When caring for a patient with orthopnea the nurse should: - CORRECT ANSWER✅✅Raise the head of
the bed
A nurse is working with a patient with limited English proficiency, what should she do? - CORRECT
ANSWER✅✅Get a translator
A patient doesn't make eye contact with the nurse and folds arm, what type of communication does the
patient represent? - CORRECT ANSWER✅✅Nonverbal communication
Quality nursing care is evaluated by what? - CORRECT ANSWER✅✅Process and outcomes
During examination of a child, physical child growth is the best indicator of what? - CORRECT
ANSWER✅✅General Health
The correct way to prevent infections is: - CORRECT ANSWER✅✅Wash your hands
A 3 month old has a heart rate of 135 BPM, is this normal or abnormal? - CORRECT ANSWER✅✅Normal
Vital signs across the life span: - CORRECT ANSWER✅✅Newborn-
Temp: 96-99.5
Pulse: 80-160
RR: 30-80
BP: 60-90/ 20-60
Young Child-
Temp: 98-98.6
Pulse: 75-110
RR: 15-25
BP: 84-120/54-80
,Adult-
Temp: 95.9- 99.5
Pulse: 60-100
RR: 12-20
BP: 90-120/ 60-80
Aging Adult-
Temp: 95-99
Pulse: 60-100
RR: 15-20
BP: 90-120/ 60-80
Name a secondary source of information: - CORRECT ANSWER✅✅Family members
Auscultation technique for lungs - CORRECT ANSWER✅✅Use diaphragm
A 3 year old patient has palpable lymph nodes, the nurse explains this finding as: - CORRECT
ANSWER✅✅Normal 3-6 yrs old
What is the purpose of a health history - CORRECT ANSWER✅✅To learn current and past health
information
What technique is used to test for crepitus, swelling and pulsations? - CORRECT ANSWER✅✅Palpation
What organization has to do with safety education in Nursing? - CORRECT ANSWER✅✅QSEN
Where is the popliteal pulse found - CORRECT ANSWER✅✅Behind the knee
What are the two heart valves found near the apex of the heart? - CORRECT ANSWER✅✅Mitral and
tricuspid
, What is the purpose of the stethoscope? - CORRECT ANSWER✅✅To block out external sounds and
magnify internal sounds
How long do you listen to an abnormal heart beat and where do you listen for it? - CORRECT
ANSWER✅✅Apically at the mitral valve for 1 minute
What part of the brain has to do with balance - CORRECT ANSWER✅✅Cerebellar cortex
A nursing student comes home from an exam and throws the remote at the TV, what kind of coping
mechanism is this student portraying? - CORRECT ANSWER✅✅Displacement
What type of coping mechanism is a patient displaying by stating "It is okay if I eat a candy bar if I drink a
diet coke." - CORRECT ANSWER✅✅Rationalization
Why do babies have a difficult time keeping up their temperature? - CORRECT ANSWER✅✅Because of
the fontanels are not fused allowing heat to escape
Who is the founder of nursing? - CORRECT ANSWER✅✅Florence Nightingale
What do the letters if PIE stand for? - CORRECT ANSWER✅✅P: Problem
I: Intervention
E: Evaluation
What kind of charting is PIE, SOAP/IE, DAR ? - CORRECT ANSWER✅✅Problem oriented
What do the letters of SBAR stand for? - CORRECT ANSWER✅✅S: Situation
B: Background
A: Assessment
R: Recommendation