Correct Answers Graded A+.
Blood pressure - Answer Systolic: 100-120
diastolic: 60-80
Heart rate - Answer 60-100 bpm
Respirations - Answer 12-20 breaths/min
Temperature - Answer 97.8-99 *F (36.5-37.2 *C)
Oxygen - Answer 95-100%
Hypotension - Answer low blood pressure
Hypertension - Answer high blood pressure
Bradycardia - Answer slow heart rate (less than 60 bpm)
Tachycardia - Answer rapid heart rate (more than 100 bpm)
Bradypnea - Answer slow breathing
Tachypena - Answer rapid breathing
Hypothermia - Answer low body temperature (less than 95 *F)
Hyperthermia - Answer high body temperature (more than 104 *F)
Hypoxemia - Answer low oxygen levels
Chain of infection - Answer Infectious agent - Bacterium, Virus, parasite
Source- Animal or insect, inanimate object
Portal of exit- Blood, respiratory tract, GI tract
, Mode of transmission- contact, airborne, droplet, vector-borne
Portal entry- GI tract, mucous membrane, respiratory tract,
Susceptible host- Trauma, surgery, chronically ill, elderly
When teaching a patient about fire safety, which activity does the nurse know is the leading
cause of fire-related death?
- heating with kerosene heaters
- playing with matches
- smoking
- cooking - Answer cooking
Which restraint-free alternative is best for the nurse to use for an 84-year-old patient after hip
replacement who has confusion and incontinence?
- A 24- hour sitter and the patient's favorite television show
- A room near the nurses' station and decreased sensory stimuli
- Side rails up and decreased sensory stimuli
- A pressure sensor alarm and a room near the nurses' station - Answer A pressure sensor
alarm and a room near the nurses' station
What other health care professional should the nurse consult first when a patient has difficulty
with activities of daily living (ADLs) such as bathing and dressing and why?
- Social worker to arrange for needed assistive devices
- Occupational therapist to evaluate the ability to perform ADLs
- Physical therapist to evaluate the patient's need for assistive devices
- Area agency on aging to arrange for Meals on Wheels - Answer Occupational therapist to
evaluate the ability to perform ADLs
Which activity would be most appropriate for the registered nurse (RN) to delegate to
unlicensed assistive personnel (UAP)?
- Assisting with or performing the patient's ADLs
- Teaching the patient use of assistive devices
- Assessing the patient for fall risk and complications of restraint use
- Evaluating the patient's ability to perform activities of daily living (ADLs) - Answer Assisting
with or performing the patient's ADLs
A nurse working in a dermatology clinic observes that a patient who attends your practice
typically arrives 10 to 15 minutes late to every appointment. Based on an understanding of first-