2024 Questions with
Complete Answers
Denning [Date] [Course title]
,UAP delegation tasks? Name examples... - Correct Answers: - vital signs rouitine STABLE PT
- IN & OUT of food and f/c
- ADL'S shower, grooming, shaving etc.
- toileting and walking (not post op who has never walked)
- feeding without aspiration precautions
- positioning
Can a UAP measure the drainage of a Hemovac or Jackson-Pratt? - Correct Answers: yes measure the
amount of fluid cant assess the drainage system.
Can a UAP collect specimens? - Correct Answers: yes!!! stool and urine
Can a UAP empty a colostomy bag ? - Correct Answers: yes ! not the wafer.
end of life care - Correct Answers: the support and care given during the time surrounding death =
HOSPICE
hospice care - Correct Answers: comfort measures in the last phases of life
hospice care and family - Correct Answers: - private room
- encourage the client and family to express feelings
- provide support and advocancy
- provide privacy
- LET THEM TOUCH THE CLIENT AS MUCH AS THEY WANT !
PRIORITY QUESTIONS use what formula? - Correct Answers: SPEC
SPEC stands for ? - Correct Answers: S= stable vs non stable
P= potential vs real
, E= expected vs unexpected
C= chronic vs acute
priority patients are? - Correct Answers: - neuro changes ex: GCS LOW 8
- very low values labs ex: DM with 50 BS
- client returning form invasive procedures and a comlication happens ex: eviceration
- ABC's airway problems and there acid base inbalanced
- client with chest pain and syncope not ecpected
- pt w/ 2-3 rd degree burns
- client with new onset of infectious disease = TB
- any unexpected events= MI, STROKE, HHS, DKA, ADDISONS CRISIS, THYROID STORM, MYXEDEMA
COMA, HTN CRISIS, PREECLAMPSIA, STROKE...
Maslow's Hierarchy of Needs - Correct Answers: physiological, safety, love/belonging, esteem, self-
actualization
physiological needs? 1ST NEED - Correct Answers: AIRWAY
RESPIRATORY EFFORT
HR, RHYTHM, CONTRACTIONS STRENGTH
NUTRITION
ELIMINATION
SAFETY AND SECURITY = 2N NEED - Correct Answers: - PROTECT FROM INJURY
- PROMOTE FEELING OF SECURITY
- TRUST IN NURSE CLIENT RELATIONSHIP
TRIAGE RED TAG EXAMPLES? CLASS 1 - Correct Answers: EMERGENT THREAT TO LIFE EX:
CARDIAC TEMPONADE
STROKE