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Exam 1 NUR 155 Unit 1 and 2 Flashcards | StudBud
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Exam 1 NUR 155 Unit 1 and 2
Exam 1 NUR 155 Unit 1 and 2
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#NUR155
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1
Generalizations formed from a set of facts are
inductive reasoning
intuition
deductive reasoning
socratic questions
2
Adventitious breath sounds located throughout the lung fields that clear with coughing
Wheezes
Crackles (Rales)
Gurgles (Rhonchi)
Friction rub
3
Sterile can only touch clean objects.
False
True
4
Stethoscope is located at second intercostal space, right of the sternal border
Mitral
Aortic
Pulmonic
Erbs' point
5
The client is on droplet precautions, what is taken off second?
mask
gown
goggles
gloves
6
A problem solving approach that relies on a nurses inner sense is
problem solving
intuition
trial and error
research process
7
To provide safe nursing care, the nurse should
put side rails down to encourage ambulation
lock the wheelchair only
have bed in highest position
have call bell in reach
8
Before assisting client to bed, the caregiver must
Ask client if they are ready to rock and roll
Make sure client is wearing favorite robe
Unlock the wheels of the wheelchair
Lock the wheels of the bed and wheelchair
9
SBAR communication is used to
communicate with another nurse during a transfer
communicate with the doctor
give a hand off report to the nurse
communicate with the patient
10
Clinical manifestations of infection include all except
pulse between 60-100
increased white blood cell count
puss draining from wound
increased temperature
11
Nurse assess an elevated, solid, hard mass about 0.5 to 2cm on the skin, this is a
Plaque
Pustule
Macule
Nodule
12
The client has mumps, what transmission base precaution is used?
Standard precautions
Airborne precautions
Droplet precautions
Contact precautions
13
Normoactive bowel sounds can be heard
Every 5 to 20 seconds
Every minute
Every 3 seconds
Every one or two minutes
14
Deflating the cuff too slowly will cause this to the BP reading
Erroneously high diastolic reading
Inconsistent measurements
Erroneously low reading
Erroneously high reading
15
A well written goal statement for a nursing diagnosis is
client will walk 50 feet within 12 hours
client will eat breakfast
client will void regularly
client will have no pain
16
Which documentation is complete?
Client walked without assistance
Client walked 10 feet without assistance and tolerated well
Client walked
Client walked this morning and afternoon
17
Determining a client who has dry skin, poor skin turgor, dark urine, and sunken eyes as dehydrated is using
deductive reasoning
inductive reasoning
intuition
trial and error
18
An age related finding related to blood pressure is
A newborn will have a systolic pressure is about 75mmHg
The older adult's blood pressure will decrease
The average adult is 140/90
A teenager's blood pressure is higher than older adults
19
Stethoscope is placed on the 5th intercostal space lateral to the sternum, the breath sound is
Tracheal
Bronchial
Bronchovesicular
Vesicular
20
Clinical causes of tachycardia
respirations of 20 bpm
blood pressure of 120/78
pulse O2 sat of 94%
Temperature 102.3
21
High risk fall clients may require
wrist restraints
rounding every four hours
rounding every two hours
rounding every hour
22
Demonstrating critical thinking to encourage activity, the nurse would
assess clients at the beginning of the shift
Instruct client to move from bed to wheelchair
instruct client to ambulate in the hall
encourage 6 y/o with broken arm to play with playdough
23
Assessment that is normal should be
Ignored
Reported
Documented
Called to the doctor
24
The client with mycoplasma pneumonia must go to xray, what should the nurse do
Have client wear surgical mask
Go with client to decrease fear
Have order changed to portable xray
Have client wear N-95 mask