D439 Foundations 2026 Exam
Questions and Answers |
Already Graded A+
what can cause high blood pressure readings? - ANSWER
✔✔Anxiety, wrong cuff size, talking, legs crossed, arm not being level
with heart, pain, dehydration, fever/infection, hyponatremia, weight,
alcohol/smoking, opioids, hypovolemia, hyper/hypokalemia,
hyper/hypocalcemia
no radial pulse at 90 - ANSWER ✔✔PUMP TO 120
how much to pump cuff - ANSWER ✔✔at least 30 mm Hg above the
point the radial pulse disappears
,potassium levels involved - ANSWER ✔✔heart: helps the heart
squeeze
high potassium levels - ANSWER ✔✔high apical pulse rate and
rhythm
nursing charts by exception- lungs - ANSWER ✔✔LUNG SOUNDS
DIMINISHED IN LEFT LUNG not normal
nasal cannula care: if patient has reddened areas around cheekbones -
ANSWER ✔✔PLACE PADDING AROUND THE CANNULA TUBING
nasal cannula care: if patient's O2 readings improve with movement -
ANSWER ✔✔place the nasal cannula in the nose securely
nasal cannula care: O2 levels low - ANSWER ✔✔VERIFY
PLACEMENT OF PULSE OXIMETER
Oxygen chamber - ANSWER ✔✔store in a cool area
Fall Prevention "H" - ANSWER ✔✔Hourly rounds: check on patient
HOURLY
Fall prevention "O" - ANSWER ✔✔Organize belongings: use bed
alarms
, Fall Prevention "P" - ANSWER ✔✔Position changes slow: ensure
slow position changes and keep everything needed within reach
Fall Prevention "E" - ANSWER ✔✔Ensure lighting is sufficient: For
elderly patients keep a well lit room
patient has sleep apnea and given sedative - ANSWER ✔✔MAKE
SURE AIRWAY PRESSURE DEVICE IS ON
restraint types - ANSWER ✔✔chemical & physical
restraint knot - ANSWER ✔✔slip knots
restraint tying area - ANSWER ✔✔BED FRAME ONLY
chemical restraints - ANSWER ✔✔meds such as benzos
first thing to assess after restraint - ANSWER ✔✔CAPILLARY
REFILL
when to check capillary refill when restrained - ANSWER
✔✔immediately and every 15 mins
other checks when restrained - ANSWER ✔✔skin integrity, vital
signs, ROM every 2 hours; offer bathroom every 2 hours
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
Questions and Answers |
Already Graded A+
what can cause high blood pressure readings? - ANSWER
✔✔Anxiety, wrong cuff size, talking, legs crossed, arm not being level
with heart, pain, dehydration, fever/infection, hyponatremia, weight,
alcohol/smoking, opioids, hypovolemia, hyper/hypokalemia,
hyper/hypocalcemia
no radial pulse at 90 - ANSWER ✔✔PUMP TO 120
how much to pump cuff - ANSWER ✔✔at least 30 mm Hg above the
point the radial pulse disappears
,potassium levels involved - ANSWER ✔✔heart: helps the heart
squeeze
high potassium levels - ANSWER ✔✔high apical pulse rate and
rhythm
nursing charts by exception- lungs - ANSWER ✔✔LUNG SOUNDS
DIMINISHED IN LEFT LUNG not normal
nasal cannula care: if patient has reddened areas around cheekbones -
ANSWER ✔✔PLACE PADDING AROUND THE CANNULA TUBING
nasal cannula care: if patient's O2 readings improve with movement -
ANSWER ✔✔place the nasal cannula in the nose securely
nasal cannula care: O2 levels low - ANSWER ✔✔VERIFY
PLACEMENT OF PULSE OXIMETER
Oxygen chamber - ANSWER ✔✔store in a cool area
Fall Prevention "H" - ANSWER ✔✔Hourly rounds: check on patient
HOURLY
Fall prevention "O" - ANSWER ✔✔Organize belongings: use bed
alarms
, Fall Prevention "P" - ANSWER ✔✔Position changes slow: ensure
slow position changes and keep everything needed within reach
Fall Prevention "E" - ANSWER ✔✔Ensure lighting is sufficient: For
elderly patients keep a well lit room
patient has sleep apnea and given sedative - ANSWER ✔✔MAKE
SURE AIRWAY PRESSURE DEVICE IS ON
restraint types - ANSWER ✔✔chemical & physical
restraint knot - ANSWER ✔✔slip knots
restraint tying area - ANSWER ✔✔BED FRAME ONLY
chemical restraints - ANSWER ✔✔meds such as benzos
first thing to assess after restraint - ANSWER ✔✔CAPILLARY
REFILL
when to check capillary refill when restrained - ANSWER
✔✔immediately and every 15 mins
other checks when restrained - ANSWER ✔✔skin integrity, vital
signs, ROM every 2 hours; offer bathroom every 2 hours
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
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