ANSWERS RATED 100% CORRECT.
When caring for a patient with orthopnea the nurse should: Answer - Raise the
head of the bed
A nurse is working with a patient with limited English proficiency, what should
she do? 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? Answer - Nonverbal
communication
Quality nursing care is evaluated by what? Answer - Process and outcomes
During examination of a child, physical child growth is the best indicator of
what? Answer - General Health
The correct way to prevent infections is: Answer - Wash your hands
A 3 month old has a heart rate of 135 BPM, is this normal or abnormal? Answer
- Normal
Vital signs across the life span: 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: Answer - Family members
Auscultation technique for lungs Answer - Use diaphragm
A 3 year old patient has palpable lymph nodes, the nurse explains this finding
as: Answer - Normal 3-6 yrs old
,What is the purpose of a health history Answer - To learn current and past
health information
What technique is used to test for crepitus, swelling and pulsations? Answer -
Palpation
What organization has to do with safety education in Nursing? Answer - QSEN
Where is the popliteal pulse found Answer - Behind the knee
What are the two heart valves found near the apex of the heart? Answer -
Mitral and tricuspid
What is the purpose of the stethoscope? 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? Answer - Apically at the mitral valve for 1 minute
What part of the brain has to do with balance 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? 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." Answer - Rationalization
, Why do babies have a difficult time keeping up their temperature? Answer -
Because of the fontanels are not fused allowing heat to escape
Who is the founder of nursing? Answer - Florence Nightingale
What do the letters if PIE stand for? Answer - P: Problem
I: Intervention
E: Evaluation
What kind of charting is PIE, SOAP/IE, DAR ? Answer - Problem oriented
What do the letters of SBAR stand for? Answer - S: Situation
B: Background
A: Assessment
R: Recommendation
What kind of documentation is SBAR Answer - Widely accepted method of
handoff communication that involves interpersonal communication to
designed to enhance patient safety and outcomes
What three elements have to be present for Malpractice Answer - Duty
Damages
Dereliction
What is the legal document that specifies treatment a person wants to receive
when he or she is unconscious and no long capable of making decisions
independently? What is included in this document? Answer - Living will: