solutions 2024/2025
Subjective data - ANSWER-What the patient told you.
Objective data - ANSWER-What the nurse can measure
Which of the following are nursing interventions for wound irrigation? - ANSWER-
Keep syringe 1 inch above the wound. Clean from least contaminated to most
contaminated site. Clean area around the skin with antiseptic swabs first.
Which brain controls the basic vital functions? - ANSWER-Medulla Oblongata in
the brainstem
Which hormone acts on kidneys to regulate sodium and potassium levels? -
ANSWER-Aldosterone
I stimulate the maturation of lymphocytes into T cells and coordinates immune
defenses. What gland am I? - ANSWER-Thymus gland
What does epinephrine and norepinephrine do? - ANSWER-Raise heart rate,
vasoconstriction, release glucose reserves, produce adrenal glands,
neurotransmitters
Blood is returned to which part of the heart? - ANSWER-Right
atrium/superiorvenacava
Oxygenated blood exits through which part of the heart? - ANSWER-Aorta in the
left ventricle
, Range of motion (ROM) - ANSWER-Move joints smoothly and gently, repeat
based on orders, perform to the point of resistance, stop if patient is in pain
What is the BEST method to maintain privacy for a patient when doing a bed
bath? - ANSWER-Close the curtains
What enzymes are produced by the pancreas and what are their functions? -
ANSWER-amylase ( digest sugars- carbohydrates), trypsin (digest proteins),
lipase (digest fat)
What is normal blood pressure? - ANSWER-120/80
What is considered hypotension? - ANSWER-84/58
What is considered prehypertension? - ANSWER-126/78
What is considered stage 1 HTN? - ANSWER-132/80
What is considered stage 2 HTN? - ANSWER-140/98
What is considered HTN crisis? - ANSWER-184/122
A patient weighs 357 lbs, convert to kg (round to the nearest tenth) - ANSWER-
162.3 kg (divide by 2.2)
You work as a home health nurse and see a client being abused. You should: -
ANSWER-Follow your agency's protocol
The best method to stop the spread of germs is: - ANSWER-hand hygiene
The role of the LVN includes: - ANSWER-The LVN is supervised by an RN or MD,
develop the roles of future LVNs, continued education.
A patient with Alzheimer's disease care would include: - ANSWER-providing
predictable routines