NUR 445 EXAM 5 QUESTIONS AND ANSWERS | NUR 445 EXAM
5 STUDY GUIDE & PRACTICE TEST 2026/2027
EBP interventions to prevent falls in ECFS - correct answer ✔✔don't use physical/ chemical restraints,
toliet schedule, exercising, keep things close
- Help program: volunteers have walking schedule to eliminate falls to aid in decreasing falls in
cognitively impaired client during ambulation
long term effects of prednisone?
Clients at highest risk? - correct answer ✔✔decreased immunity, osteoporosis, fractures, increase falls,
coritsol levels, BS levels, thinning of the skin, decreased vision, weight gain
- DM, COPD, asthma, obesity
instructions for fosamax - correct answer ✔✔take on an empty stomach in the morning, take 30 minutes
before or after other pills, don't crush or chew, need to SIT UP for 30 minutes after
autotransfusion - correct answer ✔✔pts receive own blood back has to be done by an RN
why is it important to educate clients on pain control following orthopedic surgery - correct answer
✔✔to give meds before therapy to increase ambulation decrease r/f DVT, decrease r/f delirium
intrinsic factors contributing to falls - correct answer ✔✔age, arrhythmias, neuropathy, confusion,
decrease vision
extrinsic factors contributing to falls - correct answer ✔✔environment, rugs, no grab bars, restraints etc
why is using BUN to assess renal function no an accurate measure - correct answer ✔✔effected by
dietary habits and hydration status, muscle breakdown
what is the brown bag assessment - correct answer ✔✔most accurate way to check meds; pt brings all
meds taken (prescribed, OTC, and herbals), look at dispense date and amount of pills gone to determine
how many they are taking
what is the beers criteria? - correct answer ✔✔identifies 53 medications that may be harmful to adults
65 and older
risk factors for fall related fractures in women over 70 - correct answer ✔✔fall in the past 12 months,
increasing age, low body weight (BMI <22), steriods, antieleptics, cognitive impairment
what are the causes of delirium - correct answer ✔✔infection, surgery, withdrawl, pain, tumors, B12
deficiencies, equipment
s/s of dementia - correct answer ✔✔changes in mood and personality, wandering, anxiety, aggression,
sexual inhibition
5 STUDY GUIDE & PRACTICE TEST 2026/2027
EBP interventions to prevent falls in ECFS - correct answer ✔✔don't use physical/ chemical restraints,
toliet schedule, exercising, keep things close
- Help program: volunteers have walking schedule to eliminate falls to aid in decreasing falls in
cognitively impaired client during ambulation
long term effects of prednisone?
Clients at highest risk? - correct answer ✔✔decreased immunity, osteoporosis, fractures, increase falls,
coritsol levels, BS levels, thinning of the skin, decreased vision, weight gain
- DM, COPD, asthma, obesity
instructions for fosamax - correct answer ✔✔take on an empty stomach in the morning, take 30 minutes
before or after other pills, don't crush or chew, need to SIT UP for 30 minutes after
autotransfusion - correct answer ✔✔pts receive own blood back has to be done by an RN
why is it important to educate clients on pain control following orthopedic surgery - correct answer
✔✔to give meds before therapy to increase ambulation decrease r/f DVT, decrease r/f delirium
intrinsic factors contributing to falls - correct answer ✔✔age, arrhythmias, neuropathy, confusion,
decrease vision
extrinsic factors contributing to falls - correct answer ✔✔environment, rugs, no grab bars, restraints etc
why is using BUN to assess renal function no an accurate measure - correct answer ✔✔effected by
dietary habits and hydration status, muscle breakdown
what is the brown bag assessment - correct answer ✔✔most accurate way to check meds; pt brings all
meds taken (prescribed, OTC, and herbals), look at dispense date and amount of pills gone to determine
how many they are taking
what is the beers criteria? - correct answer ✔✔identifies 53 medications that may be harmful to adults
65 and older
risk factors for fall related fractures in women over 70 - correct answer ✔✔fall in the past 12 months,
increasing age, low body weight (BMI <22), steriods, antieleptics, cognitive impairment
what are the causes of delirium - correct answer ✔✔infection, surgery, withdrawl, pain, tumors, B12
deficiencies, equipment
s/s of dementia - correct answer ✔✔changes in mood and personality, wandering, anxiety, aggression,
sexual inhibition
