Final Exam Concept Guide
Kahoot
1. What tools are not used in pain assessment?
• Braden scale
2. What is NOT a complication of diabetic’s mellitus
• Regulated blood sugar
3. QSEN teaches the knowledge, skills and attitude necessary to improve quality and
safety of the healthcare system
• True
4. A patient complains of chronic back pain, what is the appropriate intervention
• Combination of pharmacological and non-pharmacological intervention
5. What is an example of secondary health promotion?
• Hypertension screening
6. What nursing intervention would a nurse teach a patient to reduce incontinence episode
• Teach Kegel exercises daily
7. A patient with ankle sprain, what type of pain is the patient experiencing?
• Somatic
8. What is a cause of constipation?
• Inactivity
9. Which would usually heal by secondary intention?
• Burns
10. What phase of the nursing process includes the nurse reviewing and determining if
outcomes have been met?
• Evaluation
11. Knee surgery requires the nurse to provide what type of care?
• Tertiary
12. What is not part of the infection cycle
• Length of exposure
13. What lung sound would you expect in a healing healthy adult?
• Vesicular
14. What is the first step in intervention crisis?
, • Identify the problem
15. A patient with a 4mm pitting edema is the same as
• 2+ pitting
In class review
1. What type of nursing intervention would be used in preventing a UTI?
• Wipe from front to back
• Clean up after incontinence episode
2. If you walked into a room and the patient is restless and grimacing, what would be the
first priority action the nurse would do?
• Ask the patient what is causing the grimace.
3. A nurse is assessing a patient who is paralyzed from the lower extremity, what are some
consequences to being immobile? (SATA)
• Urinary retention
• UTI
• Renal calculi (kidney stones)
4. A bedbound pt. complains of pain in the lower abdominal pain and pressure, bowels
sounds are present in all 4 quadrants, last bowel movement was yesterday, what
should the nurse assess to determine the cause of pain?
• Check last time they voided
5. A homecare nurse seeing multiple home-based patients, which one of these patients is at
risk for infection? (SATA)
• A middle-aged man working 3 jobs who said he has no time for sleep
• An older adult with diabetics and recent toe amputation
• A client that has just had hip surgery
6. The difference between evisceration and dehiscence?
• Wound dehiscence is when a surgical incision reopens either internally or externally.
Dehiscence is also commonly associated with surgical site infection. An opening
could lead to evisceration, which is a much more severe condition that occurs when
your wound reopens and your internal organs come out of the incision.
7. Assessing a patient’s stoma, what would concern the nurse most?
• Pale stoma
, 8. Definition of insomnia
• Insomnia is defined as difficulty falling asleep, difficulty staying asleep, or waking
up early in the morning and not being able to return to sleep.
9. What are the correct steps for the nursing process?
• ADPIE - These are assessment, diagnosis, planning, implementation, and evaluation.
10. Objective assessment of pain in a comatose patient?
• Heart rate of 105
11. A nurse is admitting a patient to the ER complaining of severe abdominal pain?
• Assess the pain characteristics, onset, duration, location
12. The nurse is going to a supine laying pt. complaining of shortness of breath, what would
the nurses first action be?
• Raise the head of the bed.
13. A pt. with a new ileostomy feels nauseated, there is no output for 5 days, what
should nurse do?
• Assess the stoma and notify the doctor
14. The pt. comes to the ER with 6 1cm burns on the inner thigh with various stages of
healing, how to document?
• Pt has 6 1 cm to inner thigh bilaterally, in various stages of healing.
15. Signs / symptoms to teach pt. going home of a wound infection? (SATA)
• Redness
• Heat
• Warmth
• Inflammation/ swelling
• Pain
• Drainage/ pus
16. Nasal canula
• 6 liters
17. Purpose of using ISBARR by nurses
• The main purpose of SBAR technique is to improve the effectiveness
of communication through standardization of communication process.
18. What can nurse can delegate to UAP
Kahoot
1. What tools are not used in pain assessment?
• Braden scale
2. What is NOT a complication of diabetic’s mellitus
• Regulated blood sugar
3. QSEN teaches the knowledge, skills and attitude necessary to improve quality and
safety of the healthcare system
• True
4. A patient complains of chronic back pain, what is the appropriate intervention
• Combination of pharmacological and non-pharmacological intervention
5. What is an example of secondary health promotion?
• Hypertension screening
6. What nursing intervention would a nurse teach a patient to reduce incontinence episode
• Teach Kegel exercises daily
7. A patient with ankle sprain, what type of pain is the patient experiencing?
• Somatic
8. What is a cause of constipation?
• Inactivity
9. Which would usually heal by secondary intention?
• Burns
10. What phase of the nursing process includes the nurse reviewing and determining if
outcomes have been met?
• Evaluation
11. Knee surgery requires the nurse to provide what type of care?
• Tertiary
12. What is not part of the infection cycle
• Length of exposure
13. What lung sound would you expect in a healing healthy adult?
• Vesicular
14. What is the first step in intervention crisis?
, • Identify the problem
15. A patient with a 4mm pitting edema is the same as
• 2+ pitting
In class review
1. What type of nursing intervention would be used in preventing a UTI?
• Wipe from front to back
• Clean up after incontinence episode
2. If you walked into a room and the patient is restless and grimacing, what would be the
first priority action the nurse would do?
• Ask the patient what is causing the grimace.
3. A nurse is assessing a patient who is paralyzed from the lower extremity, what are some
consequences to being immobile? (SATA)
• Urinary retention
• UTI
• Renal calculi (kidney stones)
4. A bedbound pt. complains of pain in the lower abdominal pain and pressure, bowels
sounds are present in all 4 quadrants, last bowel movement was yesterday, what
should the nurse assess to determine the cause of pain?
• Check last time they voided
5. A homecare nurse seeing multiple home-based patients, which one of these patients is at
risk for infection? (SATA)
• A middle-aged man working 3 jobs who said he has no time for sleep
• An older adult with diabetics and recent toe amputation
• A client that has just had hip surgery
6. The difference between evisceration and dehiscence?
• Wound dehiscence is when a surgical incision reopens either internally or externally.
Dehiscence is also commonly associated with surgical site infection. An opening
could lead to evisceration, which is a much more severe condition that occurs when
your wound reopens and your internal organs come out of the incision.
7. Assessing a patient’s stoma, what would concern the nurse most?
• Pale stoma
, 8. Definition of insomnia
• Insomnia is defined as difficulty falling asleep, difficulty staying asleep, or waking
up early in the morning and not being able to return to sleep.
9. What are the correct steps for the nursing process?
• ADPIE - These are assessment, diagnosis, planning, implementation, and evaluation.
10. Objective assessment of pain in a comatose patient?
• Heart rate of 105
11. A nurse is admitting a patient to the ER complaining of severe abdominal pain?
• Assess the pain characteristics, onset, duration, location
12. The nurse is going to a supine laying pt. complaining of shortness of breath, what would
the nurses first action be?
• Raise the head of the bed.
13. A pt. with a new ileostomy feels nauseated, there is no output for 5 days, what
should nurse do?
• Assess the stoma and notify the doctor
14. The pt. comes to the ER with 6 1cm burns on the inner thigh with various stages of
healing, how to document?
• Pt has 6 1 cm to inner thigh bilaterally, in various stages of healing.
15. Signs / symptoms to teach pt. going home of a wound infection? (SATA)
• Redness
• Heat
• Warmth
• Inflammation/ swelling
• Pain
• Drainage/ pus
16. Nasal canula
• 6 liters
17. Purpose of using ISBARR by nurses
• The main purpose of SBAR technique is to improve the effectiveness
of communication through standardization of communication process.
18. What can nurse can delegate to UAP
