CONCEPTS OF PRACTICAL NURSING II EXAM 1 ACTUAL TEST PAPER QUESTIONS
CORRECT ANSWERS GRADED A PLUS
Question:
close-ended question.
Answer:
What is your name?
Question:
false reassurance.
Answer:
Everything will be fine
Question:
Why Assess?
Answer:
To identify changes in pt condition, to help foresee areas of concern
Question:
RN.
Answer:
who does the initial assessment?
Question:
Within 24 hours.
,Answer:
When should an initial assessment be done?
Question:
discharge planning.
Answer:
What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor
Question:
Steps of an assessment.
Answer:
1. Introduce self 2. Explain procedure 3. wash hands 4. Identify pt 5. Provide privacy 6. Inspect,
auscultate, palpate
Question:
Correct, then continue.
Answer:
If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale
through nose, exhale through mouth)
Question:
Order of assessmet.
Answer:
Subjective then Objective (helps to identify ares of focus)
Question:
Inspect airway, auscultate lungs.
,Answer:
If pt c/o sore throat or recent cold
Question:
Serous Drainage.
Answer:
Clear(Good or indifferent)
Question:
Sanginous Drainage.
Answer:
Blood-red(a little is ok, alot is bad)
Question:
Serosanginous Drainage.
Answer:
Pink-mix of blood and serous(This is ok)
Question:
Purulent Drainage.
Answer:
Puss (assess for infection and notify MD)
Question:
Absent Bowel Sounds.
Answer:
, Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total) assess for an
obstruction and notify MD
Question:
Normal IM injection reaction.
Answer:
Burning at site, itching at site, bruising
Question:
Abnormal IM injection Reaction.
Answer:
vomiting, constipation, dry mouth, rash (systemic)
Question:
TB testing.
Answer:
1. Must be read 48-72 hrs (assessed) 2. Document date, time of injection and reading, as well as
result 3. Mild swelling is normal
Question:
TB result-negative.
Answer:
10mm- healthcare workers are a strict 10
Question:
TB result-positive.
Answer:
CORRECT ANSWERS GRADED A PLUS
Question:
close-ended question.
Answer:
What is your name?
Question:
false reassurance.
Answer:
Everything will be fine
Question:
Why Assess?
Answer:
To identify changes in pt condition, to help foresee areas of concern
Question:
RN.
Answer:
who does the initial assessment?
Question:
Within 24 hours.
,Answer:
When should an initial assessment be done?
Question:
discharge planning.
Answer:
What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor
Question:
Steps of an assessment.
Answer:
1. Introduce self 2. Explain procedure 3. wash hands 4. Identify pt 5. Provide privacy 6. Inspect,
auscultate, palpate
Question:
Correct, then continue.
Answer:
If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale
through nose, exhale through mouth)
Question:
Order of assessmet.
Answer:
Subjective then Objective (helps to identify ares of focus)
Question:
Inspect airway, auscultate lungs.
,Answer:
If pt c/o sore throat or recent cold
Question:
Serous Drainage.
Answer:
Clear(Good or indifferent)
Question:
Sanginous Drainage.
Answer:
Blood-red(a little is ok, alot is bad)
Question:
Serosanginous Drainage.
Answer:
Pink-mix of blood and serous(This is ok)
Question:
Purulent Drainage.
Answer:
Puss (assess for infection and notify MD)
Question:
Absent Bowel Sounds.
Answer:
, Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total) assess for an
obstruction and notify MD
Question:
Normal IM injection reaction.
Answer:
Burning at site, itching at site, bruising
Question:
Abnormal IM injection Reaction.
Answer:
vomiting, constipation, dry mouth, rash (systemic)
Question:
TB testing.
Answer:
1. Must be read 48-72 hrs (assessed) 2. Document date, time of injection and reading, as well as
result 3. Mild swelling is normal
Question:
TB result-negative.
Answer:
10mm- healthcare workers are a strict 10
Question:
TB result-positive.
Answer:
