NURSING EXAM 1-6
FINAL EXAM
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,Question 1
Define Sinus Tachycardia
Correct Answer
Regular Rhythm, rate 100-180 beats/min (higher in infants)
Question 2
When is the best time of the month to perform a self-breast examination?
Correct Answer
4th to 7th day during menstrual cycle or days after cycle has ended.
Question 3
Define total Patient Care
Correct Answer
Rn is responsible for all aspects of care for one or more pts during a shift of care. Care is usually consistent,
comprehensive, and holistic, care can be delegated. RN works directly with pt, family and health care team
members.
Question 4
Define Primary nursing
Correct Answer
1 primary RN assumes responsibility for a caseload of patients, provides care for the same pts during their
stay in health care facility. RN assesses pt, develops plan of care and delivers appropriate nursing
intervention. Communication is lateral from nurse to nurse and caregiver to caregiver.
Question 5
Define major surgery
Correct Answer
Involves extensive reconstruction or alteration in body parts, poses great risks to well being.
Question 6
Describe a stage II pressure ulcer
Correct Answer
Partial thickness loss of dermis presenting a shallow ulcer red- pink wound bed without slough. May present
an intact or open. ruptured serum filled blister. Shiny dry shallow ulcer without slough or bruising.
Question 7
Define Presbyscusis
Correct Answer
Hearing loss associated with aging. Usually involves both a loss of hearing sensitivity and a reduction in the
clarity of speech.
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, Question 8
Define Ventilation
Correct Answer
movement of air in and out of the lungs. Afterload ejection of blood from left ventricle
Question 9
define contact precaution
Correct Answer
Safeguards designed to reduce the risk of transmission of epidemiologically important microorganisms by
direct or indirect contact.
Question 10
what sound do rhonchi make
Correct Answer
sonorous wheeze-coarse, low pitched: may clear with cough.
Question 11
describe head lice
Correct Answer
attach their eggs to hair, eggs look like oval particles of dandruff. Lice are difficult to see, observe for bites or
pustule eruptions in the follicles and area where skin surfaces meet behind the ears in the ears and in the
groin.
Question 12
describe diffusion
Correct Answer
movement of gases between air spaces and blood stream
Question 13
what is the final step in a complete assessment?
Correct Answer
documentation
Question 14
S/S of hypostatic pneumonia
Correct Answer
decreased lung expansion, generalized respiratory muscle weakness and secretions occur without immobility.
(comes from inflammation of the lung from stasis or pooling of secretions. )
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