2520 Exam 1 Questions with 100% Correct
Answers
[Interventions to reduce ulcers]
The rn knows that limitting time spent in the fowlers position includes the positioning of
the with hob raised at what specific degree correct answer 30 degrees
What 4 physiologic changes in terms of loc changes can
Increase your risk of aspiration correct answer fatigue
Head injury
Seizure
Coma
What 4 physiological
Obstructions can
Contribute to risk of
Aspiration: correct answer gi or esophageal constriction
Head/neck cancer
Post radiation therapy
Changes to neck vertebrae
What physiologic changes in terms of muscle weakness can occur which contribute to
risk of aspiration correct answer aging
& 4 degenerative conditions
(myasthenia gravis, muscular
Dystrophy, poly-myositis,
Cerebral palsy)
What 4 physiologic changes in terms of neurological changes can occur which
contribute to risk of aspiration correct answer stroke
Parkinson's disease
Multiple sclerosis
Guillian barre
[age groups & aspiration risk]
Premature infants are at greater risk bc of their decreased abilities in terms of which 3
things correct answer swallow reflex
Sucking coordination
Shallow breathing
(decreased lung capacity)
Aspiration is
Less common in babies who get their nutrients via which option correct answer breast
feeding
,[age groups & aspiration risk]
Neonates are at greater risk bc of their decreased abilities in terms of which specific
muscular deficiency correct answer gi sphincter muscle
[age groups & aspiration risk]
Neonates have decreased gi sphincter muscle capabilities which can lead to... Correct
answer (intestinal) reflux
[age groups & aspiration risk]
Infants are at greater risk bc of their decreased abilities in terms of which 2 congenital
defects: correct answer gi reflux
Cleft palate (can't create seal while sucking)
[age groups & aspiration risk]
Toddlers are at greater risk bc of their choices to explore the world with their
mouths...this means they often times will do which specific thing correct answer put
things in their mouth (candy, toys, nuts, grapes, hot dog) - have large airway opening
[age groups & aspiration risk]
Older adults are at greater risk bc of their decreased correct answer cough reflex, dental
strength
Identify the 5 steps of the rn process correct answer assessment
Analysis
Planning
Implementation
Evaluation
Gathering data is which part correct answer assessment
[rn process]
Identifying the problem & developing the rn diagnosis identifies which portion of the rn
process correct answer analysis / diagnosis
[rn process]
This portion of the rn process consists of 3 parts correct answer analysis / diagnosis
[rn process: analysis/ diagnosis]
The client's response to a problem identifies the 1rst part of the diagnosing portion of rn
process correct answer problem statement
[rn process: diagnosis/analysis]
What is contributing to / causing the problem identifies the 2nd part of the diagnosing
portion of rn process correct answer etiology
, [rn process: diagnosis/analysis]
What evidence of the problem is available identifies the 3rd part of the diagnosing
portion of rn process correct answer defining characteristics
[rn process: diagnosis/analysis]
How many different categories of diagnoses are there in the rn process correct answer
3
[rn process: differential
Diagnoses]
Name the 3 diagnoses
Involved correct answer actual
Risk
Health promotion
[rn process: differential diagnoses]
The problem that currently exists as identified via nanda guidelines correct answer
actual (diagnosis)
[rn process: differential diagnoses]
This type of diagnosis identifies a problem that can develop; while explaining why the
problem is happening which is identified via assessment correct answer risk (diagnosis)
[rn process: differential diagnoses]
This type of diagnosis that contributes to promotion of wellness & includes the aeb
portion which is always related back to the client being diagnosed correct answer health
promotion (diagnosis)
Collecting the information (data)
Interpreting the information comparing it to norms
Using knowledge base & prior experience to guide further assessment
More questions, more physical assessment, more record review.
Differentiating btwn the most important data, from "nice to know" and "need to know"
...this describes the relationship between which 2 things... Correct answer [relationship
btwn] critical thinking & the rn diagnostic process
[explaining relationship btwn critical thinking & rn diagnoses]
Name the 3 portions that these two concepts share correct answer - interpret & analyze
clustered data
- id client's weakness' & strengths
- formulate rn diagnosis
The rn diagnostic process provides the basis for ________ of interventions to
_________ outcomes correct answer [selection] of rn interventions to [achieve]
outcomes for which the rn is accountable
Answers
[Interventions to reduce ulcers]
The rn knows that limitting time spent in the fowlers position includes the positioning of
the with hob raised at what specific degree correct answer 30 degrees
What 4 physiologic changes in terms of loc changes can
Increase your risk of aspiration correct answer fatigue
Head injury
Seizure
Coma
What 4 physiological
Obstructions can
Contribute to risk of
Aspiration: correct answer gi or esophageal constriction
Head/neck cancer
Post radiation therapy
Changes to neck vertebrae
What physiologic changes in terms of muscle weakness can occur which contribute to
risk of aspiration correct answer aging
& 4 degenerative conditions
(myasthenia gravis, muscular
Dystrophy, poly-myositis,
Cerebral palsy)
What 4 physiologic changes in terms of neurological changes can occur which
contribute to risk of aspiration correct answer stroke
Parkinson's disease
Multiple sclerosis
Guillian barre
[age groups & aspiration risk]
Premature infants are at greater risk bc of their decreased abilities in terms of which 3
things correct answer swallow reflex
Sucking coordination
Shallow breathing
(decreased lung capacity)
Aspiration is
Less common in babies who get their nutrients via which option correct answer breast
feeding
,[age groups & aspiration risk]
Neonates are at greater risk bc of their decreased abilities in terms of which specific
muscular deficiency correct answer gi sphincter muscle
[age groups & aspiration risk]
Neonates have decreased gi sphincter muscle capabilities which can lead to... Correct
answer (intestinal) reflux
[age groups & aspiration risk]
Infants are at greater risk bc of their decreased abilities in terms of which 2 congenital
defects: correct answer gi reflux
Cleft palate (can't create seal while sucking)
[age groups & aspiration risk]
Toddlers are at greater risk bc of their choices to explore the world with their
mouths...this means they often times will do which specific thing correct answer put
things in their mouth (candy, toys, nuts, grapes, hot dog) - have large airway opening
[age groups & aspiration risk]
Older adults are at greater risk bc of their decreased correct answer cough reflex, dental
strength
Identify the 5 steps of the rn process correct answer assessment
Analysis
Planning
Implementation
Evaluation
Gathering data is which part correct answer assessment
[rn process]
Identifying the problem & developing the rn diagnosis identifies which portion of the rn
process correct answer analysis / diagnosis
[rn process]
This portion of the rn process consists of 3 parts correct answer analysis / diagnosis
[rn process: analysis/ diagnosis]
The client's response to a problem identifies the 1rst part of the diagnosing portion of rn
process correct answer problem statement
[rn process: diagnosis/analysis]
What is contributing to / causing the problem identifies the 2nd part of the diagnosing
portion of rn process correct answer etiology
, [rn process: diagnosis/analysis]
What evidence of the problem is available identifies the 3rd part of the diagnosing
portion of rn process correct answer defining characteristics
[rn process: diagnosis/analysis]
How many different categories of diagnoses are there in the rn process correct answer
3
[rn process: differential
Diagnoses]
Name the 3 diagnoses
Involved correct answer actual
Risk
Health promotion
[rn process: differential diagnoses]
The problem that currently exists as identified via nanda guidelines correct answer
actual (diagnosis)
[rn process: differential diagnoses]
This type of diagnosis identifies a problem that can develop; while explaining why the
problem is happening which is identified via assessment correct answer risk (diagnosis)
[rn process: differential diagnoses]
This type of diagnosis that contributes to promotion of wellness & includes the aeb
portion which is always related back to the client being diagnosed correct answer health
promotion (diagnosis)
Collecting the information (data)
Interpreting the information comparing it to norms
Using knowledge base & prior experience to guide further assessment
More questions, more physical assessment, more record review.
Differentiating btwn the most important data, from "nice to know" and "need to know"
...this describes the relationship between which 2 things... Correct answer [relationship
btwn] critical thinking & the rn diagnostic process
[explaining relationship btwn critical thinking & rn diagnoses]
Name the 3 portions that these two concepts share correct answer - interpret & analyze
clustered data
- id client's weakness' & strengths
- formulate rn diagnosis
The rn diagnostic process provides the basis for ________ of interventions to
_________ outcomes correct answer [selection] of rn interventions to [achieve]
outcomes for which the rn is accountable
