NUR 150 FINAL EXAM QUESTIONS WITH
COMPLETE ANSWERS
BMI (body mass index) - Answer-estimates body fat based on height and weight
< 19 UNDERWEIGHT
19-24.9 OPTIMAL BODY WEIGHT
25-29.9 OVERWEIGHT
30-34.9 CLASS 1 OBESITY
35-39.9 CLASS 2 OBESITY
> 40 EXTREME OBESITY
SPICES - Answer-Assessment that checks for sleep disorders;
Sleep disorder
Problems with eating or swallowing
Incontinence
Confusion
Evidence of falls
Skin breakdown
R.A.C.E - Answer-Rescue the patient
Activate the alarm
Contain the fire
Extinguish the fire
P.A.S.S - Answer-Pull the pin
Aim at the base of the fire
Squeeze the handle
Sweep back and forth at the bottom of the fire
TRAMP-DD - Answer-6 rights of medical administration
Time
Route (oral, IM, IV, SQ...)
Amount (Dose)
Medication
Patient
Document
chain of infection - Answer-infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, susceptible host
Aspiration precautions - Answer-HOB elevated above 30, frequent handwashing,
assess feeding tube, assess for residuals, swallow study, ETT cuff at appropriate levels
, Universal Precautions - Answer-steps taken to prevent the spread of disease through
blood and other body fluids when providing first aid or health care
PPE: gloves
Contact precautions - Answer-practices used to prevent spread of disease by direct or
indirect contact "enteric"
PPE : gown, gloves
Example: C-Diff, Mersa
Droplet precautions - Answer-Practices that prevent the spread of pathogens
transmitted by large particle droplets expelled during coughing, sneezing, talking, or
laughing.
PPE: gloves, gown, mask, goggles
Examples: influenza
Airborne precautions - Answer-used for patients known or suspected to be infected with
pathogens transmitted by airborne droplet nuclei
PPE: gloves, gown, respirator ( N-95), negative airflow room
Examples: COVID-19, TB
ABC's of nursing - Answer-airway, breathing, circulation.
*always check respirations first
12-20 - Answer-normal respiratory rate
60-100 bpm - Answer-normal heart rate
90-100 - Answer-normal O2
Tube feed sequence - Answer-Check placement
Check residual
Flush
Give feeding
Flush
signs and symptoms of infection - Answer-Purulent drainage, redness, swelling, fever,
foul order
Allergies - Answer-Ask patient about _________ before medication administration
OPQRSTUV - Answer-Onset: When did it begin?
COMPLETE ANSWERS
BMI (body mass index) - Answer-estimates body fat based on height and weight
< 19 UNDERWEIGHT
19-24.9 OPTIMAL BODY WEIGHT
25-29.9 OVERWEIGHT
30-34.9 CLASS 1 OBESITY
35-39.9 CLASS 2 OBESITY
> 40 EXTREME OBESITY
SPICES - Answer-Assessment that checks for sleep disorders;
Sleep disorder
Problems with eating or swallowing
Incontinence
Confusion
Evidence of falls
Skin breakdown
R.A.C.E - Answer-Rescue the patient
Activate the alarm
Contain the fire
Extinguish the fire
P.A.S.S - Answer-Pull the pin
Aim at the base of the fire
Squeeze the handle
Sweep back and forth at the bottom of the fire
TRAMP-DD - Answer-6 rights of medical administration
Time
Route (oral, IM, IV, SQ...)
Amount (Dose)
Medication
Patient
Document
chain of infection - Answer-infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, susceptible host
Aspiration precautions - Answer-HOB elevated above 30, frequent handwashing,
assess feeding tube, assess for residuals, swallow study, ETT cuff at appropriate levels
, Universal Precautions - Answer-steps taken to prevent the spread of disease through
blood and other body fluids when providing first aid or health care
PPE: gloves
Contact precautions - Answer-practices used to prevent spread of disease by direct or
indirect contact "enteric"
PPE : gown, gloves
Example: C-Diff, Mersa
Droplet precautions - Answer-Practices that prevent the spread of pathogens
transmitted by large particle droplets expelled during coughing, sneezing, talking, or
laughing.
PPE: gloves, gown, mask, goggles
Examples: influenza
Airborne precautions - Answer-used for patients known or suspected to be infected with
pathogens transmitted by airborne droplet nuclei
PPE: gloves, gown, respirator ( N-95), negative airflow room
Examples: COVID-19, TB
ABC's of nursing - Answer-airway, breathing, circulation.
*always check respirations first
12-20 - Answer-normal respiratory rate
60-100 bpm - Answer-normal heart rate
90-100 - Answer-normal O2
Tube feed sequence - Answer-Check placement
Check residual
Flush
Give feeding
Flush
signs and symptoms of infection - Answer-Purulent drainage, redness, swelling, fever,
foul order
Allergies - Answer-Ask patient about _________ before medication administration
OPQRSTUV - Answer-Onset: When did it begin?
