NUR 231 Exam 1 Questions And Correct Answers
Nursing assessment and care PACU - ANSWER -Airway, breathing, and circulation
-Drainage Hemorrhage, tubes, lines in and out, vitals q 15 mins
-Pain control
Considerations during the nursing assessment to be used every time - ANSWER
consider the type of surgery, wound, exposure, movement and positioning, vitals
(especially <BP), assessments (lungs, airway, heart, bleeding stability), warm, dry,
comfort
What happens to the pulse and blood pressure if someone is internally bleeding? -
ANSWER pulse increases, BP decreases
head to toe assessment techniques - ANSWER i. Breath and heart sounds under the
gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
WBC Count - ANSWER 5,000-10,000
Hemoglobin - ANSWER 12-16
Hematocrit - ANSWER 35-50
priority of care - ANSWER 1. Airway
2. Breathing
, 3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ANSWER 1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
medicare - ANSWER a. Is for older people (65+) or those with permanent disability
b. What the parts do
i. Part A: Hospital insurance
ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D- QUESTION medications
Medicaid- QUESTION a. For the low income clients
b. Federally and state funded
c. Single moms, etc
Who sets the national patient safety goals?- QUESTION set by QSEN and joint
Nursing assessment and care PACU - ANSWER -Airway, breathing, and circulation
-Drainage Hemorrhage, tubes, lines in and out, vitals q 15 mins
-Pain control
Considerations during the nursing assessment to be used every time - ANSWER
consider the type of surgery, wound, exposure, movement and positioning, vitals
(especially <BP), assessments (lungs, airway, heart, bleeding stability), warm, dry,
comfort
What happens to the pulse and blood pressure if someone is internally bleeding? -
ANSWER pulse increases, BP decreases
head to toe assessment techniques - ANSWER i. Breath and heart sounds under the
gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
WBC Count - ANSWER 5,000-10,000
Hemoglobin - ANSWER 12-16
Hematocrit - ANSWER 35-50
priority of care - ANSWER 1. Airway
2. Breathing
, 3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ANSWER 1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
medicare - ANSWER a. Is for older people (65+) or those with permanent disability
b. What the parts do
i. Part A: Hospital insurance
ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D- QUESTION medications
Medicaid- QUESTION a. For the low income clients
b. Federally and state funded
c. Single moms, etc
Who sets the national patient safety goals?- QUESTION set by QSEN and joint
