Fundamentals in Nursing II (NURB 240) Final Exam Study
Guide DRAFT Questions With Complete Solutions
-0.9% NaCl (NS)
-Lactated Ringers (LR)
-D5W in the bag
-D5NS in the body Correct Answers What are examples of
isotonic solutions?
-0.45% NaCl
-Any NaCl with a smaller percentage than 0.9%
-D5W in the body Correct Answers What are examples of
hypotonic solutions?
-3.0% NaCl
-Any NaCl with a greater percentage than 0.9% NaCl
-D5NS in the bag Correct Answers What are examples of
hypertonic solutions?
-Ability to interpret information
-Independent thought
-Impartiality
-Intuition
-Problem-solving
-Flexibility
-Perseverance
-Integrity
-Creativity
-Curiosity
,-Humility Correct Answers What are important attributes for
nurses to have as they develop critical thinking?
-Actual procedure varies between facilities
-Use aseptic technique with good skin cleaning before insertion
-Securement device preferred
-Leave in as long as needed if no complications occur
-Assess regularly for infiltration, phlebitis, and infection
Correct Answers How is a peripheral IV placed?
-Age
-Nutrition
-Lifestyle
-Chronic illness
-Medications
-Obesity
-Circulation
-Oxygenation Correct Answers What are factors that affect
wound healing?
-Antibiotics if a bacterial pathogen is suspected
-Increase fluid intake
-Pyridium to treat symptoms such as dysuria Correct Answers
How is a UTI treated?
-Any oral intake that is liquid at room temperature (plus
pudding, gelatin, and custard)
-Ice (which counts as half)
-IV fluids
-Fluids used to flush tubes (ie. nasogastric)
-Tube feedings
,***Note: These are all recorded in mL. Correct Answers What
fluids are recorded as intake?
-Assess gastric residuals
-Administer tube feeding at room temperature
-Continuous feedings should be run on a special pump
-Intermittent feedings should be instilled by gravity, NOT with
pressure
-Assess for s/s of feeding intolerance (ie. high gastric residuals,
cramping, nausea/vomiting, diarrhea) and consider slowing the
rate of infusion if the patient is intolerant Correct Answers
What are considerations for enteral feedings administration?
-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation Correct Answers What is ADPIE?
-Availability
-Cost
-Storage
-Allergies
-Dietary preferences
-Religious and cultural customs
-Time Correct Answers What are barriers to adequate
nutrition?
, -Awareness of cues (Assessment in the nursing process) --> cues
are elements of assessment and data that provide important
information
-Confirmation of clinical problem (Diagnosis in the nursing
process) --> start to analyze the cues and prioritize hypotheses,
taking into consideration the patient's history
-Determination and implication of actions (Planning and
Implementation in the nursing process) --> start to generate
solutions and develop expected outcomes based on your
hypothesis; then take action using nursing interventions to
address the highest priority of care, including additional
assessment, teaching, calling the HCP for orders, etc.
-Evaluation and reflection (Evaluation in the nursing process) --
> evaluate the patient's outcome in relation to the expected
outcome and note what was improved, declined, or unchanged
Correct Answers What are the components of the clinical
judgement model? What components of the nursing process do
they correspond with?
-Barium swallow (the patient drinks the barium; used for
looking at structure and motility of upper GI tract)
-Barium enema (patient is given the barium through an enema;
used to visualize the structure of lower GI tract) Correct
Answers What are some indirect visualization procedure
examples?
-Blood vessels constrict
-Platelets gather to stop bleeding
-Clots form a fibrin matrix to start cellular repair Correct
Answers What occurs during the hemostasis phase of wound
healing?
Guide DRAFT Questions With Complete Solutions
-0.9% NaCl (NS)
-Lactated Ringers (LR)
-D5W in the bag
-D5NS in the body Correct Answers What are examples of
isotonic solutions?
-0.45% NaCl
-Any NaCl with a smaller percentage than 0.9%
-D5W in the body Correct Answers What are examples of
hypotonic solutions?
-3.0% NaCl
-Any NaCl with a greater percentage than 0.9% NaCl
-D5NS in the bag Correct Answers What are examples of
hypertonic solutions?
-Ability to interpret information
-Independent thought
-Impartiality
-Intuition
-Problem-solving
-Flexibility
-Perseverance
-Integrity
-Creativity
-Curiosity
,-Humility Correct Answers What are important attributes for
nurses to have as they develop critical thinking?
-Actual procedure varies between facilities
-Use aseptic technique with good skin cleaning before insertion
-Securement device preferred
-Leave in as long as needed if no complications occur
-Assess regularly for infiltration, phlebitis, and infection
Correct Answers How is a peripheral IV placed?
-Age
-Nutrition
-Lifestyle
-Chronic illness
-Medications
-Obesity
-Circulation
-Oxygenation Correct Answers What are factors that affect
wound healing?
-Antibiotics if a bacterial pathogen is suspected
-Increase fluid intake
-Pyridium to treat symptoms such as dysuria Correct Answers
How is a UTI treated?
-Any oral intake that is liquid at room temperature (plus
pudding, gelatin, and custard)
-Ice (which counts as half)
-IV fluids
-Fluids used to flush tubes (ie. nasogastric)
-Tube feedings
,***Note: These are all recorded in mL. Correct Answers What
fluids are recorded as intake?
-Assess gastric residuals
-Administer tube feeding at room temperature
-Continuous feedings should be run on a special pump
-Intermittent feedings should be instilled by gravity, NOT with
pressure
-Assess for s/s of feeding intolerance (ie. high gastric residuals,
cramping, nausea/vomiting, diarrhea) and consider slowing the
rate of infusion if the patient is intolerant Correct Answers
What are considerations for enteral feedings administration?
-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation Correct Answers What is ADPIE?
-Availability
-Cost
-Storage
-Allergies
-Dietary preferences
-Religious and cultural customs
-Time Correct Answers What are barriers to adequate
nutrition?
, -Awareness of cues (Assessment in the nursing process) --> cues
are elements of assessment and data that provide important
information
-Confirmation of clinical problem (Diagnosis in the nursing
process) --> start to analyze the cues and prioritize hypotheses,
taking into consideration the patient's history
-Determination and implication of actions (Planning and
Implementation in the nursing process) --> start to generate
solutions and develop expected outcomes based on your
hypothesis; then take action using nursing interventions to
address the highest priority of care, including additional
assessment, teaching, calling the HCP for orders, etc.
-Evaluation and reflection (Evaluation in the nursing process) --
> evaluate the patient's outcome in relation to the expected
outcome and note what was improved, declined, or unchanged
Correct Answers What are the components of the clinical
judgement model? What components of the nursing process do
they correspond with?
-Barium swallow (the patient drinks the barium; used for
looking at structure and motility of upper GI tract)
-Barium enema (patient is given the barium through an enema;
used to visualize the structure of lower GI tract) Correct
Answers What are some indirect visualization procedure
examples?
-Blood vessels constrict
-Platelets gather to stop bleeding
-Clots form a fibrin matrix to start cellular repair Correct
Answers What occurs during the hemostasis phase of wound
healing?
