BLOOD PRESSURE CHECK
What is considered a normal blood pressure?
130/90 mm Hg
80/40 mm Hg
118/78 mm Hg
160/110 mm Hg
WHAT IS 118/78 mm Hg
Which of the following is not a complication of uncontrolled hypertension?
Kidney failure
Atrial fibrillation
Myocardial infarction
Stroke
Ankylosing spondylitis
What is Ankylosing spondylitis
What are the moments for hand hygiene?
Before entering a room, before any procedure, after client contact, after exposure to body fluids, after exiting a room
Before entering a room, before client contact, every 30 seconds while in the room, before any procedure, after client contact, after exposure to body fluids, after exiting the room
Before entering a room, before client contact, before any procedure, after client contact, after exposure to body fluids, after exiting the room
Before entering a room, before client contact, before any procedure, after client contact, after exiting the room
What is Before entering a room, before client contact, before any procedure, after client contact, after exposure to body fluids, after exiting the room
What is hypoglycemia?
Blood glucose less than 80 mg/dl
Blood glucose greater than 85 mg/dl
Blood glucose greater than 60 mg/dl
Blood glucose less than 70 mg/dl
What is Blood glucose less than 70 mg/dl
Which materials are required for correct handwashing? Select all that apply.
Warm water
Strong, abrasive bar soap
Hot water
Mild soap
What warm water and mild soap
Where should you place their stethoscope when taking a manual blood pressure?
A. Over the spot where the radial artery was palpated
B. Around 2 inches above where the radial artery was palpated
C. Around 4 inches down from where the brachial artery was palpated
D. Over the spot where the brachial artery was palpated
WHAT IS over the spot where the brachial artery was palpated
Hypertension is most commonly associated with which of the following systemic diseases?
Marfans syndrome
Downs syndrome
Systemic Lupus Erythromatosis
Diabetes mellitus
Scalded skin syndrome
What is Diabetes mellitus
How does a nurse properly identify a puncture site for blood glucose testing?
Identify an area on the nail bed
Identify an area on the outer edge of the finger pad
Identify an area on the middle pad of the finger
Identify an area near a vein
What is Identify an area on the outer edge of the finger pad
What is hyperglycemia?
Blood glucose less than 130 mg/dl
Blood glucose greater than 70 mg/dl
Blood glucose greater than 100 mg/dl
Blood glucose greater than 140 mg/dl
What is Blood glucose greater than 140 mg/dl
When using hand sanitizer, for how long should you rub your hands together?
About 15 seconds
About 30 seconds
About 20 seconds
About 60 seconds
What is About 30 seconds
How far should the nurse inflate the cuff when taking a manual blood pressure?
A. To about 30 mm Hg above what the client’s expected systolic blood pressure is
B. To what the client’s expected systolic blood pressure is
C. To about 10 mm Hg above what the client’s expected systolic blood pressure is
D. To about 50 mm Hg above what the client’s expected systolic blood pressure is
How should the nurse place a blood pressure cuff on a client’s arm?
A. By placing the cuff on the client’s bare upper arm, around 3 inches above the bend in their elbow, with the tubing over the back center of their arm
B. By placing the cuff on the client’s clothed upper arm, around 5 inches above the bend in their elbow, with the tubing over the front center of their arm
C. By placing the cuff on the client’s clothed upper arm, around 2 inches above the bend in their elbow, with the tubing over the back center of their arm
D. By placing the cuff on the client’s bare upper arm, around 1 inch above the bend in their elbow, with the tubing over the front center of their arm
What is To about 30 mm Hg above what the client’s expected systolic blood pressure is
What is by placing the cuff on the client’s bare upper arm, around 1 inch above the bend in their elbow, with the tubing over the front center of their arm
Which of the following factors determine a person's blood pressure?
Ejection fraction x vascular resistance
Heartbeats per minute x cardiac output
Ejection fraction x cardiac output
Cardiac output x heartbeats per minute
Cardiac output x vascular resistance
What is Cardiac output x vascular resistance
What are important considerations with finger-stick glucose level monitoring? Select all that apply.
Glucose monitors are very similar
Limitations of glucose monitors are similar
Orders for monitoring finger-stick glucose monitoring can depend on the client’s medical condition
Glucose monitors can vary
Limitations of glucose monitors can vary
what is
Orders for monitoring finger-stick glucose monitoring can depend on the client’s medical condition
Glucose monitors can vary
Limitations of glucose monitors can vary
Which of the following is the most effective at preventing the onset of type 2 DM?
Bariatric surgery for someone with a BMI of 37 kg/m2
Starting metformin
7-mm Hg drop in systolic blood pressure
Use of SGLT2 inhibitors such as empagliflozin
Sustained weight loss of 7% of body mass + 2.5 hours of exercise per week
What is Sustained weight loss of 7% of body mass + 2.5 hours of exercise per week
What is the order for correct handwashing?
Adjust water temperature, apply soap, wet hands, rub hands vigorously for 20 seconds, rinse hands angled downwards, use a paper towel to dry hands and wrists, turn off the faucet with a paper towel.
Remove jewelry, adjust water temperature, apply soap, wet hands, rub hands vigorously for 20 seconds, rinse hands angled downwards, turn off the faucet, use a paper towel to dry hands and wrists.
Remove jewelry, adjust water temperature, wet hands, apply soap, rub hands vigorously for 20 seconds, rinse hands angled downwards, use a paper towel to dry hands and wrists, turn off the faucet using a paper towel.
Remove jewelry, adjust water temperature, wet hands, apply soap, rub hands vigorously for 20 seconds, rinse hands angled downwards, turn off the faucet, use a paper towel to dry hands and wrists.
WHat is Remove jewelry, adjust water temperature, wet hands, apply soap, rub hands vigorously for 20 seconds, rinse hands angled downwards, use a paper towel to dry hands and wrists, turn off the faucet using a paper towel.
How do you know what a client’s blood pressure is when taking a reading manually?
A. The first pulse beat heard is the diastolic value, and the last pulse beat heart is the systolic value
B. The first jump of the gauge needle is the systolic value, and the last jump of the gauge needle is the diastolic value
C. The first pulse beat heard is the systolic value, and the last pulse beat heart is the diastolic value
D. The first jump of the gauge needle is the diastolic value, and the last jump of the gauge needle is the systolic value
What can potentially lower a client’s blood pressure? Select all that apply.
Opioid analgesics
Stress
Smoking
Losing weight
What is The first pulse beat heard is the systolic value, and the last pulse beat heart is the diastolic value
What is Losing weight and Opioid analgesics
Which client is in pre-hypertension according to the American Heart Association?
The client with a blood pressure of 128/79 mm Hg
The client with a blood pressure of 135/85 mm Hg
The client with a blood pressure of 162/101 mm Hg
The client with a blood pressure of 149/95 mm Hg
What is the client with a blood pressure of 128/79 mm Hg
Why is the first drop of blood wiped away before testing?
The first drop can be contaminated.
The first drop is not wiped away, the second drop is wiped away.
The first drop does not have enough fresh serum in it.
The first drop contains too much glucose.
What is The first drop can be contaminated.
Which of the following would be least likely to have prevented the ulcer seen in the following patient? A 57-year-old man presents with progressive right foot swelling, redness, and malaise. He reports seeing a blister on his forefoot several months ago after using new work boots. He has dressed the affected area daily with bandages; however, the area has not healed. Medical history: Type 2 DM for 16 years, stage 2 chronic kidney disease for 3 years, and smoked 20–30 cigarettes daily for 25 years. Physical examination: Temperature of 38.1°C (100.6°F), blood pressure of 110/70 mm Hg, and pulse of 102 beats/min. There is a malodorous right foot ulcer overlying the first metatarsophalangeal joint. Fluctuance and erythema extend 3 cm beyond the ulcer border. Moderate pitting edema is notable over the remaining areas of the foot and ankle.
Starting metformin
Assessing peripheral pulses annually to determine risk for peripheral vascular disease
More thoughtful footwear selection
Assessing foot sensation annually to determine risk for diabetic neuropathy
Which of the following is the most important initial treatment for a patient with newly-diagnosed type 2 diabetes?
Provide referral to a diabetes educator.
Start long-acting insulin.
Start short-acting insulin.
Start empagliflozin.
Start metformin.
What is Starting metformin.
What is Provide referral to a diabetes educator.
A student nurse asks the nurse instructor for some tips on how to best perform hand hygiene and maintain hand health. Which statements by the nurse instructor are appropriate? Select all that apply.
"Scrub your hands with a coarse brush to ensure they are clean."
"Avoid artificial nails, as they can harbor bacteria."
"Use lotion regularly to avoid cracked and chapped hands."
"Wear gloves whenever possible to avoid having to wash your hands."
What is
The nurse is measuring the blood pressure of an adult who is not over or underweight and has an arm circumference of 30 cm. Which cuff should the nurse use?
A. 16x42 adult thigh cuff
B. 12x22 small adult cuff
C. 16x30 adult cuff
D. 16x36 large adult cuff
The client reports that they have recently been feeling dizzy when they stand up after sitting down for a while. Which nurse action is the most appropriate?
A. Encourage the client to increase their water intake
B. Advocate to the client’s provider for an antihypertensive to be prescribed
C. Instruct the client to change positions quickly so the dizziness will pass faster
D. Take a blood pressure when the client is lying down, sitting, and standing
A blood pressure reading taken from a blood pressure cuff on a client’s arm measures the force exerted on the walls of which blood vessel?
Venules
Artery
Vein
Capillary
What is 16x30 adult cuff.
What is take a blood pressure when the client is lying down, sitting, and standing
what is Artery
What is considered modifiable risk factors for hypertension? Select all that apply.
Age
Ethnicity
Smoking
Weight
Diet
What is
What materials are needed to perform a finger-stick glucose test? Select all that apply.
Alcohol swab
Gauze pad
Lancet
Butterfly needle
Iodine pad
Test strips expire how often?
1 week
1 month
3 months
4 months
6 months
What is
what is 6 months
What is most likely to predispose the following patient to his foot ulcer? A 57-year-old man presents with progressive right foot swelling, redness, and malaise. He reports seeing a blister on his forefoot several months ago after using new work boots. He has dressed the affected area daily with bandages; however, the area has not healed. Medical history: Type 2 DM for 16 years, stage 2 chronic kidney disease for 3 years, and smoked 20–30 cigarettes daily for 25 years. Physical examination: Temperature of 38.1°C (100.6°F), blood pressure of 110/70 mm Hg, and pulse of 102 beats/min. There is a malodorous right foot ulcer overlying the first metatarsophalangeal joint. Fluctuance and erythema extend 3 cm beyond the ulcer border. Moderate pitting edema is notable over the remaining areas of the foot and ankle.
Hypertension
Diabetic neuropathy
Cardiac disease
Antibiotic resistance
Obesity
Which of the following fingerstick blood glucose measurements is most alarming?
A single reading of 250 mg/dL 30 minutes after eating a large meal
Readings that are consistently 60–70 mg/dL first thing upon waking
A single reading of 180 mg/dL immediately before flying an airplane
Readings that are consistently 100–120 mg/dL fasting
Readings that are consistently 160–180 mg/dL postprandially
What is Diabetic neuropathy.
What is Readings that are consistently 60–70 mg/dL first thing upon waking
Which type of medical waste includes disposable tubing and equipment that is grossly soiled with bodily fluids?
Pharmaceutical waste
General waste
Radioactive waste
Infectious waste
Chemical waste
Which cleaning frequency is correct for reusable patient care equipment such as blood pressure cuffs and stethoscopes?
Between every patient use
Only during terminal cleaning
At the end of each shift
Weekly or when visibly soiled
Once daily
What is Infectious waste
What is Between every patient use