NURS 130 - Final Exam Questions And
Answers
A patient drinks 1/4 of an 8 ounce glass of milk. The nursing assistant correctly documents this as: -
CORRECT ANSWER- 60 cc/mL
A patient drinks 1/4 of a 240cc/mL. glass of juice. The nursing assistant correctly documents this intake
as: - CORRECT ANSWER- 60 cc/mL
The following vital sign measurement must be reported to the nurse immediately:
radial pulse of 74 bpm.
B/P reading if 116/78 mmHg.
oxygen saturation (pulse oximetry) of 88%.
16 respirations per minute. - CORRECT ANSWER- oxygen saturation (pulse oximetry) of 88%.
When is it okay to refuse a procedure? - CORRECT ANSWER- When it is out of your scope of practice
and if it cannot be safely done by yourself
Should a patient's family members be asked to leave the room during care? Why or why not? - CORRECT
ANSWER- Yes, only if the patient requests it.
RACE means - CORRECT ANSWER- Rescue, Alarm, Confine, Extinguish
MSDS/SDS - CORRECT ANSWER- Material Safety Data Sheet/Safety Data Sheet
Sheet that describes
P.A.S.S. - CORRECT ANSWER- Pull, Aim, Squeeze, Sweep
E.H.R. - CORRECT ANSWER- electronic health record
, Seizures (Safety) - CORRECT ANSWER- -side rails up and padded
-don't wear slick slippers
-move objects from near them that they could hurt themselves on
Stages of Grief - CORRECT ANSWER- denial, anger, bargaining, depression, acceptance
Advanced Directives - CORRECT ANSWER- a written statement of a person's wishes regarding medical
treatment, often including a living will, made to ensure those wishes are carried out should the person
be unable to communicate them to a doctor.
Post-Mortem care- Jewelry - CORRECT ANSWER- Remove all jewelry except a wedding band, unless the
family is there and can take it.
Rigor mortis - CORRECT ANSWER- stiffness of the body, sets in 2-4 hours post mortem
Positioning-post mortem - CORRECT ANSWER- Supine to prevent rigor mortis
Enteral Feedings - CORRECT ANSWER- -keep HOB elevated to 45 degrees for 1 hour after feedings
-NG-tube, J-tube, G-tube
-Total Parental Administration is the IV
-CNA's can pause enteral feedings
-More oral care needed
Pressure injuries/ulcers stages - CORRECT ANSWER- Stage 1: Only affecting epidermis
Stage 2: Dermis/Epidermis abrasion,blister, shallow crater
Stage 3:Damage to or necrosis of subcutaneous tissue; deep crater with or without undermining of
adjacent tissue
Stage 4: Extensive destruction , tissue necrosis damage to muscle bone or supporting structures
Answers
A patient drinks 1/4 of an 8 ounce glass of milk. The nursing assistant correctly documents this as: -
CORRECT ANSWER- 60 cc/mL
A patient drinks 1/4 of a 240cc/mL. glass of juice. The nursing assistant correctly documents this intake
as: - CORRECT ANSWER- 60 cc/mL
The following vital sign measurement must be reported to the nurse immediately:
radial pulse of 74 bpm.
B/P reading if 116/78 mmHg.
oxygen saturation (pulse oximetry) of 88%.
16 respirations per minute. - CORRECT ANSWER- oxygen saturation (pulse oximetry) of 88%.
When is it okay to refuse a procedure? - CORRECT ANSWER- When it is out of your scope of practice
and if it cannot be safely done by yourself
Should a patient's family members be asked to leave the room during care? Why or why not? - CORRECT
ANSWER- Yes, only if the patient requests it.
RACE means - CORRECT ANSWER- Rescue, Alarm, Confine, Extinguish
MSDS/SDS - CORRECT ANSWER- Material Safety Data Sheet/Safety Data Sheet
Sheet that describes
P.A.S.S. - CORRECT ANSWER- Pull, Aim, Squeeze, Sweep
E.H.R. - CORRECT ANSWER- electronic health record
, Seizures (Safety) - CORRECT ANSWER- -side rails up and padded
-don't wear slick slippers
-move objects from near them that they could hurt themselves on
Stages of Grief - CORRECT ANSWER- denial, anger, bargaining, depression, acceptance
Advanced Directives - CORRECT ANSWER- a written statement of a person's wishes regarding medical
treatment, often including a living will, made to ensure those wishes are carried out should the person
be unable to communicate them to a doctor.
Post-Mortem care- Jewelry - CORRECT ANSWER- Remove all jewelry except a wedding band, unless the
family is there and can take it.
Rigor mortis - CORRECT ANSWER- stiffness of the body, sets in 2-4 hours post mortem
Positioning-post mortem - CORRECT ANSWER- Supine to prevent rigor mortis
Enteral Feedings - CORRECT ANSWER- -keep HOB elevated to 45 degrees for 1 hour after feedings
-NG-tube, J-tube, G-tube
-Total Parental Administration is the IV
-CNA's can pause enteral feedings
-More oral care needed
Pressure injuries/ulcers stages - CORRECT ANSWER- Stage 1: Only affecting epidermis
Stage 2: Dermis/Epidermis abrasion,blister, shallow crater
Stage 3:Damage to or necrosis of subcutaneous tissue; deep crater with or without undermining of
adjacent tissue
Stage 4: Extensive destruction , tissue necrosis damage to muscle bone or supporting structures
