Clinical Guidelines for Patient Care and
Assessment exam with complete
solutions 2024/2025
Eyedrop Administration - ANSWER- Process: patient position, hand hygiene, 6
rights of meds, lid placement, bottle tip caution
Enema Preparation - ANSWER- Steps: dispelling misconceptions, explaining
purpose, ensuring privacy, recommended positions and solution temperature
Residual Urine - ANSWER- Definition: incomplete bladder emptying, assessment
criteria, anuria, dysuria, frequency, glycosuria, nocturia, oliguria, polyuria,
proteinuria, pyuria, urgency, incontinence
Droplet Precautions - ANSWER- Precautions for infections spread by large
droplets, room setup, PPE use, patient transport, visitor distance
Ambulation Tolerance - ANSWER- Assessment of patient's mobility, gait, muscle
strength, assistive device effectiveness, paresis, paralysis
Wheelchair Safety - ANSWER- Safety measures: wheel locking, leg rest position,
transfer instructions post-CVA
Restraints - ANSWER- Definition, types, last resort use, emergency application,
monitoring requirements
Saline Flush - ANSWER- Purpose: catheter function assessment, pre/post-
infusion flushing, locking devices, catheter patency maintenance
Braden Interpretation - ANSWER- Pressure sore risk evaluation based on mental
status, continence, mobility, activity, nutrition, risk score ranges
, Nutrition Assessment Lab Values - ANSWER- Interpretation of hemoglobin,
hematocrit, serum albumin, prealbumin, BUN, creatinine levels
Catheter Kinking - ANSWER- Prevention measures, urine diversion, excoriation
risk
Pressure Ulcer Infection - ANSWER- Signs, symptoms, wound care, dressing
precautions
Biohazard Control - ANSWER- Disposal protocol, specimen handling, infection
prevention
Nasopharyngeal Suction - ANSWER- Procedure: sizing, patient positioning,
lubrication, oxygen saturation monitoring
Smoking Effects on Sleep - ANSWER- Nicotine impact on sleep, withdrawal
effects, sleep disturbances
Dressing Change Assessment - ANSWER- Wound evaluation: location, size,
edges, drainage types, wound care observations
Sleep Assessment - ANSWER- Evaluation of patient's sleep habits, patterns,
rituals, environment, and related questions
REM - ANSWER- 25% of sleep cycle with fluctuating vitals
Placebo Admin - ANSWER- Used in drug trials to test medication effects
Power of Attorney - ANSWER- Authorizes agent to act on behalf of the person
Nursing Process - ANSWER- Involves outcome statements and interventions
Benzodiazepines - ANSWER- May cause developmental defects in pregnancy
End of Life - DNR - ANSWER- Directive to not resuscitate a patient
Grief - Mastectomy - ANSWER- Manifests in emotional and physical symptoms
Wound Irrigation Fluid - ANSWER- Used for debridement and wound healing
Primary Prevention - ANSWER- Promotes health and prevents diseases
Assessment exam with complete
solutions 2024/2025
Eyedrop Administration - ANSWER- Process: patient position, hand hygiene, 6
rights of meds, lid placement, bottle tip caution
Enema Preparation - ANSWER- Steps: dispelling misconceptions, explaining
purpose, ensuring privacy, recommended positions and solution temperature
Residual Urine - ANSWER- Definition: incomplete bladder emptying, assessment
criteria, anuria, dysuria, frequency, glycosuria, nocturia, oliguria, polyuria,
proteinuria, pyuria, urgency, incontinence
Droplet Precautions - ANSWER- Precautions for infections spread by large
droplets, room setup, PPE use, patient transport, visitor distance
Ambulation Tolerance - ANSWER- Assessment of patient's mobility, gait, muscle
strength, assistive device effectiveness, paresis, paralysis
Wheelchair Safety - ANSWER- Safety measures: wheel locking, leg rest position,
transfer instructions post-CVA
Restraints - ANSWER- Definition, types, last resort use, emergency application,
monitoring requirements
Saline Flush - ANSWER- Purpose: catheter function assessment, pre/post-
infusion flushing, locking devices, catheter patency maintenance
Braden Interpretation - ANSWER- Pressure sore risk evaluation based on mental
status, continence, mobility, activity, nutrition, risk score ranges
, Nutrition Assessment Lab Values - ANSWER- Interpretation of hemoglobin,
hematocrit, serum albumin, prealbumin, BUN, creatinine levels
Catheter Kinking - ANSWER- Prevention measures, urine diversion, excoriation
risk
Pressure Ulcer Infection - ANSWER- Signs, symptoms, wound care, dressing
precautions
Biohazard Control - ANSWER- Disposal protocol, specimen handling, infection
prevention
Nasopharyngeal Suction - ANSWER- Procedure: sizing, patient positioning,
lubrication, oxygen saturation monitoring
Smoking Effects on Sleep - ANSWER- Nicotine impact on sleep, withdrawal
effects, sleep disturbances
Dressing Change Assessment - ANSWER- Wound evaluation: location, size,
edges, drainage types, wound care observations
Sleep Assessment - ANSWER- Evaluation of patient's sleep habits, patterns,
rituals, environment, and related questions
REM - ANSWER- 25% of sleep cycle with fluctuating vitals
Placebo Admin - ANSWER- Used in drug trials to test medication effects
Power of Attorney - ANSWER- Authorizes agent to act on behalf of the person
Nursing Process - ANSWER- Involves outcome statements and interventions
Benzodiazepines - ANSWER- May cause developmental defects in pregnancy
End of Life - DNR - ANSWER- Directive to not resuscitate a patient
Grief - Mastectomy - ANSWER- Manifests in emotional and physical symptoms
Wound Irrigation Fluid - ANSWER- Used for debridement and wound healing
Primary Prevention - ANSWER- Promotes health and prevents diseases
