HONDROS NUR 150 FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS
Dorsal recumbent - Answer-laying on back with knees bent with feet still flat on ground
Lithotomy - Answer-laying supine with hips knees flexed and thigh externally rotated
Supine position - Answer-laying flat on back face up
Trendelenburg position - Answer-head of bed pointed downward, feet in air
Orthopnic - Answer-sitting on side of bed with arms rested on over bed table. this is
used for people with breathing problems
Where is apical pulse - Answer-mid-clavicular 5th intercostal space
What are examples of portals of entry for infection - Answer-mouth, break in skin,
mucous membrane
How do we prevent falls - Answer-falls assessment on admission, keep room clutter
free, toilet schedule, keep things in arms reach
What is therapeutic communication - Answer-ones that leave it open for patient to
communicate to or discuss something, ask them to give you an example of something
about what they mean
What kind of meds can't be given by G-tube - Answer-enteric coded, capsules,
extended release
What are the 6 rights of Medications - Answer-medication, patient, dose, route, time,
documentation
What is term when one drug mixes with another drug - Answer-drug interaction
What is drug compatibility - Answer-when different drugs can be given together
What is drug tolerance - Answer-when your body builds up
What are drug adverse effects - Answer-undesirable effects ex: HA, nauesa
What tools are for measure functional status - Answer-Lawton (IADL)
Katz (ADL)
What tools do we measure cognition - Answer-Montreal, Mini-cog
, How do we reduce pressure sores - Answer-reposition, high-fiber diet, change incont as
often as possible
What are signs and symptoms of dehydration - Answer-slurred speech, skin tint, low
urine output, dry mucus membranes, BP low while Pulse High
What do we do when a patient refuse a med - Answer-educate, document
What are parts to drug order - Answer-drug name, dose, frequency, route, amount
What is healthy people 2020 - Answer-website that promotes healthy living and
decreasing disease
What are signs/symptoms of dysphagia - Answer-choking, drooling, pocketing food
What are the dysphagia precautions - Answer-no straws, fowlers position after
food/drink , have them put chin to chest when swallowing
What happens if the precautions are not put in place - Answer-aspiration pneumonia
How can we assess LOC - Answer-ask name, place, date, situation
Stage 1 - Answer-red, nonblanchable
Stage 2 - Answer-partial thickness, skin loss of dermis, blister
Stage 3 - Answer-full-thickness skin loss extends into the dermis and subcutaneous
tissue, and slough may be present, might have some tunneling
Stage 4 - Answer-full-thickness skin loss is present with exposed bone, tendon and
muscle. tunneling may develop
Unstagable - Answer-full-thickness tissue loss in which wound is covered with slough
and eschar
P- pain assessment - Answer-provoked - what caused it
Q- pain assessment - Answer-quality - describe the pain, dull/achy/stabbing
R- pain assessment - Answer-region - where is it located
S - pain assessment - Answer-severity - scale 0-10
T - pain assessment - Answer-timing - is it constant, or comes/goes
QUESTIONS WITH CORRECT ANSWERS
Dorsal recumbent - Answer-laying on back with knees bent with feet still flat on ground
Lithotomy - Answer-laying supine with hips knees flexed and thigh externally rotated
Supine position - Answer-laying flat on back face up
Trendelenburg position - Answer-head of bed pointed downward, feet in air
Orthopnic - Answer-sitting on side of bed with arms rested on over bed table. this is
used for people with breathing problems
Where is apical pulse - Answer-mid-clavicular 5th intercostal space
What are examples of portals of entry for infection - Answer-mouth, break in skin,
mucous membrane
How do we prevent falls - Answer-falls assessment on admission, keep room clutter
free, toilet schedule, keep things in arms reach
What is therapeutic communication - Answer-ones that leave it open for patient to
communicate to or discuss something, ask them to give you an example of something
about what they mean
What kind of meds can't be given by G-tube - Answer-enteric coded, capsules,
extended release
What are the 6 rights of Medications - Answer-medication, patient, dose, route, time,
documentation
What is term when one drug mixes with another drug - Answer-drug interaction
What is drug compatibility - Answer-when different drugs can be given together
What is drug tolerance - Answer-when your body builds up
What are drug adverse effects - Answer-undesirable effects ex: HA, nauesa
What tools are for measure functional status - Answer-Lawton (IADL)
Katz (ADL)
What tools do we measure cognition - Answer-Montreal, Mini-cog
, How do we reduce pressure sores - Answer-reposition, high-fiber diet, change incont as
often as possible
What are signs and symptoms of dehydration - Answer-slurred speech, skin tint, low
urine output, dry mucus membranes, BP low while Pulse High
What do we do when a patient refuse a med - Answer-educate, document
What are parts to drug order - Answer-drug name, dose, frequency, route, amount
What is healthy people 2020 - Answer-website that promotes healthy living and
decreasing disease
What are signs/symptoms of dysphagia - Answer-choking, drooling, pocketing food
What are the dysphagia precautions - Answer-no straws, fowlers position after
food/drink , have them put chin to chest when swallowing
What happens if the precautions are not put in place - Answer-aspiration pneumonia
How can we assess LOC - Answer-ask name, place, date, situation
Stage 1 - Answer-red, nonblanchable
Stage 2 - Answer-partial thickness, skin loss of dermis, blister
Stage 3 - Answer-full-thickness skin loss extends into the dermis and subcutaneous
tissue, and slough may be present, might have some tunneling
Stage 4 - Answer-full-thickness skin loss is present with exposed bone, tendon and
muscle. tunneling may develop
Unstagable - Answer-full-thickness tissue loss in which wound is covered with slough
and eschar
P- pain assessment - Answer-provoked - what caused it
Q- pain assessment - Answer-quality - describe the pain, dull/achy/stabbing
R- pain assessment - Answer-region - where is it located
S - pain assessment - Answer-severity - scale 0-10
T - pain assessment - Answer-timing - is it constant, or comes/goes