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Rasmussen-Fundamentals Exam Two Flashcards | StudBud
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Rasmussen-Fundamentals Exam Two
Rasmussen-Fundamentals Exam Two
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A review of the blueprint questions for #Nursing #Fundamentals Exam two at Rasmussen college in NPR.
Flashcards
129 cards
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Practice quiz
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Questions
129
Answers
1
Pain that is localized, deep, and found in bones, tendons, etc?
Neuropathic
Visceral
Somatic
Cutaneous
2
What is the name of the pain assessment tool for critically ill children that are non-verbal?
FLACC
Wong-Baker
CRIES
COMFORT
3
Which oxygen delivery mask delivers the least amount of oxygen?
Nasal cannula
Venturi mask
Non rebreather mask
Simple face mask
4
True or False: Gestures can be used as sign language.
True
False
5
What is the respiratory range for an adult?
14-24
12-20
15-30
8-16
6
All of these are signs of Acute pain except:
Diminishes with healing
Short duration
Persistent
Less than 6 months
7
One of the diseases found under the umbrella of COPD is?
Flu
Lung cancer
Pleurisy
Emphysema
8
What is one word you might use to describe the character of respirations?
Struggling
Labored
Lengthy
Regular
9
All of these are naturally occurring opiates except:
Chocolate
Exercise
Sleeping
Kissing
10
Pain meds that are given IV, when do you evaluate?
12 minutes
20 minutes
10 minutes
15 minutes
11
One way NOT to soothe a baby:
Touch
Lidocaine cream
Glucose on a pacifier
Raise your voice
12
When can humor be considered destructive?
Used inappropriately
It is never considered destructive
Observing others who use humor well
Laugh at yourself and accept your failures
13
What is the most important thing to remember with using a PCA (patient controlled analgesia)?
The client must be alert and capable of controlling the unit
The nurse has to help the patient control the unit
The unit can be ordered by the pharmacy only
The patient proxy can use the machine if patient can’t
14
What is the fifth level to the dimension of wellness according to Maslow’s theory?
Self-actualization
Love/belonging
Physiological
Esteem
15
Who is a candidate for nonverbal pain assessment?
Adolescents
Neonates
Cancer patient
Everyone
16
In the Hierarchy of pain assessment, physiologic measures (vital signs), is number three.
True
False
17
Which is the correct spelling for a blood pressure cuff?
sphigmomanometer
spigmometer
sphygmomanometer
spygmometer
18
Where in the nursing process (ADPIE) does SMART come into play?
Evaluating
Planning
Assessing
Diagnosing
19
All of these are nonverbal (body language) communication concepts except:
Transmission of info without the use of words
Pay attention to incongruence between words & body language
Important with other cultures (space, eye contact, touching)
Exchange of information using words
20
What disease interferes with perfusion?
COPD
Collapsed lung
Anemia
CHF
21
What word is defined as: identify with how other feels?
Pity
Indifference
Sympathy
Empathy
22
What range is the correct amount for a healthy person when checking their O2 sats?
98%-100%
95%-100%
90%-95%
85%-90%
23
All of these are signs of Chronic pain except:
Diminishes with healing
Persistent
Periods of exacerbation
Periods of remission
24
All of these are side effects of pain meds except:
Psychological depression
Constipation
Nausea
Itching (pruritus)
25
Which of these sensitizes receptors to feel pain?
Substance P
Prostaglandins
Endorphins
Modulators
26
Which type of ROM requires another person to move body parts for the resident?
Active
Active assistance
Passive
Resistive
27
1. Which word or words mean the percentage of oxygen that is saturated by hemoglobin?
CO2 sats (SaCO2)
DEFs
ABGs
O2 sats (SaO2)
28
Which word is defined as “the threshold can be changed”, example: hand in hot water?
Modulation
Tolerance
Addiction
Adaptation
29
True or False: Therapeutic communication does not require training.
True
False
30
Pulse is the expansion and contraction of what?
Heart
Artery
Lungs
Vein
31
What is the first level to the dimension of wellness according to Maslow’s theory?
Physiological
Love/belonging
Esteem
Safety
32
LIQODA is an acronym for assessment of pain. What does the “O” stand for?
Onset
Octave
Oscillate
Order
33
Should you wait to get a good wave on the pulse-ox machine, then take the highest number?
True
False
34
What type of illness prevention is screening?
Secondary
Tertiary
Second defense
Primary
35
What word is defined by lowest intensity that causes pain?
Pain threshold
Tolerance
Modulation
Adaptation
36
Which blood glucose level warrants the nurse to hold AM insulin?
78
65
90
80
37
All of these are examples of objective data collection except:
Dizziness
Breathing with pursed lips
Fever
Pallor
38
What is the second level to the dimension of wellness according to Maslow’s theory?
Physiological
Esteem
Love/belonging
Safety
39
Nursing intervention, of a nursing diagnosis, can do all of these except:
Resolve
Cure
Prevent
Improve
40
When can you call the provider?
Only in the morning
Only at night
Only in the afternoon
Anytime, day or night
41
True or False: It is okay to use a medical diagnosis in a nursing care plan.
True
False
42
True or False: Modulators are pain blocking chemicals.
True
False
43
Name the most important part of the nursing process that many nurses forget.
Assessment
Diagnosis
Implement
Evaluation
44
What are the receptors that perceive injured tissue (this is considered “normal” pain)?
Nociceptive
Antenna
Neuropathic
Visceral
45
Which is defined as: ability to deliver O2 & return CO2 needing a strong pump & clear vessels?
Ventilation
Perfusion
Persistence
Transport
46
All of these are ways of therapeutic communication except:
Silence
Humor
Yelling
Empathy
47
What changes from day to day as the responses change?
Nursing diagnosis
Medical diagnosis
Self-evaluation of one’s self
Client’s prognosis
48
1. On a BP gauge, the small lines measures?
1 mm HG
5 mm HG
2 mm HG
10 mm HG
49
All of these can interfere with a pulse oximeter reading except:
nail polish
movement
edema
amputation
50
What is a symptom of dehydration?
BP 78/56
HR 88
Moist gums
Urine Output 30ml/hr
51
Pain that is generalized and is being emitted from the organs?
Visceral
Somatic
Cutaneous
Neuropathic
52
How do you check if your client has a spinal headache?
Client lays flat & pain goes away, sits up, & it comes back.
If client lays on side and pain gets worst
Client cannot speak if they lay on their back
Client wets the bed
53
When the diaphragm relaxes it?
Causes an allergic reaction to the lungs
Causes hiccups
Pulls air into the lungs
Forces air out of the lungs
54
Exercises which move each muscle & joint?
Running
Rehab
Swimming
Range of motion
55
Who needs to be assessed for pain?
Babies
Everyone
Elderly
Children
56
All of these are positions for promoting oxygenation except:
Prone
Orthopeneac
Supine
Fowlers
57
Pain that is less than 6 months?
Somatic
Acute
Peripheral
Chronic
58
What is the third level to the dimension of wellness according to Maslow’s theory?
Safety
Love/belonging
Physiological
Esteem
59
What carries oxygenated blood to the heart?
Vena cava
Pulmonary vein
Aortic artery
Pulmonary artery
60
True or False: Asians and Native Americans like direct eye contact.
False
True
61
When assessing babies, what do you look for?
Body language
Crying
All of the above
Body rigidity
62
When listening to the blood pressure you will be listening at which artery?
apical
brachial
radial
carotid
63
Mobility relies on?
Bones and joints only
How tired the patient is
How much food the patient has eaten
Bones, ligaments, tendons, joints, cartilage, muscle
64
1. Which one is not a direct part of the respiratory system? (oxygen passes through)
Pharynx
Alveoli
Diaphragm
Nose
65
A URI refers to a?
Upper Resection Infection
Upper Respiratory Infection
Upper Resonance Intonation
Urinary Tract Infection
66
Blood pressure is measured in?
meters
BPM
mm Hg
psi
67
What is the nurse assessing when watching a patient walk?
Gait/Body Posture
Nutrition
What pants they have on
Position of their feet
68
What disease interferes with ventilation?
CHF
Collapsed lung
Anemia
COPD
69
All of these are nonmodifiable risk factors except:
Age and gender
Poor nutrition
Genetic Illness
Allergies
70
All of these block communication except:
Being judgmental
Using why and how
Repeating what the person says
Failure to listen
71
Which of the following is NOT a factor influencing blood pressure?
sleep
food consumed
viscosity of blood
weight
72
All of these are impairments of perfusion except:
Anemia
Shock
Aneurysm
Hearth failure
73
All of these are physical characteristics of hypoxemia except:
Barrel chest
Blue lips
Nail clubbing
Stubbed toe
74
What gas does the brain measure in the blood?
Oxygen
Hydrogen
Carbon monoxide
Carbon dioxide
75
What word means “pattern of compulsive opioid use for means other than pain control”?
Modulation
Adaptation
Tolerance
Addiction
76
With pain meds that are PO, when do you evaluate?
45-60 minutes
30-90 minutes
10-20 minutes
15-30 minutes
77
All of these are ways to help the elderly with fall prevention except:
Remove clutter
Exercising daily
Medications that cause dizziness
Remove area rugs
78
How can the nurse prevent muscle atrophy for an immobilized patient?
Bed exercises
Make them get up and move
Yoga
Giving a calcium rich diet
79
What is sputum?
The mucousy run off from a cold
What can be coughed up from the lungs
Spittle from tobacco use
Spit up
80
What kind of pain is: “relating to a limb or an organ that is not physically part of the body”?
Referred
Recommended
Phantom
Radiating
81
The Gate Control Theory involves what?
Large and small nerve fibers
Left and right nerves
The 5 senses
Cats and dogs
82
All of these are non-pharm interventions for pain except?
Massage
Pain medication
Splinting
Mind-body therapies
83
What kind of pain is defined as: pain felt in a part of the body other than its actual source?
Radiating
Phantom
Referred
Recommended
84
Internal respiration occurs between?
Between the two gas exchangers in the lungs
Between lung cells
The lungs and the blood
The blood stream and the cells
85
All of these are verbal communication concepts except:
Spoken or written
Consider sensory deficits
Consider culture, gender, intellectual, etc
Gestures
86
What is the third level to the dimension of wellness according to Maslow’s theory?
Esteem
Love/belonging
Safety
Physiological
87
All of these are verbal communication concepts except:
Gestures
Consider culture, gender, intellectual, etc
Consider sensory deficits
Spoken or written
88
What is the name of the pain assessment tool for ages 2 months to 7 years (nonverbal)?
CRIES
Wong-Baker
FLACC
Beyer Oucher
89
What is the most frequent accident with the elderly?
Traffic accidents
Falls
Burns
Polypharmacy
90
All of these are ways to perform radiology diagnostic tests for impairment for perfusion except
MRI
CXR
VQ scan
PET scan
91
What is the name for the pain assessment tool for ages three and up?
COMFORT
CRIES
FLACC
Wong-Baker
92
What does TENS stand for?
Transcutaneous Electrical Nerve Stimulator
Transcultural Electronic Negative Situation
Trans Enzyme Neuro Stimulator
The Elephant Never Sleeps
93
What is the name of the pain assessment tool for older children with 6 pics to choose from?
Wong-Baker
FLACC
CRIES
Beyer Oucher
94
What type of illness prevention is screening?
Tertiary
Secondary
Second defense
Primary
95
What filters the air going into the respiratory system?
Lobular valves
Alveoli
Mucas membranes
Cilia
96
All of these are late signs of hypoxemia except:
Tachypnea
Bradycardia
Listless
Confused
97
If you send a “message” up large nerve fibers, it will keep small nerve fibers feeling pain.
False
True
98
What inhibits the release of substance P?
Activators
Enkephalins
Endorphins
Prostaglandins
99
What sends pain stimuli to the CNS (central nervous system)?
Endorphins
Prostaglandins
Enkephalins
Substance P
100
Evidence based research needs to be what two things?
Made up and obscure
Quantitative and qualitative
Practical and realistic
Quantum and quinine
101
We measure the oxygenation of blood to detect what?
hypoxemia
hemoglobin
lung size
pulse oximeter
102
All of these are factors that influence touch except:
Military status
Class
Gender
Age
103
What kind of pain is: “pain that travels the length of a nerve”?
Referred
Recommended
Radiating
Phantom
104
All of these are reasons to use communication except:
Assist with changing behavior
Heal patient from the inside- out
Establish relationships
Assist with coping
105
What is the name of the pain assessment tool for ages zero to six months?
Wong-Baker
FLACC
CRIES
Beyer Oucher
106
What is the fourth level to the dimension of wellness according to Maslow’s theory?
Safety
Love/belonging
Physiological
Esteem
107
Which word means NOT breathing?
Dyspnea
Eupnea
Bradypnea
Apnea
108
Which is defined as: the body becomes accustomed & suffers from withdrawal if suddenly removed?
Tolerance
Addiction
Physical dependence
Pain threshold
109
All of these are examples of subjective data collection except:
Short of breath
Anxiety
Chest pain
Cough
110
True or False: Asians and Native Americans like direct eye contact.
True
False
111
A patient is drowsy & drifts off during his conversation. What num is he on the sedation scale?
3
4
1
2
112
What does PCA stand for?
Planning Controlled Assessment
Patient Controlled Analgesia
Parental Children Apparatus
Proxy Containment Adversity
113
Pain assessment tool appropriate to use for an elderly adult would be?
FLACC (Face Legs Activity Cry)
FACES
PAINAD (Pain Assessment in Advanced Dementia)
VAS (Visual Analogue Scale)
114
Which of the following is normal blood pressure?
140/90
210/120
160/76
120/80
115
When is assessing pain a challenge?
Client is too verbal
Client is an adolescent
Client is dead
Nonverbal client
116
All of these are Activators except?
Substance P
Enkephalins
Prostaglandins
Bradykinin (vasodilator)
117
All of these are ways to perform lab diagnostic tests for perfusion impairment except:
Stomach acid
Blood
Sputum
Tissue/Skin
118
All of these are impairments of transportation except:
Anemias
Sickle cell
Blood loss
COPD
119
All of these are impairments of ventilation except:
COPD
CHF
Asthma
TB
120
The two parts of measuring blood pressure are:
top and bottom
systolic and diastolic
systemic and diastolic
systolic and diametric
121
What type of illness prevention are immunizations and smoking cessation?
Secondary
Tertiary
Primary
First defense
122
What two parts of the nursing process is documented in the client’s chart?
Assessing and planning
Planning and implementing
Diagnosis and planning
Problem and outcome
123
What disease interferes with transport?
Anemia
CHF
Collapsed lung
COPD
124
The “R” in SMART, for setting goals, stands for what?
Ready
Rewarding
Realistic
Redundant
125
All of these are impairments of ventilation except:
TB
CHF
Asthma
COPD
126
Which one is not a response to pain?
Psychological
Physiological
Emotional
Psychosomatic
127
All of these are ways to inspect for perfusion abnormalities except:
Breath sounds are clear bilaterally
Trachea midline
Skin and nail beds
Breathing (rate)
128
What word is defined by “whatever the person experiencing it says it is”?
Duration
Pain
Driving
BAC
129
All of these are unexpected (adventitious) breath sounds except:
Wheezes
Gurgles
Crackles
Stridord
