NUR 150 EXAM REVIEW QUESTIONS
WITH COMPLETE SOLUTIONS
Heat therapy - Answer-- Used for chronic conditions
- Use after 24-48 hr mark of initial injury
- Helps bring circulation to the area to promote healing
- Place barrier between heat source and the patient
What do we do when using cold/heat therapy? - Answer-Check every 5 min
Remove every 20 min
Cold Therapy (We use this first) - Answer-Ice = Injury used for acute conditions
Used within first 24-48 hours
Helps relieve inflammation
Cold constricts
ADLs - Answer-- Brushing hair
- Feeding
- Toileting
- Dressing
- Ambulation
What screening tool do we use for ADL's? - Answer-KATZ screening tool
IADL'S - Answer-- Cooking
- Housekeeping
- Paying bills/finances
- Laundry
- Shopping
- Transportation
- Medication management
What screening tool do we use for IADL's - Answer-Lawtons index (short term memory,
executive function, animal naming)
Who is at higher risk for cognitive impairment? - Answer-Mentally disabled
dementia
Chronic Illnesses
Post-op
Elderly
Nutrition - Answer-The process by which your body takes in and uses food, needed to
function properly and healthily
, normal Ranges of BMI - Answer-< 18.5 : Underweight
18.5-25 : Normal
25-30: Over weight
30-35: Obese
>35 Morbidly obese
What are reasons for NG tube placement - Answer-PTS with dysphasia (difficult
swallowing)
PTS status with post gastric surgery
PTS who refuse to eat
PTS with a bowel obstruction
Normal pH of gastric content - Answer-0-4
NG tube feed administration - Answer-- Check Placement
-Check Residual
-Flush
-Give tube feed
-Flush
Proper patient position for feeding? - Answer-Folwer's
Why is a head to toe assessment important? - Answer-It allows you to properly assess
all body systems to ensure functionality while noticing and addressing any other
concerns of the body
What is is the first system the nurse will assess during a head to toe assessment -
Answer-Introduction
Ask patient name and DOB
Explain the procedure youre doing
Ask if the patient is feeling okay or if there are any concerns
What order do you asses the patients abdomen? - Answer-Clockwise
RLQ, RUQ, LUQ, LLQ
How do you asses for circulation? - Answer-Capillary Refill, pressing on the nail bed,
watching for color change, temperature etc
What position is the most appropriate when administering a recital suppository? -
Answer-Sims Position
Define pain - Answer-Whatever the patient says it is :)
Is pain subjective or objective? - Answer-subjective - its whatever that patient says it is
because we cannot see pain
WITH COMPLETE SOLUTIONS
Heat therapy - Answer-- Used for chronic conditions
- Use after 24-48 hr mark of initial injury
- Helps bring circulation to the area to promote healing
- Place barrier between heat source and the patient
What do we do when using cold/heat therapy? - Answer-Check every 5 min
Remove every 20 min
Cold Therapy (We use this first) - Answer-Ice = Injury used for acute conditions
Used within first 24-48 hours
Helps relieve inflammation
Cold constricts
ADLs - Answer-- Brushing hair
- Feeding
- Toileting
- Dressing
- Ambulation
What screening tool do we use for ADL's? - Answer-KATZ screening tool
IADL'S - Answer-- Cooking
- Housekeeping
- Paying bills/finances
- Laundry
- Shopping
- Transportation
- Medication management
What screening tool do we use for IADL's - Answer-Lawtons index (short term memory,
executive function, animal naming)
Who is at higher risk for cognitive impairment? - Answer-Mentally disabled
dementia
Chronic Illnesses
Post-op
Elderly
Nutrition - Answer-The process by which your body takes in and uses food, needed to
function properly and healthily
, normal Ranges of BMI - Answer-< 18.5 : Underweight
18.5-25 : Normal
25-30: Over weight
30-35: Obese
>35 Morbidly obese
What are reasons for NG tube placement - Answer-PTS with dysphasia (difficult
swallowing)
PTS status with post gastric surgery
PTS who refuse to eat
PTS with a bowel obstruction
Normal pH of gastric content - Answer-0-4
NG tube feed administration - Answer-- Check Placement
-Check Residual
-Flush
-Give tube feed
-Flush
Proper patient position for feeding? - Answer-Folwer's
Why is a head to toe assessment important? - Answer-It allows you to properly assess
all body systems to ensure functionality while noticing and addressing any other
concerns of the body
What is is the first system the nurse will assess during a head to toe assessment -
Answer-Introduction
Ask patient name and DOB
Explain the procedure youre doing
Ask if the patient is feeling okay or if there are any concerns
What order do you asses the patients abdomen? - Answer-Clockwise
RLQ, RUQ, LUQ, LLQ
How do you asses for circulation? - Answer-Capillary Refill, pressing on the nail bed,
watching for color change, temperature etc
What position is the most appropriate when administering a recital suppository? -
Answer-Sims Position
Define pain - Answer-Whatever the patient says it is :)
Is pain subjective or objective? - Answer-subjective - its whatever that patient says it is
because we cannot see pain
