ANSWERS – UPDATED 2025 TEST BANK WITH COMPLETE
QUESTION AND ANSWERS & GUARANTEED A+ SUCCESS.
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1. Define Sinus Tachycardia
Regular Rhythm, rate 100–180 beats/min (higher in infants).
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2. When is the best time of the month to perform a self-breast examination?
4th to 7th day during the menstrual cycle or days after the cycle has ended.
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3. Define Total Patient Care
The RN is responsible for all aspects of care for one or more patients during a
shift. Care is consistent, comprehensive, and holistic. The RN works directly with
the patient, family, and health care team members, and may delegate certain
tasks.
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4. Define Primary Nursing
One primary RN assumes responsibility for a caseload of patients and
provides care throughout their stay in the facility. The RN assesses the patient,
develops a care plan, and delivers nursing interventions. Communication is
lateral—from nurse to nurse and caregiver to caregiver.
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5. Define Major Surgery
Involves extensive reconstruction or alteration of body parts and poses a
great risk to well-being.
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6. Describe a Stage II Pressure Ulcer
Partial-thickness loss of dermis presenting as a shallow ulcer with a red-pink
wound bed without slough. It may appear as an intact or ruptured serum-filled
blister, or a shiny, dry, shallow ulcer without slough or bruising.
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7. Define Presbycusis
Hearing loss associated with aging, involving both reduced hearing
sensitivity and decreased speech clarity.
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8. Define Ventilation
Movement of air in and out of the lungs. Involves the afterload ejection of
blood from the left ventricle.
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9. Define Contact Precaution
Safeguards designed to reduce the risk of transmission of microorganisms by
direct or indirect contact.
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10. What sound do Rhonchi make?
Sonorous wheeze — coarse, low-pitched sound that may clear with coughing.
☑️ Agreements to keep promises.
11. Define Fidelity
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12. Define Justice
Fairness in care delivery and use of resources.
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13. Define Nonmaleficence
Avoidance of harm or injury.
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14. Define Acid–Base Imbalance
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Two main types: Respiratory and Metabolic.
Four classifications:
● Respiratory Acidosis
● Respiratory Alkalosis
, ● Metabolic Acidosis
● Metabolic Alkalosis
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15. Define Respiratory Acidosis
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Increased PaCO₂
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Increased hydrogen ion concentration
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pH below 7.35
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Both reflect excess carbonic acid (H₂CO₃) in the blood.
Hypoventilation produces respiratory acidosis, causing cerebrospinal fluid
and brain cells to become acidic, decreasing the level of consciousness.
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16. Define Respiratory Alkalosis
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Decreased PaCO₂
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Increased pH above 7.45
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Reflects a deficit of carbonic acid (H₂CO₃) in the blood.
Hyperventilation produces respiratory alkalosis, which causes cerebrospinal
fluid and brain cells to become alkalotic, decreasing the level of consciousness.
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17. Define Metabolic Acidosis
Results from conditions that increase metabolic acids in the body or decrease
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the amount of base (bicarbonate).
Bicarbonate levels are low because the bicarbonate system buffers metabolic
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acids.
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Diabetic ketoacidosis is a common cause of metabolic acidosis.
Anion Gap Calculation:
● Cl⁻ + HCO₃⁻ = Total
● Total − Na⁺ concentration = Anion Gap
18. Which leadership skills should a nursing student use when caring for
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patients?
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Clinical decision-making
Priority setting