Nursing 101 Final Exam Q&A Study
guide
60-100 - AnswerNormal HR per minute.
96.8-99.5 - AnswerNormal temperature in Fahrenheit.
12-20 - AnswerNormal respirations per minute.
120/80 - AnswerNormal BP.
Pain - Answer5th vital sign.
Apical pulse - AnswerVital signs that should be checked prior to giving digoxin.
Sacrament of the Sick - AnswerFor Roman Catholic's, what is important during severe
illness or possible pending death?
NREM - AnswerType of sleep accounting for 75-80% of sleep during the night.
Grieving - AnswerNormal emotional reaction to a loss.
Same as RN - AnswerStandard of care a nursing student is held to.
Baptism - AnswerCatholic's take part in this, and an infant born with a life threatening
condition gets this as soon as possible.
Vesicular - AnswerType of breath sounds heard in the periphery of the lungs.
Clubbing of nails, barrel chest - AnswerTwo long term oxygenation issues that can be
observed on inspection of the client.
Orthopneic - AnswerPosition in which a client experiencing respiratory distress should
be placed.
Handwashing - AnswerMost important infection control measure.
Ineffective Breathing Pattern - AnswerNANDA diagnosis in which inspiration and/or
expiration does not provide adequate ventilation.
, Ineffective Airway Clearance - AnswerNANDA diagnosis with the inability to clear
secretions or obstructions from the respiratory tract to maintain a clear airway.
Ineffective Gas Exchange - AnswerNANDA diagnosis with an excess or deficit in
oxygenation and/or CO2 elimination at the alveolar-capillary membrane.
FVD - AnswerDecreased intravascular, interstitial, and/or intracellular fluid. This refers
to dehydration, water loss alone w/o change in Na level.
FVE - Answerincreased isotonic fluid retention.
Physiological, Safety/Security, Love/Belonging, Self-esteem needs, Self actualization -
AnswerMaslow's Hierarchy of Needs.
Stage 1 - AnswerWhich stage of pressure ulcer has non-blanchable redness?
Stage 2 - AnswerWhich stage of pressure ulcer is a broken blister?
Stage 3 - AnswerWhich stage of pressure ulcer is a small crater and has no
tunneling? Down to subQ fat.
Stage 4 - AnswerWhich stage of pressure ulcer is a crater deep to muscle and bone?
3 and 4 - AnswerWhich stages of pressure ulcer require debridement?
increase, increase, increase - AnswerInfection causes HR to do what, Temp to do
what, and WBC to do what? (increase/decrease)
Anger, depression, denial, bargaining, acceptance - AnswerKubler-Ross's stages of
death and dying.
Redness, Edema, Ecchymosis, Discharge, Approximation - AnswerREEDA
Sanguinous - AnswerType of discharge from a wound that consists of blood.
Serosanguinous - AnswerType of discharge from a wound that consists of clear and
blood.
Purosanguinous - AnswerType of discharge from a wound that consists of pus and
blood.
Serous - AnswerType of discharge from a wound that consists of watery, clear portion
of blood.
guide
60-100 - AnswerNormal HR per minute.
96.8-99.5 - AnswerNormal temperature in Fahrenheit.
12-20 - AnswerNormal respirations per minute.
120/80 - AnswerNormal BP.
Pain - Answer5th vital sign.
Apical pulse - AnswerVital signs that should be checked prior to giving digoxin.
Sacrament of the Sick - AnswerFor Roman Catholic's, what is important during severe
illness or possible pending death?
NREM - AnswerType of sleep accounting for 75-80% of sleep during the night.
Grieving - AnswerNormal emotional reaction to a loss.
Same as RN - AnswerStandard of care a nursing student is held to.
Baptism - AnswerCatholic's take part in this, and an infant born with a life threatening
condition gets this as soon as possible.
Vesicular - AnswerType of breath sounds heard in the periphery of the lungs.
Clubbing of nails, barrel chest - AnswerTwo long term oxygenation issues that can be
observed on inspection of the client.
Orthopneic - AnswerPosition in which a client experiencing respiratory distress should
be placed.
Handwashing - AnswerMost important infection control measure.
Ineffective Breathing Pattern - AnswerNANDA diagnosis in which inspiration and/or
expiration does not provide adequate ventilation.
, Ineffective Airway Clearance - AnswerNANDA diagnosis with the inability to clear
secretions or obstructions from the respiratory tract to maintain a clear airway.
Ineffective Gas Exchange - AnswerNANDA diagnosis with an excess or deficit in
oxygenation and/or CO2 elimination at the alveolar-capillary membrane.
FVD - AnswerDecreased intravascular, interstitial, and/or intracellular fluid. This refers
to dehydration, water loss alone w/o change in Na level.
FVE - Answerincreased isotonic fluid retention.
Physiological, Safety/Security, Love/Belonging, Self-esteem needs, Self actualization -
AnswerMaslow's Hierarchy of Needs.
Stage 1 - AnswerWhich stage of pressure ulcer has non-blanchable redness?
Stage 2 - AnswerWhich stage of pressure ulcer is a broken blister?
Stage 3 - AnswerWhich stage of pressure ulcer is a small crater and has no
tunneling? Down to subQ fat.
Stage 4 - AnswerWhich stage of pressure ulcer is a crater deep to muscle and bone?
3 and 4 - AnswerWhich stages of pressure ulcer require debridement?
increase, increase, increase - AnswerInfection causes HR to do what, Temp to do
what, and WBC to do what? (increase/decrease)
Anger, depression, denial, bargaining, acceptance - AnswerKubler-Ross's stages of
death and dying.
Redness, Edema, Ecchymosis, Discharge, Approximation - AnswerREEDA
Sanguinous - AnswerType of discharge from a wound that consists of blood.
Serosanguinous - AnswerType of discharge from a wound that consists of clear and
blood.
Purosanguinous - AnswerType of discharge from a wound that consists of pus and
blood.
Serous - AnswerType of discharge from a wound that consists of watery, clear portion
of blood.
