NURS 130 Final Exam Review | Actual
study | Questions and verified Answers
A patient drinks 1/4 of an 8 ounce glass of milk. The nursing assistant correctly documents this as: -
ANSW-60 cc/mL
A patient drinks 1/4 of a 240cc/mL. glass of juice. The nursing assistant correctly documents this intake
as: - ANSW-60 cc/mL
The following vital sign measurement must be reported to the nurse immediately:
radial pulse of 74 bpm.
B/P reading if 116/78 mmHg.
oxygen saturation (pulse oximetry) of 88%.
16 respirations per minute. - ANSW-oxygen saturation (pulse oximetry) of 88%.
When is it okay to refuse a procedure? - ANSW-When it is out of your scope of practice and if it cannot
be safely done by yourself
Should a patient's family members be asked to leave the room during care? Why or why not? - ANSW-
Yes, only if the patient requests it.
RACE means - ANSW-Rescue, Alarm, Confine, Extinguish
MSDS/SDS - ANSW-Material Safety Data Sheet/Safety Data Sheet
Sheet that describes
P.A.S.S. - ANSW-Pull, Aim, Squeeze, Sweep
E.H.R. - ANSW-electronic health record
Seizures (Safety) - ANSW--side rails up and padded
-don't wear slick slippers
-move objects from near them that they could hurt themselves on
Stages of Grief - ANSW-denial, anger, bargaining, depression, acceptance
Advanced Directives - ANSW-a written statement of a person's wishes regarding medical treatment,
often including a living will, made to ensure those wishes are carried out should the person be unable to
communicate them to a doctor.
Post-Mortem care- Jewelry - ANSW-Remove all jewelry except a wedding band, unless the family is there
and can take it.
Rigor mortis - ANSW-stiffness of the body, sets in 2-4 hours post mortem
Positioning-post mortem - ANSW-Supine to prevent rigor mortis
Enteral Feedings - ANSW--keep HOB elevated to 45 degrees for 1 hour after feedings
-NG-tube, J-tube, G-tube
-Total Parental Administration is the IV
-CNA's can pause enteral feedings
-More oral care needed
Pressure injuries/ulcers stages - ANSW-Stage 1: Only affecting epidermis
study | Questions and verified Answers
A patient drinks 1/4 of an 8 ounce glass of milk. The nursing assistant correctly documents this as: -
ANSW-60 cc/mL
A patient drinks 1/4 of a 240cc/mL. glass of juice. The nursing assistant correctly documents this intake
as: - ANSW-60 cc/mL
The following vital sign measurement must be reported to the nurse immediately:
radial pulse of 74 bpm.
B/P reading if 116/78 mmHg.
oxygen saturation (pulse oximetry) of 88%.
16 respirations per minute. - ANSW-oxygen saturation (pulse oximetry) of 88%.
When is it okay to refuse a procedure? - ANSW-When it is out of your scope of practice and if it cannot
be safely done by yourself
Should a patient's family members be asked to leave the room during care? Why or why not? - ANSW-
Yes, only if the patient requests it.
RACE means - ANSW-Rescue, Alarm, Confine, Extinguish
MSDS/SDS - ANSW-Material Safety Data Sheet/Safety Data Sheet
Sheet that describes
P.A.S.S. - ANSW-Pull, Aim, Squeeze, Sweep
E.H.R. - ANSW-electronic health record
Seizures (Safety) - ANSW--side rails up and padded
-don't wear slick slippers
-move objects from near them that they could hurt themselves on
Stages of Grief - ANSW-denial, anger, bargaining, depression, acceptance
Advanced Directives - ANSW-a written statement of a person's wishes regarding medical treatment,
often including a living will, made to ensure those wishes are carried out should the person be unable to
communicate them to a doctor.
Post-Mortem care- Jewelry - ANSW-Remove all jewelry except a wedding band, unless the family is there
and can take it.
Rigor mortis - ANSW-stiffness of the body, sets in 2-4 hours post mortem
Positioning-post mortem - ANSW-Supine to prevent rigor mortis
Enteral Feedings - ANSW--keep HOB elevated to 45 degrees for 1 hour after feedings
-NG-tube, J-tube, G-tube
-Total Parental Administration is the IV
-CNA's can pause enteral feedings
-More oral care needed
Pressure injuries/ulcers stages - ANSW-Stage 1: Only affecting epidermis
