NURS 2016 MIDTERM EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
What is evidence informed practice? - Answers making decisions based of research and scientific
evaluation of practice
Quantitative studies - Answers randomized controlled trails, observational studies
Qualitative studies - Answers ethnography
Evidence -informed decision making is a - Answers continuous interactive involving the explicit,
conscientious and judicious consideration of best available evidence to provide care
Patient-centered care - Answers Ensures the patient is listened to, valued, and engaged in
conversation and decision making about their own health care need
What is health equity? - Answers creates equal opportunities for good health for everyone by
decreasing the effect of the social determinants health
what is culture safety? - Answers an environment that is spiritually, socially, and emotional safe, as
well as physically safe for people
2/3 of Canadian deaths in a year result from - Answers chronic illness
Risk factors that contribute to chronic illness - Answers Education, income, childhood poverty,
employment, community belonging
Risk factors for chronic illness - Answers Obesity, elevated BG, elevated blood cholesterol,
hypertension
What is morbidity? - Answers The rates of disease in a population
What is Mortality? - Answers the rates of death in a population
Acute illness manifest - Answers sudden onset
Chronic illness - Answers long latency, prolong duration, uncertain etiology
Comorbidity - Answers the co-occurrence of two or more disorders in a single individual
Multimorbidity - Answers The coexistence of multiple chronic diseases or conditions
What is an informed caregiver? - Answers is anyone who provides care without pay, and who usually
has personal ties to the care recipient
What is caregiver burden? - Answers is the overall physical, emotional, and financial costs of
caregiving
What is the first step of self-management? - Answers Processing emotions
What is the second step in self-management? - Answers Adjusting to changes to self and life
What is the third step of self-management? - Answers Integrating illness into daily life
What is the fourth step in self-management? - Answers Determining the meaning of illness to base
decisions
WHO describes obesity as - Answers most visible, neglected public health problem that threatens all
countries
what percentage of
Canadian over the age of 18 are overweight and obese - Answers 64%
What is primary obesity ? - Answers Excess caloric intake for the body's metabolic demands
What is secondary obesity? - Answers Results from various congenital anomalies, chromosomal
anomalies, metabolic problems, or CNS lesions and disorders
What is BMI? - Answers body mass index
A BMI of what classifies you as obese - Answers 30-40 kg/m2
A BMI of more than what kg/m2 classify a person as morbidly obese - Answers 40
Android obesity - Answers apple-shaped body
Gynoid obesity - Answers pear-shaped body
Etiology of Obesity - Answers energy intake exceeds energy output
what is metabolic syndrome or syndrome X? - Answers Collection of risk factors that increase an
individual's chance of developing cardiovascular disease and diabetes mellitus
What does metabolic syndrome look like? - Answers increased waist circumference or belly fat, high
triglycerides, elevated blood pressure, high blood sugar, a low HDL
What are you immediate priorities upon receiving a patient back from the OR/Recovery room? -
Answers assess ABC, LOC, Vital signs, Pain, dressings, IVs, Drains
What are a few goals for obese clients? - Answers modify eating patterns, participate in a regular
physical activity program, maintain weight loss to a specified level
What is bariatric surgery? - Answers weight reduction surgery for morbidly obese people
What is restrictive surgeries? - Answers vertical banded gastroplasty or adjustable gastric banding
, What is malabsorptive surgery? - Answers bypassing various lengths of the small intestine so that less
food is absorbed
What are some age related considerations to obesity? - Answers Decreased energy expenditure and
loss of muscle mass, exacerbates age-related problems
What is Ectomy? - Answers Remove
What is Oscopy? - Answers Looking into
What is Otomy? - Answers cutting into
What is Ostomy? - Answers opening into
What is plasty? - Answers Repair or reconstruction of
What is the purpose of pre-operative care? - Answers obtain health information, determine
expectations for pt, assess emotional state and readiness, assess knowledge and understanding of the
discharge plan and post-op teaching, obtian base line vitals, identify any culture or ethnical factors
What diagnostic test would you expect to be ordered in pre-op? - Answers ECG, Blood work
(Electrolyte, CBC)
What is taught in prep-op teaching? - Answers discuss procedure, what pain is normal after the
procedure, where you be after, what is expected before surgery, listen and answer patient concerns
Who is in charge of obtain consent for a surgery? - Answers The surgeon
Nursing interventions pre-op - Answers Physical prep, elimination, nutrition, removal of items,
allergies, surgical site, voiding, pre-anesthetic medication
What are some pre-op meds that decrease anxiety? - Answers Versed, valium, ativan
what are some pre-op meds that are a sedation analgesia? - Answers Morphine, demoral
What are some prep-op meds that increase pH and decrease gastric volume? - Answers Tagamet,
Pepcid, Zantac
What are some medications that help with N&V? - Answers Antiemetics
What are some medications that decrease oral and gastric secretions? - Answers Anticholinergics
What are common mislenious meds that are given during post-op? - Answers Eye drops, heparin,
antibiotics
What is hemodynamic instability? - Answers blood is pumping at a irregular rate
What is malignant hyperthermia? - Answers A side effect of general anesthesia - tachycardia,
hypertension, acid-base and electrolyte abnormalities, muscle rigidity, hyperthermia
What are nursing responsibilities post-op care? - Answers airway management, verbal report from
anesthetist, montior ECG (comparison), LOC, I &O, IV line drain, dressings
What do nurses need to monitor during post-op care? - Answers Respiratory difficulty, hemorrhage,
hemodynamic instability, fluid, and electrolyte balance
What should a nurse check upon arrival of there patient from the PACU? - Answers expected checks,
time of arrival, Dr. orders, ABC, LOC, dressing & incises, VS, Catheter/ drainage tubes
What is atelectasis? - Answers collapse of alveoli with retained mucus secretion due to decreased
lung expansion
What is a pulmonary embolus? - Answers Blood clot or mass that obstructs pulmonary artery or any
of its branches
What are some post-op complications? - Answers infections, thrombophlebitis, impaired surgical
wound healing, delirium
What is thrombophlebitis? - Answers inflammation of a vein
What are somethings that can be done to prevent post-op complications? - Answers DB&C, incentive
spirometer, early ambulation, changing positions, O2 as ordered, regular respiratory assessments
What are some interventions that could be put in place to prevent circulatory stasis? - Answers Leg
exercises, anti-embolic stockings, anticoagulant drugs, adequate fluid intake, Regular c/v assessment
VS, perfusion
what are somethings nurses can do to prevent infection? - Answers aseptic technique, dressing
change as ordered, assess for dehiscence and evisceration
What are comfort measures that nurse can do? - Answers frequent pain assessment, provide pain
meds, blanket, good mouth care, positioning for comfort
What is a normal output for urine in a hour? - Answers 30ml - 200ml
What is important when assessing fluid balance & urinary elimination? - Answers accurate Input and
output; from all drains and tube, bladder
What intervention should be put in place when a patient has been 8-12h without voiding? - Answers
Catherization
What is evidence informed practice? - Answers making decisions based of research and scientific
evaluation of practice
Quantitative studies - Answers randomized controlled trails, observational studies
Qualitative studies - Answers ethnography
Evidence -informed decision making is a - Answers continuous interactive involving the explicit,
conscientious and judicious consideration of best available evidence to provide care
Patient-centered care - Answers Ensures the patient is listened to, valued, and engaged in
conversation and decision making about their own health care need
What is health equity? - Answers creates equal opportunities for good health for everyone by
decreasing the effect of the social determinants health
what is culture safety? - Answers an environment that is spiritually, socially, and emotional safe, as
well as physically safe for people
2/3 of Canadian deaths in a year result from - Answers chronic illness
Risk factors that contribute to chronic illness - Answers Education, income, childhood poverty,
employment, community belonging
Risk factors for chronic illness - Answers Obesity, elevated BG, elevated blood cholesterol,
hypertension
What is morbidity? - Answers The rates of disease in a population
What is Mortality? - Answers the rates of death in a population
Acute illness manifest - Answers sudden onset
Chronic illness - Answers long latency, prolong duration, uncertain etiology
Comorbidity - Answers the co-occurrence of two or more disorders in a single individual
Multimorbidity - Answers The coexistence of multiple chronic diseases or conditions
What is an informed caregiver? - Answers is anyone who provides care without pay, and who usually
has personal ties to the care recipient
What is caregiver burden? - Answers is the overall physical, emotional, and financial costs of
caregiving
What is the first step of self-management? - Answers Processing emotions
What is the second step in self-management? - Answers Adjusting to changes to self and life
What is the third step of self-management? - Answers Integrating illness into daily life
What is the fourth step in self-management? - Answers Determining the meaning of illness to base
decisions
WHO describes obesity as - Answers most visible, neglected public health problem that threatens all
countries
what percentage of
Canadian over the age of 18 are overweight and obese - Answers 64%
What is primary obesity ? - Answers Excess caloric intake for the body's metabolic demands
What is secondary obesity? - Answers Results from various congenital anomalies, chromosomal
anomalies, metabolic problems, or CNS lesions and disorders
What is BMI? - Answers body mass index
A BMI of what classifies you as obese - Answers 30-40 kg/m2
A BMI of more than what kg/m2 classify a person as morbidly obese - Answers 40
Android obesity - Answers apple-shaped body
Gynoid obesity - Answers pear-shaped body
Etiology of Obesity - Answers energy intake exceeds energy output
what is metabolic syndrome or syndrome X? - Answers Collection of risk factors that increase an
individual's chance of developing cardiovascular disease and diabetes mellitus
What does metabolic syndrome look like? - Answers increased waist circumference or belly fat, high
triglycerides, elevated blood pressure, high blood sugar, a low HDL
What are you immediate priorities upon receiving a patient back from the OR/Recovery room? -
Answers assess ABC, LOC, Vital signs, Pain, dressings, IVs, Drains
What are a few goals for obese clients? - Answers modify eating patterns, participate in a regular
physical activity program, maintain weight loss to a specified level
What is bariatric surgery? - Answers weight reduction surgery for morbidly obese people
What is restrictive surgeries? - Answers vertical banded gastroplasty or adjustable gastric banding
, What is malabsorptive surgery? - Answers bypassing various lengths of the small intestine so that less
food is absorbed
What are some age related considerations to obesity? - Answers Decreased energy expenditure and
loss of muscle mass, exacerbates age-related problems
What is Ectomy? - Answers Remove
What is Oscopy? - Answers Looking into
What is Otomy? - Answers cutting into
What is Ostomy? - Answers opening into
What is plasty? - Answers Repair or reconstruction of
What is the purpose of pre-operative care? - Answers obtain health information, determine
expectations for pt, assess emotional state and readiness, assess knowledge and understanding of the
discharge plan and post-op teaching, obtian base line vitals, identify any culture or ethnical factors
What diagnostic test would you expect to be ordered in pre-op? - Answers ECG, Blood work
(Electrolyte, CBC)
What is taught in prep-op teaching? - Answers discuss procedure, what pain is normal after the
procedure, where you be after, what is expected before surgery, listen and answer patient concerns
Who is in charge of obtain consent for a surgery? - Answers The surgeon
Nursing interventions pre-op - Answers Physical prep, elimination, nutrition, removal of items,
allergies, surgical site, voiding, pre-anesthetic medication
What are some pre-op meds that decrease anxiety? - Answers Versed, valium, ativan
what are some pre-op meds that are a sedation analgesia? - Answers Morphine, demoral
What are some prep-op meds that increase pH and decrease gastric volume? - Answers Tagamet,
Pepcid, Zantac
What are some medications that help with N&V? - Answers Antiemetics
What are some medications that decrease oral and gastric secretions? - Answers Anticholinergics
What are common mislenious meds that are given during post-op? - Answers Eye drops, heparin,
antibiotics
What is hemodynamic instability? - Answers blood is pumping at a irregular rate
What is malignant hyperthermia? - Answers A side effect of general anesthesia - tachycardia,
hypertension, acid-base and electrolyte abnormalities, muscle rigidity, hyperthermia
What are nursing responsibilities post-op care? - Answers airway management, verbal report from
anesthetist, montior ECG (comparison), LOC, I &O, IV line drain, dressings
What do nurses need to monitor during post-op care? - Answers Respiratory difficulty, hemorrhage,
hemodynamic instability, fluid, and electrolyte balance
What should a nurse check upon arrival of there patient from the PACU? - Answers expected checks,
time of arrival, Dr. orders, ABC, LOC, dressing & incises, VS, Catheter/ drainage tubes
What is atelectasis? - Answers collapse of alveoli with retained mucus secretion due to decreased
lung expansion
What is a pulmonary embolus? - Answers Blood clot or mass that obstructs pulmonary artery or any
of its branches
What are some post-op complications? - Answers infections, thrombophlebitis, impaired surgical
wound healing, delirium
What is thrombophlebitis? - Answers inflammation of a vein
What are somethings that can be done to prevent post-op complications? - Answers DB&C, incentive
spirometer, early ambulation, changing positions, O2 as ordered, regular respiratory assessments
What are some interventions that could be put in place to prevent circulatory stasis? - Answers Leg
exercises, anti-embolic stockings, anticoagulant drugs, adequate fluid intake, Regular c/v assessment
VS, perfusion
what are somethings nurses can do to prevent infection? - Answers aseptic technique, dressing
change as ordered, assess for dehiscence and evisceration
What are comfort measures that nurse can do? - Answers frequent pain assessment, provide pain
meds, blanket, good mouth care, positioning for comfort
What is a normal output for urine in a hour? - Answers 30ml - 200ml
What is important when assessing fluid balance & urinary elimination? - Answers accurate Input and
output; from all drains and tube, bladder
What intervention should be put in place when a patient has been 8-12h without voiding? - Answers
Catherization
