NURSING SKILLS FINAL EXAM
QUESTIONS WITH VERIFIED
ANSWERS
Immobility on the body nervous system - Answer-Altered propioception
altered balance
Immobility on the body psychosocial impact - Answer--Depression/hopelessness
-loneliness/isolation
-altered sleep patterns
-disorientation
Risk for active intolerance - Answer--heart failure
-peripheral vascular disease(PVD)
-chronic obstructive pulmonary disease (COPD)
-prolonged bed rest shortness of breath, dyspnea, profound fatigue
Risk for immobility - Answer--Osteoporosis
-limited joint mobility
-cerebrovascular accident
-spinal cord injury
-brain injury
-balance/equilibrium problems
Cardiopulmonary nursing care to reduce complications of immobility and activity
intolerance - Answer--lung expansion
-prevent blood clots
-prevent orthostatic hypotension
Musculoskeletal and integumentary nursing care to reduce complications of
immobility and activity intolerance - Answer--prevent atrophy, prevent skin
breakdown, prevent shear
Nutrition and elimination nursing care to reduce complications of immobility and
activity intolerance - Answer-Prevent altered digestion, prevent infection and risk of
renal calculi
Psychosocial nursing care to reduce complications of immobility and activity
intolerance - Answer-Prevent depression/loneliness
Patients at risk for falls - Answer--over age 65
-Hx of falls and fear of falling
-balance or gait problems
-muscle weakness
-visual impairment
-neurological impairment
-cognitive impairment
, -bowel or bladder incontinence
-cardiovascular issues
-multiple medications
Autonomy - Answer-Self determination. Right to make own decision
Accountability - Answer-Accepts responsibility for own actions and consequences
Advocacy - Answer-Focus is on the patient as a vulnerable person. Promote and
support the patients need and voice
Beneficience - Answer-Do good (benefits the patient). Provide compassionate quality
care
Confidentiality - Answer-Maintains privacy, legal issue in HIPPA
Fidelity - Answer-Keep promises, follow through on what you say you will do
Justice - Answer-Be impartial, fair, give equal tx
Nonmaleficence - Answer-First, do no harm
Responsibility - Answer-Dependable, reliable, competent in skills, adheres to
professional standards
Veracity - Answer-Truthfulness, honesty
Ethics - Answer-Standard of moral conduct
The Patient Bill of Rights include - Answer--Excellent care
-Safe environment
-participation in planning their care
-privacy maintained
-helped with discharged arrangements
-assistance with fulfilling financial responsibilities
Assessing and document skin Integrity - Answer-Temp, color, wounds or scars, odor,
excessive moisture or dryness, remember the risk factors
Risk factors for pressure ulcers - Answer-All bony prominences
Nursing care to decrease the patients risk of developing pressure ulcers - Answer-
Turn every 2 hours, post turn schedule for all staff, use moisture barriers cream,
provide high protein nutrition and hydration, use pressure relieving mattresses, float
heals
Culture - Answer-Values, beliefs, and ways of life that are learned and shared from
one generation to another
QUESTIONS WITH VERIFIED
ANSWERS
Immobility on the body nervous system - Answer-Altered propioception
altered balance
Immobility on the body psychosocial impact - Answer--Depression/hopelessness
-loneliness/isolation
-altered sleep patterns
-disorientation
Risk for active intolerance - Answer--heart failure
-peripheral vascular disease(PVD)
-chronic obstructive pulmonary disease (COPD)
-prolonged bed rest shortness of breath, dyspnea, profound fatigue
Risk for immobility - Answer--Osteoporosis
-limited joint mobility
-cerebrovascular accident
-spinal cord injury
-brain injury
-balance/equilibrium problems
Cardiopulmonary nursing care to reduce complications of immobility and activity
intolerance - Answer--lung expansion
-prevent blood clots
-prevent orthostatic hypotension
Musculoskeletal and integumentary nursing care to reduce complications of
immobility and activity intolerance - Answer--prevent atrophy, prevent skin
breakdown, prevent shear
Nutrition and elimination nursing care to reduce complications of immobility and
activity intolerance - Answer-Prevent altered digestion, prevent infection and risk of
renal calculi
Psychosocial nursing care to reduce complications of immobility and activity
intolerance - Answer-Prevent depression/loneliness
Patients at risk for falls - Answer--over age 65
-Hx of falls and fear of falling
-balance or gait problems
-muscle weakness
-visual impairment
-neurological impairment
-cognitive impairment
, -bowel or bladder incontinence
-cardiovascular issues
-multiple medications
Autonomy - Answer-Self determination. Right to make own decision
Accountability - Answer-Accepts responsibility for own actions and consequences
Advocacy - Answer-Focus is on the patient as a vulnerable person. Promote and
support the patients need and voice
Beneficience - Answer-Do good (benefits the patient). Provide compassionate quality
care
Confidentiality - Answer-Maintains privacy, legal issue in HIPPA
Fidelity - Answer-Keep promises, follow through on what you say you will do
Justice - Answer-Be impartial, fair, give equal tx
Nonmaleficence - Answer-First, do no harm
Responsibility - Answer-Dependable, reliable, competent in skills, adheres to
professional standards
Veracity - Answer-Truthfulness, honesty
Ethics - Answer-Standard of moral conduct
The Patient Bill of Rights include - Answer--Excellent care
-Safe environment
-participation in planning their care
-privacy maintained
-helped with discharged arrangements
-assistance with fulfilling financial responsibilities
Assessing and document skin Integrity - Answer-Temp, color, wounds or scars, odor,
excessive moisture or dryness, remember the risk factors
Risk factors for pressure ulcers - Answer-All bony prominences
Nursing care to decrease the patients risk of developing pressure ulcers - Answer-
Turn every 2 hours, post turn schedule for all staff, use moisture barriers cream,
provide high protein nutrition and hydration, use pressure relieving mattresses, float
heals
Culture - Answer-Values, beliefs, and ways of life that are learned and shared from
one generation to another
