BRAKES COMPREHENSIVE STUDY
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ transmission infections.
Answer: MRSA, VRE, Lice, major draining wounds
◍ protective precautions.
Answer: protect patient from organism carried by the caregiver
◍ application of restraints.
Answer: pad bony prominences, ensure 2 fingers can be ins term between
restraint and patient's extremity, perform ROM when removing restraint,
secure quick and easy knot to bed/chair frame, do not position patient flat on
bed, call light accessible
◍ restraint assessment.
Answer: assess patient and remove restraint according to agency policy
(assess every 1 hour and remove every 2)
◍ assessments prior to assisting with eating.
Answer: check diet order, assess for any allergies, religious, or cultural
preferences, make sure the patient does not have any labs or diagnostic
studies that may impact meal schedule, assess for swallowing difficulties
◍ feeding safety concerns.
Answer: dysphagia, pocketing, aspiration, vomiting
◍ how do we reduce the risk of feeding concerns?.
Answer: help with meals and snack, position patient upright for one hour
after meal, support upper back, shoulders, and neck with pillows, check
, person's mouth after eating for pocketing, provide oral care
◍ how should the tray be set up for mealtime?.
Answer: clock fashion
◍ what should the nurse encourage the patient to do during mealtime?.
Answer: do as much as possible
◍ intake.
Answer: measurement of any fluid coming into the body (oral, IV, NG,
G-tube)
◍ How is food intake measured?.
Answer: 25%, 50%, 75%, 100% or bites
◍ what is considered a liquid?.
Answer: H20, milk, coffee, tea, soups, soft drinks, ice cream, jello,
popsicles, pudding, creamed cereals, custard (if it turns liquid at room temp.
it counts), recorded as cc or ml
◍ output.
Answer: measurement of any fluid coming out of the body (urine, emesis,
drainage, diarrhea), also frequency of stools
◍ should you leave a patient alone on the toilet?.
Answer: No
◍ How should you measure urine from a foley?.
Answer: empty into a graduated measuring cup, never let tubings touch edge
or inside, after emptying clamp and wipe tubing with alcohol, collection bag
is kept below level of bladder, was graduate as you would a bedpan
◍ normal intake and output.
Answer: 2000-2500 cc/day
◍ what is encoded in HIPPA.
Answer: name, address, DOB, phone number, SS#, medical record and
hospital number, room number, photographs, nursing and physician notes,
treatment plans, billing and insurance records
, ◍ Are healthcare employees allowed to call out patient's names in a waiting
room?.
Answer: yes, they cannot call out any other info such as where the patient is
being called back to
◍ subjective data.
Answer: information from the client's POV, information cannot be verified
by another person (ex: feeling nervous, chilly, or experiencing pain)
◍ objective data.
Answer: observable and measurable, obtained through observation,
assessment, labs, and diagnostic testing (ex: pulse, moist skin, patient
refused to eat food)
◍ examples of problem oriented medical records.
Answer: SOAP (subjective, objective, assessment, plan), PIE (problem,
intervention, evaluation), DAR (data, action, response)
◍ charting by exception (CBE).
Answer: focuses on documenting significant findings, requires less time to
document and is standardized assessment
◍ communication between healthcare providers.
Answer: SBAR (situation, background, assessment, recommendation)
◍ most important medication administration rule.
Answer: you may not give medications to your patient if you do not know
what it is for and why it makes sense that your patient is getting the
medication
◍ medication administration considerations for older adults.
Answer: decreased GI mobility, decreased muscle mass, decreased acid
production, decreased blood flow
◍ medication process.
Answer: prescribing-dispensing-administering-monitoring
◍ medication orders.