1 Ablood pressure euff that's ton narrow can causea fatsety elevated blood pressure reaans
2 When preparin
single injection for a patient who takes regular and neutral protein Hagedorn insuin,
the nure should draw the regular insulin into the swringe first so that it does not
insulin contarminate me
3 Rhoneh are the
rumbling sounds heard on lun auscultation They are nore pronounced during
expiration than during inspiration.
Gavage Is Torced feeding8, usually through a gastric tube (a tube passed into the
mouth) stomach throu
CcordinE to Maslow's hierarchy of needs. ptysiotogic needs lair, water, food, sheiter, sex, activity.
and
comfort) have the highest priority
Tne satest and surest way to verity a patient's4denty is to check the
ane
7. In the thera; identification band on his wtst
erapeutic environment, the patient's safety is the primary concern.
HIuid oscllation in the tubing of a chest drainage system indicates that the system is
Ihe nurse should place a patient who has a
working propey
Sengstaken-BBakemore tube in semi-Fowler position
0. Tne nurse can elicit Trousseau's sign by occluding the brachiat or radial artery. Hand and finger spasm
that occur
during occlusion indicate Trousseau's sign and suggest
11. For blood transfusion in an adult, the hyagcalcemid
apgropriate needieslze is 16 to 206
12 Intractable pain is pain that incapacitatesapatient and can't be relievedby drugs.
13. In an emergency, consent for treatment can be obtained by fax. telephone, or other telegraphic means
14. Decibet is the unit of measurement of sound
15. Informed consent is required forany invasive procedure.
16. Apatient wha can't wrlte his rame to give consent fortreatment nust make an xin the presence of two
witnesses, such as a nurse, priest, or physician.
17. The 2track IMihinjection technique seals the drug deep into the muscle, thereby minimizing skin
irritation and staining. It requiresa needle that's 1" (25an)or longer.
18, In the event of fire, the acronym most otten used is RACE (R) Remove the patient. (A) Activate the alarm.
(C) Attempt to contain the yclosing the door. (E) Extinguish the fire if it can be done safely
19. Aregistered nurse should assign a licensed vocational nurse or lcensed practical nurse to perform
bedside care, such as suctioning and drug administration.
20. If a patient can't void the first nursing action should be bladder palpation to assess for bladder
distention.
21. Residual urine is urine that remains in the bladder after voiding. The amount of residual urine is normally
S0 to 100 ml.
implementation, and
22. The five stages of the nursing process are assessment, nursing diagnosis, planning,
evaluation.
the nurse continuously collects data to identify a
23. Assessment is the stage of the nursing process in which
patient's actual and potential health needs. a clinical judgment about
24. Nursing diagnosis is the stage of the nursing process in which the nurse makes
or potential health problems or life processes
individual, family, or comnmunity responses to actual diagnoses,
in which the nurse assigns priorities to nursing
25. Planning is the stage of the nursing process
expected outcomes, and establishes the nursing care plan
defines short-term and long-term goals and into
is the stage of the nursing process in which the nurse puts the nursing care plan
26. Implementation team, and charts patient
delegates specific nursing interventions to members of the nursing
action,
interventions
responses to nursing
process in which the nurse compares objective and subjective data
nursing
27. Evaluation is the stage of the if needed, modifies the nursing care plan.
with the outcome criteria
and,
medication, the nurse should ask the patient to indicate the
"as needed" pain
28. Before administering any should
location of the pain. patient, to minimize the risk of aspiration, the nurse
care for an unconscious
29. When providing oral the side
position the patient on
, KANIKA's NURSING ACADEMY
"Helping Students Help Themselves"
30 During assessment of distance vision, the patient should stand 20 (6.1m) from the chart
31. For a geriatric patient or one who is extremely il, the ideal room temperature is 66 to 76" F(18 4 1
24.4 C)
32. Normal room humidity is 3o% to 6O
33. To perform catheterization, the nurse should place a woman in the dorsal recumbent position.
34. A positive Homan's sign may indicate thrombophlebitis.
35. Electrolytes in a solution are measured in
milliequlvalents per liter (mEq/L). A milliequivalent is the
number of milligrams per 100 milliliters of a solution.
36. Metabolism occurs in two phases: anabolism (the constructive phase) and catabolism (the
phase). destructive
37. The basal metabolic rate is the amount of energy needed to
measured when the patient is awake and resting, hasn't eaten for 14
maintain essential body
functions it's
to 18 hours, and is in a comfortable,
warm environment.
38. The basal metabolic rate is expressed in calories
39. Dietary fiber (roughage), which is derived from consumed per hour per kilogram of body weight
cellulose, supplies bulk,
helps to establish regular bowel habits, maintains intestinal motility, and
40. Alcohol is metabolized primarily in the liver. Smaller
amounts are
41. Petechiae are tiny, round, purplísh red spots that appear on the metabolized
by the kidneys and lungs.
skin andmucous membranes as a result
of intradermal or submucosal hemorrhage.
42. Purpura is a purple discoloration of the skin that's caused by blood
43. According to the standard precautions recommended by the Centers extravasation.
for Disease Control and Prevention,
the nurse shouldn'trecap needles after use. Most needle sticks result from
44. The nurse administers a drug by 1.V. push by using a needle and syringe missed needle recapping
to deliver the dose directly into a
vein, I.V. tubing, or a catheter
45. When changing the ties on a tracheostomy tube, the nurse
should
leave the old ties in place until the
new ones are applied.
46. The vitamin B complex, the
water-soluble vitamins thal are essential or metabolism, include thiamine
(B1), riboflavin (82), niacin (B3), pyridoxine (B6), and cyanocobalamin (B12),
47. When being weighed, an adult patient should be lightly dressed and shoeless.
48. Before taking an adult's temperature orally, the nurse should ensure that the
patient hasn't smoked or
consumed hot or cold substances in the previous 15 minutes.
49. The nurse shouldn't take an adult's temperature rectally if the patient
has a cardiac disorder, anal
lesions, or bleeding hemorrhoids or has recently undergone rectal surgery.
50. In a patient who has a cardiac disorde, measuring temperature rectally may stimulate a vagal response
and lead to vasodilation and decreased cardiac Qutput.
51. When recording pulse amplitude and rhythm, the nurse should use these
descriptive measures: -3,
bounding pulse (readily palpable and forceful); +2, normal pulse (easily palpable): +1, thready or weak
pulse (difficult to detect); and o,absent pulse (not detectable).
52. The intraoperative period begins whena patient is transferred to the operating room bed and ends when
the patient is admitted to the postanesthesia care unit.
53. On the morning of surgery, the nurse should ensure that the informed consent form has been signed.
that the patient hasn't taken anything by mouth since midnight, has taken a shower with antimicrobial
soap, has had mouth care (without swallowing the water), has removed common jewelry, and has
received preoperative medication as prescribed; and that vital signs have been taken and recorded.
Artificial limbs and other prostheses are usually removed.
54. Adrug has three names: generic name, which is used in oficial publications; trade, or brand, name (such
as Tylenol). which is selected by the drug company: and chemical name, which describes the drug's
chemical composition.
55. To avoid staining the teeth, the patient should take a liquid iron preparation through a straw.
56. An organism may enter the body through the nose, mouth, rectum, urinary or reproductive tract, or skin
57. In descending order, the levels of consciousness are alertness, lethargy. stupor, light coma, and deep
Coma.
2
2 When preparin
single injection for a patient who takes regular and neutral protein Hagedorn insuin,
the nure should draw the regular insulin into the swringe first so that it does not
insulin contarminate me
3 Rhoneh are the
rumbling sounds heard on lun auscultation They are nore pronounced during
expiration than during inspiration.
Gavage Is Torced feeding8, usually through a gastric tube (a tube passed into the
mouth) stomach throu
CcordinE to Maslow's hierarchy of needs. ptysiotogic needs lair, water, food, sheiter, sex, activity.
and
comfort) have the highest priority
Tne satest and surest way to verity a patient's4denty is to check the
ane
7. In the thera; identification band on his wtst
erapeutic environment, the patient's safety is the primary concern.
HIuid oscllation in the tubing of a chest drainage system indicates that the system is
Ihe nurse should place a patient who has a
working propey
Sengstaken-BBakemore tube in semi-Fowler position
0. Tne nurse can elicit Trousseau's sign by occluding the brachiat or radial artery. Hand and finger spasm
that occur
during occlusion indicate Trousseau's sign and suggest
11. For blood transfusion in an adult, the hyagcalcemid
apgropriate needieslze is 16 to 206
12 Intractable pain is pain that incapacitatesapatient and can't be relievedby drugs.
13. In an emergency, consent for treatment can be obtained by fax. telephone, or other telegraphic means
14. Decibet is the unit of measurement of sound
15. Informed consent is required forany invasive procedure.
16. Apatient wha can't wrlte his rame to give consent fortreatment nust make an xin the presence of two
witnesses, such as a nurse, priest, or physician.
17. The 2track IMihinjection technique seals the drug deep into the muscle, thereby minimizing skin
irritation and staining. It requiresa needle that's 1" (25an)or longer.
18, In the event of fire, the acronym most otten used is RACE (R) Remove the patient. (A) Activate the alarm.
(C) Attempt to contain the yclosing the door. (E) Extinguish the fire if it can be done safely
19. Aregistered nurse should assign a licensed vocational nurse or lcensed practical nurse to perform
bedside care, such as suctioning and drug administration.
20. If a patient can't void the first nursing action should be bladder palpation to assess for bladder
distention.
21. Residual urine is urine that remains in the bladder after voiding. The amount of residual urine is normally
S0 to 100 ml.
implementation, and
22. The five stages of the nursing process are assessment, nursing diagnosis, planning,
evaluation.
the nurse continuously collects data to identify a
23. Assessment is the stage of the nursing process in which
patient's actual and potential health needs. a clinical judgment about
24. Nursing diagnosis is the stage of the nursing process in which the nurse makes
or potential health problems or life processes
individual, family, or comnmunity responses to actual diagnoses,
in which the nurse assigns priorities to nursing
25. Planning is the stage of the nursing process
expected outcomes, and establishes the nursing care plan
defines short-term and long-term goals and into
is the stage of the nursing process in which the nurse puts the nursing care plan
26. Implementation team, and charts patient
delegates specific nursing interventions to members of the nursing
action,
interventions
responses to nursing
process in which the nurse compares objective and subjective data
nursing
27. Evaluation is the stage of the if needed, modifies the nursing care plan.
with the outcome criteria
and,
medication, the nurse should ask the patient to indicate the
"as needed" pain
28. Before administering any should
location of the pain. patient, to minimize the risk of aspiration, the nurse
care for an unconscious
29. When providing oral the side
position the patient on
, KANIKA's NURSING ACADEMY
"Helping Students Help Themselves"
30 During assessment of distance vision, the patient should stand 20 (6.1m) from the chart
31. For a geriatric patient or one who is extremely il, the ideal room temperature is 66 to 76" F(18 4 1
24.4 C)
32. Normal room humidity is 3o% to 6O
33. To perform catheterization, the nurse should place a woman in the dorsal recumbent position.
34. A positive Homan's sign may indicate thrombophlebitis.
35. Electrolytes in a solution are measured in
milliequlvalents per liter (mEq/L). A milliequivalent is the
number of milligrams per 100 milliliters of a solution.
36. Metabolism occurs in two phases: anabolism (the constructive phase) and catabolism (the
phase). destructive
37. The basal metabolic rate is the amount of energy needed to
measured when the patient is awake and resting, hasn't eaten for 14
maintain essential body
functions it's
to 18 hours, and is in a comfortable,
warm environment.
38. The basal metabolic rate is expressed in calories
39. Dietary fiber (roughage), which is derived from consumed per hour per kilogram of body weight
cellulose, supplies bulk,
helps to establish regular bowel habits, maintains intestinal motility, and
40. Alcohol is metabolized primarily in the liver. Smaller
amounts are
41. Petechiae are tiny, round, purplísh red spots that appear on the metabolized
by the kidneys and lungs.
skin andmucous membranes as a result
of intradermal or submucosal hemorrhage.
42. Purpura is a purple discoloration of the skin that's caused by blood
43. According to the standard precautions recommended by the Centers extravasation.
for Disease Control and Prevention,
the nurse shouldn'trecap needles after use. Most needle sticks result from
44. The nurse administers a drug by 1.V. push by using a needle and syringe missed needle recapping
to deliver the dose directly into a
vein, I.V. tubing, or a catheter
45. When changing the ties on a tracheostomy tube, the nurse
should
leave the old ties in place until the
new ones are applied.
46. The vitamin B complex, the
water-soluble vitamins thal are essential or metabolism, include thiamine
(B1), riboflavin (82), niacin (B3), pyridoxine (B6), and cyanocobalamin (B12),
47. When being weighed, an adult patient should be lightly dressed and shoeless.
48. Before taking an adult's temperature orally, the nurse should ensure that the
patient hasn't smoked or
consumed hot or cold substances in the previous 15 minutes.
49. The nurse shouldn't take an adult's temperature rectally if the patient
has a cardiac disorder, anal
lesions, or bleeding hemorrhoids or has recently undergone rectal surgery.
50. In a patient who has a cardiac disorde, measuring temperature rectally may stimulate a vagal response
and lead to vasodilation and decreased cardiac Qutput.
51. When recording pulse amplitude and rhythm, the nurse should use these
descriptive measures: -3,
bounding pulse (readily palpable and forceful); +2, normal pulse (easily palpable): +1, thready or weak
pulse (difficult to detect); and o,absent pulse (not detectable).
52. The intraoperative period begins whena patient is transferred to the operating room bed and ends when
the patient is admitted to the postanesthesia care unit.
53. On the morning of surgery, the nurse should ensure that the informed consent form has been signed.
that the patient hasn't taken anything by mouth since midnight, has taken a shower with antimicrobial
soap, has had mouth care (without swallowing the water), has removed common jewelry, and has
received preoperative medication as prescribed; and that vital signs have been taken and recorded.
Artificial limbs and other prostheses are usually removed.
54. Adrug has three names: generic name, which is used in oficial publications; trade, or brand, name (such
as Tylenol). which is selected by the drug company: and chemical name, which describes the drug's
chemical composition.
55. To avoid staining the teeth, the patient should take a liquid iron preparation through a straw.
56. An organism may enter the body through the nose, mouth, rectum, urinary or reproductive tract, or skin
57. In descending order, the levels of consciousness are alertness, lethargy. stupor, light coma, and deep
Coma.
2
