ISBAR - CORRECT ANSWER✅✅Identification, Situation, Background, Assessment, Recommendations
scope of practice - CORRECT ANSWER✅✅a set of regulations and ethical considerations that define the
scope, or extent and limits, of the LPNs job. Created by nursing board
HIPAA - CORRECT ANSWER✅✅Do not discuss patient private information in crowded area, only share
with appropriate members of healthcare team & those the patient has given permission
subjective data - CORRECT ANSWER✅✅what the person says about himself or herself
objective data - CORRECT ANSWER✅✅information that is seen, heard, felt, or smelled by an observer;
signs
Doning - CORRECT ANSWER✅✅putting on PPE gown, mask, goggles, gloves
Doffing - CORRECT ANSWER✅✅removing PPE, gloves, goggles, gown, mask
apical pulse - CORRECT ANSWER✅✅a central pulse located at the apex of the heart, midclavicular at
the 5th intercostal space; must take for a full 60 seconds
Braden Scale - CORRECT ANSWER✅✅Tool for predicting pressure ulcer risk. 6 categories graded from 1
(worst) to 4 (best). <9 Severe risk, <12 is high risk
1. Sensory perception
2. Activity
3. Mobility
4. Nutrition
5. Moisture level
6. Friction and shear
, Epworth Sleepiness Scale - CORRECT ANSWER✅✅Determines how likely PT will Fall asleep in a given
scenario, 0-3 scale. Score of 9or< is high index for sleep.
Lawton Scale - CORRECT ANSWER✅✅Lawton Instrumental Activities of Daily Living, used to asses
functional ability
- measures IADLs ( managing money, grocery shopping, house cleaning, taking medications,
transportation)
Katz Scale - CORRECT ANSWER✅✅Katz index of independence in ADLs, used to asses functional ability
- measures ADLs (personal care, mobility, eating, hygiene/ grooming )
Mini-Cog - CORRECT ANSWER✅✅repeat 3 words and clock drawing test, measures cognitive ability
Montreal Cognitive Assessment (MoCA) - CORRECT ANSWER✅✅screening for mild cognitive
dysfunction; asess different cognitive domains like attention, visuconstructional, memory, etc. and
scored up to 30 points
>26 = normal
BMI (body mass index) - CORRECT ANSWER✅✅estimates body fat based on height and weight
< 19 UNDERWEIGHT
19-24.9 OPTIMAL BODY WEIGHT
25-29.9 OVERWEIGHT
30-34.9 CLASS 1 OBESITY
35-39.9 CLASS 2 OBESITY
> 40 EXTREME OBESITY
SPICES - CORRECT ANSWER✅✅Assessment that checks for sleep disorders;
Sleep disorder