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NSG 316 Exam # 1 Flashcards | StudBud
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NSG 316 Exam # 1
NSG 316 Exam # 1
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1
Next in urgency
, after emergencies, requiring attention so as to avoid further deterioration
2nd Priority
1st Priority
4th Priority (There's no such thing)
3rd Priority
2
An understanding of a patient's
cultural
background shapes their beliefs, values, and expectations for therapy
Cultural Competence
Cultural Expectations
Spiritual and Religious Viewpoints
Belief Systems
3
During the general survey when observing physical appearance, which would NOT be included?
The level of consciousness
BMI
Skin color
Deformities
4
What does the "S" stand for in PQRST when evaluating pain
"Suck it up buttercup"
Sadness
Situation
Severity
5
When does the general survey begin?
While speaking with the patient's family
The moment you encounter the patient
While performing the head to toes assessment
When you review the patient's chart
6
Which of the following is not an example of
basic
activities of daily living?
Toileting
Socializing
Eating
Walking
7
What does the "P" stand for in PQRST when evaluating pain
Pressure
Pain Scale
Provocation or Provoking
Protruding
8
Which statement by the new grad indicates the appropriate understanding of documentation?
"I will document immediately after administering the medication"
“I document medications given before I give them to the patient”
“I can wait until the end of shift to document my care”
“Charting every few hours is the most appropriate method”
9
Tool used to identify excessive or uncontrolled drinking in individuals.
CAGE Test
CARE Test
CANE Test
CAPE Test
10
Important to the patient's health but can be addressed
after more urgent problems
are addressed.
2nd Level Priority
1st Level Priority
3rd Level Priority
4th Level Priority (Again, not a thing)
11
When conducting a general survey, which of the following incorporates physical appearance?
Deformities
Nutrition
Gait
Slurred Speech
12
During the general survey when observing mobility, which would NOT be included?
Foot placement
Behavior
Gait
Involuntary movements
13
What components does the nursing process include?
Assessment, Direct Care, Observations, Planning, Intervention, Evaluation
Assessment, Diagnosis, Outcome Identification, Intervention, Education
Assessment, Diagnosis, Planning, Implementation, Evaluation
Assessment, Delegation, Planning, Interviews, Education,
14
Refers to a social group that may possess similar traits such as religion, language, values, or traditions.
Culture
Spirituality
Acculturation
Ethnicity
15
True or False: Subjective Data describes how the patient is feeling.
False
True
16
Provides a detailed and complete graphic family tree with symbols
Geography
Genome
Graphophone
Genogram
17
The general survey focuses on all off the following except:
Vital Signs
Physical Appearance
Body Structure
Behaviors
18
Interpreting data
, reviewing assessment data inference, validating inference, identify related factors to develop a:
Assessment
Planning
Diagnosis
Evaluation
19
Listening to body sounds through a stethoscope including heart sounds, bowel downs, breath sounds
Stethoscope
Auscultation
Percussion
Palpation
20
How many minutes should you wait between checking an orthostatic BP?
3 Minutes
1 Minute
10 Minutes
5 Minutes
21
When using a stethoscope, the diaphragm (the bigger side) helps you to hear what?
Low Pitched Sounds
High Pitched Sounds
Spotify
What's a diaphragm?
22
Determine patient readiness
in health care process, review intervention in a collaborative effort, put into action
Evaulation
Assessment
Planning
Implementation
23
During the general survey when observing body structure, which would NOT be included?
Posture
Body Build/Contour
Deformities
Gait
24
What does the "R" stand for in PQRST when evaluating pain
Random
Rationale
Response
Radiating/Region
25
All of the following are types of information protected under HIPAA EXCEPT:
Patient's Birth Certificate
Patient's Date of Birth
Patient's Social Security Number
Patient's Medical Records
26
Establish goal based on patient care goal
, identify relevant intervention, create the plan of care is:
Implementation
Assessment
Planning
Diagnosis
27
What does the "T" stand for in PQRST when evaluating pain
Trauma
Tinitis
Time
Tachycardia
28
Which pain originates from internal organs such as the gall bladder or pancreas?
Referred Pain
Visceral Pain
Cutaneous Pain
Somatic Pain
29
Grocery shopping, preparing meals, and managing finances are examples of what?
Advanced ADLs
Instrumental ADLs
Basic ADLs
Basic Functions of Living
30
True or False: Inspecting, percussing, palpating, and auscultating during the physical exam are objective findings
True
False
31
What does the "Q" stand for in PQRST when evaluating pain
Quantum Realm
Quitter
Quiet
Quality
32
Clinical decision making that integrates research with
clinical expertise
and patient characteristics and preferences
HIPAA
Clinical Judgement
Nursing Process
Evidence-Based Practice
33
A database that focuses mainly on one problem that is usually smaller and targeted.
Complete Database
Emergent Database
Follow-Up Database
Focused Database
34
Pain felt in a part of the body other than its actual source
Somatic Pain
Referred Pain
Nociceptive Pain
Visceral Pain
35
Pain from skin surface and
subcutaneous
tissue (superficial, sharp, nausea, sweating, tachycardia, HTN)
Cutaneous Pain
Visceral Pain
Nociceptive Pain
Somatic Pain
36
What behavior is
NOT
associated with chronic pain?
Bracing
Agitation
Diminished Activity
Rubbing
37
The patients family medical history affects their care in all ways except:
Helping the patient to find a new therapist
Increased risk for developing a disease
Assists the care team in reducing risk of developing disease
Recommended frequent screenings
38
What is the best way to assess a patient’s pain?
Non-Verbal Cues
Poking the patient
Wong Baker's Faces
The Numeric Rating Scale
39
The nurse is assessing a client. Which vital sign reading should the nurse immediately report? (Hint ABCs)
O2 Sat: 85%
Blood Pressure: 162/91
Pulse: 110
Respirations: 12
40
Occurs when patient has recurrence of pain before next scheduled dose of medication.
Somatic Pain
Cutaneous Pain
Visceral Pain
Breakthrough Pain
41
Complex phenomenon that includes attitudes, beliefs, norms, roles, and values.
Ethnicity
Spirituality
Acculturation
Culture
42
When examining a patient, the first thing you should do is what?
Palpate (Touch)
Auscultate (Listen)
Inspect (Look)
Stand there confused because you're a nursing student
43
Evaluate individuals condition and compare with expected outcomes
Planning
Assessment
Evaluation
Diagnosis
44
What should NOT be reviewed when asking the patient about their family history?
Blood Disorders
Current Medical Problem
Alcohol or Drug Addiction
Cancer
45
What sense is not required when inspecting (General Survey) a patient?
Touching the Patient
Seeing the Patient
Smelling the Paint
Listening to the Pain
46
Which of the following is not an example of
instrumental
activities of daily living?
Preparing Meals
Housekeeping
Taking Medications
Brushing Your Teeth
47
Abnormal processing of the pain message from an injury to the nerve fibers caused by diabetes, shingles, chemotherapy
Visceral Pain
Nociceptive Pain
Referred Pain
Neuropathic Pain
48
During the general survey when observing behavior, which would NOT be included?
Agitation
Facial features or deformities
Mood or Affect
Dressing appropriately for the weather
49
Which nonverbal behavior is NOT associated with acute pain?
Diaphoresis
Crying
Agitation
Bradycardia (Is there heart rate going down?)
50
Which of the following is not an example of
advanced
activities of daily living?
Socialization
Working
Managing Fianances
Attending a Book Club
51
Pain that originates from skeletal muscles, ligaments, or joints (aching, throbbing)
Cutaneous Pain
Referred Pain
Visceral Pain
Somatic Pain
52
The following components are included in a database EXCEPT?
Names of all friends and family members
Subjective Information
Lab Results
Objective Data
53
The review of pt record, interview w/ pt, pt's health history, physical/functional exam, cultural/ spiritual exam is the
Diagnosis
Evaluation
Planning
Assessment
54
What does HIPAA stand for?
The Health Insurance Portability and Protection Act of 1996
The Health Portal Action Act of 1996
The Hippo Advocacy Association of 1996
The Health Protection Advocacy Act of 1996
55
Pain in larger internal organs (dull, deep, squeezing, cramping) ex. appendicitis and cholecystitis
Cutaneous Pain
Visceral Pain
Breakthrough Pain
Somatic Pain