NRSG 225 Exam #1 Questions With Complete Solutions
administering oral hygiene Correct Answer -moistening the
mouth
-cleaning the mouth
-caring for dentures
-toothbrushing and flossing - place toothbrush at 45 degree
angle to gum line
-using mouthwashes
afternoon care (PM care) Correct Answer after lunch
-offer assistance with toileting, handwashing, and oral care
-straighten bed linens
-help patient with mobility to reposition self
airborne precautions Correct Answer -hand hygiene before
and after, mask, closed door
-relates to COVID and TB
as needed care (PRN care) Correct Answer -offer individual
hygiene measures as needed
-change clothing and bed linens of diaphoretic patients
-provide oral care every 2 hours if indicated
aseptic techniques Correct Answer all activities to prevent or
break the chain of infection; medical and surgical asepsis
assessing Correct Answer collecting, validating, and
communicating patient data
,assessment Correct Answer -systematic and continuous
collection, analysis, validation, and communication of patient
data
-used to create a database of patient info
assessment priorities Correct Answer -health orientation -
how much does the patient know
-developmental stage - age
-culture
-need for nursing - how much help do they need
at risk for skin alteration Correct Answer -lifestyle factors
-changes in health state
-illness
-diagnostic measures - patches from doctors, IV's, etc
-therapeutic measures - patients that take steroids for a while
have thin skin
auscultatory gap Correct Answer a brief period when
Korotkoff sounds disappear during manual auscultation of blood
pressure; can lead to inaccurate readings of blood pressure
bradycardia Correct Answer decreased pulse rate, < 60 bpm
bradypnea Correct Answer decreased respiratory rate; < 12
breaths per min
care of eyes Correct Answer -clean from inner to outer
canthus with wet, warm cloth, cotton ball, or compress
-use artificial tear solution or normal saline every 4 hours if
blink reflex is absent
, -care for eyeglasses, contact lens, or artificial eye if indicated
characteristics of a pulse Correct Answer rate - beats per
minute (bpm)
rhythm - regular or irregular
amplitude - strength (1+ = weak, 2+ = normal, 3+ = strong)
quality - same as amplitude
characteristics of respiration Correct Answer rate - breaths per
min
rhythm - regular or irregular
depth - shallow or deep
characteristics of the nursing assessment and data Correct
Answer PPRRCSF
-purposeful
-prioritized - assessment can start with area of concern first
-complete
-systematic - in an orderly fashion
-factual and accurate
-relevant
-recorded in a standard manner - all providers chart the same
way for easy understanding
characteristics of the nursing process Correct Answer UDISO
-systematic - part of an ordered sequence of activities
-dynamic - great interaction and overlapping among the five
steps
-interpersonal - human being is always at the heart of nursing
-outcome oriented - nurses and patients work together to identify
outcomes
administering oral hygiene Correct Answer -moistening the
mouth
-cleaning the mouth
-caring for dentures
-toothbrushing and flossing - place toothbrush at 45 degree
angle to gum line
-using mouthwashes
afternoon care (PM care) Correct Answer after lunch
-offer assistance with toileting, handwashing, and oral care
-straighten bed linens
-help patient with mobility to reposition self
airborne precautions Correct Answer -hand hygiene before
and after, mask, closed door
-relates to COVID and TB
as needed care (PRN care) Correct Answer -offer individual
hygiene measures as needed
-change clothing and bed linens of diaphoretic patients
-provide oral care every 2 hours if indicated
aseptic techniques Correct Answer all activities to prevent or
break the chain of infection; medical and surgical asepsis
assessing Correct Answer collecting, validating, and
communicating patient data
,assessment Correct Answer -systematic and continuous
collection, analysis, validation, and communication of patient
data
-used to create a database of patient info
assessment priorities Correct Answer -health orientation -
how much does the patient know
-developmental stage - age
-culture
-need for nursing - how much help do they need
at risk for skin alteration Correct Answer -lifestyle factors
-changes in health state
-illness
-diagnostic measures - patches from doctors, IV's, etc
-therapeutic measures - patients that take steroids for a while
have thin skin
auscultatory gap Correct Answer a brief period when
Korotkoff sounds disappear during manual auscultation of blood
pressure; can lead to inaccurate readings of blood pressure
bradycardia Correct Answer decreased pulse rate, < 60 bpm
bradypnea Correct Answer decreased respiratory rate; < 12
breaths per min
care of eyes Correct Answer -clean from inner to outer
canthus with wet, warm cloth, cotton ball, or compress
-use artificial tear solution or normal saline every 4 hours if
blink reflex is absent
, -care for eyeglasses, contact lens, or artificial eye if indicated
characteristics of a pulse Correct Answer rate - beats per
minute (bpm)
rhythm - regular or irregular
amplitude - strength (1+ = weak, 2+ = normal, 3+ = strong)
quality - same as amplitude
characteristics of respiration Correct Answer rate - breaths per
min
rhythm - regular or irregular
depth - shallow or deep
characteristics of the nursing assessment and data Correct
Answer PPRRCSF
-purposeful
-prioritized - assessment can start with area of concern first
-complete
-systematic - in an orderly fashion
-factual and accurate
-relevant
-recorded in a standard manner - all providers chart the same
way for easy understanding
characteristics of the nursing process Correct Answer UDISO
-systematic - part of an ordered sequence of activities
-dynamic - great interaction and overlapping among the five
steps
-interpersonal - human being is always at the heart of nursing
-outcome oriented - nurses and patients work together to identify
outcomes
