoring has varied patterns
the bed partner is unable to sleep at night
nothing, this is normal snoring
obstructive apnea
28
A patient requests pain medication and the nurse sees that there is an order for Morphine 2mg IV. The nurse should
Administer 0.5 ml and discard remaining 0.5ml while another RN witnesses
Administer 0.5ml and discard remaining in sharps container
Contact the physician to change the order to 4 mg
Administer 0.5ml and leave the rest at the patient's bedside
29
A 0.9% Sodium Chloride Solution accomplishes which of the following
Dilutes the extracellular fluid
Produces no net movement between the intracellular and extracellular fluid
Treats water intoxication
Raises the osmolality of the extracellular fluid
30
What generalization can be made about safety in patient care?
saety is a paramount concern underlying all nursing care
safety is provided by self-care
safety is not as important as self actualization
Healthcare providers exclude safety as a patient need
31
In which of the following should a progress note be written?
When a procedure is performed
When admitting a patient
When receiving a patient postoperatively
When a patient sends back a dinner tray
32
In a teaching plan, a nurse describes what the learner will be able to do after the teaching session, this action is
Developed learning objectives
Presented facts and knowledge
implemented interpersonal communication
provided positive positive
33
Sleeping for abnormally long periods of time may be caused by injury to which body structure?
thyroid
spinal cord
pancreas
hypothalamus
34
Which of the following considerations is necessary for culturally competent patient teaching?
Use a lecture format with few questions
Use all visual materials when teaching content
Use materials developed previously for US citizens
Develop written materials in the patient's native language
35
Which is true of a stage 2 pressure injury?
an area of non blanchable redness
an area with exposed muscle and tendon
an area with full thickness skin loss
An area with partial thickness skin loss of the dermis
36
Why is acute pain said to be protective in nature?
it serves no purpose because it is subjective
it aids diagnosis
it enables a person to increase personal strength
It warns of tissue damage or disease
37
Which describes nursing documentation?
written record of medical treatment and surgery
legal report to physicians
legal written record of pertinent interactions with a patient
required verbal report to colleagues
38
Which is part of a clear liquid diet
pureed vegetables
coffee
broth
pudding
39
At what angle is an intradermal injection given?
30 degrees
90 degrees
15 degrees
45 degrees
40
Which of the following age-related changes may affect the respiratory functioning of the patients in a nursing home?
impaired mobility and inactivity, effects of medication
increased elastic recoil of lungs
Less air exchange, more secretions in lungs
greater risk for aspiration due to slower gastric motility
41
A patient is receiving an IV, which of the following assessment findings would suggest an infection related to the IV?
The insertion site is red, hot and swollen?
The insertion site is pale. cool, swollen and painful
Only 50 ml of fluid has infused over the last hour
The client's temperature is 37.5 degrees Celsius
42
Before teaching a patient how to perform a procedure, what should be done first?
Evaluate the outcome of the patient education
Assess what the patient already knows
Set a mutual goal
Teach what the patient wants to know about the procedure
43
Which response by a nurse would be most effective to get specific information from a patient?
You seem like you don't feel well today
I am sure if you rest today, you will feel much better tomorrow
You said you are not feeling well,describe how you feel
are you feeling sick?
44
Once outcomes have been achieved in a plan of care, what should a nurse do next?
terminate the plan of care
modify the plan of care
continue the plan of care
reevaluate the plan of care
45
Which of the following data entries follows guidelines for documenting data?
Patient kidneys are producing sufficient amounts of urine
Patient complained about the quality of nursing care on previous shift
Patient is overwhelmed by the diagnosis of cancer
Following oxygen administration, oxygen saturation level 95%
46
Which nonverbal action would communicate caring to an unconscious patient?
Making constant eye contact with the patient
Holding the patient'd hand while talking
Sighing frquently while providing care
Waving to the patient when entering the room
47
A patient tells the nurse: "every time I sneeze, I wet my pants" this is called
uncontrolled voiding
normal micturition
urinary incontinence
urinary incompetence
48
A patient gets out of bed after surgery, they experience weakness, dizziness & feeling faint, which condition is this?
pain at the incision site
anemia
orthostatic hypotension
bradycardia
49
A patient in the ICU is confused and incoherent over the last few days, it is attributed it to sensory oveload, which is
decrease in the quality of sensory stimulation
the inability of the brain to respond to constant simuli
Sensory alterations such as vision and hearing loss
the brain's reaction to insufficient quantity of stimuli
50
"Only my country can make a hospital stay comfortable" is an exxample of cultural________.
pervasiveness
ethnocentrism
relativity
superiority
51
When moving a patient up in bed, which shows proper body mechanics?
Keep body weight higher than the center of gravity
twist at the waist when lifting
Keep feet together for wide base of support
face the direction of the movement
52
If a patient is found lying on the floor, what should be documented on an incident report?
The patient became restless and tried to get out of bed
The patient fell out of bed
The patient was found lying on the floor
The patient climbed over the side rails
53
A patient who is a Jehovah's Witness going to surgery would have their religious beliefs considered by documenting_____
Medication administration is not allowed
Blood and blood products are forbidden
Surgery is prohibited
Religious sacraments are important
54
6mL of a medication to be given IM for a 40 -year old who is 5' 7" tall & 135 lbs. Which is the best method?
Two 2mL syringes , #25 gauge, 5/8 inch needle
Two 2mL syringes, #20 - 23 gauge, 1 inch needle
Two 3mL syringes, #20 - #23 gauge, 1 1/2 inch needle
A tuberculin syringe, #25-#27 gauge, 1/4 - 5/8 inch needle
55
The time between when an microorganism invades the body and the appearance of the symptoms is termed____period
prodromal
convalescent
incubation
illness
56
administering morphine intravenously to an 89-year old with impaired hepatic function, how will this affect things?
It increases the risk of drug toxicity
It increases the dose required
It limits the time the medication can be given
It decreases elimination of the drug
57
A 90 year old has sustained four fractured ribs on the left side of her thorax. What is she at risk for?
urinary incontinence
pneumonia
viral influenza
altered thought processes
58
In which situations would vital signs be taken?
Prior to an invasive procedure
Following a diagnostic procedure
When a cardiac medicine is being administered?
upon admission to a hospital
59
Which statements by the nurse indicates an understanding of clinical manifestations of intravenous site infiltration?
The IV site is bleeding
The tissue around the venipuncture site is swollen
The temperature around the IV site is cooler
The IV site is painful
60
A patient with a fever and an infection in severe pain would show which type of pulse?
dysrhythmia
tachycardia
bradycardia
tachypnea
61
What is one area of assessment necessary to promote safety?
hygiene
abdominal integrity
neuromuscular status
skin integrity
62
Which of the following are examples of good sleep hygiene?
Eat a light meal before bedtime
eliminate the use of a clock in the bedroom
drink an alcoholic beverage before bedtime
Take a warm bath before bedtime
63
A general goal of patient teaching includes:
increased quantity of life
health promotion
decreased pain
disease identification
64
An order reads: ASA 300 mg po TID pc. When should it be given?
after meals
before meals
before dinner
with breakfast
65
Which is the posterior tibial pulse?
D
A
C
B
