CCRI Nursing 1010 - Final Exam Study Cards Questions
With Complete Solutions
5 steps of the nursing process: Correct Answer ADPIE:
assess, diagnose, plan, implement, evaluate
A client begins coughing forcefully while being fed. What are
some pertinent nursing diagnoses after this client is made NPO?
Correct Answer imbalanced nutrition, risk for aspiration,
impaired swallowing
A client with bone calcification is most likely to experience
what kind of pain? Correct Answer deep somatic pain - diffuse
in origin, tendons, ligaments, bones, blood vessels are involved
A common finding often noted in the patient receiving total
parenteral nutrition (TPN): Correct Answer increased glucose
levels
A hydrocolloid dressing is ordered for an open sacral wound.
The primary purpose of this dressing is: Correct Answer absorb
wound drainage - helps to remove exudate from a wound
A measure of the density of urine compared with the density of
water: Correct Answer specific gravity
A molecule that can accept or combine with an H+ ion? Correct
Answer base
A molecule that can release an H+ ion: Correct Answer acid
,A patient had 4 1/2 oz for breakfast, how many mLs is this?
Correct Answer 135 mL
(REMEMBER: 1 oz = 30 mL)
A patient has a stage 2 pressure ulcer on her right heel, identify
nursing diagnoses that may apply: Correct Answer impaired
skin or tissue integrity
A patient with coronary artery disease or SHF may be instructed
on which type of diet? Correct Answer no added salt, 2g or less
per day sodium, low cholesterol, no caffeine
A patient with parkinson's is experiencing dysphagia, what is the
most serious risk associated with this situation? Correct Answer
aspiration
A patient with prolonged vomiting is at risk for which Acid-
Base imbalance? Correct Answer metabolic alkalosis
(loss of gastric acid / HCl)
A patient's radial pulse is thready and irregular. What would be
the response by the nurse? Correct Answer Validate by
checking apical pulse, check previous findings & baseline,
notify MD if findings differ.
A standard measurement for assessing LOC: Correct Answer
glascow coma scale
A surgical creation of an alternative route for the excretion of
urine: Correct Answer urinary diversion
, ileal conduit / loop
A wound that has destruction of subcutaneous tissue and muscle
on the sacrum: Correct Answer stage 4 pressure ulcer
Abnormal swelling caused by excess fluid in the abdomen:
Correct Answer ascites
Absence of bowel sounds / inactivity: Correct Answer paralytic
ileus
An element lacking in the diet of a vegetarian? Correct Answer
iron! (Fe)
An ileostomy produces what consistency of fecal content?
Correct Answer liquid!
REMEMBER:
* SIGMOID COLOSTOMY - more formed stool
(think Sigmoid = Solid)
* TRANSVERSE COLOSTOMY - thick liquid / soft
consistency
(think Trasnverse = Thick liquid)
* ILEOSTOMY - frequent, liquid stools
think iLeostomy = Liquid)
blood that is "hidden" in the stool Correct Answer fecal occult
blood
(test: FOBT - fecal occult blood test - screens for colon cancer,
etc.)
With Complete Solutions
5 steps of the nursing process: Correct Answer ADPIE:
assess, diagnose, plan, implement, evaluate
A client begins coughing forcefully while being fed. What are
some pertinent nursing diagnoses after this client is made NPO?
Correct Answer imbalanced nutrition, risk for aspiration,
impaired swallowing
A client with bone calcification is most likely to experience
what kind of pain? Correct Answer deep somatic pain - diffuse
in origin, tendons, ligaments, bones, blood vessels are involved
A common finding often noted in the patient receiving total
parenteral nutrition (TPN): Correct Answer increased glucose
levels
A hydrocolloid dressing is ordered for an open sacral wound.
The primary purpose of this dressing is: Correct Answer absorb
wound drainage - helps to remove exudate from a wound
A measure of the density of urine compared with the density of
water: Correct Answer specific gravity
A molecule that can accept or combine with an H+ ion? Correct
Answer base
A molecule that can release an H+ ion: Correct Answer acid
,A patient had 4 1/2 oz for breakfast, how many mLs is this?
Correct Answer 135 mL
(REMEMBER: 1 oz = 30 mL)
A patient has a stage 2 pressure ulcer on her right heel, identify
nursing diagnoses that may apply: Correct Answer impaired
skin or tissue integrity
A patient with coronary artery disease or SHF may be instructed
on which type of diet? Correct Answer no added salt, 2g or less
per day sodium, low cholesterol, no caffeine
A patient with parkinson's is experiencing dysphagia, what is the
most serious risk associated with this situation? Correct Answer
aspiration
A patient with prolonged vomiting is at risk for which Acid-
Base imbalance? Correct Answer metabolic alkalosis
(loss of gastric acid / HCl)
A patient's radial pulse is thready and irregular. What would be
the response by the nurse? Correct Answer Validate by
checking apical pulse, check previous findings & baseline,
notify MD if findings differ.
A standard measurement for assessing LOC: Correct Answer
glascow coma scale
A surgical creation of an alternative route for the excretion of
urine: Correct Answer urinary diversion
, ileal conduit / loop
A wound that has destruction of subcutaneous tissue and muscle
on the sacrum: Correct Answer stage 4 pressure ulcer
Abnormal swelling caused by excess fluid in the abdomen:
Correct Answer ascites
Absence of bowel sounds / inactivity: Correct Answer paralytic
ileus
An element lacking in the diet of a vegetarian? Correct Answer
iron! (Fe)
An ileostomy produces what consistency of fecal content?
Correct Answer liquid!
REMEMBER:
* SIGMOID COLOSTOMY - more formed stool
(think Sigmoid = Solid)
* TRANSVERSE COLOSTOMY - thick liquid / soft
consistency
(think Trasnverse = Thick liquid)
* ILEOSTOMY - frequent, liquid stools
think iLeostomy = Liquid)
blood that is "hidden" in the stool Correct Answer fecal occult
blood
(test: FOBT - fecal occult blood test - screens for colon cancer,
etc.)
