What are the correct steps in the nursing process?
What is Assessing, Analyzing, Identifying pt problems, planning, Implementing and Evaluating
100
What is the difference between the R and L lung?
A) the right lung is where gas exchange occurs
B) the left lung is associated with obstructive lung diseases
C) the right lung has 3 lobes and the left lung has 2 lobes
D) the left lung has 3 lobes and the right lung has 3
What is C
100
During a focused CV/PV assessment, what 4 pulses are you palpating?
What is Radial, Brachial, Posterior tibias, Dorsal pedal
100
The GCS tests these 3 things
What is Best eye opening, Best verbal response, Best motor response
100
Which of the following does not put the pt at an increased risk for constipation
A)medications
B)malnutrition
C)Hx of GI concerns
D)immobility
E)dysuria
F)stress
COPD includes ______ , _____ _____ & ______
it is a narrowing of the airway _____ due to inflammatory response
What is Asthma, chronic bronchitis & emphysema
Lumen
200
During a focused CV assessment how long are you listening to the apical heart rate for?
What is 1 minute of painfully awkward silence.
200
Match the Cerebral Cortex areas with their function
a)occipital
b)frontal
c)parietal
d)temporal
1)planning and problem solving
2) sensation
3)memory, language
4)vision, motion
What is
a) 4
b) 1
c) 2
d) 3
200
True or false Diabetes increases the risk of UTI
What is True
300
Pt is a 77yo female who was admitted d/t FTT. Physician has ordered VS Q4H. During your assessment you find his BP is 140/85.
What would you do FIRST?
a) report to RN
b) complete graphic charting
c) observe for symptoms of hypertension - how does your pt present
d) subjective questioning
e) check chart to confirm trends
What is C
300
You wake up your pt to do your morning assessment and find his SPO2 is 88% on RA
What should you do first?
a) complete a focused respiratory assessment
b) finish his vitals and report to your instructor
c) encourage pt to deep breathe and cough then re-check his sats
d) encourage pt to take his puffers
What is C
300
What landmark will you use to auscultate for the apical heart sounds?
What is 5th intercostal space down from the L mid-clavicular line
300
What are you checking pupils for in a focused Neuro
What is Size Shape and PEARL
300
The 3 P's symptoms of Hyperglycemia.
How might Hypoglycemia manifest with regards to CWMS, Speech & vision?
What 3 things will we always ask when leaving a pt bedside
What is
1) Is there anything else I can do for you?
2) Pain?
3) Do you need to use the toilet?
400
Pneumonia produces lung sounds similar to hair rolling between your fingers, this is called______
CHF produces lung sounds that mimic air being blown through a straw, this is called ____
What is fine crackers and coarse crackles
400
Cardiac Output = SV x HR
What are 3 factors that determine stroke volume
Preload, after load, contractility
400
Identify and explain 3 descriptive terms related to pupillary reaction to light
Brisk- normal
Sluggish - found in conditions that cause some compression of oculomotor III nerve (early transtentorial herniation)
Non-reactive/ Fixed - found in conditions that cause compression of oculomotor III nerve (late transtentorial herniation + severe hypoxia and ischemia)
400
What acronym can we use during a musculoskeletal assessment? (hint: we plant them)
True or False
If a pt is oriented to person and place they are considered confused.
How would we chart this
True
A&Ox2, pt disoriented to time
500
How many landmark placements are there
Anteriorly
Posteriorly
5 per side
9 per side
500
How would you differentiate between angina pain and an MI
use LOTARP!
When did it start?
What type of pain?
Is it causing SOB?
Is it relieved by nitroglycerin? (Vasodilator)
Is it radiating?
Associated symptoms?
What were they doing just prior?
500
Abnormal findings in pupillary responses can be due to many factors including ____ ______, _____ _______ _____, and ______ _______ ______.
What is Drug use, chronic ophthalmologic conditions and structural brain damage
500
What is one relevant focused question that you would ask your pt when completing a musculoskeletal assessment?
How do you get around, what assistive devises do you use?
Do you have pain?