NUR 112 Final Exam Review Test
Questions with 100% Correct
Answers | Updated & Verified
Crackles
Light crackling, bubbling, nonmusical breath sound
Rhonchi
Coarse rattling, rumbling, snoring sounds; lower pitch
than crackles breath sound
,Wheezes
Whistling, high pitched, musical breath sound
Pleural Friction Rub
Grating, creaking, squeaking breath sound
Stridor
Crowing, snoring, continuous breath sound
Standard Precautions
Used with all patients, primary strategy for preventing
HAI's, transmission based precautions
Airborne Precautions
- Negative pressure room with the door closed
- N95 mask, gown, and gloves AAT while in room with
patient
- Patient wears a regular mask during transport
(Measles, varicella, TB, COVID)
Droplet Precautions
- Door can remain open
- Patient's separated by 3 feet
- HCP wears regular mask, gown, and gloves
- Patient wears a mask during transport
(Influenza, mumps, pertussis, bacterial meningitis)
,Contact Precautions
- Use barriers to prevent transmission
- HCP wears gloves and gown
(MRSA, C. Diff, VRE)
Neutropenic Precautions
- Protect patient not HCP
- Private room, restricted visitors
- HCP wears gloves, gown, and mask
(Chemo, transplants, AIDS)
SQ Injections
- 0.5-1 mL maximum
- Gauge usually 25-27
- 1/2 inch- 5/8 inch needle
- 1/2 inch needle = 90 degree angle
- > 1/2 inch needle = 45 degree angle
- Lovenox and Heparin = 90 degree angle
- Outer aspects of upper arm, abdominal tissue, anterior
aspect of thigh, between scapula, upper portion of
buttocks
IM Injection
- 18-25 gauge needle
- 1 1/4 - 1 1/2 inch needle
, - 2 mL, 3 mL, 5 mL, and TB syringe
- Insertion is always 90 degrees
- Volume is between 0.1- 3 mL
- Aspirate!
- Deltoid, ventrogluteal, vastus lateralis, dorsogluteal
Gravida
A pregnant woman
Para
A woman who has delivered a viable infant (over 20
weeks) whether alive or stillborn (refers to # of deliveries,
not infants)
Fundal Height
- Immediately after delivery: 2 FB below umbilicus
- Within 12 hours and for the next 12 hours: rises 1 FB
above umbilicus
- Each day following: descends 1 FB/day
Amount of Lochia
- Profuse/Excessive: 80-100 mL, pad saturated in 15 mins-
1 hr
- Large: 60-75 mL, 3/4 pad saturated in 1-2 hr
- Moderate: 20-30 mL, 4-8 pads/day
Questions with 100% Correct
Answers | Updated & Verified
Crackles
Light crackling, bubbling, nonmusical breath sound
Rhonchi
Coarse rattling, rumbling, snoring sounds; lower pitch
than crackles breath sound
,Wheezes
Whistling, high pitched, musical breath sound
Pleural Friction Rub
Grating, creaking, squeaking breath sound
Stridor
Crowing, snoring, continuous breath sound
Standard Precautions
Used with all patients, primary strategy for preventing
HAI's, transmission based precautions
Airborne Precautions
- Negative pressure room with the door closed
- N95 mask, gown, and gloves AAT while in room with
patient
- Patient wears a regular mask during transport
(Measles, varicella, TB, COVID)
Droplet Precautions
- Door can remain open
- Patient's separated by 3 feet
- HCP wears regular mask, gown, and gloves
- Patient wears a mask during transport
(Influenza, mumps, pertussis, bacterial meningitis)
,Contact Precautions
- Use barriers to prevent transmission
- HCP wears gloves and gown
(MRSA, C. Diff, VRE)
Neutropenic Precautions
- Protect patient not HCP
- Private room, restricted visitors
- HCP wears gloves, gown, and mask
(Chemo, transplants, AIDS)
SQ Injections
- 0.5-1 mL maximum
- Gauge usually 25-27
- 1/2 inch- 5/8 inch needle
- 1/2 inch needle = 90 degree angle
- > 1/2 inch needle = 45 degree angle
- Lovenox and Heparin = 90 degree angle
- Outer aspects of upper arm, abdominal tissue, anterior
aspect of thigh, between scapula, upper portion of
buttocks
IM Injection
- 18-25 gauge needle
- 1 1/4 - 1 1/2 inch needle
, - 2 mL, 3 mL, 5 mL, and TB syringe
- Insertion is always 90 degrees
- Volume is between 0.1- 3 mL
- Aspirate!
- Deltoid, ventrogluteal, vastus lateralis, dorsogluteal
Gravida
A pregnant woman
Para
A woman who has delivered a viable infant (over 20
weeks) whether alive or stillborn (refers to # of deliveries,
not infants)
Fundal Height
- Immediately after delivery: 2 FB below umbilicus
- Within 12 hours and for the next 12 hours: rises 1 FB
above umbilicus
- Each day following: descends 1 FB/day
Amount of Lochia
- Profuse/Excessive: 80-100 mL, pad saturated in 15 mins-
1 hr
- Large: 60-75 mL, 3/4 pad saturated in 1-2 hr
- Moderate: 20-30 mL, 4-8 pads/day
