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NUR 111 Final Review
What is re-feeding syndrome?
Which is not a possible cause of delirium?
NUR 111 Final Review
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1
Which is not a possible cause of delirium?
Infection: UTI
Medication
Dementia
infection: pneumonia
2
What is
re-feeding syndrome
?
When you eat after exercising.
Cascade of metabolic / e-lyte imbalances r/t too much food.
Giving an enteral feeding through NG or J-Tube.
A myth.
3
Nurse discovers the pt's radial pulse is 70 & irregular. What is suspected of pt's heart?
Cardiac muscle fibers are losing the ability to shorten
Cardiac cells in right atrium are damaged
The heart is not able to respond to changing demands
Heart muscle fiber tension at the end of diastole is damaged
4
The nurse uses an otoscope to examine an adult client's ears. The nurse should
shine pen light in ear cavity
pull ear up and back
pull ear up and down
instruct patient to follow the pen light with their eyes
5
A nurse manager is talking to a charge nurse about a patient. This is communic. in a ___ team
co-existing
interdisciplinary
intradisciplinary
parallel functioning
6
Subjective, Objective, Assessment, Plan of care, _____, Evaluation, Revision
Idopathic
Illness
Identification
Interventions
7
A nurse wants to promote effective coping for a client with impaired vision. The nurse should
ignore client's disorientation
place bedside table with personal items away from client
speak loudly and slowly
maintain an uncluttered environment for the client
8
A family member asks the nurse to explain the purpose of hospice care. Whigh is best response?
Focuses on symptom management for pt not responding to Tx
When the patient desires to intentionally end his life
Is holistic care for pt dying and not expected to improve
Focuses on minimizing the disease process fast as possible
9
A patient is hospitalized with depression after a divorce. What type of loss is he experiencing
Perceived
Physical
External
Actual
10
Which laboratory test is used to diagnose eating disorders?
BUN
Cholesterol
There are no lab tests to diagnose eating disorders
CBC
11
A Catholic client fasts until he receives communion, but must have food before taking meds....
Tell pt he must eat even though he has not gotten communion
Notify the healthcare provider
Give the pt his meds without giving him food first
Adjust the meds schedule to fit pt needs
12
Normal core body temperature?
99 F
34 C
37 C
95 F
13
What is the chill phase?
Pt experiences chills/cold
Core tempartue reaches new set point
14
What is the general purpose for the white boards in the patient's room?
Distraction from a procedure
Communication during care
Where family members can leave heartfelt notes
Fun place to draw when the patient gets bored
15
A nurse who addresses healthcare issues in the local community is serving which role as an RN?
Client advocate
Collaborator
Entrepreneur
Case Manager
16
What is the difference between background questions and foregroundquestions?
Foreground questions are broad
Foreground question addresses multiple clinical issues
Background questions address a range of clinical issues
Background questions are general & seek more info on a topic
17
What is the disease caused by eating large amounts of food then forcefully getting rid of it?
Anorexia nervosa
Binge-eating disorder
Bulimia nervosa
Rumination disorder
18
Which acculturation behavior will the nurse observe in a pt who emigrated from MX to the U.S.?
The client only speaks Spanish
Attends church within the community to meet new people
Won't look the nurse in the eyes during the assessment
The client only buys products that say "made in Mexico"
19
What is the treatment for hyperthermia?
Antipyretics
Warm IV fluids
Warm slowly
Wrap in blankets
20
Who performs care for a new ostomy?
The nurse
Delegate to UAP
The patient
The doctor
21
What is the difference between qualitative and quantitative research?
Quantitative uses precise measurement to collect data
Qualitative is used to test relationships between variables
Quantitative explores individualssubjective experiences
Qualitative research does not use the scientific method
22
Which of the following demonstrates the behaviorist learning theory
imitation and modeling
allowing learner to establish goals
positive reinforcement
multiple learning theories
23
What is the correct order to assess the abdomen?
Percussion, palpation, inspection, auscultation
Palpation, percussion, auscultation, inspection
Auscultation, percussion, palpation, inspection,
Inspection, auscultation, percussion, palpation
24
During the nursing assessment, which data represents information concerning health beliefs?
Use of prescribed and over-the-counter medications
Family role and relationship patterns
Educational level and financial status
Promotive, preventive, and restorative health practices
25
What is the most common respiratory disorder in the next 2 days following a surgery?
Pneumothorax
Atelectasis
Asthma
Bronchitis
26
A nurse is caring for a dying pt who is nonresponsive. Which is important for the nurse to do?
Tell the patient when the nurse is about to leave the room.
Sit by the head of the bed when speaking to the patient
Direct explanations about care to family members.
Be alert to the patient's nonverbal cues.
27
What is the plateau phase?
Core temperature reaches new set point
Excessive sweating
Chills/cold
28
What concept of body image is accepting your body and no longer feeling shameful of appearance?
Subjective satisfaction
Perceptual
Behavioral
Cognitive
29
Medicare provides ______ insurance for ______ patients.
Private, Disabled
Private, Poor
Public, Poor
Public, Older
30
What is an example of the social learning theory?
vital signs
a nurse writing a progress note
a student in nursing school
a nurse doing wound care in front of patient
31
What is thermogenesis?
Increased metabolic rate and muscular activity
Decreased metabolic rate and decreased mucuslar activity
Increased metabolic rate and decreased muscular activity
Decreased metabolic rate and increased mucsular activity
32
Which client population is at high risk for low levels of health care?
Young adults
Undocumented immigrants
Transgenders
Bisexuals
33
What is the most common complication of enteral therapy?
Diarrhea
Headaches
Constipation
Bloating
34
Which food would you advise a patient with hypokalemia to eat?
Apples
Cantaloupe
Peas
Cauliflower
35
The process of enabling people to increase control over & improve their health according to WHO
Health prevention
Health detection
Health restoration
Health promotion
36
What is NOT a symptom of Hypoxia?
shortness of breath
Confusion
slow heart rate
Cyanosis
37
Which age group is more at risk for poisonings
School Age Children
Preschoolers
Adolescents
Young Adults
38
What is not a hazard of the workplace?
Fractures
Lavender Towels
Falls
Needle Sticks
39
What method of care is one nurse personally responsible for total care of assigned patients?
Case Method
Managed care
Case Management
Functional Method
40
Nurse is reviewing results of a pt's ECG & notes changes in the QRS complex. What is indicated?
There is damage to the heart muscle
There is a problem with the cardiac atria
There is a problem with the cardiac ventricles
Impulses from the SA node is delayed
41
Thermoregulation is controlled by?
Kidneys
Hypothalamus
Spine
Cerebellum
42
Intradisciplinary and interdisciplinary assessments include all of the following EXCEPT:
Audit
Peer reviews
Outcomes management
Impact of financial decisions on patient care delivery
43
When assessing a child, what should be assessed last?
Lungs
Heart
Throat
Abdomen
44
Best place to get a core temperature?
Oral
Rectal
Auxillary
Tympanic
45
The nurse should understand the structure of the pt's family to ensure that:
They are served their favorite foods during their treatment
Everyone is able to visit with the pt
A holistic plan is formulated to include the whole family
Each member is addressed correctly
46
Which of the following expands body’s fluid volume w/o causing fluid shift within compartments?
Blood Products
Isotonic Solutions
Hypertonic Solution
Hypotonic Solutions
47
External variables that influence health?
Intellectual stage & happiness
Lifestyle choices & healthy or unhealthy activities
Emotional & spiritual factors
Developmental stage & cognitive ability
48
Which of the following should the nurse do when assisting the patient to ambulate?
Place a hand under the axilla to provide support
Ensure the patient walks as far as possible
Encourage the pt to watch their feet to ensure a steady gait
Use a gait belt to provide support
49
The nurse only left short note on the patient status for his shift. What did she not do well?
Patient Care
Collaboration
Diagnosing
Communication
50
RN is educating a student about enteral feeding safety, __ indicates the student understands?
"Prone position"
"Pt should be 30-45 degrees during feed"
"How ever the pt is comfortable"
"Pt should be laying flat"
51
what are signs and symptoms of fluid loss?
Lowered BP Elevated HR
Elevated BP Lowered HR
Elevated BP Elevated HR
Lowered BP Lowered HR
52
Which clinical manifestation would the nurse expect to see in patient with hypocalcemia?
hypoactive bowel sounds
Negative Trousseau's Sign
Hypoactive Deep Tendon Reflexes
Twitching
53
Which of the following is not a quality of pain?
cold
burning
visceral
cramping
54
Mr. Brown is experiencing SOB .The nurse most appropriately assists him into which position?
Dorsal recumbent position
Fowler's position
Sims' position
Lateral position
55
A low birth weight may cause
Hypersensitivity to touch
Visual defects
Hearing loss
Altered taste
56
Which of the following are not one of the 3 types of psychological links of commitment?
effective
continuance
normative
organizational
57
Which client is at highest risk for the development of a serum sodium value of 130 mEq/L?
The client who is taking corticosteroids
The client taking diuretics
The client with hyperaldosteronism
The client with Cushing’s syndrome
58
The client reports nausea and constipation. Which of the following would be priority action?
Collect a stool sample
Complete an abdominal assessment
Notify the physician
Administer an anti-nausea medication
59
Why can conflict among healthcare workers be a good thing?
It allows an outlet to vent and release negative tension
Arguing helps others understand only one opinion is right
It can better communication and promote healthy change
It isn’t because it only brings about negativity
60
The client states pain level of 6. Which is indicated about the pain?
Onset
Quality
Intensity
Duration
61
A family assessment includes:
Assessing individual family members separately
Assessing only the pt's perception of their family dynamic
individual family members & their interactions w/ each other
Assessing only those members living in the household
62
Which of the following religions believe in cremation within 24 hours of death?
Buddhism
Hinduism
Hinduism and Judaism
Judaism
63
Patient has order for IV admin of Potassium Chloride. Which action by the nurse is incorrect?
Monitoring urine output during administration
Ensuring medication is diluted in the appropriate amt of NS
Preparing the medication for bolus administration
Obtaining an IV infusion pump
64
A patient is diagnosed with anxiety. What medication will the nurse expect the doctor to order?
Anticholinergics
Antipsychotics
Antispasmodics
Anxiolytics
65
A pt is prescribed a low NA+ diet. Which food item does the nurse instruct the client 2 avoid?
Peas
Nuts
Processed Oat Cereal
Cauliflower
66
Which of the following are not QSEN competencies?
Safety
EBP
Competence
Quality Improvement
67
Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
Understand the law as it applies to the client's condition.
Seek out the nursing supervisor in conflicting situation.
Document changes in the medical record in a timely manner.
Understanding a pt's needs in order to act on their behalf.
68
Mask that delivers the highest oxygen concentration (95%) by means other than intubation?
Nonrebreather
Partial Rebreather
simple face
Venturi
69
Which concept supports that errors or near misses can be reported without fear of punishment?
Just culture
Responsibility
Accountability
Blame-free environment
70
Diagnostic test for fever of unknown origin?
Urinalysis
Finger Stick
Chest X-Ray
CBC
71
10 years after a death, and a family member is still not over it, What types of grief is it?
Dysfunctional
Anticipatory
Abbreviated
Inhibited
72
When using FICA for asking questions during a spirituality assessment, what does F stand for?
Family and Practices
Future or Outcomes
Forward and Direct
Faith or Beliefs
73
Which of these doubts existence of God/supreme being or believes existence has not been proven?
Atheism
Agnostic
Monotheism
Polytheism
74
Which of these would you expect to find in a patient with hyponatremia?
Hyperactive Bowel Sounds
Increased specific gravity of urine
Muscle Twitches
Decreased Urinary Output
75
If you suspect malignant hyperthermia what do you do?
100% nonrebreather mask
Remove covers and let patient rest
Stay with patient
Call Anesthesia Provider
76
When planning care for a family it is important to:
Understand their cultural background & how it effects them
Include only the parents in planning
Let them do everything on their own
Understand the family will always work together
77
When a pt is using a cane for maximal support, the patient should do which of the following?
Keep the elbow that is holding the cane straight and stiff
Distribute weight evenly between the feet and the cane
Hold the cane on the weaker side
Advance the weaker foot ahead of the cane
78
Which of the following is
NOT
common of those with dementia?
Alogia
Apraxia
Amnesia
Aphasia
79
Pain that last less than 6 months with a sudden onset is described as?
Acute
Severe
Mild
Intractable
80
What area of role performance is a patient who is worried she can't care for her kids at home?
Role ambiguity
Role conflict
Role strain
Role mastery
81
An A&O, terminal pt wants hospice care. Her Dr. wants more treatment. How can the RN advocate?
Advise her to try and speak with the Dr about her wishes.
Tell her you are not legally allowed to intervene.
Tell her to find a new Doctor
Tell her to call a lawyer immediately
82
A bedridden pt admitted from home with decubitis on the sacral area.The primary diagnosis
Feeding Self-Care Deficit related to blindness
Impaired Skin Integrity related to immobility
Risk for Imbalanced Body Temperature
Activity Intolerance related to prolonged bed rest
83
On a telephone order the nurse should write the complete order down and
tell the Dr to call back later
Read it back to the provider for accuracy
say goodbye
Tell the Dr we don't take phone orders
84
The ability to perceive environmental stimuli and body reactions
Awareness
Stress
Cognition
Injury
85
If a patient says they are no longer afraid of dying, What stage are they in?
Denial
Bargaining
Anger
Acceptance
86
Eupnea is:
Adequate pulmonary compliance and recoil
Clear Airways
Normal respiration that is quiet, rhythmic and effortless
Cessation of breathing
