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Care I Exam I Spring 2023 Flashcards | StudBud
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Care I Exam I Spring 2023
Care I Exam I Spring 2023
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1
You're wearing a surgical mask, gown, and gloves. You're about to enter a patient room with what level of precautions?
Droplet
Standard
Contact
Airborne
2
You enter your patient's room and notice he has hearing aids in. How can you help facilitate communication?
Speak loudly and slowly
Write down your questions on a pad of paper
Enunciate each word and raise your voice
Speak at a normal volume while facing the patient directly
3
A nurse teaches the patient about their buccal med. Which statement by the patient indicates teaching was successful?
“I will place the medication in the same location.”
“I can only drink water, not juice, with this medication.”
“I better chew my medication first for faster distribution.”
“I should let the medication dissolve completely.”
4
Order: Acetaminophen 600 mg PO q6h. Tablets are available in 200 mg. How many tablets are you giving per dose?
3 tablets
None, unless patient asks for it
1 tablet
12 tablets
5
A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will nurse take
Suction the patient’s respiratory secretions.
Encourage the patient to cough and deep-breathe.
Suggest voiding every 2 hours.
Increase fluid intake.
6
Which of the following are the most common sites of nosocomial infections? SATA
Mucus membranes
Urinary tract
Respiratory tract
Surgical wound
7
A nurse is assessing body alignment. What is the nurse monitoring?
The inability to move about freely
The force that occurs in a direction to oppose movement
The coordinated efforts of the musculoskeletal and nervous systems
The relationship of one body part to another while in different positions
8
Which of the steps of the nursing process would include completing tasks to allow you to meet your goals?
Implementation
Assessment
Planning
Diagnosis
9
Nurse drops a syringe on the floor after administering an injection. What is the safe action in this situation?
Carefully pick up the syringe and dispose of it in a sharps container
Carefully pick up the syringe from the floor and gently recap the needle
Call the houeskeeping department to pick up the syringe
Obtain a dust pan and mop to sweet up syringe
10
You are assessing the patient's health status. What phase of the nurse-patient relationship is this?
Pre-interaction
Termination
Working
Orientation
11
Which of the following is the largest needle?
22 gauge
19 gauge
21 gauge
25 gauge
12
Before applying a transdermal patch, what should the nurse do? (SATA)
Remove the previous patch before applying the new one
Only remove the old patch after applying the new one
Apply the patch wherever is most convenient
Wash hands and wear gloves
13
If your clinical instructor saw you doing this, she would be HORRIFIED (SATA).
Administering a medication you'd dropped on the floor
Performing hand hygiene for 20 seconds
Pushing a needle into a sharps container that is over 2/3 full
Crushing an enteric coated tablet
14
The nurse is caring for a group of medical-surgical patients. Which patient is most at risk for developing an infection?
A patient who is recovering from a right total hip surgery.
A patient who is in observation for chest pain.
A patient who has been admitted for stabilization of heart problems.
A patient who has been admitted with dehydration.
15
An incentive spirometer is used mainly to prevent which complication of immobility?
Pressure ulcers
Urinary stasis
Atalectasis
Orthostatic hypotension
16
A nurse is doing passive range of motion for a patient with impaired mobility. Which technique will the nurse use?
Each movement is completed quickly and smoothly by the nurse.
Each movement is moved just to the point of resistance by the nurse.
Each movement is performed until the patient reports pain.
Each movement is repeated 5 times by the patient.
17
Communication is 50% verbal, 50% non-verbal.
False
True
18
The content of the communication is referred to as the __________ in the circular transactional model of communcation.
Interpersonal Variables
Channel
Message
Referent
19
You are giving yourself a pep-talk before you go into a challenging patient's room. What level of communication is this?
Interpersonal
Electronic communication
Small-group
Intrapersonal
20
A patient is self-sufficient and mobile, but tells you they would like a bed bath. How do you respond?
Delegate a UAP to perform the bed bath
Offer them a partial bed bath
Get wipes and prepare to perform a complete bed bath
Encourage them to take a shower
21
When verifying placement of an NG tube, the gold standard for placement is:
Inject air and listen for bubbling
Aspiration of contents to test pH
You're probably good, go ahead and start the feeding
Chest x-ray
22
A patient is admitted to the hospital with active tuberculosis. What PPE are you donning? SATA
Gown
N-95 mask
Gloves
Surgical mask
23
Which of the following are true about active ROM exercises? SATA:
Movement should be done 1-3 times to ensure patient does not become tired
Done to prevent muscle and joint contracture
Done to maintain muscle strength
Movement should be repeated 5 or more times
24
A nurse’s goal is to provide teaching for restoration of health. Which indicates the nurse is meeting this goal?
Teaching a family member passive range of motion moves for a stroke patient
Teaching a teenager with a broken leg how to use crutches
Teaching expectant parents about changes in childbearing women
Teaching a woman who recently had a hysterectomy about possible adoption
25
A nurse is educating a parent on proper administration of eardrops to a 2 year old child. They instruct...(SATA)
Pull the ear down and back before administration
Pull the ear up and out before administration
Massage the tragus after administration
Cool the solution before administration
26
The absence of which finding after passive range of motion exercise indicates goal achievement for the nurse’s action?
Joint contractures
Pressure ulcers
Renal calculi
Atelectasis
27
A nurse has withdrawn a narcotic from the med. dispenser and must waste a portion of the medi. What should the nurse do?
Place the wasted portion of the medication in the sharps container.
Have another nurse witness the wasted medication.
Return the wasted medication to the medication dispenser.
Exit medication room to call HCP to request an order that matches the MAR
28
You have a 1 and 1/2 inch 22 gauge needle and fill the syringe with 3 mLs of medication. What injection are you giving?
Intravenous
Intramuscular
Subcutaneous
Intradermal
29
A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?
A primary care provider hands a diabetes pamphlet to the patient.
A nurse presents information about diabetes.
A family member listens to a lecture on diabetes.
A patient demonstrates how to inject insulin.
30
Thicker/higher viscosity medication should be administered using a smaller NUMBER gauge needle.
True
False
31
Acute pain is protective.
False
True
32
A rectal suppository falls under what route of medication administration?
Topical
Rectal
Inserted
Oral
33
Before withdrawing medication from an ampule you should NOT:
Break off the top of the ampule
Inject air into the ampule
Use a filter needle
Check the order to determine the amount of medication to withdraw
34
The oral route has the highest first pass effect.
True
False
35
A medication can be administered up to 45 minutes after the scheduled administration time.
True
False
36
Medication can be crushed and diluted in tap water to be injected via enteral tube
False
True
37
You can do it!
HECK YEAH!
YESS!
38
"Patient is 64 year old female with history of endometrial cancer and hypertension." This would be which part of SBAR?
Assessment
Recommendation
Situation
Background
39
You are administering a medication via enteral tubes. For a 25 mL medication, how many total mLs would be administered?
40
55
70
25
40
A nurse attends a seminar on teaching/learning. Which indicates the nurse has a good understanding of teaching/learning?
“Teaching and learning can be separated.”
“Learning is a conscious, deliberate set of actions to help the teacher.”
“Teaching is most effective when it responds to the learner’s needs.”
“Learning is an interactive process that promotes teaching.”
41
A patient arrives at the hospital and does not speak English. To best facilitate communication you would...
Speak louder and in short sentences
Get an interpreter
Open up a translation app on your phone
Their daughter is a nurse, so she helps you translate the questions
42
Pain is...
Whatever the patient says it is
Observable
A way for patient's to get more drugs
Something a patient just has to deal with
43
Communication is affected by (SATA):
Volume of your voice
Personal biases
Developmental stage
Culture
44
Your patient is holding their stomach and grimacing. What is the best question to ask?
Do you need something for your pain?
Are you going to be sick?
Does something hurt?
How are you feeling?
45
A SMART goal should be which of the following (SATA):
Modifiable
Relevant
Attainable
Scientific
46
You administer your first ID injection and a small bleb forms. This is terrible!
False
True
47
What is wrong with the following nursing diagnosis?: Acute pain r/t mastectomy AEB pt grimacing and guarding.
Cannot include multiple AEB in one diagnosis.
Nothing, this diagnosis is correct.
Etiology is a medical diagnosis
Cannot have AEB for a risk for diagnosis
48
If you crush a tablet for medication administration, it should be added to:
The smallest amount of food/liquid possible
A 10 mL cup of tap water
The patient's favorite food
A large cup of pudding to mask the taste
49
A patient presents to the clinic with white discharge and itching of the vagina. When taking history, which is priority?
“What medications are you currently taking?”
“Are you able to sleep at night?”
“When was the last time you visited your primary health care provider?”
“Has this condition affected your eating habits in any way?”
50
Which of the following are parts of SBARR? (SATA)
Safety
Background
Recommendation
Review
51
What method is most effective for ensuring that a patient or their family understands the patient education delivered?
Active listening
Teach back
Nodding their head
Repetition
52
You are giving an intradermal injection. You are likely performing one of the following (SATA):
Allergy testing
Insulin injection
Influenza vaccine
TB test
53
If a patient needs to be transfered, rolling is a better alternative than lifting.
True
False
54
The patient complains of tiredness. What question would the nurse ask to get the most information?
Is your job stressful?
What time do you go to bed at night?
Do you eat heavy meals before bedtime?
What do you think is making you feel tired?
55
Which of the following are commonly experienced cardiovascular effects of immobility? SATA:
Thrombus formation
Aortic dissection
Orthostatic hypotension
Increased heart rate
56
Which of the following is the stage of infection characterized by vague, general symptoms?
Convalescence
Prodromal
Illness
Incubation
57
Which interventions utilized by the nurse will indicate the ability to recognize a localizedinflammatory response?
Orient to date, time, and place
Rest, ice, and elevation
Vigorous range-of-motion exercises
Turn, cough, and deep breathe
58
What is the preferred site for intramuscular injection in an adult?
Deltoid
Vastus lateralis
Dorsogluteal
Ventrogluteal
59
A nurse is confirming placement of an NG tube. They want to use the gold-standard when it comes to checking so they...
Chest x-ray
Inject air and listen for bubbling
Aspirate the contents and visualize their color
Use a pH strip
60
Which of the following medications cannot be crushed? (SATA)
Tablet
Sublingual
Sustained release
Enteric coated
61
A decrease in calcium absorption in the bones might lead to which of the following complications of immobility?
Renal calculi
Urinary stasis
Decreased muscle mass
UTI
