NUR 2090 EXAM 1 UPDATED ACTUAL Questions and
CORRECT Answers
Real time documentation minimizing entry errors After getting vital signs you immediately document it this is called?
communication It important for what?
60-100 bpm Normal hr
Canes Useful for balance for those who have decreasedstrength in one leg
Non skid supportive shoes What should the pt wear when using cane
, Turn it to active it Whats important to note about a stethoscope to use it appropriately?
Two point gait partial weight bearing on both feet; Each crutch moves atthe same time as the
opposing leg
Four point gait partial weight bearing on both feet; The right crutch isplaced forward followed
by the left foot, and then the leftcrutch is moved forward followed by the right
foot
Three point gait Toe-touch weight bear, Both crutches and weaker leg move forward, followed
by thestronger leg
Swing to gait Non-weight bearing, Move both crutches forward then swing the body to the
crutches to propel themselves forward
Swing through gait Non-weight bearing, Move both crutches forward then swing the body
beyond the crutches to propel themselves forward
Physical examination inspection palpation pain scales Pain assessment techniques 4
Numeric rating scale wong baker faces verbal Pain scales 3
descriptor scale
Axilla nerve damage When using crutches the patient must not support their weight on the ______ to
prevent _______ _______
Four inches weaker leg Move cane _________ __________ ahead and then move___________ forward and even
with cane
120/80-90/60 mm hg Normal bp
Situation Patient admitted for open education of internal fixation of left hip following left
hip fracture sustained yesterday while assisting the pt OOB she became dizzy
and lightheaded while standing at the bedside the patient did not sit in chair
was returned to bed
Background PMHx of hypertension pt received her morning BP medication. Her BP this
morning was 122/84 History also includes asthma and gout
Assessment BP immediately after laying was 96/60 hr was 88/min the head of the bed was
lowered and the feet were elevated vital signs after 5 min were 120/68 pulse
72/min respirations 18./min
Recommendation Consider repeat hgb/hct and ekg obtain orthostatic hypotension BP prior to
ambulating and record results Consider hold paremeters for lisinopril
As close to you as possible When holding a box how should you hold it
12-20 breath/min Normal respiratory rate
97-99 95-99 Normal temp in adults
In older adults
CORRECT Answers
Real time documentation minimizing entry errors After getting vital signs you immediately document it this is called?
communication It important for what?
60-100 bpm Normal hr
Canes Useful for balance for those who have decreasedstrength in one leg
Non skid supportive shoes What should the pt wear when using cane
, Turn it to active it Whats important to note about a stethoscope to use it appropriately?
Two point gait partial weight bearing on both feet; Each crutch moves atthe same time as the
opposing leg
Four point gait partial weight bearing on both feet; The right crutch isplaced forward followed
by the left foot, and then the leftcrutch is moved forward followed by the right
foot
Three point gait Toe-touch weight bear, Both crutches and weaker leg move forward, followed
by thestronger leg
Swing to gait Non-weight bearing, Move both crutches forward then swing the body to the
crutches to propel themselves forward
Swing through gait Non-weight bearing, Move both crutches forward then swing the body
beyond the crutches to propel themselves forward
Physical examination inspection palpation pain scales Pain assessment techniques 4
Numeric rating scale wong baker faces verbal Pain scales 3
descriptor scale
Axilla nerve damage When using crutches the patient must not support their weight on the ______ to
prevent _______ _______
Four inches weaker leg Move cane _________ __________ ahead and then move___________ forward and even
with cane
120/80-90/60 mm hg Normal bp
Situation Patient admitted for open education of internal fixation of left hip following left
hip fracture sustained yesterday while assisting the pt OOB she became dizzy
and lightheaded while standing at the bedside the patient did not sit in chair
was returned to bed
Background PMHx of hypertension pt received her morning BP medication. Her BP this
morning was 122/84 History also includes asthma and gout
Assessment BP immediately after laying was 96/60 hr was 88/min the head of the bed was
lowered and the feet were elevated vital signs after 5 min were 120/68 pulse
72/min respirations 18./min
Recommendation Consider repeat hgb/hct and ekg obtain orthostatic hypotension BP prior to
ambulating and record results Consider hold paremeters for lisinopril
As close to you as possible When holding a box how should you hold it
12-20 breath/min Normal respiratory rate
97-99 95-99 Normal temp in adults
In older adults
