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Funds Proctored Pg 1-15 Flashcards | StudBud
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Funds Proctored Pg 1-15
Funds Proctored Pg 1-15
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1
How should a 1-yr old's car seat be oriented?
Back seat facing backward
Front seat facing backward
Front seat facing forward
Back seat facing forward
2
Ethical code where nurses are responsible for their own actions and consequences
Advocacy
Accountability
Confidentiality
Responsibility
3
When would a patient be placed in Sims position?
Enema
Postural drainage
COPD pt with dyspnea
Chest physiotherapy
4
What cardiac landmark would you auscultate to the left of the sternal border at the 2nd intercostal space?
Erb's
Pulmonic
Apical
Aortic
5
What are S/S of Carbon Monoxide Poisoning?
Loss of Consciousness
Vomiting
Headache
Nausea
6
What can a Nurse delegate to a LVN?
Vital Signs upon Patient Admission
Assess Pain levels
Wound Care
Pass Meds
7
What helps limits a patient's risk for falls?
Patient placed near nurse's station
Keeping 4 side rails up
Socks on elderly patient
Call light within reach
8
A charge nurse forcing a nurse not to file an incident report is an example of an Ethical Dilemma
False
True
9
What scenario(s) would a charge nurse intervene when observing a newly licensed nurse?
O2 via nasal cannula to pt in cotton garment
O2 via nasal cannula to pt in wool garment
Nurse giving an enema to pt in Sims position
Nurse giving an enema to pt in prone position
10
What is acceptable when administering Nasopharyngeal suctioning?
Hyper-oxygenate patient with 100% O2 prior to suctioning
Suction while inserting catheter
Intermittent suctioning while withdrawing catheter
Performing 2nd pass 30 seconds after the first
11
What is an expected finding when assessing the lungs?
Resonance
Rhonchi
S1 and S2
Hyperresonance
12
What object is no longer sterile?
Bottle cap placed face up on non-sterile surface
sterile forceps dropped 6" above field
Sterile soaked gauze on sterile field
Sterile hands held above the waist
13
What seizure intervention requires further instruction?
Padding siderails
Using tongue blade to depress tongue to open airway
Turn patient to side during seizure
Loosen restrictive clothing
14
Ethical Principle of fair treatment in matters related to care and use of resources
Justice
Autonomy
Advocacy
Ethical Dilemma
15
The Nurse is responsible for answering questions about the surgery after Informed Consent is signed.
False
True
16
Using a pulse ox on a woman's finger with nail polish will give an accurate reading.
True
False
17
A patient is deficient in vitamin D. What food should be recommended to this patient?
Oranges
Chicken
Dried peas
Whole milk
18
What is a Breach in HIPAA Policy?
Discussing a patient with a nurse from another floor
Writing a patient's name on Nurse's station white board
Using the restroom when Nurse's Notes are left on screen
Discussing an unconscious patient's labs with their DPOA
19
What patient would you see first?
4-hr Post-op amputee with sanguinous drainage on dressing
Pt on Warfarin with INR of 2.7
COPD Pt with O2 Sat 90%
MVA Pt with tracheal shift to the right
20
The pulse deficit is the difference between the apical pulse and dorsalis pedis pulse rate.
True
False
21
What would decrease a patient's respiratory rate?
Anxiety
Anemia
Smoking
Opioids
22
What is a normal finding during an ear assessment?
light reflux visible at 12 o'clock in left ear
Amber fluid behind Tympanic membrane
Bone Conduction > Air Conduction on Rinne Test
Tympanic membrane appears pearly gray
23
An Ethical decision between two or more choices that are influenced by values and beliefs.
Accountability
Veracity
Ethical Distress
Ethical Dilemma
24
What would be your nursing priority for an unstable patient?
check heart rate
Assess LOC
Ensure airway patency
assess respirtations
25
A nurse that supports a patient's DNR status is an example of what ethical principle of the patient?
Somnolence
Autonomy
Veracity
Beneficence
26
What should you do when applying cold therapy to an ankle sprain?
Assess pedal pulse and cap refill using ice pack
Apply ice in 60-min intervals
Apply cold pack to edematous area
Fill pack with 1/2 crushed ice
27
Which scenario requires further teaching regarding spread of infection?
Cancer patient in positive pressure room
Holding bed linens away from body
TB patient using surgical mask during transport
Nurse with artificial nails uses a glove size larger
28
The radial pulse is palpated using your thumb.
False
True
29
What lab value would a nurse notify the MD?
Calcium 9.4 mg/dL
Potassium 3.7 mEq/L
INR 3.4
BUN 20 mg/dL
30
What are examples of Subjective Data?
A patient states they fell in the shower
3+ Pitting edema
A&O x 4
A patient's self report of pain
31
What isolation precaution is used for a patient with HIV?
Contact
Droplet
Standard
Airborne
32
What events would require an incident report?
Administering the wrong dose of a medication
Patient falls in the bathroom
Witnessing a nurse save morphine instead of waste it
Restraints placed on a patient for the nurse's convenience
33
What should a nurse assess next if a patient has a weak radial pulse bilaterally?
Assess apical pulse for 1 minute
Assess capillary refill
Auscultate lung fields bilaterally
Assess pedal pulse
34
What is a sign of infiltration at a peripherally inserted IV site?
Erythema
Warmth
Oozing of blood
Edema
35
What isolation precaution is used for a patient with Pertussis?
Droplet
Contact
Standard
Airborne
36
What is an example of therapeutic communication?
"You seem upset"
"You won't be in pain after your medication"
"Why won't you take your aspirin?"
"You will be fine. Your doctor is the best in their field."
37
What techniques would you try before applying restraints?
Increase pain medication
Reorientation
Diversion
Raise all side rails
38
What is a fall risk for an elderly male patient?
Hct 48%
BP 106/76
IV peripherally inserted
Negative Romberg Test
39
What test would assess a patient's Balance?
Snellen
Chvostek
Rinne
Romberg
40
What are examples of Advance Directives?
Code Blue
Health Care Proxy
Living Will
Durable Power of Attorney
41
What are proper ergonomic techniques?
Hold heavy objects away from your body
Spread feet apart to lower center of gravity
Twisting while lifting a patient onto a gurney
Ask for assistance when ambulating pt
42
What is a nursing intervention for a pt with orthostatic hypotension?
Restrict sodium intake
Change positions slowly
Smoking cessation
DASH Diet
43
What is the responsibility of the nurse regarding Informed Consent?
Communicate the purpose of the procedure
Describe other options to treat the condition
Explain Risks vs. Benefits
Witness the patient sign Informed Consent
44
A nurse telling a patient that she has Leukemia when the patient asks is what ethical principle?
Veracity
Beneficence
Responsibility
Accountability
45
When does discharge planning begin?
Upon Admission
1 hour before surgery
During the Termination Phase
The Day of Discharge
46
What would be a cause of concern 24 hours post-op?
Pain 7/10
30% dressing saturation of serosanguinous exudate
Purulent exudate from a pressure ulcer
Open wound healing by tertiary intention
47
What stage of pressure ulcers is a partial thickness injury?
Stage 4
Stage 3
Stage 1
Stage 2
48
What position would drain the base of the left lung?
Reverse Trendelenberg
Prone
Trendelenberg
Sims
49
Wound healing is promoted by an intake of protein of 1.8g/kg/day.
True
False
50
Fidelity is an ethical agreement that the care given is in the best interest of the client.
True
False
51
What can a nurse delegate to CNA's?
Vital Signs
Ambulating a patient
Foley Insertion
Placing electrodes on a stable patient
52
What is required for a patient in Contact Precaution?
Gown
Surgical Mask
Face Shield
Gloves
53
What is an example of the Planning in the Nursing Process?
Identifying the patient's needs
Evaluating if the patient met goals of care
Taking Vital Signs
Creating a Care Plan
54
What is Objective Data from a head-to-toe assessment?
Pain 6/10
PERRLA
Dizziness
Nausea
55
What would is healing by secondary intention?
A surgical wound closed by sutures
Wound left open until infection is gone
Eviscerated wound
Wound healing from the bottom upwards
56
The threat of physical or verbal harm against another person is what type of tort?
Assault
Negligence
Malpractice
Battery
57
What would you do when assessing the abdomen?
Auscultate after palpation
Auscultate before Inspection
Percuss after auscultation
Auscultate after inspection
58
Dropping gauze 12" above the sterile field maintains sterility.
False
True
59
What should a nurse do when receiving a telephone order from a MD?
Have a second nurse witness
Enter the Prescription into the Nurse's Notes
Clarify the Order
Repeat the Rx back to the MD
60
Informed consent can be obtained when the patient is currently on pain medications.
True
False
61
What diseases require airborne precaution?
Mumps
Varicella
Measles
C. Diff
62
Infants should not be placed on their back to sleep due to risk of aspiration.
True
False
63
A wound care nurse is able to change the first dressing post-op.
False
True
64
When opening sterile package, open the top flap away from you first.
True
False
65
What patient would require a Positive Pressure isolated room?
Chemo pt
Tuberculosis pt
Pertussis pt
C. Diff pt
66
Incident reports are not documented in the Nurse's Notes.
False
True
67
What BP Reading is stage 2 hypertension?
186/122
119/78
144/90
168/98
68
What are examples of Secondary Prevention?
Johnson & Johnson COVID Vaccine
Diabetes Management Program
Mammogram
HIV Screening
69
Discussing plan of care for a patient with a doctor from another hospital is a breach in HIPAA.
False
True
70
What patient would be your nursing priority?
Femoral fracture patient with absent pedal pulse
Post-op patient with paralytic ileus
Leukemia patient with 101 Fever
Pneumonia patient with bilateral crackles in the lungs
71
What would be an indication of infection?
WBC Count 11,000
Oral Temp 99.7 F
Diminished Breath Sounds
A&O x 2
72
What is a breach in sterility?
Holding hands above the waist
Touching outer 1 in of sterile drape without gloves
Placing cap of bottle on sterile field
pouring liquid with label facing the palm of hand
73
A cuff that is too small will get a falsely high BP reading.
False
True
74
A patient is experiencing dyspnea. What position should the nurse place the patient?
Fowler's
Supine
Trendelenberg
Left Side Lateral
75
What is your Nursing Priority if a trash can catches on fire in a patient's room?
Rescue Ambulatory Patients
Rescue Nonambulatory patients
Extinguish the fire
Pull the fire alarm
76
An Intentional Tort where a nurse restrains a patient without their consent or MD order.
Beneficence
Ethical Dilemma
False Imprisonment
Battery
77
What is not one of the five rights of Delegation?
Right Supervision
Right Documentation
Right Task
Right Circumstance
78
Code Status is included in what part of SBAR?
Situation
Background
Assessment
Recommendation
79
When would medication reconciliation be done?
Discharge of patient
Patient moved from ER to ICU
Change of Shift report
Elderly patient from nursing home admitted to ER
80
What are examples of Unintentional Torts?
Battery
False Imprisonment
Negligence
Malpractice
81
Which position would you place a patient with a chest tube?
Prone
Orthopneic
Lithotomy
Supine
82
What is an example of Primary Prevention?
Booster Shot
Stroke Rehabilitation Program
Cancer Screening
Vaccination
83
What requires intervention regarding at-home care for a Tracheostomy?
Patient cuts gauze to place between neck and trach tube
Patient cleans trach using medical asepsis
Pt soaks inner cannula of trach with normal saline
Allow 2 fingers of slack under tracheostomy ties
84
A nurse holding a dying patient's hand is an example of
Veracity
Nonmaleficence
Autonomy
Beneficence
85
A patient is having issues with balance following a MVA. The nurse should suspect injury to what part of the brain?
Pons
Hypothalamus
Cerebellum
Cerebral Cortex
86
Nurse did not specify the site for a temperature check. What Right of Delegation does this break?
Right Communication
Right Supervision
Right Task
Right Circumstance
87
When would you use alcohol hand rub to perform hand hygiene?
Visibly soiled hands
Helping C. Diff patient
upon entering HIV Patient's room
After using the restroom
