HONDROS NURSE 150 FINAL TEST
QUESTIONS WITH CORRECT
ANSWERS
What are the normal values for temperature - Answer- 97.0-99.7
What is normal blood pressure? - Answer- BP: 90-140/50-90
What is normal pulse? - Answer- 60-100
Normal respiration - Answer- 12-20
Define HIPPA - Answer- Health insurance portable accountability act = takes care of the
privacy of a patient.
What is the cognitive impairment and list some factors that put a patient at higher risk
for it? - Answer- People that are at higher risk: elderly, trauma, very young, born that
way, people with infections, and strokes.
Stage I pressure ulcer - Answer- Nonblanchable redness of a localized, area of intact
skin
Stage II pressure ulcer - Answer- partial thickness skin loss
Stage III pressure ulcer - Answer- full thickness tissue loss with visible fat
Stage IV pressure ulcer - Answer- Full-thickness tissue loss with exposed bone, tendon,
or muscle
How often should you turn/reposition a patient? - Answer- bed: 2 hours
wheelchair: 1 hour
Define HAI and give some examples including who is at higher risk? - Answer- Hospital
Acquired Infection: the elders, the very young, people who live in group homes, the
immunocomplex.
Define AMA. What actions are the responsibility of the nurse in this instance? - Answer-
Against Medical Advice: if your patient tries to leave, educate them. If they are mentally
ill or mentally unstable other precautions are taken.
, How do you find the apical heart rate and for how long should you listen to the apex? -
Answer- Midclavicular, 5th intercostal, listen for 60 seconds.
How would the nurse position the patient to administer rectal enema? - Answer- Sims
How would the nurse position the patient to administer a feed via NG tube? - Answer-
Fowlers or semi fowlers
How would the nurse position a patient to administer vaginal foam? - Answer- Dorsal
recombinant (10 mins)
What are some of the benefits and disadvantages of electronic health records? -
Answer- + (easily accessible for all team members, easier than hand writing, cuts down
on errors, used for research and studies, efficient and legible)
- (system goes down and then unable to access info, possibility of unauthorized access,
system crash)
What angle do you hold the needle when administering an IM injection? - Answer- 90
degrees (for vaccines, antibiotics, steroids, deltoid)
What angel do you hold the needle when administering an sub-q injection? - Answer- 45
degrees (insulin, allergy shots, MMR, Varicella, abdomen)
What angel do you hold the needle when administering an ID injection? - Answer- 15
degrees (TB skin test)
Which injection do you have to aspirate, or "pull back" before injecting the medication? -
Answer- IM
Define "Patient centered care" - Answer- Providing care that is respectful of and
responsible individual patient preference, needs and values, and insuring that patients
values guide all clinical decisions.
How does the nurse properly administer nitroglycerin ointment? - Answer- Wear gloves,
remove previous dose, wipe, date time and initial new paper, apply amount of inches
per physicians order, apply different location then last time (not on hair or scars) then
secure with tape.
What are the two basic categories of functional ability? - Answer- ADL's-grooming
bathing and dressing and IADL's-managing finances and shopping
How do you administer a MDI (metered dose inhaler)? - Answer- Shake inhaler and
spray during inhalation, wait 20-30 seconds (same medication) and wait 2-5mins
(different medication)-rinse with water when finished to avoid yeast in mouth
QUESTIONS WITH CORRECT
ANSWERS
What are the normal values for temperature - Answer- 97.0-99.7
What is normal blood pressure? - Answer- BP: 90-140/50-90
What is normal pulse? - Answer- 60-100
Normal respiration - Answer- 12-20
Define HIPPA - Answer- Health insurance portable accountability act = takes care of the
privacy of a patient.
What is the cognitive impairment and list some factors that put a patient at higher risk
for it? - Answer- People that are at higher risk: elderly, trauma, very young, born that
way, people with infections, and strokes.
Stage I pressure ulcer - Answer- Nonblanchable redness of a localized, area of intact
skin
Stage II pressure ulcer - Answer- partial thickness skin loss
Stage III pressure ulcer - Answer- full thickness tissue loss with visible fat
Stage IV pressure ulcer - Answer- Full-thickness tissue loss with exposed bone, tendon,
or muscle
How often should you turn/reposition a patient? - Answer- bed: 2 hours
wheelchair: 1 hour
Define HAI and give some examples including who is at higher risk? - Answer- Hospital
Acquired Infection: the elders, the very young, people who live in group homes, the
immunocomplex.
Define AMA. What actions are the responsibility of the nurse in this instance? - Answer-
Against Medical Advice: if your patient tries to leave, educate them. If they are mentally
ill or mentally unstable other precautions are taken.
, How do you find the apical heart rate and for how long should you listen to the apex? -
Answer- Midclavicular, 5th intercostal, listen for 60 seconds.
How would the nurse position the patient to administer rectal enema? - Answer- Sims
How would the nurse position the patient to administer a feed via NG tube? - Answer-
Fowlers or semi fowlers
How would the nurse position a patient to administer vaginal foam? - Answer- Dorsal
recombinant (10 mins)
What are some of the benefits and disadvantages of electronic health records? -
Answer- + (easily accessible for all team members, easier than hand writing, cuts down
on errors, used for research and studies, efficient and legible)
- (system goes down and then unable to access info, possibility of unauthorized access,
system crash)
What angle do you hold the needle when administering an IM injection? - Answer- 90
degrees (for vaccines, antibiotics, steroids, deltoid)
What angel do you hold the needle when administering an sub-q injection? - Answer- 45
degrees (insulin, allergy shots, MMR, Varicella, abdomen)
What angel do you hold the needle when administering an ID injection? - Answer- 15
degrees (TB skin test)
Which injection do you have to aspirate, or "pull back" before injecting the medication? -
Answer- IM
Define "Patient centered care" - Answer- Providing care that is respectful of and
responsible individual patient preference, needs and values, and insuring that patients
values guide all clinical decisions.
How does the nurse properly administer nitroglycerin ointment? - Answer- Wear gloves,
remove previous dose, wipe, date time and initial new paper, apply amount of inches
per physicians order, apply different location then last time (not on hair or scars) then
secure with tape.
What are the two basic categories of functional ability? - Answer- ADL's-grooming
bathing and dressing and IADL's-managing finances and shopping
How do you administer a MDI (metered dose inhaler)? - Answer- Shake inhaler and
spray during inhalation, wait 20-30 seconds (same medication) and wait 2-5mins
(different medication)-rinse with water when finished to avoid yeast in mouth
