Updated Foundations Exam 1 JCN

Safety Precautions: gloves, surgical gown, and a N95 mask "No live flowers, Avoid uncooked fruits/vegetables"

What is the second R in I-SBAR-R

Which of the following is considered an ADL (Activity of Daily Living)?

The “Background” step should include which of the following?

What is the main difference between ADLs and IADLs?

What is the A in the Nursing process?

Falsifying a record to cover up mistake

What Heart rate would classify hypertension?

During which step of ISBARR would you say: “Her oxygen sat has dropped from 96% to 88% in the last hour”?

Which position is used for rectal exams and enemas?

Fails to implement safety measures for a patient with a fall risk

Why is ISBARR important in nursing communication?

What is the reading level used in all hospital pamphlets?

What is the primary purpose of the “Read-back” step in ISBARR?

A patient is at risk for aspiration. Which position should the nurse AVOID?

What is the most effective way to prevent the spread of infection?

Confined against their will, placed in restraints and wishes to leave

You’re calling the physician about a deteriorating patient. You start with “This is Nurse Johnson from Med-Surg…” ISBARR

Which statement is an example of the “Recommendation” part of ISBARR?

An ethical dilemma is a problem that involves multiple choices and stems from different values.

What is a Normal BPM?

Conducts elicit fear and apprehension, "Threatens patient if they don't eat then they will place an NG Tube"

What is Surgical asepsis?

Safety Precautions: gloves, and surgical gown "Only Hand washing Kills infection"

What is the Fowler’s position primarily used for?

a 80 yr old man is having Difficulty breathing laying down?

What is a form of non verbal communication?

Which is a Healthcare Associated Infection

What is the chain for infection Cycle?

Safety Precautions: Wash hands before and after, surgical mask, Face Shield, gown, and gloves "Influenza,Whooping cough"

Moral Rule: Keep promises "I'll be right back"

The lateral position is most useful to:

What specifically doesn't Kill C-Diff?

Safety Precautions: Wash hands when entering and exiting, Gloves, gown and disposable equipment " Herpes, Scabies"

Which of these is an Instrumental Activity of Daily Living (IADL)?

Moral Rule: Respect the rights of their surrogates to make health care decisions "I don't want"

Where can you listen to the Apical pulse?

In which position is the patient lying flat on their back?

What is it when a Blood pressure is below the normal pressure?

In the prone position, the patient is lying on their:

The patient is showing signs of shallow breathing and has a low heart rate what is wrong?

What Heart rate would classify as Hypotension?

A patient is experiencing low blood pressure. Which position is most appropriate?

Which is the most efficient way to take a temperature?

Which of the following is the BEST example of the “Situation” step in ISBARR?

What would you MOST LIKELY include in the "Assessment" step?

Moral Rule: Avoid causing harm

What does the "I" in ISBARR stand for?

is Quasi-intentional torts a breach of confidentiality?

Safety Precautions: gloves, gowns, N95 & eye protection, and practice hand hygiene "tuberculosis, Chicken pox"

Administers a large dose of medication due to a calculation error and the patient dies

A patient is unable to cook meals or manage finances but can feed and bathe themselves. What assistance do they need?

Which position would BEST promote lung expansion in a post-op patient?

What is caused by a temperature lower than 95 degrees

Moral Rule: Give each their due; act fairly "Treat everyone the same, victim and suspect)

Sudden dizziness when getting up from laying position

What is Medical asepsis?

Which task is part of BOTH ADLs and IADLs depending on the level of independence?