NUR 337 Midterm Study Guide Questions With Complete
Solutions
24 hour urine collection Correct Answer -analyzes kidney
function over 24 hour period
-for creatinine clearance
-must keep specimen on ice to prevent bacteria growth
6 rights of med administration Correct Answer Right patient,
right med, right dose, right route, right time, right
documentation
ABC Model Correct Answer 1. Activating event (ex-break up
with long term partner)
2. Beliefs about event (ex-feels they are getting older and
running out of time)
3. Emotional consequences (causes patient to feel depressed and
alone)
adverse effects of ondansetron Correct Answer serotonin
syndrome, SJS, irregular heart rhythm, headache, dizziness,
constipation, diarrhea
AIMS assessment Correct Answer *abnormal involuntary
movement scale used to assess severity of dyskinesias
-facial and oral movements
-UE/LE movements
-trunk movements
-awareness of abnormal movements
-dental status
,all or nothing thinking Correct Answer looking at things in
absolute, black-and-white categories
Apgar scoring Correct Answer A= appearance (color all pink,
pink and blue {acrocyanosis}, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace/ reflex irritability (cough, grimace, no response)
A= activity or tone (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)
scoring: 0-10 (7-10 w/in expected range)
appropriate language for transgender clients Correct Answer -
ask/use preferred pronouns
-use neutral terms (ex-birthing person vs mother)
ASEPTIC mnemonic (MSE) Correct Answer
-appearance/behavior
-speech
-emotion (mood/affect)
-perception (auditory/visual hallucinations)
-Though content (SI/HI)
-Insight and judgement
-cognition
Ashley Tsosie (28 weeks) chart Correct Answer 18y F
admitted for preterm labor w/ c/o of pain in abdomen
-preterm labor may be due to infection UTI or marijuana use
-plan: monitor fetal HR and contractions, terbutaline and
betamethazone, CBC, CMP, UA, straight cath, and transvaginal
ultrasound
, Assessment and interventions for PCA pump Correct Answer
-only patient can press button when lit up to deliver preset doses
of analgesics
-routes: IV or edidural
-common uses: post op and cancer pain
-pt education: understand mechanics, will not be able to
"overdose" bc programmed to certain # per hr and will not go
past max dose, admin before pain is severe bc it is easier to be
on top of pain than chasing it
-assess 02 sats and RR bc still risk of resp depression
Becca Perez chart Correct Answer had a vacuum assisted
birth w/ 2nd deg episiotomy
-post partum hemorrhaging 1500mL blood loss
-gave LR, oxytocin, and misoprostal
-other interventions: supplemental O2 and fundal massage
C-SSRS (Columbia-Suicide Severity Rating Scale) Correct
Answer -suicide risk assessment
1. do you wish you were dead or would not wake up
2. have you had thoughts of killing yourself
3. do you have a plan
4. do you have intention of acting on this plan
5. have you worked out the details of how you would carry out
the plan
6. done anything to prepare to end your life? (ex-give away
items)
Cefazolin (Ancef) Correct Answer broad spectrum antibiotic-
destroys bacterial cell walls
-giving 30 min prior to susan's surg
Solutions
24 hour urine collection Correct Answer -analyzes kidney
function over 24 hour period
-for creatinine clearance
-must keep specimen on ice to prevent bacteria growth
6 rights of med administration Correct Answer Right patient,
right med, right dose, right route, right time, right
documentation
ABC Model Correct Answer 1. Activating event (ex-break up
with long term partner)
2. Beliefs about event (ex-feels they are getting older and
running out of time)
3. Emotional consequences (causes patient to feel depressed and
alone)
adverse effects of ondansetron Correct Answer serotonin
syndrome, SJS, irregular heart rhythm, headache, dizziness,
constipation, diarrhea
AIMS assessment Correct Answer *abnormal involuntary
movement scale used to assess severity of dyskinesias
-facial and oral movements
-UE/LE movements
-trunk movements
-awareness of abnormal movements
-dental status
,all or nothing thinking Correct Answer looking at things in
absolute, black-and-white categories
Apgar scoring Correct Answer A= appearance (color all pink,
pink and blue {acrocyanosis}, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace/ reflex irritability (cough, grimace, no response)
A= activity or tone (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)
scoring: 0-10 (7-10 w/in expected range)
appropriate language for transgender clients Correct Answer -
ask/use preferred pronouns
-use neutral terms (ex-birthing person vs mother)
ASEPTIC mnemonic (MSE) Correct Answer
-appearance/behavior
-speech
-emotion (mood/affect)
-perception (auditory/visual hallucinations)
-Though content (SI/HI)
-Insight and judgement
-cognition
Ashley Tsosie (28 weeks) chart Correct Answer 18y F
admitted for preterm labor w/ c/o of pain in abdomen
-preterm labor may be due to infection UTI or marijuana use
-plan: monitor fetal HR and contractions, terbutaline and
betamethazone, CBC, CMP, UA, straight cath, and transvaginal
ultrasound
, Assessment and interventions for PCA pump Correct Answer
-only patient can press button when lit up to deliver preset doses
of analgesics
-routes: IV or edidural
-common uses: post op and cancer pain
-pt education: understand mechanics, will not be able to
"overdose" bc programmed to certain # per hr and will not go
past max dose, admin before pain is severe bc it is easier to be
on top of pain than chasing it
-assess 02 sats and RR bc still risk of resp depression
Becca Perez chart Correct Answer had a vacuum assisted
birth w/ 2nd deg episiotomy
-post partum hemorrhaging 1500mL blood loss
-gave LR, oxytocin, and misoprostal
-other interventions: supplemental O2 and fundal massage
C-SSRS (Columbia-Suicide Severity Rating Scale) Correct
Answer -suicide risk assessment
1. do you wish you were dead or would not wake up
2. have you had thoughts of killing yourself
3. do you have a plan
4. do you have intention of acting on this plan
5. have you worked out the details of how you would carry out
the plan
6. done anything to prepare to end your life? (ex-give away
items)
Cefazolin (Ancef) Correct Answer broad spectrum antibiotic-
destroys bacterial cell walls
-giving 30 min prior to susan's surg
