Nursing 101 Final Exam Review UPDATED ACTUAL Questions
and CORRECT Answers
What PPE is required for contact precautions and name Gloves and Gown; C. Diff, MRSA, VRE
organisms that require contact precaution?
What PPE is required for droplet precaution and Mask; stept, flu, rubella
organisms that require droplet precaution?
What PPE is required for airborne precaution and N95 mask in a negative air pressure room; measles, TB, varicella
organisms that require airborne precaution?
What is an iatrogenic infection? infection caused by hospital stay or examination
Body heat produced - heat lost = body temp
Intermittent Fever periods of fever, periods normal at least once every 24 hrs
Remittent fever fever spikes, and falls with out return to normal
Relapsing fever days febrile, days afebrile
Sustained fever maintained fever above 100.4 F
Mild hypothermia range 93.2-96.8
Moderate hypothermia range 86-93.2
Severe hypothermia range below 86 F
Cardiac output = HRxSV
Respiratory rates by age Newborns: 35-40, infant: 30-50, toddler: 25-32, child: 20-30, adolescent: 16-20,
adult: 12-20
Muscles involved in labored breathing intercostal, substernal and suprasternal muscles
5 Senses Visual, Auditory, Olfactory, Gustatory, Kinestetic
What is Sensory Deficit? deficit in normal sensory reception and perception
What is sensory deprivation? reduced sensory input, restricted environment. Person feels confused, changes in
behavior, electrolyte imbalance
, Sensory changes by age Age 30- hearing change, Age 40- visual change, Age 50- taste and smell change,
Age 70- proprioceptive change, risk for falls and coordination changes
Nursing Process: What does PES stand for? Diagnosis Problem, Etiology, Signs/Symptoms
What does SMART stand for? Specific, Measurable, Appropriate, Realistic, Timed
4 major scope of nursing practive to promote health, prevent illness, restore health, and care for pt
Lillian Wald founded National Organization for Practical Nursing, Supported human rights,
involved in NAACP
Clara Barton Nurse educatory, founded red cross
Livaunia lloy dock wrote materia medica for nurses
Margaret Sanger founded planned parenthood
Mildred Montage advocated associate degree of nursing
Virginia Henderson modern florence nightingale
Swanson's Theory of Caring Knowing, being with, doing for, enabling, maintaining belief
What does SOLER represent? Sit next to pt., Observe an open stance, Lean in to listen, Eye contact, and relax
SBAR situation, background, action, recommendation
Who is the the referent? Someone who motivates person (nurse) to communicate with another
Who is the sender? person who encodes the message from the referent ad delivers it
What is the receiver? Person receives and decodes the message
What is a message? content of communication, can be verbal, auditory, facial
What is feedback? Message the receiver returns, repeating something over
Intimate Zone 0-18 inches; holding infant, cleaning, bathing, toileting
Personal Zone 18inches- 4 feet; sitting bedside, getting pmhx, change of shift
Social Zone 4-12 feet; rounds with physician
Public Zone 12+ feet; lecture
How to communicate with pt. who has aphasia, Verbal boards, communication aids are best way
dysarthria, muteness?
and CORRECT Answers
What PPE is required for contact precautions and name Gloves and Gown; C. Diff, MRSA, VRE
organisms that require contact precaution?
What PPE is required for droplet precaution and Mask; stept, flu, rubella
organisms that require droplet precaution?
What PPE is required for airborne precaution and N95 mask in a negative air pressure room; measles, TB, varicella
organisms that require airborne precaution?
What is an iatrogenic infection? infection caused by hospital stay or examination
Body heat produced - heat lost = body temp
Intermittent Fever periods of fever, periods normal at least once every 24 hrs
Remittent fever fever spikes, and falls with out return to normal
Relapsing fever days febrile, days afebrile
Sustained fever maintained fever above 100.4 F
Mild hypothermia range 93.2-96.8
Moderate hypothermia range 86-93.2
Severe hypothermia range below 86 F
Cardiac output = HRxSV
Respiratory rates by age Newborns: 35-40, infant: 30-50, toddler: 25-32, child: 20-30, adolescent: 16-20,
adult: 12-20
Muscles involved in labored breathing intercostal, substernal and suprasternal muscles
5 Senses Visual, Auditory, Olfactory, Gustatory, Kinestetic
What is Sensory Deficit? deficit in normal sensory reception and perception
What is sensory deprivation? reduced sensory input, restricted environment. Person feels confused, changes in
behavior, electrolyte imbalance
, Sensory changes by age Age 30- hearing change, Age 40- visual change, Age 50- taste and smell change,
Age 70- proprioceptive change, risk for falls and coordination changes
Nursing Process: What does PES stand for? Diagnosis Problem, Etiology, Signs/Symptoms
What does SMART stand for? Specific, Measurable, Appropriate, Realistic, Timed
4 major scope of nursing practive to promote health, prevent illness, restore health, and care for pt
Lillian Wald founded National Organization for Practical Nursing, Supported human rights,
involved in NAACP
Clara Barton Nurse educatory, founded red cross
Livaunia lloy dock wrote materia medica for nurses
Margaret Sanger founded planned parenthood
Mildred Montage advocated associate degree of nursing
Virginia Henderson modern florence nightingale
Swanson's Theory of Caring Knowing, being with, doing for, enabling, maintaining belief
What does SOLER represent? Sit next to pt., Observe an open stance, Lean in to listen, Eye contact, and relax
SBAR situation, background, action, recommendation
Who is the the referent? Someone who motivates person (nurse) to communicate with another
Who is the sender? person who encodes the message from the referent ad delivers it
What is the receiver? Person receives and decodes the message
What is a message? content of communication, can be verbal, auditory, facial
What is feedback? Message the receiver returns, repeating something over
Intimate Zone 0-18 inches; holding infant, cleaning, bathing, toileting
Personal Zone 18inches- 4 feet; sitting bedside, getting pmhx, change of shift
Social Zone 4-12 feet; rounds with physician
Public Zone 12+ feet; lecture
How to communicate with pt. who has aphasia, Verbal boards, communication aids are best way
dysarthria, muteness?
