Updated Foundations Exam 1 JCN

In the prone position, the patient is lying on their:

What is the most effective way to prevent the spread of infection?

Which of these is an Instrumental Activity of Daily Living (IADL)?

A patient is experiencing low blood pressure. Which position is most appropriate?

Safety Precautions: Wash hands when entering and exiting, Gloves, gown and disposable equipment " Herpes, Scabies"

What is the reading level used in all hospital pamphlets?

What is Surgical asepsis?

During which step of ISBARR would you say: “Her oxygen sat has dropped from 96% to 88% in the last hour”?

A patient is at risk for aspiration. Which position should the nurse AVOID?

A patient is unable to cook meals or manage finances but can feed and bathe themselves. What assistance do they need?

Where can you listen to the Apical pulse?

What is a Normal BPM?

Which statement is an example of the “Recommendation” part of ISBARR?

What is a form of non verbal communication?

Which task is part of BOTH ADLs and IADLs depending on the level of independence?

Administers a large dose of medication due to a calculation error and the patient dies

Sudden dizziness when getting up from laying position

Confined against their will, placed in restraints and wishes to leave

What Heart rate would classify hypertension?

Which position is used for rectal exams and enemas?

What is the second R in I-SBAR-R

What is the primary purpose of the “Read-back” step in ISBARR?

In which position is the patient lying flat on their back?

Safety Precautions: Wash hands before and after, surgical mask, Face Shield, gown, and gloves "Influenza,Whooping cough"

Why is ISBARR important in nursing communication?

What is the main difference between ADLs and IADLs?

Moral Rule: Respect the rights of their surrogates to make health care decisions "I don't want"

Moral Rule: Keep promises "I'll be right back"

Falsifying a record to cover up mistake

What Heart rate would classify as Hypotension?

Safety Precautions: gloves, and surgical gown "Only Hand washing Kills infection"

The lateral position is most useful to:

Fails to implement safety measures for a patient with a fall risk

What would you MOST LIKELY include in the "Assessment" step?

The patient is showing signs of shallow breathing and has a low heart rate what is wrong?

What specifically doesn't Kill C-Diff?

Which position would BEST promote lung expansion in a post-op patient?

Conducts elicit fear and apprehension, "Threatens patient if they don't eat then they will place an NG Tube"

An ethical dilemma is a problem that involves multiple choices and stems from different values.

What is it when a Blood pressure is below the normal pressure?

What does the "I" in ISBARR stand for?

The “Background” step should include which of the following?

is Quasi-intentional torts a breach of confidentiality?

You’re calling the physician about a deteriorating patient. You start with “This is Nurse Johnson from Med-Surg…” ISBARR

a 80 yr old man is having Difficulty breathing laying down?

Which is a Healthcare Associated Infection

What is the Fowler’s position primarily used for?

Which of the following is the BEST example of the “Situation” step in ISBARR?

What is the A in the Nursing process?

What is the chain for infection Cycle?

Safety Precautions: gloves, surgical gown, and a N95 mask "No live flowers, Avoid uncooked fruits/vegetables"

What is Medical asepsis?

Which is the most efficient way to take a temperature?

Moral Rule: Avoid causing harm

What is caused by a temperature lower than 95 degrees

Moral Rule: Give each their due; act fairly "Treat everyone the same, victim and suspect)

Which of the following is considered an ADL (Activity of Daily Living)?

Safety Precautions: gloves, gowns, N95 & eye protection, and practice hand hygiene "tuberculosis, Chicken pox"