NURS 4700: Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
What are the 5 rights of delegation? - CORRECT ANSWER - 1. Right task
2. Right circumstance
3. To the right person
4. With the right direction and communication
5. Under the right supervision and evaluation
What delegated tasks can UAPs or NAPs do? - CORRECT ANSWER - -VS
-Ambulations
-I/Os
-Discontinue some lines
-Cannot pass meds
What are tasks that LPNs and UAPs cannot do? - CORRECT ANSWER - *Assessment, patient
teaching, or evaluation of care*
What is SBAR? What is part of it? - CORRECT ANSWER - -Model for effective transfer of
information to medical professionals
-Situation: Identify self, unit, and state problem
-Background: What is the circumstance leading up to situation? VS, Hx, etc
-Assessment: What do you think the problem is?
-Recommendation: What should we do to correct the problem
Why is assessment important regarding herbs and dietary supplements? - CORRECT ANSWER - -
May have SE or interact adversely with OTC drugs
-*Especially for surgery, best advice is to stop herbal supplements 2-3 weeks before*
,What is the nurse's role in regards to CAT? - CORRECT ANSWER - -Use open ended questions
when asking about herbs and supplements
-Document any supplements they use
-Educate patient on: risks and benefits with herbal use, employees at health stores aren't HCPs, reading
labels, SE that should be discussed with HCPs
What are some gerontologic considerations with CAT? - CORRECT ANSWER - -Safety concerns
due to herb-drug interaction and toxicity from polypharmacy and age related changes in pharmacokinetics
-Discuss risks and benefits
-Inform health care providers
What is a UTI? Difference between upper and lower? - CORRECT ANSWER - -Second most
common bacterial disease with the most common bacterial infection in women. Commonly caused by E
coli. Urosepsis can be fatal
-Upper: located in kidney, systematic fever, chills, flank pain
-Lower: located in urethra, local burning, hematuria
UTI: Sx - CORRECT ANSWER - -Dysuria, frequency (<q 2 hours), urgency, supra-pubic
discomfort/pressure, hematuria or cloudy (protein or bacteria in urine)
-*Older adults differ: non localized abdominal discomfort*
UTI: Dx and Tx - CORRECT ANSWER - Dx: urine analysis and C/S
Tx: hydration, abx, teaching, meds (TMP-SMX or nitrofurantoin), cranberry juice, bactrum
UTI: health promotion - CORRECT ANSWER - -Recognize risks: women, elderly, foley cath
-Preventive measures: Regular bladder/bowel emptying, *perineal wiping front to back*, adequate
hydration, cranberry juice, void before/after intercourse, good urinary catheter care
What is pyelonephritis? Sx? Dx?Tx? - CORRECT ANSWER - -Inflammation of the renal
parenchyma/collecting system usually from ascended UTI or lower UTI
-Sx: fatigue, chills, fever, vomiting, malaise, flank pain, lower UTI sx, *costovertebral angle tenderness*
, -Dx: urinalysis, WBC, blood cultures, US, CT, costovertebral angle
-Tx: abx and fluids
What is glomerulonephritis? Sx? Dx? - CORRECT ANSWER - -Inflammation of the glomeruli;
*strep can lead to this in children*; untreated can lead to ESRD
-Sx: hematuria, proteinuria, uremia, edema, HTN
-Dx: urine analysis, blood studies, CT scan and US
Glomerulonephritis: tx, teaching - CORRECT ANSWER - Tx: manage sx (HTN, edema, UTI),
lower protein and sodium diet, fluid restriction, I/O, weight daily, strep (abx), corticosteroids (decrease
inflammation)
Teach: decrease dietary protein if high BUN, daily weight
What is urethritis? Sx? Dx? Tx? - CORRECT ANSWER - -Inflammation of the urethra, most
commonly from a sexually transmitted bacterial or viral infection
-Sx: discharge, dysuria, frequency, urgency
-Dx: urinalysis and culture
-Tx: based on underlying cause and providing symptomatic relief
What is cystitis? Dx? - CORRECT ANSWER - -Inflammation of the bladder
-Dx: urinalysis and culture
What are types of renal calculi? Risks? - CORRECT ANSWER - -Urolithiasis, nephrolithiasis,
calcium oxalate (common), calcium phosphate, uric acid, cystine, struvite
-Men greater than women (age 20-55), whites greater risk than African american, family history, UTI,
dehydration
Renal calculi: patho, sx, dx - CORRECT ANSWER - -Patho: form when crystal-forming
substances aren't diluted by the kidney and sticks together
-Sx: obstructed urinary flow, abdominal or flank pain, hematuria, N/V, fever and chills, renal colic
Questions and CORRECT Answers
What are the 5 rights of delegation? - CORRECT ANSWER - 1. Right task
2. Right circumstance
3. To the right person
4. With the right direction and communication
5. Under the right supervision and evaluation
What delegated tasks can UAPs or NAPs do? - CORRECT ANSWER - -VS
-Ambulations
-I/Os
-Discontinue some lines
-Cannot pass meds
What are tasks that LPNs and UAPs cannot do? - CORRECT ANSWER - *Assessment, patient
teaching, or evaluation of care*
What is SBAR? What is part of it? - CORRECT ANSWER - -Model for effective transfer of
information to medical professionals
-Situation: Identify self, unit, and state problem
-Background: What is the circumstance leading up to situation? VS, Hx, etc
-Assessment: What do you think the problem is?
-Recommendation: What should we do to correct the problem
Why is assessment important regarding herbs and dietary supplements? - CORRECT ANSWER - -
May have SE or interact adversely with OTC drugs
-*Especially for surgery, best advice is to stop herbal supplements 2-3 weeks before*
,What is the nurse's role in regards to CAT? - CORRECT ANSWER - -Use open ended questions
when asking about herbs and supplements
-Document any supplements they use
-Educate patient on: risks and benefits with herbal use, employees at health stores aren't HCPs, reading
labels, SE that should be discussed with HCPs
What are some gerontologic considerations with CAT? - CORRECT ANSWER - -Safety concerns
due to herb-drug interaction and toxicity from polypharmacy and age related changes in pharmacokinetics
-Discuss risks and benefits
-Inform health care providers
What is a UTI? Difference between upper and lower? - CORRECT ANSWER - -Second most
common bacterial disease with the most common bacterial infection in women. Commonly caused by E
coli. Urosepsis can be fatal
-Upper: located in kidney, systematic fever, chills, flank pain
-Lower: located in urethra, local burning, hematuria
UTI: Sx - CORRECT ANSWER - -Dysuria, frequency (<q 2 hours), urgency, supra-pubic
discomfort/pressure, hematuria or cloudy (protein or bacteria in urine)
-*Older adults differ: non localized abdominal discomfort*
UTI: Dx and Tx - CORRECT ANSWER - Dx: urine analysis and C/S
Tx: hydration, abx, teaching, meds (TMP-SMX or nitrofurantoin), cranberry juice, bactrum
UTI: health promotion - CORRECT ANSWER - -Recognize risks: women, elderly, foley cath
-Preventive measures: Regular bladder/bowel emptying, *perineal wiping front to back*, adequate
hydration, cranberry juice, void before/after intercourse, good urinary catheter care
What is pyelonephritis? Sx? Dx?Tx? - CORRECT ANSWER - -Inflammation of the renal
parenchyma/collecting system usually from ascended UTI or lower UTI
-Sx: fatigue, chills, fever, vomiting, malaise, flank pain, lower UTI sx, *costovertebral angle tenderness*
, -Dx: urinalysis, WBC, blood cultures, US, CT, costovertebral angle
-Tx: abx and fluids
What is glomerulonephritis? Sx? Dx? - CORRECT ANSWER - -Inflammation of the glomeruli;
*strep can lead to this in children*; untreated can lead to ESRD
-Sx: hematuria, proteinuria, uremia, edema, HTN
-Dx: urine analysis, blood studies, CT scan and US
Glomerulonephritis: tx, teaching - CORRECT ANSWER - Tx: manage sx (HTN, edema, UTI),
lower protein and sodium diet, fluid restriction, I/O, weight daily, strep (abx), corticosteroids (decrease
inflammation)
Teach: decrease dietary protein if high BUN, daily weight
What is urethritis? Sx? Dx? Tx? - CORRECT ANSWER - -Inflammation of the urethra, most
commonly from a sexually transmitted bacterial or viral infection
-Sx: discharge, dysuria, frequency, urgency
-Dx: urinalysis and culture
-Tx: based on underlying cause and providing symptomatic relief
What is cystitis? Dx? - CORRECT ANSWER - -Inflammation of the bladder
-Dx: urinalysis and culture
What are types of renal calculi? Risks? - CORRECT ANSWER - -Urolithiasis, nephrolithiasis,
calcium oxalate (common), calcium phosphate, uric acid, cystine, struvite
-Men greater than women (age 20-55), whites greater risk than African american, family history, UTI,
dehydration
Renal calculi: patho, sx, dx - CORRECT ANSWER - -Patho: form when crystal-forming
substances aren't diluted by the kidney and sticks together
-Sx: obstructed urinary flow, abdominal or flank pain, hematuria, N/V, fever and chills, renal colic
