AND ANSWERS 2025
The nurse measures a client's residual urine by catheterization after the client voids.
Which condition would this test verify? - CORRECT ANSWER urinary retention
When assisting a client from the bed into a wheelchair, the nurse assesses the client for
signs of dizziness upon standing. For what adverse condition is the nurse assessing the
client? - CORRECT ANSWER orthrostatic hypotension
The loss of urine without any identifiable pattern or warning is called... - CORRECT
ANSWER urinary incontinence
_________ is a condition in which an inadequate amount of oxygen is available to cells.
This results in difficulty breathing, increased respiratory and pulse rates, and pale skin
with regions of cyanosis. - CORRECT ANSWER hypoxia
If there is decreased cardiac output, respiration rate will... - CORRECT ANSWER
increase
What does pulse oximetry test? - CORRECT ANSWER the amount of oxygen
saturation in the blood
The nurse schedules a pulmonary function test to measure the amount of air left in a
client's lungs at maximal expiration. What test does the nurse order? - CORRECT
ANSWER Residual Volume
the total amount of air inhaled and exhaled with one breath is referred to as.... -
CORRECT ANSWER Tidal volume
the amount of air contained within the lungs at maximum inspiration is referred to as... -
CORRECT ANSWER Total lung capacity
________ is used to increase the turbulence of exhaled air and loosen secretions from
the lungs - CORRECT ANSWER vibration
can be done before or after percussion
,Define evisceration. - CORRECT ANSWER Evisceration occurs when contents of
the body come out through a wound/surgical incision site.
Define dehiscence. - CORRECT ANSWER Dehiscence occurs when a surgical
incision site starts to "open at the seams," usually occurs due to obesity.
While using the braden scale, the __________ the number, the higher the risk. -
CORRECT ANSWER lower
think: the lower you're funtioning, the higher the risk
What are the 3 fundamental characteristics of wound assessment? - CORRECT
ANSWER Age
Depth
Color
What two age populations are at an increased risk for illness and injury? - CORRECT
ANSWER Elderly and newborn babies
Which of the following categories of health promotion is aimed at preventing illness?
A. primary
B. secondary
C. tertiary
D. restorative - CORRECT ANSWER A: primary.
Primary prevention aims to prevent a disease/complications as a whole. This would
include a healthy diet, exercise, and vaccinations/immunizations.
A nurse is working at a health fair that is offering blood screenings for diabetes and high
cholesterol. What level of health promotion is she helping to achieve? - CORRECT
ANSWER Secondary prevention. This level of prevention aims for early detection of a
disease that already exists. So you would already have the diabetes and not know it yet;
a blood test would detect this early.
The chain of infection has 5 variables. The infectious agent (the virus/bacteria), the
resovoir (phones, bathrooms, door handles, water, plants and animals), the portal of exit
(mouth, eyes, sneezing etc), mode of transmission (touch, kissing, sexually
transmitted), and portal of exit (same as someone else's portal of exit). As a nurse, you
should think of yourself as what variable of this process? - CORRECT ANSWER
The mode of transmission. That's why we practice things such as clean technique and
surgical asepsis: we can very well be a mode of transmission from one patient to
another.
, Mode of transmission is also things like kissing, sexually, touching etc
There are two types of bacteria: aerobic and anaerobic. Which is harder to kill and why?
- CORRECT ANSWER Anaerobic. Since they don't need oxygen, these bacteria
usually lie deep within the brain or other hard to reach areas, therefore it makes them
harder to kill.
How do we tell the difference between gram positive and gram negative bacteria on a
stain? - CORRECT ANSWER Gram positive stains purple, has a thick wall, and
don't decolorize. Gram negative have a complex wall and can be decolorized.
Think positive = purple
What are the smallest types of pathogens? - CORRECT ANSWER virus
There is some bacteria that peacefully lives in our body normally. These types of
bacteria are referred to as... - CORRECT ANSWER resident flora
ex: e.coli in intestines
Give some examples of direct transmission. - CORRECT ANSWER Kissing,
touching, sexual contact
What are the three types of indirect transmission and how do they differ? - CORRECT
ANSWER Vehicle: inanimate (food, water, dust, instruments, meds)
Vector: animate; transmits from one host directly to another. (mosquitos, rodents, etc)
Airborne/Droplet: ventilation system, respiratory tract
Briefly explain the immune response defense mechanism. - CORRECT ANSWER
recognition of foreign material (antigen) by the body. The body then produces
antibodies to fight the antigen, WBC destroy antigen cells. Poor immune response = inc.
risk for infection!
What is the difference between infection and inflammation? - CORRECT ANSWER
Inflammation is the body's protective and reparative response to some type of illness or
injury. Infection is the actual disease taking place in the body.
What are the 4 stages of infection? describe them - CORRECT ANSWER
incubation: when the virus enters the body (hours to months)
prodromal: when you first start to feel symptoms (MOST INFECTIOUS STAGE)
illness: specific symptoms present, diagnosed
convalescence: from having the sickness to when normal health returns