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UNIT 1 REVIEW
UNIT 1 REVIEW
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Questions
30
Answers
1
Which method of obtaining temperature is most accurate & closest to the core temperature?
Rectal
Temporal
Oral
Axillary
2
Which of the following persons should the nurse see first?
Patient with a heart rate of 102 after PT
Patint complaining that they can't breath and have an O2 sat of 89%
Postoperative patient requesting pain medication immediately
Post op patient that will be discharged today
3
The tech reports a patient's blood pressure of 84/42. What should the nurse do
first
?
Have the charge nurse recheck the blood pressure
Call a code blue
Recheck the reading manually
Have the nurse recheck the blood pressure
4
This type of prevention is aimed at persons with a deficit or permanent disability
Primary
Tertiary
Secondary
5
Which of the following would cause a falsely low blood pressure reading?
Positioning arm below heart level
Pushing stethescope too hard on brachial artery
Cuff not inflated enough
Deflating cuff too slowly
6
An attribute, quality, or trait that increases the vulnerability of an individual to an illness or accident
Risk Factor
Chronic Illness
Primary Prevention
External variables
7
If a patient informs the nurse that they have an allergy to lisinopril, what should the nurse ask next?
What type of reaction did you have?
I will put it in your record so they won't give you that awful medication.
Why did you have the reaction?
Why did the doctor prescribe that medication for you
8
What does ADPIE stand for?
Interviewing techniques
Nursing process
Patient is not to have any pies
Patinet is having an adverse reaction to treatment
9
To obtain a temperature reading using a temporal thermometer, the nurse should
Aim the infrared beam at the tympanic membrane
slide the probe across the forehead and behind the ear
Slide the thermometer across the back of the right ear
Aim it at the tempanic membrane for 5 minutes
10
When using PQRST, what information is gathered from the "P"
Have you had this issue previously? How frequent does it occur?
What provokes it? What makes it better/worse?
How much does this impair your daily life? How bad is it to you?
How long has this been going on? How often does it occur?
11
Who is ultimately responsible for obtaining & evaluating vital signs?
The HCP
The RN
The charge nurse
The heaolthcare tech
12
This identifies leading health indicators that are high priority health issues in the United States
Illness
Health People
Secondary Prevention
Evidence Based Practice
13
How is the pulse pressure calculated?
DBP X3
DBP - SBP
SBP - DBP
SBP + DBP
14
When using PQRST, what information is gathered from the "S"
Rate your pain on a scale of 0-10? Is this the worst that it has ever been?
Does this onlly occur at night or at other times as well?
What provokes it? What makes it better/worse?
Were you doing any strenuous activity when this started?
15
Understanding & knowing your own personal biases; an important part of your skills as an interviewer
Active listening
Deductive reasoning
Self-awareness
Empathy
16
Which of the following would cause a falsely low blood pressure reading?
Pushing stethescope too hard on brachial artery
Positioning arm below heart level
Faulty leg position
Arm positioned above heart level
17
Which information is obtained in the Biographical Data Section?
Previous hospitalizations
Current Medications
Smoking history
Relationship status
18
Which of the following is a modifiable risk factor for cardiac disease>
Gender
Race
Weight
Age
19
What is the first step in the interview process?
Introduce yourself to the patient
Have all visitors leave the room
Ensure that you have an order to perform it
Sit on the patients bed to be close enough to hear them
20
The ability to try to understand beliefs & practices of others that differ from your own
Self assessment
Tolerance
Active listening
Bias
21
To obtain an accurate oral temperature, the nurse should ensure that the thermometer is:
placed in the posterior sublingual pocket
a glass thermometer
in the buccal pocket
under the tongue past the front teeth
22
When assessing an apical pulse, how long should the nurse listen for?
30 seconds
15 seconds
Three minutes
One minute
23
Which information provided by an adolescent would the nurse need to gain more information about?
she dislikes green vegetables and doesn't eat thme
she uses a helmet when skateboarding
she stays up late most nights studying
many of her friends use e-cigarettes
24
Which of the following decreases miscommunication during the interview process:
Avoid the use slang or medical terms/words
Typing or writing every word the patient says
Using "WHy" questions to get better answers
Avoiding wyw contact
25
Which information is obtained in the Biographical Data Section?
Where the pain is located
Gender
Current Medications
Sexual history
26
Where should the Apical Pulse be assessed?
Left 2nd intercostal space near sternal border
Left 4th intercostal space near sternal border
Left 5th intercostal space midclavicular
Right 5th intercostal space midclavicular
27
Identify which of the following is OBJECTIVE data
heart sounds are regular, without gallops or murmurs
has a history of seizures
states no pain to abdomen
rates pain as zero
28
The ability to understand & be sensitive to the feelings of someone else
Empathy
Self Awareness
Tolerance
Active listening
29
This contains the person's complete health history and a full physical exam:
Follow-up database
Focused database
Complete database
Emergency database
30
Which of the following patients would be appropriate for tertiary prevention?
38 year old female with a recent appendectomy
84 year old male with prostatitis
68 year old female with recurrent UTI's
41 year old female with a recent traumatic amputation of the left hand