Capitals of Asia

Question 1

most gerontologist no longer give precedence to the concept of

Answer 1

disengagement theory

Question 2

a patient is admitted with urinary retention there is a order to insert an indwelling catheter but when you go in he voids 100cc’s prior. What would you do?

Answer 2

perform a bladder scan to determine the amount of urine retained

Question 3

after you administer a medication for diarrhea. What is the most important thing for a nurse to do?

Answer 3

assess the patient for abdominal distension

Question 4

the nurse has a patient who is in the hospital who is developing some respiratory complications and he is on bedrest. What should you ensure?

Answer 4

that he doesn’t get hypostatic pneumonia

Question 5

how many tablespoons are in 1 fluid ounce

Answer 5

2

Question 6

you have a patient who has a resection of the prostate gland and he has a three way catheter for continuous irrigation if there is blood

Answer 6

notify the physician immediately

Question 7

when the patient needs to do a Kegel exercise may greatly reduce or stop

Answer 7

incontinence

Question 8

kg to pounds

Answer 8

multiply by 2.2

Question 9

patient has a pooling of blood under the skin after a fall. The nurse will need to document

Answer 9

this is a hematoma

Question 10

a patient has skeletal traction and she is concerned about clear fluid oozing. Inform her that

Answer 10

this is normal

Question 11

the nurse has a group of patients and out of the group that needs to be a priority is the

Answer 11

patient that has a tracheostomy and pneumonia

Question 12

the nurse is doing a neurovascular assessment on a patient with a long leg cast. The nurse knows this is a indication of altered perfusion because the patient has

Answer 12

numbness in the distal limb

Question 13

a patient has collapsed and cannot be aroused and you say are you okay? The next step would be

Answer 13

call for help (if you have assistance have them get help)

Question 14

a patient is using a trapeze

Answer 14

left heel

Question 15

the parameters for nasopharyngeal suctioning

Answer 15

80 to 120

Question 16

the nurse is auscultating lung sounds and she hears a high pitch. They are harsh musical sounds

Answer 16

this is stridor

Question 17

you have a 10 month old baby who has watery green stools for two days now and refusing the bottle. The primary concern is?

Answer 17

metabolic acidosis

Question 18

a nurse provides care for a client who has a ng tube to intermittent suction. One of the action s the nurse will do is check for?

Answer 18

abdominal distension

Question 19

a nurse is providing care for a group of patients. OUT of these patient which of these patients should be reassigned to a RN

Answer 19

the patient that has asthma and on oxygen via a non breather

Question 20

a new nurse is doing an indwelling urinary catheter. Tell the new nurse is to

Answer 20

review the agency’s policy and procedure manual

Question 21

you have a patient with c- diff. what type of hand hygiene do you use?

Answer 21

antibacterial soap

Question 22

the nurse ha s a 92 year old patient. She is writing the care plan up a good nursing diagnosis would be?

Answer 22

potential for fall related to confusion

Question 23

a patient is on a vegan diet. Which foods would raise their irons

Answer 23

mustard greens

Question 24

several hormones affect urine output and fluid balance. When then blood becomes concentrated decreased circuitry blood volume

Answer 24

released in adh

Question 25

patient on iv therapy. a sign that they are receiving too much iv fluids would be

Answer 25

full bounding pulse

Question 26

24 urine specimens the nurse accidently discards some of the urine. What do you do?

Answer 26

notify the charge nurse and restart the whole test

Question 27

to help parents to plan for any possible changes in their life the adult children should keep communication lines open

Answer 27

within the family

Question 28

one affect of immobility on the brain is a decrease in

Answer 28

sensory input

Question 29

passive range of motion exercises are usually to prevent...

Answer 29

decreased joint mobility

Question 30

an older adult will frequently develop clouding of the lens of the eye. This is called?

Answer 30

cataracts

Question 31

when you have a older adult confusion can be reversible in patients who are ?

Answer 31

delirious

Question 32

if a nurse assumes every patient has a transmittable disease in a health care setting is called?

Answer 32

standard precautions

Question 33

sertraline, propylene, and fluoroxytine are all examples of?

Answer 33

SSRI's

Question 34

30 cc's is in a

Answer 34

fluid ounce

Question 35

the device that a nurse would use for total parenteral is administered through a?

Answer 35

central venous access

Question 36

an isotonic state exists within a patients body fluids when the solute concentration of

Answer 36

intracellular and extracellular are equal

Question 37

the nurse points out that a non electrolyte product of metabolism are as important to health as electrolytes are. Name one non electrolyte

Answer 37

an amino acid

Question 38

a patient has a vitamin deficiency. The nurse understands they would have a deficiency of ?

Answer 38

calcium

Question 39

you have some small ions such as glucose, oxygen, carbon dioxide, and the three redistribute themselves through a semi permeable membrane by a process called?

Answer 39

diffusion

Question 40

neuromuscular irritability is assessed when there is imbalances in which electrolytes?

Answer 40

calcium and magnesium

Question 41

a patient with COPD will be in?

Answer 41

respiratory acidosis

Question 42

you have a anxious patient and there respiratory rate is 40 have them breathe through a

Answer 42

rebreather mask

Question 43

the nurse is aware that a more dynamic process that moves the molecules into the cells regardless of their electrical charge there concentration in the cell and requires cellular energy

Answer 43

active transport

Question 44

when you have a fluid volume deficit there is decrease fluid going to the brain this could decrease mental status. what electrolyte balance will this affect

Answer 44

sodium

Question 45

pounds to kilograms

Answer 45

divide by 2.2

Question 46

the nurse has 46 year old and he is admitted with decreased level of consciousness and he has symptoms of influenza and he is a diabetic. His blood gasses are ph 7.32 CO2 of 36 and a HCO3 of 20. The nurse would assess

Answer 46

metabolic acidosis

Question 47

one way of tracking a patient with CHF their fluid status by their

Answer 47

daily weights

Question 48

a male patient is admitted with elevated blood pressure, elevated edema, and rapid weight gain and might have CHF. They have

Answer 48

fluid excess

Question 49

a patient has been advised to increase their calcium intake. What food can they eat?

Answer 49

canned salmon with bones

Question 50

a 90 year old with vomiting and diarrhea. His skin is cool dry and pale. his pulse is up and bp is down. This indicates...

Answer 50

he is dehydrated

Question 51

you have a patient on Lasix and the lab indicates the potassium is 3.3

Answer 51

the patient has hypokalemia

Question 52

the patient complains of headache, confusion, muscle cramps, and anorexia

Answer 52

the patient is in hyponatremia

Question 53

the patient is having difficulty breathing its important to reduce her anxiety. anxiety tenses the muscles which

Answer 53

uses up oxygen

Question 54

you have a patient who needs suctioning through a nasal tracheal route hold the catheter with your dominate hand after you place

Answer 54

sterile gloves on

Question 55

your patient is post op who can breathe okay, but he is having trouble maintain his airway because of his tongue falling back in his throat place a

Answer 55

pharyngeal airway

Question 56

the nurse see's when there is a decrease amount of oxygen in the blood it is called?

Answer 56

hypoxemia

Question 57

your applying a bandage to the leg of a patient. To perform overlap turns of the bandage

Answer 57

equally

Question 58

the patient is on iron supplement they complain they have dark almost black stools

Answer 58

tell the patient this is expected and not harmful

Question 59

the nurse is examining the results for a urinalysis test. What distinguishes dehydration?

Answer 59

the specific gravity

Question 60

you have a patient who breaks his hip and is on bedrest. the patient appears bored. Encourage

Answer 60

the family to visit different times throughout the day

Question 61

the nurse is looking for a patient that would be at risk for insensible fluid loss of 800 mL per day. A patient with a fast...

Answer 61

respiratory rate

Question 62

the patient that would be at risk for developing third spacing would be the patient with

Answer 62

diabetes mellitus

Question 63

the nurse understands that a potassium value of 5.5 would be noted in a?

Answer 63

traumatic burn patient

Question 64

the nurse notes echomotic areas on the arms and buttocks is brought into the ER. The client tells the nurse in confidence that her daughter hits her when she gets in her way. Tell her you have a legal obligation to?

Answer 64

report this type of abuse

Question 65

You have a client who has a hemoglobin of 10.8 the client can have

Answer 65

iron deficiency anemia

Question 66

the nurse has a lab result that needs to be called into the doctor.

Answer 66

a sodium of 148

Question 67

the nurse has a potassium level that she is concerned about

Answer 67

potassium level of 3.2

Question 68

a blood glucose level that is concerning is

Answer 68

240

Question 69

a patient is having trouble with blood clotting encourage the client to eat

Answer 69

green leafy vegetables

Question 70

which food would be apart of the low sodium diet

Answer 70

baked turkey

Question 71

a patient is on the clear liquid diet. You can offer them fat free?

Answer 71

beef broth

Question 72

the nurse has a patient with post op complications. Which post op complication would require further observation

Answer 72

urinary out of 20 mL an hour

Question 73

the nurse has a pt that is post op. the bp is 100/60 resp. 20 . Is this concerning?

Answer 73

no

Question 74

the patient is coming back post op. Check the patency of the?

Answer 74

airway

Question 75

the nurse monitors the post op. knowing that respiratory secretions can lead to further medical complications such as?

Answer 75

pneumonia

Question 76

the nurse is caring for a patient who has a drainage. WHAT intervention SHOULD THE NURSE not AVOID?

Answer 76

securing the drain by curling, folding, and taping it to the body

Question 77

which would indicate potential infection when looking at a wound or surgical incision

Answer 77

purulent drainage

Question 78

when administering cleansing enema to a client with a fecal impaction. Which position would you place the pt

Answer 78

left sims position with the HOB flat

Question 79

the nurse is inserting a nasogastric tube

Answer 79

the pt needs to be sitting up

Question 80

your turning a post op pt who had extensive spinal surgery and you want to turn him by

Answer 80

logrolling

Question 81

the nurse is preparing to feed a pt who has intermittent tube feeding and pulls out 50 cc's of residual.

Answer 81

reinstill the residual and administer the feeding

Question 82

your placing a nasogastric tube and you aspirate the clients stomach contents and check the ph

Answer 82

a normal ph would be 3.5

Question 83

your inserting a indwelling catheter to a male patient the urine begins to the tubing. The nurse should take which step next

Answer 83

insert the catheter 2.5 to 5 cm and then inflate the balloon

Question 84

the patient ahs a chest tube for crepitus. The patient has subcutaneous emphysema. Which method should be used?

Answer 84

palpate for leakage of air into the subcutaneous tissue

Question 85

the nurse is assigned to assess for a chest tube and the nurse sees fluctuations in the water seal chamber based on this observation. Which action would be appropriate

Answer 85

document the findings

Question 86

the nurse is going to start a tube feeding in a nasogastric patient

Answer 86

the patient needs to be sitting up with the HOB at 45 degrees

Question 87

you have a client who is reminiscing about past life experiences . This indicates a normal psychosocial response

Answer 87

normal psychosocoal

Question 88

the pt is on dijoxin the nurse understands that which age related change would lead to toxicity

Answer 88

glomerular filtration rate and

Question 89

you have a client who is having trouble hearing. What do you do?

Answer 89

low pitched tones

Question 90

your preparing to communicate with a client who is hearing impaired. which implementation would you do first ?

Answer 90

stand in front of them

Question 91

which would include a client who is experiencing ineffective coping because of the loss of a spouse ?

Answer 91

constantly neglect personal grooming

Question 92

the nurse has a client who says they don't speak English. What is the best intervention?

Answer 92

uses hospital resources

Question 93

the patient that has a stage 2 pressure injury =. The nurse would expect to find

Answer 93

partial skin loss of the epidermis

Question 94

when you remove sutures you clip the suture above the knot

Answer 94

above the knot

Question 95

what reduces the functional hemoglobin which limits the oxygen carrying ability of the blood?

Answer 95

smoking

Question 96

loss of interference with circulation especially over a bony prominence can lead to pressure injurys

Answer 96

pressure injurys

Question 97

during what do you determine whether the expected outcomes set during the planning stages have been met?

Answer 97

evaluation