Foundations Final Jersey College
Questions with 100% Correct Answers
Hypoxia Correct Answer: deficiency in the amount of oxygen reaching the
tissues
Auscultation Correct Answer: to listen
Palpation Correct Answer: an examination technique in which the examiner's
hands are used to feel the texture, size, consistency, and location of certain
body parts
percussion Correct Answer: tapping on a surface to determine the difference in
the density of the underlying structure
Piece of equipment is used to perform the Weber test and Rinne test Correct
Answer: Tuning Fork
Weber's test and Rinne's test are performed in order to assess Correct Answer:
Sound Conduction (deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the
retina Correct Answer: Ophtalmoscope
ophtalmoscope Correct Answer: instrument for examining the interior of the eye,
especially the retina
percutaneous Correct Answer: through the skin
The nurse performs a comprehensive assessment of a newly admitted client.
What is the primary purpose of this admission assessment Correct Answer:
Identify baseline data
,Comprehensive assessment Correct Answer: The comprehensive assessment is
conducted when a client first enters the health care setting to obtain baseline
information that can be used for comparison to later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to
implement which intervention Correct Answer: The clients ability to swallow
cranial nerves Correct Answer: 12 pairs of nerves that carry messages to and
from the brain
Cranial Nerve 1 Correct Answer: Olfactory (smell)
Cranial Nerve 2 Correct Answer: Optic - vision
Cranial Nerve 3 Correct Answer: Oculomotor (eye movement)
Cranial Nerve 4 Correct Answer: Trochlear (eye movement)
Cranial Nerve 5 Correct Answer: Trigeminal
Cranial Nerve 6 Correct Answer: Abducens (motor)
Cranial Nerve 7 Correct Answer: facial nerve
Cranial Nerve 8 Correct Answer: Vestibulocochlear
Cranial Nerve 9 Correct Answer: Glossopharyngeal
Cranial Nerve 10 Correct Answer: Vagus
Cranial Nerve 11 Correct Answer: Accessory (motor)
Cranial Nerve 12 Correct Answer: Hypoglossal (tongue movement)
,popping sounds heard on auscultation of the lungs Correct Answer: crackles
Hepatitis Correct Answer: inflammation of the liver
Hepatitus B Virus Correct Answer: Virus caused by contact with bodily fluids and
can cause scarring of the liver, liver failure, cancer, or death.
Assessment Correct Answer: Before the nurse can determine what care a
person requires, the nurse must determine the client's needs and problems. This
requires the use of assessment skills and data collection, which include
interviewing, observing, and examining the client, and in some cases, the
client's family. Following the assessment, the nurse can also use the client's
medical record and contact other healthcare providers.
When using an interpreter Correct Answer: The nurse should observe the cues
the client expresses with body language, and listen to the tone of voice.
Tugor Correct Answer: skins elasticity; poor elasticity seen when skin remains
pinched (slowly unfolds) sign of dehydration
Chlorhexidine Correct Answer: an antibacterial compound with substantial
residual activity that is used as a liquid antiseptic and disinfectant
arterial blood pressure Correct Answer: Arterial blood pressure (ABP), a basic
hemodynamic index, is often used to guide therapeutic interventions in critically
ill patients
peripheral venous catheter Correct Answer: a peripheral venous catheter,
peripheral venous line or peripheral venous access catheter is a catheter
placed into a peripheral vein for intravenous therapy such as medication fluids.
Upon insertion, the line can be used to draw blood
, Edema happens when there is which fluid volume imbalance? Correct Answer:
extracellular fluid volume excess
Anemia Correct Answer: a deficiency of red blood cells
pallor Correct Answer: Extreme or unnatural paleness
Appropriate Levels Correct Answer: Potassium
3.5-5.0
Phosphorus
2.5-4.5
Magnesium
1.3-2.3
Sodium
135-145
Chloride
97-107
Questions with 100% Correct Answers
Hypoxia Correct Answer: deficiency in the amount of oxygen reaching the
tissues
Auscultation Correct Answer: to listen
Palpation Correct Answer: an examination technique in which the examiner's
hands are used to feel the texture, size, consistency, and location of certain
body parts
percussion Correct Answer: tapping on a surface to determine the difference in
the density of the underlying structure
Piece of equipment is used to perform the Weber test and Rinne test Correct
Answer: Tuning Fork
Weber's test and Rinne's test are performed in order to assess Correct Answer:
Sound Conduction (deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the
retina Correct Answer: Ophtalmoscope
ophtalmoscope Correct Answer: instrument for examining the interior of the eye,
especially the retina
percutaneous Correct Answer: through the skin
The nurse performs a comprehensive assessment of a newly admitted client.
What is the primary purpose of this admission assessment Correct Answer:
Identify baseline data
,Comprehensive assessment Correct Answer: The comprehensive assessment is
conducted when a client first enters the health care setting to obtain baseline
information that can be used for comparison to later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to
implement which intervention Correct Answer: The clients ability to swallow
cranial nerves Correct Answer: 12 pairs of nerves that carry messages to and
from the brain
Cranial Nerve 1 Correct Answer: Olfactory (smell)
Cranial Nerve 2 Correct Answer: Optic - vision
Cranial Nerve 3 Correct Answer: Oculomotor (eye movement)
Cranial Nerve 4 Correct Answer: Trochlear (eye movement)
Cranial Nerve 5 Correct Answer: Trigeminal
Cranial Nerve 6 Correct Answer: Abducens (motor)
Cranial Nerve 7 Correct Answer: facial nerve
Cranial Nerve 8 Correct Answer: Vestibulocochlear
Cranial Nerve 9 Correct Answer: Glossopharyngeal
Cranial Nerve 10 Correct Answer: Vagus
Cranial Nerve 11 Correct Answer: Accessory (motor)
Cranial Nerve 12 Correct Answer: Hypoglossal (tongue movement)
,popping sounds heard on auscultation of the lungs Correct Answer: crackles
Hepatitis Correct Answer: inflammation of the liver
Hepatitus B Virus Correct Answer: Virus caused by contact with bodily fluids and
can cause scarring of the liver, liver failure, cancer, or death.
Assessment Correct Answer: Before the nurse can determine what care a
person requires, the nurse must determine the client's needs and problems. This
requires the use of assessment skills and data collection, which include
interviewing, observing, and examining the client, and in some cases, the
client's family. Following the assessment, the nurse can also use the client's
medical record and contact other healthcare providers.
When using an interpreter Correct Answer: The nurse should observe the cues
the client expresses with body language, and listen to the tone of voice.
Tugor Correct Answer: skins elasticity; poor elasticity seen when skin remains
pinched (slowly unfolds) sign of dehydration
Chlorhexidine Correct Answer: an antibacterial compound with substantial
residual activity that is used as a liquid antiseptic and disinfectant
arterial blood pressure Correct Answer: Arterial blood pressure (ABP), a basic
hemodynamic index, is often used to guide therapeutic interventions in critically
ill patients
peripheral venous catheter Correct Answer: a peripheral venous catheter,
peripheral venous line or peripheral venous access catheter is a catheter
placed into a peripheral vein for intravenous therapy such as medication fluids.
Upon insertion, the line can be used to draw blood
, Edema happens when there is which fluid volume imbalance? Correct Answer:
extracellular fluid volume excess
Anemia Correct Answer: a deficiency of red blood cells
pallor Correct Answer: Extreme or unnatural paleness
Appropriate Levels Correct Answer: Potassium
3.5-5.0
Phosphorus
2.5-4.5
Magnesium
1.3-2.3
Sodium
135-145
Chloride
97-107
