NSG 4800 Comprehensive Exam – Questions And A+
Solutions
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Terms in this set (203)
What is considered a clinically A drop of 20 mmHg systolic or 10 mmHg diastolic from
significant drop in blood pressure for baseline.
orthostatic hypotension?
What are the key nursing actions for Ensure safety, hold antihypertensives, encourage slow
managing a significant blood pressure position changes, and adequate hydration.
drop?
What are Standard Precautions in Used for all patients; includes hand hygiene, gloves for
infection control? body fluids, and protective gear when splash risk exists.
What are Contact Precautions? Gown and gloves upon entry; private room or cohort;
examples include MRSA, VRE, and C. diff.
What are Droplet Precautions? Surgical mask within 3-6 feet; private room; examples
include influenza and pertussis.
What are Airborne Precautions? N95 respirator required; negative-pressure room;
examples include TB and measles.
,What does RACE stand for in fire safety? R - Rescue, A - Alarm, C - Confine, E -
Extinguish/Evacuate.
What does PASS stand for in using a fire P - Pull the pin, A - Aim at the base of the fire, S -
extinguisher? Squeeze the handle, S - Sweep side to side.
What is the magic number for checking Check circulation, sensation, and movement (CMS)
restraints? every 2 hours.
What should be documented regarding Document checks, release of restraints, and patient
restraints? needs every 2 hours.
What is the procedure for a bed-to- Position wheelchair on the stronger side, lock brakes,
wheelchair transfer? lower bed, use a gait belt, and pivot toward the
wheelchair.
What is the two-point gait in crutch Move right crutch and left foot together, then left crutch
walking? and right foot; requires partial weight-bearing on both
legs.
What is the three-point gait in crutch Both crutches and affected leg advance together, then
walking? the unaffected leg follows; used when one leg is non-
weight-bearing.
What is the four-point gait in crutch Right crutch, left foot, left crutch, right foot; slow but
walking? stable; requires partial weight-bearing on both legs.
What is the key to therapeutic Use open-ended questions, active listening, and
communication? empathy; avoid giving advice and false reassurance.
What are the key precautions for Elevate HOB to 90 degrees, provide thickened liquids,
patients with dysphagia? small bites, and assess for signs of aspiration.
What is the proper technique for a Wash hands, clean urethral meatus, begin voiding into
clean-catch urine specimen? toilet, catch midstream in sterile cup, finish voiding in
toilet.
What is the procedure for administering Position in left Sims' position, lubricate tip, insert 3-4
an enema? inches, hold bag 12-18 inches above rectum.
, What can an RN never delegate? Assessment, nursing diagnosis, care planning,
evaluation, patient teaching, and unstable patient care.
What can an LPN/LVN do? Reinforce teaching, collect data, administer certain
medications, and monitor stable patients.
What tasks can a UAP/CNA perform? Vital signs for stable patients, bathing, feeding,
ambulation, and specimen collection (non-sterile).
What are the vital signs that nurses Temperature, pulse, respiration, blood pressure, and
typically monitor? oxygen saturation.
What does the acronym RACE stand for Rescue, Alarm, Contain, Extinguish.
in fire safety?
What does the acronym PASS stand for Pull, Aim, Squeeze, Sweep.
in fire safety?
What is the purpose of restraints in To prevent harm to the patient or others when less
patient care? restrictive measures are ineffective.
What are the key considerations when Assess the patient's mobility, use proper body
transferring a patient? mechanics, and ensure safety equipment is in place.
What is the correct technique for crutch Place crutches under the arms, use the unaffected leg
walking? to bear weight, and move crutches forward, then step
with the affected leg.
What is therapeutic communication? A process that promotes understanding and trust
between the nurse and patient through effective verbal
and non-verbal interactions.
What should a nurse do if a patient has Notify the healthcare provider immediately and monitor
unstable vital signs? the patient closely.
What are the signs of infection that Fever, increased heart rate, increased respiratory rate,
nurses should monitor? and localized redness or swelling.
What is the importance of hand hygiene It significantly reduces the risk of transmitting infections
in infection control? to patients and healthcare workers.
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (203)
What is considered a clinically A drop of 20 mmHg systolic or 10 mmHg diastolic from
significant drop in blood pressure for baseline.
orthostatic hypotension?
What are the key nursing actions for Ensure safety, hold antihypertensives, encourage slow
managing a significant blood pressure position changes, and adequate hydration.
drop?
What are Standard Precautions in Used for all patients; includes hand hygiene, gloves for
infection control? body fluids, and protective gear when splash risk exists.
What are Contact Precautions? Gown and gloves upon entry; private room or cohort;
examples include MRSA, VRE, and C. diff.
What are Droplet Precautions? Surgical mask within 3-6 feet; private room; examples
include influenza and pertussis.
What are Airborne Precautions? N95 respirator required; negative-pressure room;
examples include TB and measles.
,What does RACE stand for in fire safety? R - Rescue, A - Alarm, C - Confine, E -
Extinguish/Evacuate.
What does PASS stand for in using a fire P - Pull the pin, A - Aim at the base of the fire, S -
extinguisher? Squeeze the handle, S - Sweep side to side.
What is the magic number for checking Check circulation, sensation, and movement (CMS)
restraints? every 2 hours.
What should be documented regarding Document checks, release of restraints, and patient
restraints? needs every 2 hours.
What is the procedure for a bed-to- Position wheelchair on the stronger side, lock brakes,
wheelchair transfer? lower bed, use a gait belt, and pivot toward the
wheelchair.
What is the two-point gait in crutch Move right crutch and left foot together, then left crutch
walking? and right foot; requires partial weight-bearing on both
legs.
What is the three-point gait in crutch Both crutches and affected leg advance together, then
walking? the unaffected leg follows; used when one leg is non-
weight-bearing.
What is the four-point gait in crutch Right crutch, left foot, left crutch, right foot; slow but
walking? stable; requires partial weight-bearing on both legs.
What is the key to therapeutic Use open-ended questions, active listening, and
communication? empathy; avoid giving advice and false reassurance.
What are the key precautions for Elevate HOB to 90 degrees, provide thickened liquids,
patients with dysphagia? small bites, and assess for signs of aspiration.
What is the proper technique for a Wash hands, clean urethral meatus, begin voiding into
clean-catch urine specimen? toilet, catch midstream in sterile cup, finish voiding in
toilet.
What is the procedure for administering Position in left Sims' position, lubricate tip, insert 3-4
an enema? inches, hold bag 12-18 inches above rectum.
, What can an RN never delegate? Assessment, nursing diagnosis, care planning,
evaluation, patient teaching, and unstable patient care.
What can an LPN/LVN do? Reinforce teaching, collect data, administer certain
medications, and monitor stable patients.
What tasks can a UAP/CNA perform? Vital signs for stable patients, bathing, feeding,
ambulation, and specimen collection (non-sterile).
What are the vital signs that nurses Temperature, pulse, respiration, blood pressure, and
typically monitor? oxygen saturation.
What does the acronym RACE stand for Rescue, Alarm, Contain, Extinguish.
in fire safety?
What does the acronym PASS stand for Pull, Aim, Squeeze, Sweep.
in fire safety?
What is the purpose of restraints in To prevent harm to the patient or others when less
patient care? restrictive measures are ineffective.
What are the key considerations when Assess the patient's mobility, use proper body
transferring a patient? mechanics, and ensure safety equipment is in place.
What is the correct technique for crutch Place crutches under the arms, use the unaffected leg
walking? to bear weight, and move crutches forward, then step
with the affected leg.
What is therapeutic communication? A process that promotes understanding and trust
between the nurse and patient through effective verbal
and non-verbal interactions.
What should a nurse do if a patient has Notify the healthcare provider immediately and monitor
unstable vital signs? the patient closely.
What are the signs of infection that Fever, increased heart rate, increased respiratory rate,
nurses should monitor? and localized redness or swelling.
What is the importance of hand hygiene It significantly reduces the risk of transmitting infections
in infection control? to patients and healthcare workers.
