LPN Fundamentals Of Nursing Exam
1-6 FINAL EXAM
Define Sinus Tachycardia - -Regular Rhythm, rate 100-180 beats/min (higher
in infants)
-When is the best time of the month to perform a self-breast examination? -
-4th to 7th day during menstrual cycle or days after cycle has ended.
-Define total Patient Care - -Rn is responsible for all aspects of care for one
or more pts during a shift of care. Care is usually consistent, comprehensive,
and holistic, care can be delegated. RN works directly with pt, family and
health care team members.
-Define Primary nursing - -1 primary RN assumes responsibility for a
caseload of patients, provides care for the same pts during their stay in
health care facility. RN assesses pt, develops plan of care and delivers
appropriate nursing intervention. Communication is lateral from nurse to
nurse and caregiver to caregiver.
-Define major surgery - -Involves extensive reconstruction or alteration in
body parts, poses great risks to well being.
-Describe a stage II pressure ulcer - -Partial thickness loss of dermis
presenting a shallow ulcer red- pink wound bed without slough. May present
an intact or open. ruptured serum filled blister. Shiny dry shallow ulcer
without slough or bruising.
-Define Presbyscusis - -Hearing loss associated with aging. Usually involves
both a loss of hearing sensitivity and a reduction in the clarity of speech.
-Define Ventilation - -movement of air in and out of the lungs. Afterload
ejection of blood from left ventricle
-define contact precaution - -Safeguards designed to reduce the risk of
transmission of epidemiologically important microorganisms by direct or
indirect contact.
-what sound do rhonchi make - -sonorous wheeze-coarse, low pitched: may
clear with cough.
-describe head lice - -attach their eggs to hair, eggs look like oval particles
of dandruff. Lice are difficult to see, observe for bites or pustule eruptions in
, the follicles and area where skin surfaces meet behind the ears in the ears
and in the groin.
-describe diffusion - -movement of gases between air spaces and blood
stream
-what is the final step in a complete assessment? - -documentation
-S/S of hypostatic pneumonia - -decreased lung expansion, generalized
respiratory muscle weakness and secretions occur without immobility.
(comes from inflammation of the lung from stasis or pooling of secretions. )
-s/s of respiratory acidosis - -increased PaCo2 and increased hydrogen ion
concentration below 7.35. This reflects the excess carbonic acid in the blood
(hypoventilation produces R. acidosis)
-what is the primary advantage of hydrogel dressing ? - -contains a high
percentage of water for wounds that require moisture. Maintaining a moist
wound environment needed for healing. Hydrogel facilitates debridement by
softening dead tissue.
-A pt complains of chills, dizziness and feeling hot during a blood
transfusion. What are the nurses most appropriate actions? - -Stop
transfusion immediately.
Remove blood component and tubing containing and tubing contacting blood
products
replace with new primed tubing with 0.9% sodium chloride
Maintain patent IV line with normal saline
Stay with patient observe signs and symptoms and monitor every 5 min.
Notify health care ream or response team
notify bank
prepare to do cpr and give emergency drugs
save blood container, tube, labels and transfusion record
get blood and 1st urine
document transfusion reaction, description, treatment and outcomes
-The nurse is providing preoperative teaching for a patient regarding pain
control after surgery. Which of the following statements is/are true regarding
the use of postoperative analgesia? - --inform nurse as soon as pain
becomes a persistent discomfort.
-takes time for a drug to act
-drugs rarely eliminates all discomfort.
-don't be fearful of dependency
- USE of PCA pump
1-6 FINAL EXAM
Define Sinus Tachycardia - -Regular Rhythm, rate 100-180 beats/min (higher
in infants)
-When is the best time of the month to perform a self-breast examination? -
-4th to 7th day during menstrual cycle or days after cycle has ended.
-Define total Patient Care - -Rn is responsible for all aspects of care for one
or more pts during a shift of care. Care is usually consistent, comprehensive,
and holistic, care can be delegated. RN works directly with pt, family and
health care team members.
-Define Primary nursing - -1 primary RN assumes responsibility for a
caseload of patients, provides care for the same pts during their stay in
health care facility. RN assesses pt, develops plan of care and delivers
appropriate nursing intervention. Communication is lateral from nurse to
nurse and caregiver to caregiver.
-Define major surgery - -Involves extensive reconstruction or alteration in
body parts, poses great risks to well being.
-Describe a stage II pressure ulcer - -Partial thickness loss of dermis
presenting a shallow ulcer red- pink wound bed without slough. May present
an intact or open. ruptured serum filled blister. Shiny dry shallow ulcer
without slough or bruising.
-Define Presbyscusis - -Hearing loss associated with aging. Usually involves
both a loss of hearing sensitivity and a reduction in the clarity of speech.
-Define Ventilation - -movement of air in and out of the lungs. Afterload
ejection of blood from left ventricle
-define contact precaution - -Safeguards designed to reduce the risk of
transmission of epidemiologically important microorganisms by direct or
indirect contact.
-what sound do rhonchi make - -sonorous wheeze-coarse, low pitched: may
clear with cough.
-describe head lice - -attach their eggs to hair, eggs look like oval particles
of dandruff. Lice are difficult to see, observe for bites or pustule eruptions in
, the follicles and area where skin surfaces meet behind the ears in the ears
and in the groin.
-describe diffusion - -movement of gases between air spaces and blood
stream
-what is the final step in a complete assessment? - -documentation
-S/S of hypostatic pneumonia - -decreased lung expansion, generalized
respiratory muscle weakness and secretions occur without immobility.
(comes from inflammation of the lung from stasis or pooling of secretions. )
-s/s of respiratory acidosis - -increased PaCo2 and increased hydrogen ion
concentration below 7.35. This reflects the excess carbonic acid in the blood
(hypoventilation produces R. acidosis)
-what is the primary advantage of hydrogel dressing ? - -contains a high
percentage of water for wounds that require moisture. Maintaining a moist
wound environment needed for healing. Hydrogel facilitates debridement by
softening dead tissue.
-A pt complains of chills, dizziness and feeling hot during a blood
transfusion. What are the nurses most appropriate actions? - -Stop
transfusion immediately.
Remove blood component and tubing containing and tubing contacting blood
products
replace with new primed tubing with 0.9% sodium chloride
Maintain patent IV line with normal saline
Stay with patient observe signs and symptoms and monitor every 5 min.
Notify health care ream or response team
notify bank
prepare to do cpr and give emergency drugs
save blood container, tube, labels and transfusion record
get blood and 1st urine
document transfusion reaction, description, treatment and outcomes
-The nurse is providing preoperative teaching for a patient regarding pain
control after surgery. Which of the following statements is/are true regarding
the use of postoperative analgesia? - --inform nurse as soon as pain
becomes a persistent discomfort.
-takes time for a drug to act
-drugs rarely eliminates all discomfort.
-don't be fearful of dependency
- USE of PCA pump
