NUR 211 Exam 1 Questions with Questions
with Accurate Answers
ABGs correct answer invasive way to measure oxygen saturation (and other
values) 80-100 mm Hg
abnormal PVS auscultation correct answer BP: lying, sitting, standing-- >20 mmHg
is postural/orthostatic hypotension, auscultate for bruits (blowing/swishing sound
caused by turbulence because of narrowed lumen, use bell of stethoscope,
palpate for a "thrill")
accountability correct answer being held to answer for personal actions and
actions of others
acute insomnia correct answer lasts one to several nights and is often caused by
PERSONAL stressors and/or worry
adventitious breath sounds correct answer crackles/rales, rhonchi/gurgles,
wheezes, stridor, pleural friction rub
adventitious heart sounds correct answer gallop, murmur, pericardial friction rub,
click
afterload correct answer pressure which the left ventricle pushes against
ambulation correct answer immobility is major factor in developing atelectasis
and ventilator associated pneumonia, early ambulation improves lung expansion,
,dangle and stand intubated patients, get patients out of bed ASAP (day of
surgery)
angina pectoris correct answer chest pain related to inadequate oxygen supply
(ischemia)
arterial insufficiency correct answer usually secondary to atherosclerosis
(smoking, increased BP, diabetes), occlusion (blockage or closing of a blood
vessel), vasospasm (sudden constriction of blood vessel), ulcerations
arteriosclerosis correct answer elastic and muscular tissues of the arteries are
replaced with fibrous tissue
artificial airways correct answer oral airway, endotracheal/tracheal airways, and
tracheostomy
assess correct answer assess pain and intensity every 2 hours and PRN, assess skin
every 12 hours, assess before you implement!!
assessing carotid for bruits correct answer vessel most commonly assessed for
bruits, ask to turn head away and possibly hold breath for a few seconds, usually
loudest in upper one third of neck, fairly common in elderly, at risk for stroke
assessment correct answer what is normal for the patient? past impairments in
circulatory or respiratory functioning? methods to optimize oxygenation? food
and drug allergies? physical examination? laboratory and diagnostic tests?
,assessment techniques correct answer heart rate/heart sounds, blood pressure,
breath sounds, presence of edema
atelectasis correct answer collapse of the alveoli that prevents the normal
exchange of oxygen and carbon dioxide
atherosclerosis correct answer build up of fatty plaque in arteries
authority correct answer ability or legitimate power to make decisions,
implement strategies, or elicit work from others
autonomy correct answer right to make one's own decisions
barriers to time management correct answer procrastination, perfectionism, and
inability to prioritize
basic concepts correct answer oxygen-rich blood enters the heart from the lungs
and goes out to the body while oxygen-poor blood enters the heart from the body
and goes out to the lungs
beneficence correct answer doing good
benefits of sleep correct answer helps people cope with daily stressors, prevents
fatigue, conserves energy, facilitates healing of damaged tissue/wounds, restores
mind and body
, best practices correct answer start each intervention with an action verb,
individualize your interventions to your client!
BiPAP correct answer provides inspiratory positive airway pressure AND
expiratory airway pressure, used to prevent ET tube in patients with respiratory
failure, pulmonary edema, and exacerbation of COPD
blood pressure measurement correct answer rest 5 minutes, wait 1 minute
between readings, take the highest reading if arms differ, watch for patterns
rather than a single reading, cuff width should be about 40% of arm
circumference, support arm and level of heart, do not take over clothes
blood pressure monitoring correct answer annual screenings beginning at age 3,
average of 2 or more readings at 2 or more visits after initial screening, typically
no symptoms
cardiac output (CO) correct answer amount of blood ejected from the heart each
MINUTE
cardiogenic correct answer result of heart failure, semi- or high-fowler's position
cardiovascular changes correct answer orthostatic hypotension, thrombosis
formation (damage to vessel wall, alterations in blood flow, alterations in blood
constituents)
cardiovascular correct answer transfer slowly
with Accurate Answers
ABGs correct answer invasive way to measure oxygen saturation (and other
values) 80-100 mm Hg
abnormal PVS auscultation correct answer BP: lying, sitting, standing-- >20 mmHg
is postural/orthostatic hypotension, auscultate for bruits (blowing/swishing sound
caused by turbulence because of narrowed lumen, use bell of stethoscope,
palpate for a "thrill")
accountability correct answer being held to answer for personal actions and
actions of others
acute insomnia correct answer lasts one to several nights and is often caused by
PERSONAL stressors and/or worry
adventitious breath sounds correct answer crackles/rales, rhonchi/gurgles,
wheezes, stridor, pleural friction rub
adventitious heart sounds correct answer gallop, murmur, pericardial friction rub,
click
afterload correct answer pressure which the left ventricle pushes against
ambulation correct answer immobility is major factor in developing atelectasis
and ventilator associated pneumonia, early ambulation improves lung expansion,
,dangle and stand intubated patients, get patients out of bed ASAP (day of
surgery)
angina pectoris correct answer chest pain related to inadequate oxygen supply
(ischemia)
arterial insufficiency correct answer usually secondary to atherosclerosis
(smoking, increased BP, diabetes), occlusion (blockage or closing of a blood
vessel), vasospasm (sudden constriction of blood vessel), ulcerations
arteriosclerosis correct answer elastic and muscular tissues of the arteries are
replaced with fibrous tissue
artificial airways correct answer oral airway, endotracheal/tracheal airways, and
tracheostomy
assess correct answer assess pain and intensity every 2 hours and PRN, assess skin
every 12 hours, assess before you implement!!
assessing carotid for bruits correct answer vessel most commonly assessed for
bruits, ask to turn head away and possibly hold breath for a few seconds, usually
loudest in upper one third of neck, fairly common in elderly, at risk for stroke
assessment correct answer what is normal for the patient? past impairments in
circulatory or respiratory functioning? methods to optimize oxygenation? food
and drug allergies? physical examination? laboratory and diagnostic tests?
,assessment techniques correct answer heart rate/heart sounds, blood pressure,
breath sounds, presence of edema
atelectasis correct answer collapse of the alveoli that prevents the normal
exchange of oxygen and carbon dioxide
atherosclerosis correct answer build up of fatty plaque in arteries
authority correct answer ability or legitimate power to make decisions,
implement strategies, or elicit work from others
autonomy correct answer right to make one's own decisions
barriers to time management correct answer procrastination, perfectionism, and
inability to prioritize
basic concepts correct answer oxygen-rich blood enters the heart from the lungs
and goes out to the body while oxygen-poor blood enters the heart from the body
and goes out to the lungs
beneficence correct answer doing good
benefits of sleep correct answer helps people cope with daily stressors, prevents
fatigue, conserves energy, facilitates healing of damaged tissue/wounds, restores
mind and body
, best practices correct answer start each intervention with an action verb,
individualize your interventions to your client!
BiPAP correct answer provides inspiratory positive airway pressure AND
expiratory airway pressure, used to prevent ET tube in patients with respiratory
failure, pulmonary edema, and exacerbation of COPD
blood pressure measurement correct answer rest 5 minutes, wait 1 minute
between readings, take the highest reading if arms differ, watch for patterns
rather than a single reading, cuff width should be about 40% of arm
circumference, support arm and level of heart, do not take over clothes
blood pressure monitoring correct answer annual screenings beginning at age 3,
average of 2 or more readings at 2 or more visits after initial screening, typically
no symptoms
cardiac output (CO) correct answer amount of blood ejected from the heart each
MINUTE
cardiogenic correct answer result of heart failure, semi- or high-fowler's position
cardiovascular changes correct answer orthostatic hypotension, thrombosis
formation (damage to vessel wall, alterations in blood flow, alterations in blood
constituents)
cardiovascular correct answer transfer slowly
