Final Exam: NUR155 / NUR 155 (Latest 2025 / 2026 Update): Critical Thinking for the Practical Nurse | Questions and Verified Answers | 100% Correct (Grade A) – Hondros.

Final Exam: NUR155 / NUR 155 (Latest 2025 / 2026 Update): Critical Thinking for the Practical Nurse | Questions and Verified Answers | 100% Correct (Grade A) – Hondros. . Question: What is Maslow's highest priority? Answer: physiological needs (food, clothing, shelter) Question: Does the highest priority of needs start at the top or the bottom of the period in Maslow's? Answer: starts at bottom of the pyramid Question: What kind of open therapeutic communication should we use as nurses? Answer: open ended statements and questions Question: What does being a role of advocacy mean as a nurse? Answer: argues or pleads on behalf of what is best for the patient, even if the patient cannot speak for themselves, the RN must be an advocate for their patients Question: What kind of relationships do we want with our patients? Answer: trusting Question: Differ between assertive and non-assertive communication techniques. Answer: Assertive: uses "I am" statements Aggressive: uses "You should" statements Question: What does SBAR stand for and what is it? Answer: Situation, Background, Assessment, Recommendations SBAR is a communication tool used for health care members, it is professional, it is organized Question: What data from SBAR does current vital signs fall under? Answer: Assessment data NOT background *a lot of people get this confused Specific details for each category of SBAR Question: S: situation Answer: what is the situation you are calling about? provide your name, health care agency, patient name, brief info about the problem. p. 433 in text Specific details for each category of SBAR Question: B: background Answer: provide info pertinent to the current situation, admitting dx, date of admission, important clinical info that relates to patient Specific details for each category of SBAR Question: A: Assessment Answer: refers to the current condition of the patient- ex. include current vital signs, O2 level, pain scale, LOC, any change in assessment since the previous communication, also indicate the severity of the problem Specific details for each category of SBAR Question: R: recommendation Answer: what is your recomendation for resolving the problem? what do you need from the Dr.; some example include: come see patient, transfer to diff. unit, order a med, etc. Question: What is the Nursing Process and what does it stand for? Answer: The nursing process is a systematic, rational method for planning and providing nursing care. Page: 156 Question: ADPIE stands for: Answer: Assessment, Diagnosis, Planning, Implementation, Evaluation Question: Can the nursing process contain a medical diagnosis? Answer: No- only a nursing diagnosis-- if we choose to talk about a medical diagnosis in our care plan, we have to explain the medical diagnosis without stating what the medical diagnosis is Question: Subjective vs. objective information Answer: subjective: symptoms, can be described ONLY by the patient i.e. itching, pain, feeling worried Question: Objective: signs the RN observes i.e. they can be seen, heard, felt, smelled, and are observed when the RN assesses Answer: p. 160-161 Question: When do we document a task as a nurse? Answer: AFTER we have done the task Document example: Question: Patient fell on the floor. The nurse did not see the patient fall. What would they document? Answer: They would document something like, "Pt found on the floor." We would NOT document: "Pt fell" unless we watched them fall with our own eyes. Question: As nurses we have to be explorers... explain what this means Answer: We need to ask ourselves, Do we have the info we need or do we still need to gather some more data to form our thoughts Question: Legal Aspects Chapter Terms Answer: Fidelity beneficence autonomy veracity Fidelity: a moral principle that obligates the person to be faithful to agreements and responsibilities one has undertaken beneficence: moral obligation to do good or to implement actions that benefit the patient and their support people autonomy: state of being independent and self-directed; without outside control; to make ones own decisions veracity: a moral principle that holds that one should tell the truth and not lie *found in glossary of text Question: electrolytes: know lab values Answer: sodium potassium magnesium calcium sodium: 135-145 potassium: 3.5-5 magnesium: ___________ calcium: 9-10.5 Question: what is a tort? Answer: know the difference between intentional and unintentional tort a civil wrong committed against a person or a person's property Normal BUN and Creatinine levels Question: What do the BUN and Creatinine labs check for? Answer: BUN- 10-20 Creatinine: Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL BUN/Creatinine test kidney function Question: Know the difference between medical asepsis and surgical asepsis Answer: surgical asepsis: is the same as sterile technique, this has ZERO spores or microorganisms-- EX) surgery medical asepsis: confines a microorganism to a specific area, limiting growth EX) clean technique p. 603 Question: Types of Isolation Answer: Airborne Droplet Contact Airborne Isolation Examples Question: What do you wear? Answer: N-95 Mask Gloves Place patient in a room with negative airflow EX) TB, measles, varicella Droplet Isolation Examples What do you wear? Surgical mask EX) Flu, diptheria, pneumonia, pertussis Contact Precautions Examples What do you wear? gloves gown EX) VRE, MRSA Question: Contact Plus Answer: (Contact + Precautions) wash hands gown gloves Wash hands when leaving room CANNOT USE HAND SANITIZER WITH C-DIFF Question: What do you do first when someone is SOB (short of breath)? Answer: sit patient HOB (head of bed) up FIRST then you would resort to O2 Question: why do we do IS (incentive spirometer) Answer: promote lung expansion Question: Interventions for breathing Answer: IS, cough and deep breathe, teach IS Question: types of lung sounds Answer: (normal lung sounds) Question: p.555 Answer: bronchial bronchivesicular vesicular Question: vesciular Answer: soft-intensity, low-pitch, gentle sighing, sounds created by air moving through smaller airways, broncial and alveoli Location: over peripheral lung , best heard at base of lungs Characteristics: best heard on inspiration, about 2.5 times longer than expiratory phase 5:2 ratio Question: bronchovesicular Answer: description: moderate-intensity, moderate pitched, blowing sounds created by air moving through larger airway bronchii location: between the scapulae and lateral to the sternum of the 1st and 1nd intercostal spaces charact: equal inspiratory and expiratory phases 1:1 ratio Question: bronchial Answer: description: high pitch, loud harsh sounds created by moving air through the trachea location: anteriorly over the trachea, not heard over lung tissue character: louder than vesicular sounds, of a short inspiratory phase and long expiratory phase; 1:2 ratio Question: What does the nurse need to know before giving a patient an inhaler? Answer: majority need significant hand strength need to know what to teach with a healthy heart Question: fluid volume deficit Answer: weak thready pulse Question: fluid volume excess Answer: JVD, Question: cultural differences Answer: race, gender, stroke, heart attack, why women die more MI- silent symptoms Question: what lab do you look at if you want to know fi the patient is having an acute myocardial infarction Answer: troponin Question: levels of edema Answer: +1= 2 mm +2= 4 mm +3= 6 mm +4= 8 mm know difference between stress and urinary incontinence Question: what other systems are affected if kidneys are not working Answer: impact pulmonary and cardiovascular system Question: fecal elimination Answer: bowel sounds, GI system assess- know order- inspect, auscultate, palpate Question: know interventions for patients having difference in stool characteristics Answer: constipation diarrhea Question: why is having diarrhea bad Answer: lose electrolytes Question: what can constipation end in Answer: bowl obstruction Question: enemas Answer: look at skills section, how far to insert, which one to use, etc.