NUR 160 HONDROS PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

NUR 160 HONDROS PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) Normal pH levels - ANSWER 7.35-7.45 2) Normal PaCO2 levels - ANSWER 35-45 3) Normal HCO3 levels - ANSWER 22-26 4) Normal Potassium levels - ANSWER 3.5-5.5 5) Normal Chloride levels - ANSWER 98-106 6) Normal Sodium levels - ANSWER 135-145 7) Normal Blood Glucose levels - ANSWER 70-110 8) Causes of Respiratory Alkalosis - ANSWER Hyperventilation ,hypermetabolic states, disorders of the CNS, drugs, asthma, pneumonia, inappropriate mechanical ventilator settings 9) Causes of Metabolic Acidosis - ANSWER Starvation, dehydration, diabetic ketoacidosis, lactic acidosis, renal failure, shock, severe diarrhea, drugs, renal tubular acidosis 10) just culture - ANSWER workers are protected from disciplinary action when they report injuries, errors, or near misses 11) close-ended question - ANSWER What is your name? 12) false reassurance - ANSWER Everything will be fine 13) Why Assess? - ANSWER To identify changes in pt condition, to help foresee areas of concern 14) RN - ANSWER who does the initial assessment? 15) Within 24 hours - ANSWER When should an initial assessment be done? 16) discharge planning - ANSWER What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor 17) Steps of an assessment - ANSWER 1. Introduce self 2. Explain procedure 3. wash hands 4. Identify pt 5. Provide privacy 6. Inspect, auscultate, palpate 18) Correct, then continue - ANSWER If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale through nose, exhale through mouth) 19) Order of assessment - ANSWER Subjective then Objective (helps to identify area of focus) 20) Inspect airway, auscultate lungs - ANSWER If pt c/o sore throat or recent cold 21) Serous Drainage - ANSWER Clear(Good or indifferent) 22) Purulent Drainage - ANSWER Puss (assess for infection and notify MD) 23) Absent Bowel Sounds - ANSWER Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total) assess for an obstruction and notify MD 24) Normal IM injection reaction - ANSWER Burning at site, itching at site, bruising 25) Abnormal IM injection Reaction - ANSWER vomiting, constipation, dry mouth, rash (systemic) 26) TB testing - ANSWER 1. Must be read 48-72 hrs (assessed) 2. Document date, time of injection and reading, as well as result 3. Mild swelling is normal 27) TB result-negative - ANSWER 10mm- healthcare workers are a strict 10 28) TB result-positive - ANSWER red, raised (induration) 29) Positive TB result - ANSWER This means that the person has been exposed to TB 30) At risk for TB - ANSWER nursing homes, jails, homeless, certain meds, some other countries, healthcare workers 31) insulin - ANSWER NPH-longer lasting (cloudy) Regular- faster acting (clear) 32) Order of Insulin Draw - ANSWER cloudy(air), clear(air),clear(insulin), cloudy(insulin) 33) 70-110 - ANSWER Normal BS 34) Vision Intervention - ANSWER Annual Eye Exam 35) Vision pt education - ANSWER Certain drops can burn eyes, burning is better than being blind (miotics) 36) Hearing interventions - ANSWER 1. Face to face 2. Speak clearly, slowly and directly 3. Eliminate background noise 37) Hearing Treatment - ANSWER audiology 38) What is PTT used for? - ANSWER Heparin 39) What is PT/INR used for? - ANSWER Coumadin 40) serous drainage - ANSWER clear, watery, thin fluid 41) Serosanguineous - ANSWER Pink drainage 42) Sanguineous - ANSWER red drainage 43) purulent drainage - ANSWER Infection, brown drainage 44) Evisceration - ANSWER Post op with abdominal incision. After coughing, the wound is open and organs visible 45) Dehiscence - ANSWER Post op, suture/staples come apart and wound is slightly open. 46) What is the TX for dehiscence and evisceration? - ANSWER Sterile soaked gauze, call surgeon 47) What does an IS do? - ANSWER Encourages and assists pt to deep breathe, 8-10 breaths per hr 48) Assertive Communication - ANSWER Expressing thoughts, feelings, and opinions in a clear way w/o putting others down 49) Therapeutic Communication - ANSWER Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship. Advance well being. 50) How is insulin given? - ANSWER subcutaneously 51) What does transparency in healthcare lead to? - ANSWER Improved pt outcomes and lower costs 52) What is a normal IOP(Intraocular pressure)? - ANSWER 10-22mm/hg 53) What questions should you use when assessing how much insulin a pt has had? - ANSWER Close ended 54) Malignant Tumor - ANSWER Poorly differentiated, longer than normal cell life 55) Antidote for Coumadin - ANSWER Vit k 56) Crackles - ANSWER Fluid in alveoli 57) Wheezing - ANSWER Constriction of airway 58) Neutropenic Precautions - ANSWER Risk for infection w/ compromised immune system. Use good hygiene and avoid invasive procedures 59) 7 Signs of Cancer - ANSWER CAUTION 1.Change in bowel or bladder 2.A sore that doesn't heal 3. Unusual bleeding/discharge 4.Thickening lump 5. Indigestion/difficulty swallowing 6. Obvious change in wart/mole 7. Nagging cough/hoarseness 60) What are schedule 1 drugs? - ANSWER Street drugs