Questions With Complete Solutions
5 Rights of Delegation Correct Answer 1. Right task
2. Right person
3. Right circumstance
4. Right communication
5. Right supervision
TPCCS
A 47-year-old man complains of sleep deprivation. What
findings should the nurse expect on assessment? Select all that
apply. Correct Answer Ptosis
Decreased reflexes
Fine-motor clumsiness
A patient is in CHRONIC PAIN, what would you assess for?
Correct Answer Depression
A patient reports difficulty falling asleep. The nurse asks
questions to assess the symptoms of insomnia and analyzes the
different stages of the patient's sleep cycle. What are the
characteristics of stages 2 and 3 of nonrapid eye movement
(NREM) sleep? Select all that apply. Correct Answer Body
functions become slow
Arousal remains relatively easy
,Muscles are completely relaxed
A patient with chronic diarrhea shows Chvostek's sign. What
might be the reason behind the patient's condition? Select all
that apply Correct Answer Hypcalcemia
Hypomagnesemia
A stoma should be what in appearance? Correct Answer
Beefy
Red
Some swelling is normal
Some bleeding is normal when stoma is touched
Aerobic exercise Correct Answer Improves CV status
After how many minutes into the sleep cycle does a sleeper
usually reach rapid eye movement (REM) sleep Correct
Answer 90 minutes
Assess what with hyper and hypokalemia? Correct Answer
Assess for Arrhythmias
Autolytic debridement Correct Answer Selective, necrotic
tissue liquefied dressings
Before delegating... Correct Answer Assess the patient, the
type of nursing care needed, the complexity and frequency of
care needed, patient stability and the assessment of other
providers
, Benner's Novice to Expert Model: Correct Answer -Novice
(beginner)
-Advanced beginner
-Competent
-Proficient
-Expert
*When you switch specialties, you go back to novice/advanced
beginner
Biologic debridement Correct Answer Use of living
organisms
Calcium (8.5-10.5): Hypo and Hyper: Correct Answer
*Bones/muscle excitation
Hypocalcemia: excess muscle contraction
-diarrhea
-muscle cramps
-tetany
-trousseau sign (facial nerve twitch)
-seizures
Hypercalcemia:
-no muscle contraction
constipation
Cardiac remodeling stops within what timeframe? Correct
Answer 2 weeks
Charting by Exception (CBE) Correct Answer Records only
ABNORMAL or SIGNIFICANT data