HONDROS NUR 150 FINAL EXAM
QUESTIONS AND ANSWERS
(GRADED A+)
What is cognitive impairment and what are some factors to put a patient at risk? -
Answer- When a patient has trouble remembering, learning new things, concentrating or
making decisions that affect their everyday life
Stroke patients, infection, substance abuse, age
Stage I, II, III, IV pressure ulcers - Answer- I- red skin, nonblanchable
II- first layer gone, deeper, pus exposed
III- tunneling happening, subQ exposed
IV- bone exposed, more tunneling
How often do you reposition/turn a patient? - Answer- Q1 in a chair
Q2 in a bed
Define HAI and who is at higher risk? - Answer- Hospital acquired infection
Very old, very sick
Define AMA and what are you responsible for doing? - Answer- Leaving against medical
advice
Educate patient, have them sign a paper stating they understand the risks of leaving
How do you find the apical heart rate? How long do you listen? - Answer- 5th intercostal
space, L midclavicular line
60 seconds
What position are you in for a rectal suppository? - Answer- Sims
How are you positioned for NG tube feed? - Answer- semi/high fowler's
What position are you in for med to be given vaginally? - Answer- Dorsal recumbent
position
Benefits of electronic health records? Disadvantages? - Answer- B: efficiency and
legibility
D: losing power, loss of data
What angle do you administer subQ, IM and ID injections? - Answer- IM- 90
subQ- 45
, ID- 10-15
Which injection do you have to aspirate/"pull back" before injecting med? - Answer- IM
medications
What is "patient centered care"? - Answer- Never treating a patient based on a
diagnosis, the ability to put your own views aside and treating a patient how they want
to be treated
How do you properly administer nitroglycerin ointment? - Answer- **Wear gloves
ALWAYS!
Use a site that hasn't been used recently, measure out the ointment on a paper, apply
cream side down to skin, apply plastic dressing. Date and initial your application site.
Two categories of functional ability? - Answer- BADL's- basic activities of daily living....
Bathing, walking
IADL's- instrumental activities of daily living.... Doing finances, driving
Proper technique for changing linens on an occupied bed? (why is it done?) - Answer-
To protect patient from infection, patient comfort
How do you administer a MDI (metered dose inhaler)? - Answer- Shake, remove cap,
make a seal with lips around inhaler, inhale the puff, blow out.
Never rinse med bottle
Hold breath in for 10 seconds
Wash mouth out afterwards
What is clostridium difficile? How do you prevent? - Answer- Infection in stool
Bleach, handwashing
Patient on contact to prevent the spread of disease
Define malnutrition, who's at risk? - Answer- Lack of proper nutrition caused by not
having enough to eat/not eating the right things
EVERYONE is at risk!
When is it important to wear gloves? - Answer- When in contact with bodily fluids
Patient with no isolation or giving a med → you don't need gloves
What major side effect of opioids should you monitor for a patient? - Answer-
Respiratory depression
Constipation
What type of needle is needed for drawing meds from an ampule? - Answer- Filtered
needle
QUESTIONS AND ANSWERS
(GRADED A+)
What is cognitive impairment and what are some factors to put a patient at risk? -
Answer- When a patient has trouble remembering, learning new things, concentrating or
making decisions that affect their everyday life
Stroke patients, infection, substance abuse, age
Stage I, II, III, IV pressure ulcers - Answer- I- red skin, nonblanchable
II- first layer gone, deeper, pus exposed
III- tunneling happening, subQ exposed
IV- bone exposed, more tunneling
How often do you reposition/turn a patient? - Answer- Q1 in a chair
Q2 in a bed
Define HAI and who is at higher risk? - Answer- Hospital acquired infection
Very old, very sick
Define AMA and what are you responsible for doing? - Answer- Leaving against medical
advice
Educate patient, have them sign a paper stating they understand the risks of leaving
How do you find the apical heart rate? How long do you listen? - Answer- 5th intercostal
space, L midclavicular line
60 seconds
What position are you in for a rectal suppository? - Answer- Sims
How are you positioned for NG tube feed? - Answer- semi/high fowler's
What position are you in for med to be given vaginally? - Answer- Dorsal recumbent
position
Benefits of electronic health records? Disadvantages? - Answer- B: efficiency and
legibility
D: losing power, loss of data
What angle do you administer subQ, IM and ID injections? - Answer- IM- 90
subQ- 45
, ID- 10-15
Which injection do you have to aspirate/"pull back" before injecting med? - Answer- IM
medications
What is "patient centered care"? - Answer- Never treating a patient based on a
diagnosis, the ability to put your own views aside and treating a patient how they want
to be treated
How do you properly administer nitroglycerin ointment? - Answer- **Wear gloves
ALWAYS!
Use a site that hasn't been used recently, measure out the ointment on a paper, apply
cream side down to skin, apply plastic dressing. Date and initial your application site.
Two categories of functional ability? - Answer- BADL's- basic activities of daily living....
Bathing, walking
IADL's- instrumental activities of daily living.... Doing finances, driving
Proper technique for changing linens on an occupied bed? (why is it done?) - Answer-
To protect patient from infection, patient comfort
How do you administer a MDI (metered dose inhaler)? - Answer- Shake, remove cap,
make a seal with lips around inhaler, inhale the puff, blow out.
Never rinse med bottle
Hold breath in for 10 seconds
Wash mouth out afterwards
What is clostridium difficile? How do you prevent? - Answer- Infection in stool
Bleach, handwashing
Patient on contact to prevent the spread of disease
Define malnutrition, who's at risk? - Answer- Lack of proper nutrition caused by not
having enough to eat/not eating the right things
EVERYONE is at risk!
When is it important to wear gloves? - Answer- When in contact with bodily fluids
Patient with no isolation or giving a med → you don't need gloves
What major side effect of opioids should you monitor for a patient? - Answer-
Respiratory depression
Constipation
What type of needle is needed for drawing meds from an ampule? - Answer- Filtered
needle
