NR 224 Exam 1, NR 224 Exam 2, NR 226 Exam 1, NR 226
Exam 2 Questions With Complete Solutions
____ to ____ of food waste is excreted in stool within 24 hours
Correct Answer 1/3 to 1/2 (normal transit time)
______ and _______ are the most common complaints of people
with OSA Correct Answer EDS and fatigue
________ is necessary for restraints Correct Answer
Physician's order; requires face-to-face assessment of the client.
Good for 24 hours only
________ while in a staffed, round-the clock care setting is a
frequently reported type of sentinel event Correct Answer
Suicide
"The nurse has a duty to maintain confidentiality of all patient
information" Correct Answer ANA code of ethics (2015)
2017 National Patient Safety Goals Correct Answer Improve
accuracy of patient identification
Improve staff communication
Use medications safely
Use alarms safely
Prevent infection
Identify patient safety risk
Prevent mistakes ins surgery
24 hour checks Correct Answer Remove restraint and assess
circulation, movement, and sensation
,Complete ROM to the joint
Basic hygiene and toileting needs
Reassess -- is restraint still necessary?
Reapply if warranted
3 crucial steps of pain management Correct Answer
Assessment
Intervention
Reassessment
4 pathological processes of pain Correct Answer Transduction
Transmission
Perception
Modulation
ABG Correct Answer health care provider draws arterial
blood from a peripheral artery (usually the radial) or from an
existing arterial line
-Perform allen test before (asses circulation)
ABG labs Correct Answer pH
PaCO2
PaO2
O2 sat
Base excess
Abnormal abdomen assessment Correct Answer Firm
Distended
Tender
Asymmetrical
Absent bowel sounds (paralytic ileus)
,Abnormal fluid output Correct Answer Vomiting
Wound drainage
Hemorrhage
Acceptable temperature ranges for adults Correct Answer 36-
38C
96.8-100.4F
Accountability Correct Answer A willingness to answer for
your actions and decisions
Acid-Fast Bacillus (AFB) Correct Answer Testing for
tuberculosis
Actigraphy Correct Answer Provides information about sleep
time, sleep efficiency, number and duration of awakeness, and
levels of activity and rest
Acute care setting poses increased risk for: Correct Answer
Delirium
Dehydration
Malnutrition
HAIs
Urinary incontinence
Falls
Acute pain Correct Answer Intense and short duration
-Usually lasts less than 6 months
-Provides a warning to the individual of actual or potential tissue
damage
, -Creates autonomic response that originates within the SNS
-Floods body with epinephrine (fight or flight)
Acute wounds Correct Answer Trauma
Surgical
Adequate nutrition team Correct Answer Delegation to
nursing assistnat
Occupational therapists
Speech therapists
Clinical nutrition
Pharmacy
Physicians
Adjuvants Correct Answer Drugs that assist in accomplishing
the desired effect of a primary drug
ADLs Correct Answer Activities of daily living: bathing,
dressing, grooming, cleansing teeth, shaving, toileting, etc.
Adult learning principles Correct Answer Malcolm Knowles
-Adults learn best when there is a perceived need
-Teaching of adults should progress from the known to the
unknown
-Teaching of adults should progress of simpler concepts to more
complex
-Adults learn best using active participation
-Adults require opportunities to practice new skills
-Adults need behavior reinforced
-Immediate feedback and correction of misconceptions increases
learning
Exam 2 Questions With Complete Solutions
____ to ____ of food waste is excreted in stool within 24 hours
Correct Answer 1/3 to 1/2 (normal transit time)
______ and _______ are the most common complaints of people
with OSA Correct Answer EDS and fatigue
________ is necessary for restraints Correct Answer
Physician's order; requires face-to-face assessment of the client.
Good for 24 hours only
________ while in a staffed, round-the clock care setting is a
frequently reported type of sentinel event Correct Answer
Suicide
"The nurse has a duty to maintain confidentiality of all patient
information" Correct Answer ANA code of ethics (2015)
2017 National Patient Safety Goals Correct Answer Improve
accuracy of patient identification
Improve staff communication
Use medications safely
Use alarms safely
Prevent infection
Identify patient safety risk
Prevent mistakes ins surgery
24 hour checks Correct Answer Remove restraint and assess
circulation, movement, and sensation
,Complete ROM to the joint
Basic hygiene and toileting needs
Reassess -- is restraint still necessary?
Reapply if warranted
3 crucial steps of pain management Correct Answer
Assessment
Intervention
Reassessment
4 pathological processes of pain Correct Answer Transduction
Transmission
Perception
Modulation
ABG Correct Answer health care provider draws arterial
blood from a peripheral artery (usually the radial) or from an
existing arterial line
-Perform allen test before (asses circulation)
ABG labs Correct Answer pH
PaCO2
PaO2
O2 sat
Base excess
Abnormal abdomen assessment Correct Answer Firm
Distended
Tender
Asymmetrical
Absent bowel sounds (paralytic ileus)
,Abnormal fluid output Correct Answer Vomiting
Wound drainage
Hemorrhage
Acceptable temperature ranges for adults Correct Answer 36-
38C
96.8-100.4F
Accountability Correct Answer A willingness to answer for
your actions and decisions
Acid-Fast Bacillus (AFB) Correct Answer Testing for
tuberculosis
Actigraphy Correct Answer Provides information about sleep
time, sleep efficiency, number and duration of awakeness, and
levels of activity and rest
Acute care setting poses increased risk for: Correct Answer
Delirium
Dehydration
Malnutrition
HAIs
Urinary incontinence
Falls
Acute pain Correct Answer Intense and short duration
-Usually lasts less than 6 months
-Provides a warning to the individual of actual or potential tissue
damage
, -Creates autonomic response that originates within the SNS
-Floods body with epinephrine (fight or flight)
Acute wounds Correct Answer Trauma
Surgical
Adequate nutrition team Correct Answer Delegation to
nursing assistnat
Occupational therapists
Speech therapists
Clinical nutrition
Pharmacy
Physicians
Adjuvants Correct Answer Drugs that assist in accomplishing
the desired effect of a primary drug
ADLs Correct Answer Activities of daily living: bathing,
dressing, grooming, cleansing teeth, shaving, toileting, etc.
Adult learning principles Correct Answer Malcolm Knowles
-Adults learn best when there is a perceived need
-Teaching of adults should progress from the known to the
unknown
-Teaching of adults should progress of simpler concepts to more
complex
-Adults learn best using active participation
-Adults require opportunities to practice new skills
-Adults need behavior reinforced
-Immediate feedback and correction of misconceptions increases
learning
