Vital Signs
Which vital sign is considered subjective?
Pain
What is the correct order of steps in a comprehensive abdominal assessment?
Inspection, auscultation, palpation.
What must every entry in a medical record include?
Name, date, time, and credentials.
What therapeutic communication technique is demonstrated by the phrase, "What can I do to help you?"
Offering self.
What type of care is provided in a skilled nursing facility (SNF)?
Skilled nursing care, such as physical therapy, for short-term rehabilitation.
What is the normal adult pulse range?
60-100 beats per minute
Where is the PMI (point of maximum impulse) located?
Fifth intercostal space, left midclavicular line.
Who owns the physical medical record according to HIPAA?
The facility.
What behavior demonstrates active listening?
Nodding while maintaining eye contact with the patient.
What documentation is required for a new resident in a long-term care facility?
Minimum Data Set (MDS).
Name three factors that affect body temperature.
Environment, physical activity, time of day, gender, medications, age, stress, food/drink intake, and illness.
What does the Glasgow Coma Scale assess?
Eye opening, verbal response, and motor response
What is the purpose of Diagnostic-Related Groups (DRGs)?
To classify hospital cases for reimbursement purposes.
Which response demonstrates assertive communication?
State the concern clearly, provide evidence, and suggest a collaborative solution.
Which type of nursing delivery system works best with a mix of RNs, LPNs, and CNAs?
Team Nursing
Which respiratory pattern involves increased rate and depth with long, blowing exhalations?
Kussmaul respirations.
What technique is best for assessing dependent pitting edema?
Palpate over a bony prominence
Which type of documentation organizes data by individual problems and encourages collaboration?
Problem-oriented record.
What is the goal of the ISBARRQ method?
To provide clear, structured communication about a patient's condition.
What is the primary benefit of patient-centered care?
Empowering the patient to take control of their healthcare decisions.
What intervention is a priority for a patient with orthostatic hypotension?
Allow the patient to sit on the side of the bed for a minute before standing.
Which adventitious breath sound is a high-pitched crowing sound caused by partial airway obstruction?
Stridor.
Why shouldn’t you leave a patient’s chart open throughout the day?
It increases the likelihood of errors and breaches confidentiality.
Why is bedside shift reporting important?
Allow the oncoming nurse to ask questions during the report.
Under the Affordable Care Act, until what age can children remain on their parents' health insurance?
26 years old.