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Final Exam Review-Concepts FA 2022 Flashcards | StudBud
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Final Exam Review-Concepts FA 2022
Final Exam Review-Concepts FA 2022
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1
Which of the following is a hypertonic IV solution?
D5W
0.9% normal saline
D5 0.45% normal saline
0.45% normal saline
2
In which scenario would the RN expect to see an isotonic IV solution ordered?
A patient who just ran a marathon and is now dehydrated
A patient with an electrolyte imbalance that's symptomatic
A post-op pt who just had appendectomy surgery & lost 1/2 a L of blood
A patient who isn't breathing upon arrival to the emergency room
3
Which is not a stage of dying
Depression
Anger
Denial
Anxiety
4
Blood and blood products can be given with what IV solution
0.9% NS
Lactated Ringers (LR)
0.45% NS
Water
5
A Braden score of a 20 indicates high risk for pressure injury?
True
False
6
What diagnostic imaging study/test would provide the most information on a pt would just suffered an injury to the brain
Lumbar puncture
X-RAY
MRI
Echocardiogram
7
Perioperative nursing care occurs before, during, and after surgery
False
True
8
Large intestines where water absorption occurs
False
True
9
AMA means Avoided Medical Assistance
False
True
10
S/S of hyponatrium include all of the following exept?
decreased LOC
seizures
decreased respirations
confusion
11
A pt comes to the ER c/o dyspnea & thick sputum. CXR reveals pneumonia. What ABG imb. will the RN anticipate?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
12
Define serosanguinous
Discharge that contains blood and pus
The first drainage that a wound produces
Blood that has been contaminated with nonsterile substances
Discharge that contains blood & a clear yellow liquid known as blood serum
13
A patient has expressive aphasia. Which communication techniques are appropriate for the RN to use?
Have patient use signing to communicate
Assist the patient to say what they need to say
Speaking loudly
Maintain use of yes/no questions
14
A patient has a PCA for pain, which answer indicates a need for futher education
I will not get more medication than I need
It goes into my IV when I push the button
Only the patient should push the button
Do not use until the pain is greater than a 10
15
What needs to be charted regarding a wound
current use of antibiotics
size
odor
color
16
The best way to evaluate pain is to ask the family
False
True
17
Some S/S of hypokalemia include heart palpitations, EKG changes, muscle dysfunction
False
True
18
Patient-centered goals must be measurable, time-specific, realistic
True
False
19
Define "orthostatic"
relating to or caused by pain in the teeth
relating to or caused by movement
relating to or caused by an upright position
relating to or caused by lack of movement
20
When prioritizing between patients, what must the RN consider? SATA
Current patient status (acuity)
ABCs
Maslow's Heirarchy of Needs
Voiding pattern
21
A patient suddenly becomes confused and agitated, what V/S would you assess
O2 sat
HR
BP
temperature
22
When inserting a foley, the RN breaks sterile field during glove opening, what's the RN's next step?
Keep going so long as the sterility of the foley field is not compromised
Obtain a new set of gloves
Obtain a new foley kit
Notify the charge nurse
23
Visceral pain is felt in the joints
False
True
24
True or False: A braden score of 20 indicates high risk for a pressure injury to occur
False
True
25
When caring for pts with ostomies, the RN knows what factor determines the stool characteristics?
Ordered diet
Location in GI tract
Past surgical history
Age
26
An ileostomy stool characteristics include
liquid
cannot be regulated
foul odor
formed
27
A pt received 1 unit of PRBCs for anemia. Which CBC test(s) demonstrate the blood was effective?
RBCs go up to WNL
Hct goes up to WNL
WBCs goes back to normal
Hgb goes up to WNL
28
What factors impaire a wound's ability to heal?
Age, comorbidities, mobility
Dressing type, cleanser used, current antibiotics
Access to wound care center, education level, environment
Allergies, code status, urination pattern
29
In chronic pain, the sympathetic nervous system is activated, therefore decreasing certain vital signs (BP, HR)
False
True
30
S.I.A.D.H involves too much secretion of anti-diuretic hormone. The RN is aware to assess for what s/s? SATA
Increased urine output
Elevated blood pressure
Low blood pressure
Low blood sodium levels
31
True or False: Dementia has an acute onset
True
False
32
Normal range of serum (blood) sodium is 125-135 mEq/L
True
False
33
Which assess. findx indicate to the RN that the pt has a hx of chronic respiratory issues?
The patient reports puffiness of both feet when standing for long periods.
All the patient’s fingernails are noticeably clubbed.
The patient’s chest has equal antero-posterior and transverse diameters.
The pt needs to rest their head on at least 4-5 pillows at night.
34
What is sanguinous drainage is?
yellow, green, or beige
pink to pale red. Mix of serous fluid and red blood
clear, watery fluid
bright red and indicates bleeding
35
Autonomy means
right to make decisions for children
right to represent a family member
right to be comfortable
right to self-govern
36
In the nursing process, assessment is the first step. What does this involve?
Information is assessed
Verifying facts based on patient description
Re-organizing thoughts & ideas
Gathering information on the basis of subj./obj. data collection
37
A liquid or semisolid which has been released through the tissues to the surface or into a cavity; drainage
Nodule
Chyme
Cyst
Exudate
38
After blood goes through the tricuspid valve, where does it go?
Right atrium
Pulmonary veins
Right ventricle
Pulmonary artery
39
For any procedure/skill, what does the RN verify first?
Allergies
DOB
Name
The physician's order
40
Right patient, right limb procedure is what's verified during a time out session
True
False
41
The RN would expect ABG analysis of a patient with chronic diarrhea to reveal a respiratory acidosis
True
False
42
A pt recenetly had a stroke on the R side of the brain. Which safety measure is MOST critical for the RN to perform?
Place call light on the patient's R side.
Educate patient to call before getting out of bed
Ensure there are no trip hazards in the room.
Leave bathroom light on at night for better visibility
43
What is the correct valve order during blood flow?
mitral, aortic, tricuspid, pulmonic
pulmonic, mitral, tricuspid, aortic
aortic, mitral, tricuspid, pulmonic
tricuspid, pulmonic, mitral, aortic
44
Delirium is not:
reversible
acute
state of confusion
a mood disorder
45
ABGs reveal pH: 7.34, PaCO
2
of 59, PaHCO
3
of 31. What imbalance is occuring?
Respiratory Alkalosis
Metabolic Alkalosis
Respiratory Acidosis
Metabolic Acidosis
46
The Braden scale involves the following factors: Activity, Friction & Shear, Moisture, and Sensory perception
False
True
47
What criteria needs to be met for hospice care? SATA
6-12 month expected to live
Poor prognosis
Pt desires comfort care
12-24 months expected to live
48
During this phase, the RN is org. data, prioritizing needs, identify actual or potential problem or response to an issue
Planning
Diagnosis
Implementatio
Assessment
49
Splinting in a techique used to decrease abdominal and thoracic pressures on large surgical sites when coughing/sneezing
False
True
50
A back rub is considered to be a form of nonverbal communication
False
True
51
What can unlicensed assistive personnel (UAP/techs) NOT do?
Obtain vital signs, ambulate pts. , remove IVs/foleys
Collect certain specimens, label specimens, delivery specimens
Order food, apply telemetry monitor, obtain telemetry reading
Teach, assess, or educate pts.
52
An RN has 7 business days to notify the TX BON of an address/name change
True
False
53
How many steps are involved with the nursing process?
7
5
6
4
54
When asking a patient about pain relief, what is the best source for the RN to use?
Patient's stated level of pain
Patient's vital signs after analgesic administration
Patient's EMR record
Patient's current mood & facial expressions
55
Types of nursing diagnoses include: SATA
Health promotion
Actual
Risk
Medical
56
TPN is isotonic
False
True
57
Two types of stroke are?
visual
cerebral
ischemic
hemorrhagic
58
H.C.G (the pregnancy hormone) stand for human chorionic gonadotropin
False
True
59
Which of the following are High flow oxygen delivery systems? S.A.T.A
Venturi Mask
Partial-rebreather
nonrebreather face mask
Simple face mask
60
Stage 4 pressure injuries go down into the epidermis, dermis, subcutaneous tissue, muscle and/or bone
False
True
61
The Nurse Practice Act is a body of legislature that governs nursing practice and can be found on the TX BON website
False
True
62
ABGs reveal pH: 7.55, CO
2
of 54, HCO
3
of 46. What imbalance is this?
Respiratory acidosis
Metabolic acidosis
Metabolic Alkalosis
Respiratory alkalosis
63
True or False: A non-rebreather face mask is a low flow oxygen delivery device
False
True
64
Reduced tactile sensation can result in skin integrity issues
True
False
