Fundamentals of Nursing

Fundamentals

100

This is a method of problem-focused charting

What is DARP?

200

"I do not have the energy to do what I like to do."

What is subjective data?

300

"Tell me about the problems you are having." This is what type of questioning during an interview.

What is open-ended questions?

400

PHIA stands for this

What is Personal Health Information Act

500

This is a major risk factor for skin breakdown

What is immobility

Vital Signs

100

>than 95%

What is the expected SpO2 level.

200

This flowsheet is used in the WRHA to track vital signs and patients at risk for sepsis

What is NEWS

300

What is the normal adult pulse rate?

What is 60-100 beat per minute.

400

How do you assess the apical pulse?

What is identify the angle of louis, move laterally to the 2nd intercostal space, progress down to the 5th intercostal space, move laterally to the mid-clavicular line to the point of maximal impulse (PMI).

500

This artery is used to manually assess peripheral pulse in the upper extremity

What is the radial artery

Health Assessment

100

The four skills used in physical assessment.

What is inspection, palpation, auscultation, percussion?

200

Seen in liver disease, this is a yellow-ish tinge to the skin

What is jaundice?

300

Accessory muscle use, Respiration Rate of 24 breaths per minute, tripod posture, distressed facial expression are signs of this

What is respiratory distress

400

PERRLA is an acronym that stands for

Pupils Equal Round Reactive to Light and Accommodation

500

This bowel sound is not an abnormal finding, but it is hyperactive

What is borborygmus

Communication

100

The "A" in I-SBAR-R

What is Assessment

200

This nurse-to-nurse interaction happens when a patient switches units

What is a transfer report?

300

The second "R" in I-SBAR-R

What is Repeat Back!

400

The best source of information about a patient's care and progress

What is the medical record

500

Yourself, your role, patient's name and room number are features of this

What is the "I" (identification) in I-SBAR-R

Documentation

100

The form or place in the chart where the nurse documents his or her observations, care given and patient's responses.

What is Integrated Progress Notes.

200

This type of report occurs when there is an actual or potential injury; this report is not a part of the patient record.

What is an incident report?

300

In military time, 9:00 pm is ___________.

What is 2100?

400

Five characteristics of quality documentation.

What is factual, accurate, complete, current, and organized?

500

What accreditation agency specifies guidelines for documentation?

What is Accreditation Canada