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208 Test Questions (ALL) B
Fundamentals Of Caregiving (University of Louisiana at Lafayette)
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208 Test Questions (ALL) B
Fundamentals Of Caregiving (University of Louisiana at Lafayette)
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NURS 208 Spring 2018 Test Questons
Exam 1
1)
Movement of water into transcellular compartment, fuid defcit (?). what is this movement called?
a.
Third spacing. 2)
Collectng clean catch urine specimen a.
Catch urine midstream 3)
Transferring/moving patent on a stretcher
a.
Push the stretcher on the end where the patents head is
4)
Stages of fever – chills, temperature drop…
a.
Onset 5)
NDx using altered tssue perfusion – stomach
a.
Should be an RC… because we can only use peripheral
6)
NDx example asking what was wrong with the statement. It was about decreased fuid intake …. Defning characteristcs were about pain ? a.
Decreased Fluid Intake R/T decreased desire to drink S/T pain AEB grabbing stomach in pain, grimacing ….? b.
Defning characteristcs. 7)
NDx about decreased physical mobility. What would the NG be?
a.
Increase physical mobility 8)
Jean Watson believed a threat to nursing was:
a.
Focus on skills and diferent levels of nursing
9)
A nurse holds back emotons
a.
Self control
10) What best describes the nursing diagnosis?
a.
A statement of human response
11) Doctor orders for you to collect specimen. What type of order is this?
a.
Dependent 12) What is the primary problem with COPD?
a.
Compliance 13) Primary problem with emphysema? (worded diferently) a.
Recoil 14) Afer writng out the generalized problems on your care map, what is the next step?
a.
Listng data cues for each one
15) S/S of pulmonary embolism?
a.
Chest pain 16) Which of these displays hypokalemia risk factor?
a.
Vomitng
17) What responds to change in osmolality?
a.
ADH 18) Which would result in a low BP?
a.
Bladder cuf too wide 19) Which describes respiratory alkalosis ?
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a.
High pH, Low PCO2, Low HCO3
20) If you need to give patent oxygen with the highest concentraton?
a.
Non rebreathing 21) Measure intake when monitoring I&O
a.
1000mL was the answer
b.
5 oz, half a 16 oz, 12 oz cup of ice (do half), 2 3oz juice, 250 IV 22) ROM – palm up, moving wrist toward litle fnger a.
adducton 23) Urine specimen abnormality – cloudy, hay colored, pH pf 4.6, odorless. What is abnormal about it?
a.
Clarity 24) Lethargic patent with narcotcs, interventon?
a.
Change positons frequently 25) Monitoring daily weights a.
Same scale every day 26) A patent comes in with second degree and some third degree burns on their arm; albumin is ordered and administered to the patent. Patent is edematous in all extremites and has extreme swelling. Why is this given to the patent?
a.
Albumin- pulls liquid from spaces and back into intravascular compartments.
27) When performing peri care on a female, the correct step to maintain sterility is:
a.
Wipe from the pubis to the rectum, don’t go past the rectum
28) Ventlaton needs, clear airway, what are the other three?
a.
Intact CNS, adequate compliance and recoil, and thoracic expansion
29) Handwashing in circular moton because a.
Mechanical removal of microorganisms 30) Enema for fatulence and distenton of abdomen
a.
Return fow
31) For emphysema what would you give?
a.
Low O2 concentraton 32) Restraints
a.
Make sure they aren’t visible and discrete 33) Pulse oximeter – what can cause an inaccurate reading?
a.
Shivering can cause wrong reading 34) Obligatory loss
a.
1300 mL 35) Moving patent laterally, what do you want to avoid?
a.
Lateral fexion of sternocleidomastoid 36) Giving .45% saline
a.
Hypotonic 37) Which one could cause distributve shock?
a.
An allergic reacton 38) Sign of hypovolemic shock
a.
Decreased LOC
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a.
Wipe pubis to rectum
40) Factor that afected oxygenaton
a.
Increase in temperature increases demand for oxygen
41) Planning stage
a.
Predict outcomes (OC)
42) Pressure of your blood inside the artery that results in the fuid in or out of the compartment a.
Hydrostatc 43) Incentve Spirometer
a.
Inhale and raise ball for 2-6 seconds 44) Where would you see central cyanosis
a.
Oral mucosa
45) Outcome Criteria example. NDx was acute pain…… AEB states “its killing me” a.
OC: State pain ratng 0-2 in 45 minutes 46) Nurse can delegate nursing order but not?
a.
Nursing responsibility
47) 58 year old woman vomitng, diarrhea, etc. which is not an important factor?
a.
Age Exam 2
1.
Infammatory process, increase in redness, heat, and swelling
a.
Hyperemia 2.
Indicates a current infecton
a.
IgM 3.
Person is injected with an immunoglobulin serum
a.
Passive artfcial 4.
HIV patent
a.
Standard precautons 5.
Which should airborne precautons be used with
a.
Chicken pox 6.
Pt had liver trauma, swollen abdomen with ecchymosis a.
Unintended closed wound 7.
What would be a secondary intenton wound?
a.
Decubits 8.
Describe a tertary intenton wound a.
Wound is lef open on purpose for 3-5 days to drain exudates due to infecton or due to poor circulaton
9.
Wound on lef ankle. Scab, no bleeding, and red around the edges. What phase is it in?
a.
Infammatory phase 10. What inhibits healing?
a.
Negatve nitrogen balance 11. 18 hours post sx, pulse increases, BP drops a.
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12. Patent is lying on their side for 2 hours. What is the amount of tme that the red spot should turn white?
a.
45-60 minutes 13. Wound has a blister, abrasion, and shallow crater a.
Stage II 14. Braden scale
a.
6 subscales 15. Wound dressing that is an exudate absorber
a.
Alignate 16. Buccal route a.
More potent than oral 17. Subcutaneous route a.
Disadvantage – must use sterile technique 18. What afects distributon in older adults?
a.
Low albumin – need less of many drugs because less of the drug ataches to albumin. 19. Reacton that can be the exact opposite of what is expected
a.
Idiosyncratc 20. What would be a sign of moderate allergic reacton
a.
Angioedema 21. Time required for the eliminaton process to reduce the concentraton of a drug to ½ what it was initally
a.
Half life 22. ANS: cold inhibits bacteria growth 23. Pick the incorrectly writen medicaton order
a.
Answer had PRN with no specifcaton of when to give (HA, etc.) 24. Immobility decreases (GOOD THING)
a.
Decreases the O2 needs 25. Which conditon should require BR?
a.
Severe degeneratve disease
26. What would the valsalva maneuver be seen with?
a.
Straining with bowel movement 27. Best way to prevent DVT
a.
Compression stockings on both legs 28. Select all that apply. Afect genitourinary system:
a.
Refux
b.
UTI
c.
Calculi
29. Actvity intolerance nursing goal
a.
Increase endurance 30. NG statement, what’s wrong with it? “Constpaton R/T sx on bowel… S/T Divertculits AEB …”
a.
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31. NG statement, what’s wrong with it? “SCD R/T …. AEB cannot bathe self, cannot reach all body parts…” a.
NDC needs a descriptor (bathing) 32. Which would be used with someone who is indefnitely paralyzed?
a.
(HR) Disuse Syndrome 33. Low blood pressure
a.
Being female 34. Sterile technique, which is incorrectly done?
a.
Put fnger in cuf of gloved hand with other glove hand to take it of 35. Medicaton form derived from plants
a.
Tincture 36. Transdermal patch a.
Rotate sites each tme applied 37. When taking an oral temp, what is contraindicaton of the safest procedure?
a.
Confused patent ? 38. Wound that is weeping clear and blood streaks
a.
Sero-sanguinous 39. What should you do/consider when doing CBG?
a.
Make sure there is adequate circulaton at site
40. When administering otc medicaton
a.
Lay on side for 5 minutes afer administraton 41. 85 year old woman, what should you consider to prevent pressure ulcer?
a.
Perfusion Exam 3
1.
NDX Statement
a.
Primary and secondary etologies are reversed
2.
What is a word to describe pain?
a.
Miserable 3.
What is a sign of Moderate Anxiety?
a.
Shakiness 4.
What is Vitamin K necessary for?
a.
Clotng
5.
In pre-op and you discover a lesion on the surgical site, what could happen?
a.
You notfy doctor and could postpone surgery 6.
What does ALT evaluate?
a.
Liver functon
7.
What is a quality of informed consent?
a.
Signed the paper voluntarily, even if doctor is not present b.
**a lot of people missed this one. The answer is NOT “have nurse explain procedure”… this is the doctors/surgeons job, not the nurses**
8.
What should you not do when preparing a patent for surgery?
a.
Mark surgical site with NON-permanent marker
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9.
When transferring pt out of OR what is major concern?
a.
Patent Airway (ABCs)
10. Dressing integrity and appearance
a.
We don’t take dressing of, we just reinforce the dressing and observe drainage, we need to talk to Dr. before doing anything. 11. How do you correctly apply TED Hose?
a.
Elevate leg frst, turn hose inside out, and put on startng at toes
12. Need to void _ hours afer discontnuing catheter or since surgery.
a.
8 hours
13. True or False: A patent’s pain threshold changes every day
a.
False 14. Stmulaton of touch fbers does what?
a.
Closes the gate
15. Cerebral and Thalamic inhibiton of pain does what?
a.
Reduces anxiety and fear through teaching, closes the gate
16. What is released from damaged cells afer an injury?
a.
Bradykinin
17. Point where pain meds work well to stop pain percepton
a.
Transducton
18. What carry slow, dull, burning, aching, longer lastng sensatons?
a.
C Fibers
19. Distracton methods work well at which point?
a.
Percepton
20. Which phase of pain are endogenous opioids released?
a.
Modulaton 21. What type of pain results from ankle sprain?
a.
Deep somatc (difuse, lasts longer, aching quality)
22. Scenario: A patent with a pain ratng of 9-10 and arthrits has had injectons and pain killers but has only decreased his pain ratng a litle. (Gives vital signs). What type of pain
is this?
a.
Intractable/acute 23. Scenario: Patent is in pain, speaking in a high pitch, fast voice, rocking, restless. What would be appropriate NDs?
a.
Will exhibit pitch and rate of voice within 1 hour
24. You would use a pain ratng scale to rate the what of pain?
a.
Intensity 25. Afer giving pain medicine you need to check what?
a.
Acceptability of pain relief 26. If your patent uses a pain diary, what are you looking for?
a.
Paterns 27. When giving pain meds what is main thing?
a.
NDs: Safety 28. What are the 2 purposes of documentaton?
a.
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29. What is an advantage to verbal reportng?
a.
Can ask questons
30. Disadvantage of SOAPIE chartng?
a.
Confusing to use (“A” is ofen confused with assessment data instead of analysis of data)
31. In Focus Chartng, what would the “A” do?
a.
**Don’t remember the exact answer, but it stands for the ACTION you do; so like lowering catheter bag or putng ice packs on arm**
32. What should you include in pre-op teaching?
a.
Post Op pain relief available to pt
33. All of the following medical abbreviatons are incorrect to use, but which one is okay to use?
a.
Answer: ½
Choices: hs, D/C, 1/2
**this one was confusing, and a lot of people missed it. look at Moodle post of List of Error Prone Abbreviatons**
34. How a person feels about something; moods, emotons etc. a.
Afectve Domain 35. Which is an obstacle to learning?
a.
Pt learned of their diagnosis that morning (prognosis)
36. What is one of the most popular CAM natural products?
a.
Flaxseed
37. What is a type of CAM energy therapy?
a.
Reiki 38. What is meditaton, yoga, music, art, prayer, and journaling?
a.
Mind-Body Interventons of CAM
39. Which does Garlic (allium satvum) do?
a.
Increase insulin level, decreases glucose level 40. Which herbal remedy may increase the efects of ant-depressants?
a.
St. John’s Wort
41. What is a part of Hope in EOL Care?
a.
Establishing short term goals
42. Afer a patent dies, what must a nurse do?
a.
Remove tubes and wiring **NOT “force family to touch and see patent”**
43. Type of anesthesia for pts undergoing colonostomy?
a.
Conscious
44. What is something nurses should do for a pt who is DNR as their conditon changes?
a.
Review and reevaluate
45. Who gives detailed report to PACU Nurse?
a.
Circulatng Nurse
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Final:
1.
Which of the following is not a correct behavior descriptor? Pt will:
a.
Understand…. (must be measurable)
2.
You add your data cues to each box and put the main problem at the top of each box. What comes next?
a.
Replace main problems with Nursing Diagnosis Category 3.
What takes place during evaluaton?
a.
Verifying objectves were met
4.
Which would cause poor oxygen transport?
a.
Anemia
5.
Which oxygen delivery system delivers the highest concentraton of O2?
a.
Non-rebreather
6.
What is the main fuid volume regulator released when there is an increase in K?
a.
Aldosterone
7.
Which phase of Kotokof sounds produces a mufed, swishing sound?
a.
Phase 2
8.
What is the average intake and output of an adult as separate enttes?
a.
2500mL
9.
ABG’s- gave values and had to determine what it was. 10. Nurse decides to turn the patent every 1 hour instead of the 2 hours. What type of acton is this?
a.
Independent
11. Which is correct in regards to giving COPD patent oxygen?
a.
Keep at a state of hypoxemia 12. Which is NOT a factor that would afect oxygenaton?
a.
If you were pregnant a year ago
13. What does pillow placement help to do for Sim’s Positon?
a.
I think the right answer was “expansion of rib cage” but check
14. What could help to produce a productve cough?
a.
Incentve spirometer
15. Which lab value is abnormal?
a.
Na 146
16. Most abundant ICF ions?
a.
Mg and K
17. Which is not found in transcellular fuid?
a.
Lymph fuid 18. A patent gained 5 lbs. About how much fuid is this equal to?
a.
2 L
19. Pt receiving tube feedings, but losing water, confused, thirsty..which electrolyte imbalance?
a.
Hypernatremia 20. Pt received spinal anesthesia and then went into shock. Which shock?
a.
Neurogenic
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21. Error abbreviaton you CAN use?
a.
1000 mL
22. What immunoglobin would be found if a baby was exposed to a disease the mom had?
a.
IgG
23. Discharge that is serous looks like?
a.
Watery
24. Which ROM when you ask pt to spread their fngers out?
a.
Actve abducton
25. Pt with HTN, DM, CHF, and MRSA. Which precautons would you use?
a.
Contact
26. Which is incorrect regarding vitals?
a.
Glassy eyes during onset stage of fever
27. Pt gets out of bed and complains of sharp pain in calf. What should you do frst?
a.
Put back in bed
28. Which blood therapy do you give to patent to increase blood volume but not overtax the heart?
a.
PRBC’s
29. Which efect of immobility has to do with the bones?
a.
Osteoporosis 30. Man cuts leg, applies pressure, clot formed. Which stage of GAS?
a.
Resistance 31. Lady in hospital, Dr says shes bleeding to her abdomen. Which kind of surgery?
a.
Exploratve/emergency
32. Which is true concerning body temp?
a.
Progesterone raise body temp in women
33. Which is true regarding wheelchair?
a.
Keep foot pedals down when transferring 34. Know how to calculate I&O- don’t add pureed food, ice is half of total amount 35. Transdermal medicaton
a.
has a prolonged systemic efect
36. Ayurveda
a.
whole body medicine
37. Bright colored document so patent and physician can see it and that must be signed by an MD?
a.
La POST
38. Slow, dull, aching pain up spinal cord
a.
C fbers
39. SOAPIE chartng
40. If pt is combatve against nasal canula what would you do?
a.
I put promote rest and lower O2 demand. Everyone else put teach about why you need O2.
41. Medicaton derived from vegetables or animals
a.
Extract
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42. Enema use to sofen stool?
a.
Oil retenton
43. What is the purpose of moving the HOB down before moving a pt up in bed?
a.
Something about gravity 44. Major role for circulatng nurse?
a.
Safety
45. Another opton for restraints for a pt on falls precautons?
a.
Keep someone in the room at all tmes
46. Sign pt is in spiritual distress?
a.
Angry
47. What would show a patent is in Developing Awareness Stage of grief?
a.
Anger towards nurses
48. Spirituality vs. religion
49. Characteristc of tertary intenton wound?
a.
Lef open to drain
50. PACU nurse tells foor nurse about pt’s surgical incision. What do you assess?
a.
Integrity of the dressing
51. Problem with chartng by excepton?
a.
May use previous nurses checks
52. Which is iatrogenic infecton?
a.
Red hot area around IV that was done with poor sterile technique 53. Which herbal supplements do not afect surgery?
a.
Acai/echinacea
54. Which is not an excepton of marking the operatve site?
a.
Spinal level
55. Man lost his wife a few years ago, states “I cant seem to functon without her.” Which Ndx? a.
Complicated grieving 56. Symptom of FVE?
a.
SOB 57. Palliatve care is used
a.
While pt contnues to receive treatment (not sure if this was right)
58. Which represents you are teaching in the cognitve domain?
a.
Knowing about how insulin works (something like that)
59. What would you do frst for evisceraton?
a.
Cover with moist, sterile gauze 60. Which correctly describes complementary medicine?
a.
I put the one that said like use of science and something else
61. Which does not afect a pulse oximeter reading?
a.
AGE (other answers: carbon monoxide, hemoglobin, circulaton, movement)
62. What is a characteristc of a hydrocolloid dressing?
a.
Waterproof wafer
63. Which is true regarding sterile technique?
a.
Something about moisture and microbes and capillary acton
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64. Which is true regarding obtaining a stool specimen?
a.
Bed pan and cup must be sterile (not sure if this was right)
65. Which promote collagen synthesis? Select all that apply. a.
Iron, zinc, and cooper. (not vitamin B and vitamin K) 66. Which indicates a toxic efect?
a.
Overexposure to a drug
67. Which indicate the pt is in the frst stage of infammatory response? Select all that apply.
a.
Pain, heat, erythema. (not fever)
68. Loss of water but not electrolytes a.
Hyperosmolar imbalance 69. Which is true regarding hand washing?
a.
I put “fngertps are dirter than wrists” but idk if it was right
70. Mosquito passes infecton from one person to another. What is the mosquito?
a.
Vector
71. What are the 3 components of virchows triad?
a.
Hypercoagulability, impaired venous return, vessel trauma
72. Parasympathetc response to pain?
a.
Withdrawn 73. Word that describes teaching TC&DB pre-op?
a.
Preventatve 74. Type of normal and excessive stmulaton?
a.
Guided imagery
75. Symptom of reactve airway disease?
a.
Wheezing
76. What do you not do for med admin?
a.
Crush an enteric coated pill
77. Non-Specifc immunity
78. Which is correct for bath water for bed baths?
a.
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