Fundamentals Midterm Review

Question 1

New order for your patient for oxygen, at 2L via nasal cannula. Who can implement the order?

Accepted Answer

RN, EMT, Respiratory therapist

Question 2

You assess a pt&#x27;s dorsalis pedis pulse. It is hard to feel & not palpable when slight pressure is applied. Document?

Accepted Answer

+1

Question 3

What does occult mean when testing a stool specimen?

Accepted Answer

Blood that cannot be seen

Question 4

You instruct a patient receiving home O2 therapy to drink plenty of __________ to thin secretions and stay hydrated.

Accepted Answer

Water

Question 5

If your patient performs their own range of motion, which of the following terms would you use to document?

Accepted Answer

Active

Question 6

TC&DB is important post-operatively, what technique will you use to assist the postoperative patient to cough?

Accepted Answer

Splint the abdomen with a pillow.

Question 7

When doing your assessment you notice paleness in the color of their skin. What is the correct term to document?

Accepted Answer

Skin pallor

Question 8

You&#x27;re alarmed when a pt. w/ a head injury has Resp. rate of 10. What area has this injury effected?

Accepted Answer

Medulla Oblongata

Question 9

Stage this pressure ulcer:

Accepted Answer

1

Question 10

A sitz bath cleanses which area?

Accepted Answer

Perineal and rectal areas

Question 11

Case management is the assignment of a __________ to a patient so their care is overseen by one individual.

Accepted Answer

Nurse

Question 12

Which profession has the highest workers’ compensation claims?

Accepted Answer

Nurses

Question 13

When assessing a patient for signs of infection, which of the following indicates an infection?

Accepted Answer

Increased white blood cell count

Question 14

Stage this pressure ulcer:

Accepted Answer

4

Question 15

Which of the following has ALL stages of wound healing.

Accepted Answer

Inflammation, Maturation, Reconstruction, Hemostasis

Question 16

When suctioning a tracheostomy, suction may be applied for a maximum of __ seconds at a time, never longer.

Accepted Answer

10

Question 17

What can result from consistent hand hygiene and the use of sterile supplies while caring for patients?

Accepted Answer

Risk of infection is reduced

Question 18

You&#x27;re obtaining a history of a patient’s present illness. The PQRST system is used, what does the R stand for ?

Accepted Answer

Region/ radiation

Question 19

Which of the following is an example of a fomite vehicle?

Accepted Answer

Blood pressure cuff used on all patients

Question 20

When admitting a patient, you note the following to the right lateral thigh. How is this documented?

Accepted Answer

Erythema

Question 21

A pt. is required to provide a sample of body excretions per order. What can you say to lessen the pt’s embarrassment?

Accepted Answer

Instruct patient to obtain his or her own specimen.

Question 22

Which of the following is correct body mechanics when lifting or moving a patient?

Accepted Answer

Bending at knees and hips

Question 23

You&#x27;re preparing a pt. for a barium enema. What color will you tell the pt. his stools will be after the procedure?

Accepted Answer

White

Question 24

Various techniques are used by you when performing a physical assessment. What is auscultation used to determine?

Accepted Answer

heart, lung, and bowel abnormalities

Question 25

What is in a blood clot that holds the wound together for healing?

Accepted Answer

Fibrin

Question 26

An older pt. w/ chronic emphysema comes to the ED in respiratory distress, what rate do you begin O2 per nasal cannula?

Accepted Answer

2L/min

Question 27

A patient in airborn isolation is being sent to radiology. What intervention should you implement?

Accepted Answer

Apply a surgical mask to the patient

Question 28

When doing perineal care on a male patient how do you clean the meatal opening?

Accepted Answer

Spiral out from the meatus outward?

Question 29

75 year old pt. w/ pneumonia. O2 at 2 L/min., Resp. at 20/min, PaO2 level 82 mm Hg, & pink skin tone. What do you do?

Accepted Answer

Record all, this is a normal/ expected finding.

Question 30

Which of the following is a reason to use an electric razor?

Accepted Answer

For a patient on bleeding precautions.

Question 31

What information will you relay to a mother of a child with Rocky Mountain spotted fever?

Accepted Answer

It is a serious disease contracted from the bite of a tick.

Question 32

What are some security issues regarding the computerized documentation system?

Accepted Answer

Confidentiality of information

Question 33

A health care provider documents that a pt. has a sallow complexion. How do you interpret this information?

Accepted Answer

Yellow color to the skin

Question 34

Upon admission, you notice the patients wallet is full of cash, what action do you take to insure its safety?

Accepted Answer

Put it in the hospital safe

Question 35

At admission, you collect both objective & subjective data. Which of the following is objective data?

Accepted Answer

The patient is short of breath on exertion

Question 36

You&#x27;re preparing to redress a wound & secure the dressing w/ a gauze bandage. What is an advantage of gauze bandages?

Accepted Answer

Protects the wound from injury.

Question 37

These wound edges are approximated:

Accepted Answer

True

Question 38

The stages of an infection help to identify the progression, name the stage where symptoms present but are not specific?

Accepted Answer

Prodromal

Question 39

You&#x27;re gathering subjective data when admitting a pt. Which finding reported by the pt. is considered subjective data?

Accepted Answer

Complains of diplopia

Question 40

The term supine indicates a position in which the patient is lying on the:

Accepted Answer

back

Question 41

Which process is the framework for the practice of nursing?

Accepted Answer

Nursing process

Question 42

The patient’s recommended antibiotic medication is determined by what lab method?

Accepted Answer

Sensitivity

Question 43

What type of infection is a UTI considered in a patient that was admitted to the hospital a week ago with COPD?

Accepted Answer

Nosocomial Infection

Question 44

During a head-to-toe assessment, the nurse assesses the patient’s abdomen. Which area should the nurse assess next?

Accepted Answer

Perineum area

Question 45

When cleansing this area, the nurse should only use clear, clean water.

Accepted Answer

Eyes

Question 46

The process for collecting a blood specimen for measuring blood glucose levels is taken from what anatomic location?

Accepted Answer

Side of the finger

Question 47

Why are computers considered a benefit to documentation?

Accepted Answer

Efficiency and legibility

Question 48

You&#x27;re developing a nursing care plan for a newly admitted pt. What is your first step in developing this care plan?

Accepted Answer

Nursing assessment

Question 49

Nursing interventions are:

Accepted Answer

actions selected by the nurse to achieve the desired patient outcome.

Question 50

The assessment process is best described as one in which the nurse _________________.

Accepted Answer

collects information and analyzes data

Question 51

You&#x27;re gathering objective data when admitting a patient. Which assessment finding is considered objective data?

Accepted Answer

The patient expectorates red-tinged sputum

Question 52

When conducting a head-to-toe assessment, where do you begin?

Accepted Answer

Level of Conciousness and orientation

Question 53

You&#x27;re performing an admission assessment on a pt. you suspect has tuberculosis. Which of the following would you find?

Accepted Answer

Weight loss

Question 54

When taking a pulse on a 40-year-old male, you get a pulse rate of 134 beats/min. What is this pulse interpreted as?

Accepted Answer

Tachycardic

Question 55

Which of the following is not a basic rule for charting?

Accepted Answer

Mark through the error several times so it is not legible.

Question 56

If a patient has an order for an intra-agency transfer, where does the nurse explain that the patient will be moved?

Accepted Answer

One unit of the hospital to another

Question 57

A health care provider hasn&#x27;t ordered a dressing change for a draining wound on a pt., how do you assess the drainage?

Accepted Answer

Circle & date the outline of the exudate on the dressing, reinforce PRN

Fundamentals Midterm Review

Questions 57

Fundamentals Midterm Review

Questions 57