NURS 106 - MIDTERM EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

NURS 106 - MIDTERM EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 What does PQRSTU stand for - Answers Provokes Quality Radiation Severity Timing Understanding (pt.'s) What does PERRLA stand for? - Answers pupils equal, round, reactive to light and accommodation What does CWMS stand for - Answers Color, warmth, movement, sensation What does ABCIOPS stand for - Answers airway, breathing, circulation, intake, output, pain, safety What are the three principles of body mechanics - Answers Maintain body balance Increase Stability Maintain body alignment What are wedge pillows used for - Answers maintaining legs in abduction after hip replacement surgery What are two reasons to use prone position - Answers acute respiratory distress syndrome, acute lung injury What criteria must a patient meet to use the sabina lift (sit-to-stand) - Answers weight bearing on at least one leg have upper body tone able to sit unassisted able to grip with at least one hand able to follow instructions cooperative max 440lbs In what two circumstance should a pt/'s arms be outside of the sling - Answers when using a sit-to-stand lift or using the hygiene sling with a ceiling lift In what circumstance would a ceiling lift be used - Answers for pt.'s who are unable to weight bear, unable to follow instructions, or have poor body tone Prior to restraint use what things must have been done - Answers Tried alternative and documented outcomes Client consent or alternate must be obtained Physician must order it Care plan in place What are the only circumstances for restraint use - Answers Increased risk of injury to self or others Prevent interruption of therapy Prevent confused or combative pt. from removing life-supporting equipment What are some complications of restraint use - Answers - increased disorientation, agitation, fear, humiliation. - loss of self-esteem - contractures, nerve damage, circulatory impairment, asphyxiation - increased risk of injury from falls - pressure ulcers, skin breakdown - constipation - pneumonia - urinary and fecal incontinence - urinary retention * all complications of being immobile What must be done while a restraint is in use - Answers - ensure you can fit 2 fingers between the pt. and restraint - proper placement, skin integrity, pulses, temp, skin color, and sensation of restrained body part should be assessed at least every hour or according to agencies policy - regular assessment of pt.'s need for continued use of the restraint with the intent of discontinuing the restraint at the earliest time possible What is a mitten restrain used for - Answers to prevent itching, removing dressings, removing IV or other invasive equipment. allows greater movement than a wrist restraint What is an elbow restrain (freedom arm splint) used for - Answers prevents flexion of the elbow, commonly used in children/infants to keep an IV line in place What is a mummy restraint used for - Answers maintains short term restraint of torso and extremities in small children, used for exams or treatments involving the head or neck What is a pelvic soft belt used for - Answers helps for anatomical positioning in chair, if used for this reasoning it is not a restraint What is a belt restraint (segufix/pinel) used for - Answers restrains centre of gravity and prevents the pt. from rolling off the stretcher or sitting up What is an extremity restraint used for - Answers maintain immobilization of the extremity to protect the patient from injury from a fall or accidental removal of a therapeutic device What are two purposes of infection control - Answers protect pt.'s from infection protect HCW's from infection what are some common sites fro nosocomial infections - Answers surgical/traumatic wounds urinary tract respiratory tract bloodstream What are critical items - Answers devices that enter sterile tissue or the vascular system What are semi critical items - Answers Items that have contact with non intact skin or mucus membranes but do not penetrate.