NUR 120 Final Exam Questions With
Correct Answers
Prioritization of Care*** - CORRECT ANSWER✔✔-Priority 1- ABCs + V &
| | | | | | | | | | |
L
-airway problems
|
-breathing problems |
-cardiac or circulation problems
| | |
-vital signs concerns
| |
-lab values that are life threatening
| | | | |
Priority 2- | |
-changes in mental status
| | |
untreated medical problems
| |
-pain
-urinary elimination problems
| |
Priority 3- |
-health problems that don't fit into first to categories:
| | | | | | | | |
-activities, rest, family coping, lack of knowledge
| | | | | |
,5 rights of Delegation - CORRECT ANSWER✔✔-task
| | | | | |
circumstances
person
direction
communication/supervision
evaluation
Nursing Interventions that cannot be delegated - CORRECT
| | | | | | | |
ANSWER✔✔-Initial Assessment |
Patient Teaching
|
Evaluating Care |
Activities UAP perform typically include: - CORRECT ANSWER✔✔--
| | | | | | |
Obtaining routine |
-VS on stable PT
| | |
-feeding/helping pt at mealtimes | | |
-ambulating stable pt | |
-helping pt with bathing/hygiene
| | |
Therapeutic communication/best response to client concerns and
| | | | | | |
questions - CORRECT ANSWER✔✔-Open ended question
| | | | |
not "yes/no"
|
,non judgmental
| |
culturally appropriate |
Normal Common Lab Values - CORRECT ANSWER✔✔-K- 3.5-5.0 mEq/L
| | | | | | | |
Na- 136-145 mEq/L
| |
Ca- 9-10.5 mg/dL
| |
Phos- 3-4.5 mg/dL
| |
S/S of Fluid Volume Excess - CORRECT ANSWER✔✔-confusion
| | | | | | |
Increased BP |
tachycardia
Anorexia
Headache
S/S of Fluid Volume Deficit - CORRECT ANSWER✔✔-dry mucous
| | | | | | | | |
membranes
thirst
weight loss | |
restlessness
tachycardia
postural hypotension |
, increased RR |
When to notify the provider - CORRECT ANSWER✔✔-check other
| | | | | | | | |
answers to see if there is a nursing assessment, if not notify the
| | | | | | | | | | | | |
physician
Medications Antidotes - CORRECT ANSWER✔✔-Vitamin K- warfarin
| | | | | |
digifab- digoxin
|
protamine sulfate- heparin | |
Narcan (naloxone)- opiates
| |
benzos- flumazenil
|
S/S to monitor when administering - CORRECT ANSWER✔✔-VS
| | | | | | |
LOC
PICOT - CORRECT ANSWER✔✔-Patient
| | |
Intervention
Comparison
Outcomes
TIme
Correct Answers
Prioritization of Care*** - CORRECT ANSWER✔✔-Priority 1- ABCs + V &
| | | | | | | | | | |
L
-airway problems
|
-breathing problems |
-cardiac or circulation problems
| | |
-vital signs concerns
| |
-lab values that are life threatening
| | | | |
Priority 2- | |
-changes in mental status
| | |
untreated medical problems
| |
-pain
-urinary elimination problems
| |
Priority 3- |
-health problems that don't fit into first to categories:
| | | | | | | | |
-activities, rest, family coping, lack of knowledge
| | | | | |
,5 rights of Delegation - CORRECT ANSWER✔✔-task
| | | | | |
circumstances
person
direction
communication/supervision
evaluation
Nursing Interventions that cannot be delegated - CORRECT
| | | | | | | |
ANSWER✔✔-Initial Assessment |
Patient Teaching
|
Evaluating Care |
Activities UAP perform typically include: - CORRECT ANSWER✔✔--
| | | | | | |
Obtaining routine |
-VS on stable PT
| | |
-feeding/helping pt at mealtimes | | |
-ambulating stable pt | |
-helping pt with bathing/hygiene
| | |
Therapeutic communication/best response to client concerns and
| | | | | | |
questions - CORRECT ANSWER✔✔-Open ended question
| | | | |
not "yes/no"
|
,non judgmental
| |
culturally appropriate |
Normal Common Lab Values - CORRECT ANSWER✔✔-K- 3.5-5.0 mEq/L
| | | | | | | |
Na- 136-145 mEq/L
| |
Ca- 9-10.5 mg/dL
| |
Phos- 3-4.5 mg/dL
| |
S/S of Fluid Volume Excess - CORRECT ANSWER✔✔-confusion
| | | | | | |
Increased BP |
tachycardia
Anorexia
Headache
S/S of Fluid Volume Deficit - CORRECT ANSWER✔✔-dry mucous
| | | | | | | | |
membranes
thirst
weight loss | |
restlessness
tachycardia
postural hypotension |
, increased RR |
When to notify the provider - CORRECT ANSWER✔✔-check other
| | | | | | | | |
answers to see if there is a nursing assessment, if not notify the
| | | | | | | | | | | | |
physician
Medications Antidotes - CORRECT ANSWER✔✔-Vitamin K- warfarin
| | | | | |
digifab- digoxin
|
protamine sulfate- heparin | |
Narcan (naloxone)- opiates
| |
benzos- flumazenil
|
S/S to monitor when administering - CORRECT ANSWER✔✔-VS
| | | | | | |
LOC
PICOT - CORRECT ANSWER✔✔-Patient
| | |
Intervention
Comparison
Outcomes
TIme
