NUR 2090 Final Exam Questions with
100% Correct Answers
What actions do nurses NOT delegate to LPNs, CNAs, or other ancillaries
Correct Answer: Actions that require assessment
Can nursing aids give medication? Correct Answer: NO
What should nurses prioritize when addressing a patient? Correct Answer: The
situation that is most dire to the patient at the time; what will kill the patient first?
Normal Vital Signs Correct Answer: Blood pressure: 90/60 mm Hg to 120/80 mm
Hg.
Breathing: 12 to 18 breaths per minute.
Pulse: 60 to 100 beats per minute.
Temperature: 97.8°F to 99.1°F (36.5°C to 37.3°C); average 98.6°F (37°C)
Subjective data Correct Answer: what the patient tells you
Objective data Correct Answer: what can be observed or measured
Therapeutic Communication components Correct Answer: - Empathy (pt
perspective)
- Positive regard (Pt has value)
- Honesty (the truth)
- Trust (being reliable to pt)
,- Self-awareness and self-reflection (BE AWARE OF BIASES)
Nontherapeutic responses Correct Answer: Rescue feelings
False reassurance
Giving advice
Changing the subject
Being moralistic
Nonprofessional involvement
Rescue feelings Correct Answer: When the nurse feels essential to the patient's
welfare; feels that he or she has exceptional abilities to help the patient
false reassurance Correct Answer: Using falsely comforting phrases in an
attempt to offer reassurance; Dismissing the patient's concerns in order to
minimize uncomfortable feelings
Giving advice Correct Answer: Telling the client what to do or how to behave
implies that the nurse knows what is best and that the client is incapable of any
self-direction. It nurtures the client in the dependent role by discouraging
independent thinking.
Changing the subject Correct Answer: Inappropriately focusing the discussion
on something other than the patient's concern.
being moralistic Correct Answer: Seeing a situation in terms of goodness or
badness, right or wrong. A judgmental approach. Do not use should, this could
mean a preconceived idea about the right thing to do.
,Nonprofessional involvement Correct Answer: Additional relationships with
clients other than sexual ones.
Airborne precautions Correct Answer: N95 mask
Airborne transmission Correct Answer: The spread of an organism via small
particle droplets or dust
Airborne infections Correct Answer: TB, measles, chickenpox
Droplet precautions Correct Answer: Surgical mask + eyeshield
Droplet transmission Correct Answer: transmission of large airborne droplets
through sneezing, coughing, or talking
Droplet infections Correct Answer: Influenza, diphtheria, rubella, pertussis, and
common respiratory viruses
contact precautions Correct Answer: Gown, gloves, and eyeshield
Contact transmission Correct Answer: Transmission of an infectious agent by
direct contact of the source or its reservoir with the host.
Contact infections Correct Answer: MRSA, scabies, C-difficile, VRE, and
Norovirus
Goals of handwashing Correct Answer: - Reduce number of transient and
resident bacteria on hands
- Prevent transmission of infection to:
- Patients and family members
- Health care workers
, - Yourself
In which direction should hands be dried after handwashing? Correct Answer:
From fingertips towards forearms
Infiltration S/S and action Correct Answer: S/S: - Swelling
- Coolness
- Pallor
- Discomfort at site
- Slowed infusion rate
- Absence of blood return
Action: - Discontinue IV and restart in another location
- Apply warm soaks to decrease swelling
IV Infiltration Correct Answer: The leaking of IV fluid into the tissue surrounding
the vein. This occurs when IV fluids continue to be delivered even though the tip
of the catheter is no longer in the vessel or is blocked.
IV phlebitis Correct Answer: Inflammation of a vein
Phlebitis S/S and action Correct Answer: S/S: - Pain along the vein above the IV
insertion site
- Warmth
100% Correct Answers
What actions do nurses NOT delegate to LPNs, CNAs, or other ancillaries
Correct Answer: Actions that require assessment
Can nursing aids give medication? Correct Answer: NO
What should nurses prioritize when addressing a patient? Correct Answer: The
situation that is most dire to the patient at the time; what will kill the patient first?
Normal Vital Signs Correct Answer: Blood pressure: 90/60 mm Hg to 120/80 mm
Hg.
Breathing: 12 to 18 breaths per minute.
Pulse: 60 to 100 beats per minute.
Temperature: 97.8°F to 99.1°F (36.5°C to 37.3°C); average 98.6°F (37°C)
Subjective data Correct Answer: what the patient tells you
Objective data Correct Answer: what can be observed or measured
Therapeutic Communication components Correct Answer: - Empathy (pt
perspective)
- Positive regard (Pt has value)
- Honesty (the truth)
- Trust (being reliable to pt)
,- Self-awareness and self-reflection (BE AWARE OF BIASES)
Nontherapeutic responses Correct Answer: Rescue feelings
False reassurance
Giving advice
Changing the subject
Being moralistic
Nonprofessional involvement
Rescue feelings Correct Answer: When the nurse feels essential to the patient's
welfare; feels that he or she has exceptional abilities to help the patient
false reassurance Correct Answer: Using falsely comforting phrases in an
attempt to offer reassurance; Dismissing the patient's concerns in order to
minimize uncomfortable feelings
Giving advice Correct Answer: Telling the client what to do or how to behave
implies that the nurse knows what is best and that the client is incapable of any
self-direction. It nurtures the client in the dependent role by discouraging
independent thinking.
Changing the subject Correct Answer: Inappropriately focusing the discussion
on something other than the patient's concern.
being moralistic Correct Answer: Seeing a situation in terms of goodness or
badness, right or wrong. A judgmental approach. Do not use should, this could
mean a preconceived idea about the right thing to do.
,Nonprofessional involvement Correct Answer: Additional relationships with
clients other than sexual ones.
Airborne precautions Correct Answer: N95 mask
Airborne transmission Correct Answer: The spread of an organism via small
particle droplets or dust
Airborne infections Correct Answer: TB, measles, chickenpox
Droplet precautions Correct Answer: Surgical mask + eyeshield
Droplet transmission Correct Answer: transmission of large airborne droplets
through sneezing, coughing, or talking
Droplet infections Correct Answer: Influenza, diphtheria, rubella, pertussis, and
common respiratory viruses
contact precautions Correct Answer: Gown, gloves, and eyeshield
Contact transmission Correct Answer: Transmission of an infectious agent by
direct contact of the source or its reservoir with the host.
Contact infections Correct Answer: MRSA, scabies, C-difficile, VRE, and
Norovirus
Goals of handwashing Correct Answer: - Reduce number of transient and
resident bacteria on hands
- Prevent transmission of infection to:
- Patients and family members
- Health care workers
, - Yourself
In which direction should hands be dried after handwashing? Correct Answer:
From fingertips towards forearms
Infiltration S/S and action Correct Answer: S/S: - Swelling
- Coolness
- Pallor
- Discomfort at site
- Slowed infusion rate
- Absence of blood return
Action: - Discontinue IV and restart in another location
- Apply warm soaks to decrease swelling
IV Infiltration Correct Answer: The leaking of IV fluid into the tissue surrounding
the vein. This occurs when IV fluids continue to be delivered even though the tip
of the catheter is no longer in the vessel or is blocked.
IV phlebitis Correct Answer: Inflammation of a vein
Phlebitis S/S and action Correct Answer: S/S: - Pain along the vein above the IV
insertion site
- Warmth
