CLIENT CENTERED CARE EXAM 1 LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
What order are fats, proteins, and carbs broken down? - (answer) 1-carbs 2-fats 3-proteins
What are the pain classifications? - (answer) Acute pain, chronic pain, nociceptive pain, neuropathic
pain
What is acute pain? - (answer) Short lived, intense may be described as aching throbbing or searing
changes in vital signs may occur including heart rate, BP, and respiratory rate
Chronic pain? - (answer) Lasts longer then acute pain, months even years , can be mild or severe
constant or intermittent, may be described as dull, constant, or burning vital signs return to baseline as
the body's fight or flight response eventually stops
Nociceptive pain - (answer) Caused by physical or potential damage to a part of the body most
common type and can occur from injuries medical procedures or health conditions like arthritis
Neuropathic pain - (answer) Cause by damage to nervous system or neurological disease can occur in
the absence of physical or potential tissue damage examples: diabetes MS stroke
Maslow's Hierarchy of Needs - (answer) (level 1) Physiological Needs, (level 2) Safety and Security,
(level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
Nurses can help reduce disruption to sleep by? - (answer) Adjusting environmental factors and
carrying out nursing interventions to promote a restful state
Rest and Sleep - (answer) Physiological needs, basic ,
Effects of no rest or sleep - (answer) Can negatively affect cardio, respiratory, immune, and
neurological systems as well as metabolism
Nutrition and hydration - (answer) Basic of human needs,
,CLIENT CENTERED CARE EXAM 1 LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
Macronutrients - (answer) carbohydrates, proteins, and fats
Micronutrients - (answer) vitamins, minerals, water
signs of fluid volume deficit - (answer) Dry skin, dry mucous membranes, decreased urinary output,
weight loss , dizziness , fatigue
Signs of fluid overload - (answer) Swelling, increase in Bp, shortness of breath,
Factors that interfere with elimination - (answer) Kidneys inability to make urine, decreased kidney
perfusion, blockage In the ureters , disruption of the bladder , pressure on the urethra , infection , nerve
damage
normal voiding for adults urine - (answer) Between 5-10 times per day , volume of at least 30ml per
hour
stool is normally - (answer) Soft , tubular, and light to dark brown in color
Abnormal bowel elimination - (answer) Blood in stool, constipation, diarrhea, fecal incontinence , fecal
impaction, surgical intervention (ostamy bag)
Abnormal bowel sounds - (answer) Hyperactive peristalsis; Vasular-burits; venous hums
incident report - (answer) A report documenting an incident and the response to the incident; also
known as an occurrence report or event report.
incident report contains - (answer) Contains more info then chart
polyuria - (answer) excessive urination
, CLIENT CENTERED CARE EXAM 1 LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
elimination interventions - (answer) •Adequate fluid intake
•Position changes
•Toileting program
•Bedside commode
•Bedpan
•Increased fiber
•Early ambulation
•Treat constipation
NG tube insertion - (answer) 1. check order, gather equipment, introduce yourself, identify Pt., provide
privacy, explain procedure, hand hygiene, gloves.
2. solicit help & consider restraints prn
3. position child in fowler's position
4. (nasogastric)determine length of tube measure from the tip of the nose to the tragus of the ear to the
xiphoid process & mark appropreately
5.(orogastric)determine length of tube measure from the mouth to the tragus of the ear to the xiphoid
process & mark appropreately
6. apply lubricant to the tip of the tube
7. for orogastric tube insert tube into mouth with neck hyperextended & advance it toward the back of
the throat, continue until mark is reached
8. nasogastric tube insert tube into nose with neck hyperextended & advance straight, if resistance is
met increase pressure slightly or rotate tube, continue until mark is reached
DETAILED ANSWERS
What order are fats, proteins, and carbs broken down? - (answer) 1-carbs 2-fats 3-proteins
What are the pain classifications? - (answer) Acute pain, chronic pain, nociceptive pain, neuropathic
pain
What is acute pain? - (answer) Short lived, intense may be described as aching throbbing or searing
changes in vital signs may occur including heart rate, BP, and respiratory rate
Chronic pain? - (answer) Lasts longer then acute pain, months even years , can be mild or severe
constant or intermittent, may be described as dull, constant, or burning vital signs return to baseline as
the body's fight or flight response eventually stops
Nociceptive pain - (answer) Caused by physical or potential damage to a part of the body most
common type and can occur from injuries medical procedures or health conditions like arthritis
Neuropathic pain - (answer) Cause by damage to nervous system or neurological disease can occur in
the absence of physical or potential tissue damage examples: diabetes MS stroke
Maslow's Hierarchy of Needs - (answer) (level 1) Physiological Needs, (level 2) Safety and Security,
(level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
Nurses can help reduce disruption to sleep by? - (answer) Adjusting environmental factors and
carrying out nursing interventions to promote a restful state
Rest and Sleep - (answer) Physiological needs, basic ,
Effects of no rest or sleep - (answer) Can negatively affect cardio, respiratory, immune, and
neurological systems as well as metabolism
Nutrition and hydration - (answer) Basic of human needs,
,CLIENT CENTERED CARE EXAM 1 LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
Macronutrients - (answer) carbohydrates, proteins, and fats
Micronutrients - (answer) vitamins, minerals, water
signs of fluid volume deficit - (answer) Dry skin, dry mucous membranes, decreased urinary output,
weight loss , dizziness , fatigue
Signs of fluid overload - (answer) Swelling, increase in Bp, shortness of breath,
Factors that interfere with elimination - (answer) Kidneys inability to make urine, decreased kidney
perfusion, blockage In the ureters , disruption of the bladder , pressure on the urethra , infection , nerve
damage
normal voiding for adults urine - (answer) Between 5-10 times per day , volume of at least 30ml per
hour
stool is normally - (answer) Soft , tubular, and light to dark brown in color
Abnormal bowel elimination - (answer) Blood in stool, constipation, diarrhea, fecal incontinence , fecal
impaction, surgical intervention (ostamy bag)
Abnormal bowel sounds - (answer) Hyperactive peristalsis; Vasular-burits; venous hums
incident report - (answer) A report documenting an incident and the response to the incident; also
known as an occurrence report or event report.
incident report contains - (answer) Contains more info then chart
polyuria - (answer) excessive urination
, CLIENT CENTERED CARE EXAM 1 LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
elimination interventions - (answer) •Adequate fluid intake
•Position changes
•Toileting program
•Bedside commode
•Bedpan
•Increased fiber
•Early ambulation
•Treat constipation
NG tube insertion - (answer) 1. check order, gather equipment, introduce yourself, identify Pt., provide
privacy, explain procedure, hand hygiene, gloves.
2. solicit help & consider restraints prn
3. position child in fowler's position
4. (nasogastric)determine length of tube measure from the tip of the nose to the tragus of the ear to the
xiphoid process & mark appropreately
5.(orogastric)determine length of tube measure from the mouth to the tragus of the ear to the xiphoid
process & mark appropreately
6. apply lubricant to the tip of the tube
7. for orogastric tube insert tube into mouth with neck hyperextended & advance it toward the back of
the throat, continue until mark is reached
8. nasogastric tube insert tube into nose with neck hyperextended & advance straight, if resistance is
met increase pressure slightly or rotate tube, continue until mark is reached
