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PNP FINAL
PNP FINAL
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there was too much damn information to fit in less than 100 questions... sorry y'all lol
Flashcards
85 cards
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Questions
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Answers
1
What technique does the nurse use when providing cuticle care for a patient?
Uses a plastic stick for cleaning
Soaks the patient's fingers in hot water while cleaning
Uses a nail brush for cleaning
They cuticles with nail scissors
2
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if patient reports rectal beleeding
no bowel elimination problems
if palpable mass is detected.
if there is a family history of polyps
3
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Absorption of nutrients
storage of food
Secretion of intrinsic factor
Mucus secretion
Production of hydrochloric acid
4
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Malabsorbtion
Intestinal irritation
Infection
Parasites
5
The emergency department nurse hears that a tornado hit the east side of town.Which action should the nurse take first?
restore esential services
prepare for an influx of patients
evacuate patients
contact the American Red Cross
6
What finding would indicate that the tracheostomy tube has become dislodged?
Patient speaking to nurse
SpO2 reading of 96%
Clear breath sounds
Respiratory rate of 18 breaths/minute
7
select all that apply
Presence of fever
Current medications
Serum electrolytes
Age
Health care provider’s order
Patient’s current behavior
8
Which nursing action is appropriate in surgical hand asepsis?
keeping the hands below the elbows
scrubbing hands for 3-5 minutes
allowing the rinse water to flow from elbows to hands
washing underneath finger rings
9
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New, vigorous bubbling in the water-seal chamber.
Pain score of 2 one hour after the administration of the analgesic
Clear but slightly diminished breath sounds on the right sideof the chest.
Scant amount of sanguineous drainage noted on the dressing.
10
Which nursing action is being depicted in the picture?
Cleaning the teeth
You're getting the oral cavity
Removing oral secretions
Performing the tracheobronchial suctioning
11
What process do particles move out from an area of greater concentration to one of lesser through special carrier?
Pinocytosis
Active Transport
Osmosis
Passive diffusion
12
What kind of injection does the picture display?
intramuscular
subcutaneous
intradermal
intravenous
13
Which assessment does the nurse use as a clinical marker of vascular volume in a patient at high risk of ECV deficit?
Fullness of neck veins when upright
Dryness of mucus membranes
Fullness of neck veins when supine
skin tuggor
14
-READ THE PROMPT-
DNR
allergies
fall risk
hypothermia
15
-read-
airborne
contact
droplet
standard
16
What condition is caused by tooth decay?
xerostomia
dental caries
peridontal disease
gingivitis
17
Which term suggest intake for individuals based on experimentally determined estimate of nutrient intakes?
Adequate intake
Recommended dietary allowance
Estimated average requirement
Tolerable upper intake level
18
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Total fat
Vitamins
Proteins
Carbohydrates
Minerals
Fiber
19
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incubation stage
illness stage
prodromal stage
viral stage
20
-READ THE PROMPT-
using a walker or cane
avoid needle sharing
performing rang-of-motion exercises
practicing hand hygiene
21
Which pressure injury has obscured for skin thickness and tissue loss?
unstageable
4
3
1
22
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gastric juices
saliva
stool
serosanguineous drainage
Urine
23
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moves nervously in bed, swears and grimaces when trying to cough
very drowsy, loses attention when the nurse asks questions
speaks in a loud voice and becomes irritable when the nurse arrives to help
maintains eye contact with the nurse, is calm during the nurse’s assessment
24
The risk of motor vehicle accidents is higher among 16- to 19-year-old drivers than any other age-group
False
True
25
Which skills can the nurse delegate to assistive personnel (AP)? Select all that apply
Initiate oxygen therapy via nasal cannula.
Reposition a patient with a chest tube.
Perform nasotracheal suctioning of a patient.
Assist with care of an established tracheostomy tube.
26
-READ THE PROMPT-
teaching about safe use of equipment for play and work
instructing about safety durring specific sports
teaching bicycle safety
showing how to operate electrical equipment
27
Daily values are based on percentages of a diet consisting of how many kilo calories per day?
2500
2000
1000
3000
28
Which part of the tooth weekends with aging, causing patient to be more prone to infection?
mandible
periodontal membrane
enamel
neck
29
An IV fluid is infusing more slowly than ordered. Which factors could cause this slowing?
Infiltration at VAD site
kinking in the tubing
Circulatory overload
Roller clamp is wide open
Iv has come out of patients arm
Patient lying on tubing
30
The nurse is caring for a patient with an artificial airway. What arereasons to suction the patient? SATA.
The patient has clear breath sounds.
There is a sawtooth pattern on the patient’s EtCO2 monitor.
It has been 3 hours since the patient was last suctioned.
The patient has excessive coughing.
The patient has visible secretions in the airway.
31
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Ask patient to take a deep breath
Continue the installation and administer pain medication
Stop the installation
Tell the patient to bear down
32
-READ THE PROMPT-
make a regular habit of doing safety checks on equipment
do not operate the equipment without instructions
free flow protection devices should be used
place a tag on faulty equipment
33
What condition with the nurse document after observing that the patient has inflamed gums?
xerostomia
periodontis
gingivitis
dental caries
34
The portal of exit for the influenza virus is which area of the body?
respritory tract
blood
mucous membranes
reproductive tract
35
select all that apply
Apply ice to the site for relief of burning pain.
Notify the patient’s health care provider of assessment findings.
Administer an oral medication for pain.
Assess the injection site.
This is a normal finding, so nothing needs to be done.
Document assessment findings and interventions in the patient’s MR.
36
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Perform chest compressions.
Place the patient supine.
Educate the family about the need for CPR.
Ask someone to bring the AED to the room for immediate defibrillation.
Apply oxygen via nasal cannula.
37
Which oral care activity is ineffective at removing plaque on the teeth?
Using fluoride toothpaste
Using waxed floss
Electric toothbrushes
Using foam swabs
38
The trochanter roll aids in prevention of external rotation of the hips when patient is in the supine position.
False
True
39
Which dressing with the nurse use to protect and absorb moisture for a pressure injury?
adherent film
gauze
calcium alginate
hydrogel covered in foam
40
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3
1
2
4
41
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histidine
alanine
phenylalanie
lysine
42
What category describes selenium?
Inorganic substance
Vitamin
Antioxidant
Trace elements
43
Which dressing with the nurse use for a patient with a clean stage three pressure injury?
Nothing
Adherent film
Composite film
Calcium alginate
44
select all that apply
Gloves
N95 respirator mask
surgical mask
Face shield or goggles
Disposable mask
Disposable gown
45
-read-
relieves the pressure on heels
prevents shoulder dislocation
improves ventilation
prevents hyperextension of knee
46
A nurse is performing wound care. When would the nurse administer pain medication to the patient?
Before the procedure
20 minutes before the procedure
After the procedure
An hour before the procedure
47
Which foot problem does the nurse anticipate if the patient reports using oval corn pads to treat corns?
ulceration
burns
infection
abrasions
48
What vitamin does not have antioxidant properties?
c
e
a
d
49
The nurse is preparing medication for her patients right ear. Which abbreviation reflects the prescription?
OD
AD
OS
AS
50
What pressure injury has a persistent non-blanchable deep red or maroon discoloration?
unstageable
stage 2
deep-tissue
stage 1
51
Which factor increases the risk of injury when applying heat therapy to a wound for a pediatric patient?
thin layers of skin
Alteration in nerve pathways
Decreased peripheral circulation
Rupture and systemic infection
52
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Notify the health care provider.
Encourage the patient to use the incentive spirometer.
Start oxygen at 2 L/min via nasal cannula.
Elevate the head of the bed to 45 degrees.
53
Which physiological component of the immune system requires biotin as a vital nutrient?
skin
mucous
t-cells
GI tract
54
Which factor is the greatest risk of injury for an adolescent?
accidents at home
poisoning and child abduction
physiological changes of aging
automobile accidents, suicide, and substance abuse
55
Watch about elimination problem is associated with abdominal fullness, cramping, distention, and severe sharp pain?
Fecal incontinence
Hemorrhoids
Diarrhea
Flatulence
56
Which group is at the HIGHEST risk of lead poisoning?
adults
infants
adolescents
older adults
57
Which pressure injury is expected to show through granulation and reepithelialization?
unstageable
stage 4
stage 3
stage 2
58
The nurse assesses pain and redness at a VAD site. Which action is taken first?
Report the situation to the health care provider.
Discontinue the IV infusion.
Apply a warm, moist compress.
Aspirate the infusing fluid from the VAD.
59
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impaired skin condition
chronic pain
risk of ineffective cerebral tissue blood flow
risk of inability to tolerate activity
60
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Loosen ends
apply hard traction to the skin next to the wound
Gently pull the outer and against the skin surface
Gently pull the outer and perpendicular to the skin surface
Use adhesive remover to loosen the tape
Pull the tape in the direction of hair growth
61
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Get three fecal smears when blood is present visibly
Obtain one fecal smear from an early morning bowel movement
collect three fecal smears from three separate bowel movements
Get three fecal smears from one bowel movement
62
What factor leads to skin maceration?
exessive use of soap
repeated trauma
constant moisture
dry razors
63
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Applying adhesive tape
Using oval corn pads
Cutting corns are calluses with a razor blade
Using over-the-counter liquid preparations
64
-READ THE PROMPT-
sexual assault within the hospital
death caused by medication error
wrong surgical procedure was performed
patient suicide within the hospital
65
Elements do proteins contain that makes them different from carbohydrates?
hydrogen
carbon
oxygen
nitrogen
66
The nurse creates a step by step procedure for making the bed. Which is correct?
Placing soiled linens in special linen bags before hamper
Discarding of soiled linens in hamper
Straightening the linen if it becomes loose or wrinkled
Raising the bed before changing the linen
Shaking soiled linens
Tucking the top she in at the corners
67
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place wrist restraints on patient
place patient in a belt restraint
provide one-on-one supervision
place a bed alarm device on bed
68
HBV and HCV are the infections most commonly transmitted by contaminated needles.
True
False
69
A stage one pressure injury has a blanchable arrhythmia and intact skin.
False
True
70
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Uses chlorhexidine gluconate mouthwash
Applies water-based moisturizer to the lips
Ice chips
Uses lemon glycerin sponges
71
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HCV
viral meningitis
pneumonia
tuberculosis
72
The sterile gown acts as a barrier to decrease shedding of microorganisms from skin surfaces into the air.
False
True
73
When delegating IO measurement to assistive personnel, thenurse instructs them to record what information for ice chips?
2/3 the volume
1/3 the volume
1/2 the volume
double the volume
74
in which part od the skin does the normal flora reside?
epidermis
collagen fibers
dermis
subcutaneous tissue
75
Which type of laxative acts by causing the stool to absorb water and swell?
stimulant
lubricant
bulk-forming
emollient
76
What is the most contaminated part of your used PPE?
mask
goggles
gloves
gown
77
-read-
droplet
contact
protective environment
airborne
78
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Elevate the head of the bed to a 45° angle after patient is on bedpan
Adjust the head of the bed so that it is lower than the feet
Make sure patient has a nurse call system to notify when they are done
Lift the patient's hip off of the bed and slide the bed pan under them
79
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Sure that the patient eats alone
Offer smaller and more frequent meals
Provide a low fiber diet
Instruct the patient to skip breakfast
80
Partial thickness loss with exposed dermis is a stage two pressure injury.
True
False
81
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Redistributes pressure
reduces friction and pulling on the skin
Encourages movement
Keeps the skin cool and dry
82
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lactose intollerance
Allergy to maltose
Irritable bowel syndrome
food allergy
83
-READ THE PROMPT-
communication impairment
anxiety
suffocation
injury
84
What health promotion strategy would be classified as passive?
nutrition programs
wearing seat belts
clean water laws
exercise programs
85
Instruction is beneficial to a patient with dry skin?
Add moisture to the air by using a humidifier
Use of topical antibiotics
apply antiseptic lotion and spray
Is more frequently