ROSEMAN HEALTH ASSESSMENT 2 FINAL EXAM REVIEW 53 QUESTIONS
WITH VERIFIED ANSWER 2026
100% Correct 53
Incorrect 0
1 of 53
Term
ONCE A SHIFT: REMOVE AND CHECK FOR SKIN BREAKDOWN
- COMPRESSION STOCKINGS
- PULSE OXY
- PRESSURE CUF
- KNEE LEVEL COMPRESSION DEVICE
Give this one a go later!
LOW AIR LOSS MATTRESS: RELEASE PRESSURE
STILL NEEDS MONITORING AND REPOSITIONING EVERY 2H
- DOCUMENT ALL SKINCARE AND EDUCATION -
Decreased lung expansion.
, - Physiologic outcomes of immobility include decreased metabolism, increased cardiac
workload, decreased lung expansion, and increased oxygen demand.
IMMOBILITY - NRS DX
DX: INNEFACTIVE AIRWAY CLEARANCE
R/T: WEAK MUSCLE
AEB: WEAK COUGH EFFORT
BEDREST -> DEMINIRALIZATION OF THE BONES -> RELEASE Ca+ IN BLOODSTREAM ->
GET TO KIDNEY -> DEVELOP KIDNEY CALCULI
↑Ca+ LEVEL -> FILTER URINE: CHECK FOR STONES
Don't know?
2 of 53
Term
NURSE IS CARING FOR PX THAT SUDDENLY BECOME CONFUSED AND TRIES TO REMOVE IV.
WHICH PRIORITY ACTION WILL NURSE TAKE?
A. ASSESS PX
B. RESTRAINT SUPPLY
C. ATERNATIVE TO RESTRAIN
D. CALL HCP FOR RESTRAIN ORDER
Give this one a go later!
,Left-ankle joint stiffness
- Patients whose mobility is restricted require range-of-motion (ROM) exercises daily to
reduce the hazards of immobility. Temporary immobilization results in some muscle
atrophy, loss of muscle tone, and joint stiffness. Two weeks of joint immobilization
without ROM can quickly result in contractures.
A. ASSESS PX
- WHEN PX BECOME SUDDENLY CONFUSED THE PRIORITY IS TO ASSESS THE PX
TO IDENTIFY REASON FOR CHANGE IN BEHAVIOR, TO TRY TO ELIMINATE
CAUSE.
Cream of broccoli soup with whole wheat crackers, cheese, and tapioca for dessert.
- Teach patient and/or caregiver the current recommended dietary allowances for
calcium and review foods high in calcium (e.g., milk fortified with vitamin D, leafy
green vegetables, yogurt, and cheese).
A. ETIOLOGY
- THE CAUSE (ETIOLOGY) CANNOT BE A MEDICAL DX. TIBIAL FRACTURE SHOULD BE
CHANGED TO SEVERE PAIN OR ANOTHER NRS DX FROM THE NANDA LIST.
Don't know?
,
WITH VERIFIED ANSWER 2026
100% Correct 53
Incorrect 0
1 of 53
Term
ONCE A SHIFT: REMOVE AND CHECK FOR SKIN BREAKDOWN
- COMPRESSION STOCKINGS
- PULSE OXY
- PRESSURE CUF
- KNEE LEVEL COMPRESSION DEVICE
Give this one a go later!
LOW AIR LOSS MATTRESS: RELEASE PRESSURE
STILL NEEDS MONITORING AND REPOSITIONING EVERY 2H
- DOCUMENT ALL SKINCARE AND EDUCATION -
Decreased lung expansion.
, - Physiologic outcomes of immobility include decreased metabolism, increased cardiac
workload, decreased lung expansion, and increased oxygen demand.
IMMOBILITY - NRS DX
DX: INNEFACTIVE AIRWAY CLEARANCE
R/T: WEAK MUSCLE
AEB: WEAK COUGH EFFORT
BEDREST -> DEMINIRALIZATION OF THE BONES -> RELEASE Ca+ IN BLOODSTREAM ->
GET TO KIDNEY -> DEVELOP KIDNEY CALCULI
↑Ca+ LEVEL -> FILTER URINE: CHECK FOR STONES
Don't know?
2 of 53
Term
NURSE IS CARING FOR PX THAT SUDDENLY BECOME CONFUSED AND TRIES TO REMOVE IV.
WHICH PRIORITY ACTION WILL NURSE TAKE?
A. ASSESS PX
B. RESTRAINT SUPPLY
C. ATERNATIVE TO RESTRAIN
D. CALL HCP FOR RESTRAIN ORDER
Give this one a go later!
,Left-ankle joint stiffness
- Patients whose mobility is restricted require range-of-motion (ROM) exercises daily to
reduce the hazards of immobility. Temporary immobilization results in some muscle
atrophy, loss of muscle tone, and joint stiffness. Two weeks of joint immobilization
without ROM can quickly result in contractures.
A. ASSESS PX
- WHEN PX BECOME SUDDENLY CONFUSED THE PRIORITY IS TO ASSESS THE PX
TO IDENTIFY REASON FOR CHANGE IN BEHAVIOR, TO TRY TO ELIMINATE
CAUSE.
Cream of broccoli soup with whole wheat crackers, cheese, and tapioca for dessert.
- Teach patient and/or caregiver the current recommended dietary allowances for
calcium and review foods high in calcium (e.g., milk fortified with vitamin D, leafy
green vegetables, yogurt, and cheese).
A. ETIOLOGY
- THE CAUSE (ETIOLOGY) CANNOT BE A MEDICAL DX. TIBIAL FRACTURE SHOULD BE
CHANGED TO SEVERE PAIN OR ANOTHER NRS DX FROM THE NANDA LIST.
Don't know?
,
