Xavier ABSN NURS200 Final Exam
what happens during s1? - CORRECT ANSWER-mitral/tricuspid (A/V) valves close
what happens during s2? - CORRECT ANSWER-aortic/pulmonic (semilunar) valves
close
what clients would you assess apical-radial pulse for? - CORRECT ANSWER-clients
with certain cardiovascular disorders
what is the discrepancy between 2 pulse rates called? - CORRECT ANSWER-pulse
deficit
what range should normal mean arterial pressure be? - CORRECT ANSWER-70-110
How to calculate MAP - CORRECT ANSWER-1/3 (SBP-DBP)
what should you do if a client had smoked or injected coffee before BP assessment? -
CORRECT ANSWER-measure after 30 minutes
the joint commission requires that the clinical record include what 4 things? - CORRECT
ANSWER-evidence of client assessment, nursing interventions, client outcomes,
evidence of current nursing plan
what are the steps for documenting nursing process? - CORRECT ANSWER-
assessment, diagnosis, planning, implementing, evaluating
what types of information would a graphic record include on a flow sheet? - CORRECT
ANSWER-clinical data (vitals), data admission, bowel movements, appetite, etc
what 2 documentation records are required for medicare/medicaid home health care? -
CORRECT ANSWER-home health certification and plan of treatment form, and a
medical update and client information form (p232)
What does SBAR stand for? - CORRECT ANSWER-S: Situation
B: Background
A: Assessment
R: Recommendation
normal pulse range - CORRECT ANSWER-60-100 bpm
What is a dysrhythmia? - CORRECT ANSWER-Abnormal heart rhythm
, what is pulse volume? - CORRECT ANSWER-strength of the pulse
if you have difficulty hearing apical pulse on supine position, what 2 other positions can
you try? - CORRECT ANSWER-left lateral or sitting (p493)
during inhalation does the diaphragm relax or contract? - CORRECT ANSWER-contract
(flatten)
what 2 areas of the brain control respiration? - CORRECT ANSWER-medulla oblongata
and pons
Name some factors that would increase respiration rate - CORRECT ANSWER-
exercise, stress, increased environmental temperature, lowered oxygen concentration
and high altitudes
name some factors that would decrease respiratory rate - CORRECT ANSWER-
decreased environmental temperature, certain medication, and intracranial pressure
what is tidal volume? - CORRECT ANSWER-amount of air inhaled and exhaled during
a normal breathing cycle.
Describe Cheyne-Stokes breathing - CORRECT ANSWER-rhythmic waxing/waning of
respirations from very deep to very shallow and apnea.
describe orthopnea - CORRECT ANSWER-ability to breathe only in an upright sitting or
standing position
what is a shrill, harsh sounds heard during inspiration with laryngeal obstruction? -
CORRECT ANSWER-stridor
what is the name of a snoring sound usually due to a partial obstruction of the upper
airway? - CORRECT ANSWER-stertor
a continuous high-pitched musical squeak or whistling sound occurring on expiration is
called? - CORRECT ANSWER-wheeze
what is hemoptysis - CORRECT ANSWER-blood in sputum
what is hemocrit? - CORRECT ANSWER-% of whole blood that is RBCs
which vital can be affected by race? - CORRECT ANSWER-blood pressure
how much wider than the limb should the BP cuff be? - CORRECT ANSWER-40%
circumference or 20% diameter
what happens during s1? - CORRECT ANSWER-mitral/tricuspid (A/V) valves close
what happens during s2? - CORRECT ANSWER-aortic/pulmonic (semilunar) valves
close
what clients would you assess apical-radial pulse for? - CORRECT ANSWER-clients
with certain cardiovascular disorders
what is the discrepancy between 2 pulse rates called? - CORRECT ANSWER-pulse
deficit
what range should normal mean arterial pressure be? - CORRECT ANSWER-70-110
How to calculate MAP - CORRECT ANSWER-1/3 (SBP-DBP)
what should you do if a client had smoked or injected coffee before BP assessment? -
CORRECT ANSWER-measure after 30 minutes
the joint commission requires that the clinical record include what 4 things? - CORRECT
ANSWER-evidence of client assessment, nursing interventions, client outcomes,
evidence of current nursing plan
what are the steps for documenting nursing process? - CORRECT ANSWER-
assessment, diagnosis, planning, implementing, evaluating
what types of information would a graphic record include on a flow sheet? - CORRECT
ANSWER-clinical data (vitals), data admission, bowel movements, appetite, etc
what 2 documentation records are required for medicare/medicaid home health care? -
CORRECT ANSWER-home health certification and plan of treatment form, and a
medical update and client information form (p232)
What does SBAR stand for? - CORRECT ANSWER-S: Situation
B: Background
A: Assessment
R: Recommendation
normal pulse range - CORRECT ANSWER-60-100 bpm
What is a dysrhythmia? - CORRECT ANSWER-Abnormal heart rhythm
, what is pulse volume? - CORRECT ANSWER-strength of the pulse
if you have difficulty hearing apical pulse on supine position, what 2 other positions can
you try? - CORRECT ANSWER-left lateral or sitting (p493)
during inhalation does the diaphragm relax or contract? - CORRECT ANSWER-contract
(flatten)
what 2 areas of the brain control respiration? - CORRECT ANSWER-medulla oblongata
and pons
Name some factors that would increase respiration rate - CORRECT ANSWER-
exercise, stress, increased environmental temperature, lowered oxygen concentration
and high altitudes
name some factors that would decrease respiratory rate - CORRECT ANSWER-
decreased environmental temperature, certain medication, and intracranial pressure
what is tidal volume? - CORRECT ANSWER-amount of air inhaled and exhaled during
a normal breathing cycle.
Describe Cheyne-Stokes breathing - CORRECT ANSWER-rhythmic waxing/waning of
respirations from very deep to very shallow and apnea.
describe orthopnea - CORRECT ANSWER-ability to breathe only in an upright sitting or
standing position
what is a shrill, harsh sounds heard during inspiration with laryngeal obstruction? -
CORRECT ANSWER-stridor
what is the name of a snoring sound usually due to a partial obstruction of the upper
airway? - CORRECT ANSWER-stertor
a continuous high-pitched musical squeak or whistling sound occurring on expiration is
called? - CORRECT ANSWER-wheeze
what is hemoptysis - CORRECT ANSWER-blood in sputum
what is hemocrit? - CORRECT ANSWER-% of whole blood that is RBCs
which vital can be affected by race? - CORRECT ANSWER-blood pressure
how much wider than the limb should the BP cuff be? - CORRECT ANSWER-40%
circumference or 20% diameter
