Questions and Answers
When caring for a patient with orthopnea the nurse should: - Correct Answer-✔✔Raise the
head of the bed
A nurse is working with a patient with limited English proficiency, what should she do? - Correct
Answer-✔✔Get a translator
A patient doesn't make eye contact with the nurse and folds arm, what type of communication
does the patient represent? - Correct Answer-✔✔Nonverbal communication
Quality nursing care is evaluated by what? - Correct Answer-✔✔Process and outcomes
During examination of a child, physical child growth is the best indicator of what? - Correct
Answer-✔✔General Health
The correct way to prevent infections is: - Correct Answer-✔✔Wash your hands
A 3 month old has a heart rate of 135 BPM, is this normal or abnormal? - Correct Answer-
✔✔Normal
Vital signs across the life span: - Correct Answer-✔✔Newborn-
Temp: 96-99.5
Pulse: 80-160
RR: 30-80
BP: 60-90/ 20-60
Young Child-
,Temp: 98-98.6
Pulse: 75-110
RR: 15-25
BP: 84-120/54-80
Adult-
Temp: 95.9- 99.5
Pulse: 60-100
RR: 12-20
BP: 90-120/ 60-80
Aging Adult-
Temp: 95-99
Pulse: 60-100
RR: 15-20
BP: 90-120/ 60-80
Name a secondary source of information: - Correct Answer-✔✔Family members
Auscultation technique for lungs - Correct Answer-✔✔Use diaphragm
A 3 year old patient has palpable lymph nodes, the nurse explains this finding as: - Correct
Answer-✔✔Normal 3-6 yrs old
What is the purpose of a health history - Correct Answer-✔✔To learn current and past health
information
,What technique is used to test for crepitus, swelling and pulsations? - Correct Answer-
✔✔Palpation
What organization has to do with safety education in Nursing? - Correct Answer-✔✔QSEN
Where is the popliteal pulse found - Correct Answer-✔✔Behind the knee
What are the two heart valves found near the apex of the heart? - Correct Answer-✔✔Mitral
and tricuspid
What is the purpose of the stethoscope? - Correct Answer-✔✔To block out external sounds and
magnify internal sounds
How long do you listen to an abnormal heart beat and where do you listen for it? - Correct
Answer-✔✔Apically at the mitral valve for 1 minute
What part of the brain has to do with balance - Correct Answer-✔✔Cerebellar cortex
A nursing student comes home from an exam and throws the remote at the TV, what kind of
coping mechanism is this student portraying? - Correct Answer-✔✔Displacement
What type of coping mechanism is a patient displaying by stating "It is okay if I eat a candy bar if
I drink a diet coke." - Correct Answer-✔✔Rationalization
Why do babies have a difficult time keeping up their temperature? - Correct Answer-
✔✔Because of the fontanels are not fused allowing heat to escape
, Who is the founder of nursing? - Correct Answer-✔✔Florence Nightingale
What do the letters if PIE stand for? - Correct Answer-✔✔P: Problem
I: Intervention
E: Evaluation
What kind of charting is PIE, SOAP/IE, DAR ? - Correct Answer-✔✔Problem oriented
What do the letters of SBAR stand for? - Correct Answer-✔✔S: Situation
B: Background
A: Assessment
R: Recommendation
What kind of documentation is SBAR - Correct Answer-✔✔Widely accepted method of handoff
communication that involves interpersonal communication to designed to enhance patient
safety and outcomes
What three elements have to be present for Malpractice - Correct Answer-✔✔Duty
Damages
Dereliction
What is the legal document that specifies treatment a person wants to receive when he or she
is unconscious and no long capable of making decisions independently? What is included in this
document? - Correct Answer-✔✔Living will:
Organ donation, performance of an autopsy, end of life care, circumstances in which treatment
should be withheld or stopped and designated spokesperson