Final Exam Review

Question 1

Which burn depth has the following clinical manifestations: blister, decreased cap refill, less pain, some loss of sensation?

Answer 1

Deep partial-thickness

Question 2

If a patient had burns on both anterior and posterior legs, what would be the total body surface area of the burn?

Answer 2

36%

Question 3

Individuals at greater risk for burns include?

Answer 3

4 & younger, patients that smoke, 65 & older

Question 4

What type of burn has an entry and exit point?

Answer 4

electrical

Question 5

Which burn depth would you not see pain as a clinical manifestation?

Answer 5

Full-thickness

Question 6

Which patient should the nurse see FIRST when coming on shift?

Answer 6

A 72 y/o female with CAD and states her toes are tingling

Question 7

Which patient should the RN delegate to an LPN?

Answer 7

A patient who is 24 hours pre-op for a mastectomy

Question 8

A nurse has 4 patients, which one of these patients would the nurse be the MOST worried about problems with bowel elimination?

Answer 8

A 65 y/o who is 1 hour post-op for an appendectomy

Question 9

A nurse is teaching their patient on preventing bowel elimination problems. Which statement made by the patient shows they have a GOOD understanding of the teaching?

Answer 9

“I will make sure to get an adequate amount of dietary fiber in every day”

Question 10

What role is defined as a multidimensional concept that encompasses the action or process of helping those who are suffering?

Answer 10

Care giving

Question 11

What person qualifies as a caregiver?

Answer 11

Spouse & parent

Question 12

Which of the following are signs of caregiver stress?

Answer 12

Withdrawal, anxiety, poor concentration, irritability

Question 13

Which of the following are appropriate ways to address caregivers?

Answer 13

Listen to their story, offer resources for supplemental care, encourage self-care

Question 14

What patient-centered approach to healthcare has the goal of healing the whole person rather than focusing on traditional disease management?

Answer 14

Holistic nursing

Question 15

What comment from the patient shows that they are ready to learn?

Answer 15

“I just had breakfast and now feel full”

Question 16

Which of the following is a good resource to use while teaching?

Answer 16

A pamphlet at the fifth grade level

Question 17

A patient complains of urinary incontinence. She has a hard time getting to the bathroom in time. Following the assessment, which of the following actions should you do?

Answer 17

Promote kegel exercises & create a plan for scheduled toileting

Question 18

Your patient has an indwelling urinary catheter. Which of the following should be assessed for every day concerning the catheter?

Answer 18

Redness around insertion area, output of urine, & need for catheter

Question 19

What does the activation of the SNS release?

Answer 19

Epinephrine

Question 20

The nurse on the night shift had three energy drinks to keep herself awake. What type of stressor is this?

Answer 20

Biogenic

Question 21

A caregiver is diagnosed with HTN, depression, chronic fatigue syndrome, and sleep deprivation. What stage of the stress adaption model are they in?

Answer 21

Exhaustion

Question 22

What are the essential components to effective coping?

Answer 22

Spiritual, emotional, cognitive, behavioral

Question 23

What are some side effects of ineffective coping?

Answer 23

OCD, drug abuse, eating disorder, anxiety

Question 24

A nurse is caring for a patient who just died. What is the most therapeutic response by the nurse.

Answer 24

“What is your favorite memory of your dad?”

Question 25

Which of the following is an example of intrapersonal communication?

Answer 25

Telling yourself during rush hour that you can get through the rest of the day.

Question 26

What are some examples of systemic effects of impaired mobility?

Answer 26

loss of muscle mass, joint abnormalities, pressure ulcers, orthostatic hypotension, decreased GI function, urinary stasis

Question 27

What type of hip fracture is most dangerous and why?

Answer 27

Intracapsular; because avascular necrosis

Question 28

Which type of prevention includes diagnosis and screening of disease?

Answer 28

Secondary

Question 29

Which of the following are examples of nonmodifiable internal variables?

Answer 29

genetic factors & cognition disorders

Question 30

A patient demonstrates feeling self-assured, aware of her own personal needs and beliefs, and confident in the knowledge of her roles and abilities. What concept is the patient demonstrating?

Answer 30

Self-concept

Question 31

During a well-visit, a patient refuses the annual flu vaccine and states, “I don’t believe in any vaccination; the government is implanting microchips in my arm to track me”. This statement is an example of the patients…?

Answer 31

Health beliefs

Question 32

A 37 year old man presents to the clinic with chemical burns on his left pinky toe. He reports working as a bath and bodyworks employee and having exposure to workplace toxins. Which of the following are environmental control programs the store can implement to prevent this?

Answer 32

Proper handling of toxic and nuclear wastes & correct disposal of cleaning chemicals and supplies

Question 33

A patient presents to the clinic with a history of poor nutrition habits and lifestyle. He recently suffered a MI and wants to change these habits to prevent any further complications. He asks “It might not happen again if I start living differently.” What stage of change is he experiencing?

Answer 33

Contemplation

Question 34

Your patient states she does not want to make any lifestyle change and would rather sit and watch Tik Tok all day. What concept is she demonstrating?

Answer 34

Amotivation

Question 35

You notice one of the other nurses on shift giving unreasonable commands to CNAs and support staff. She tells them if they do not continue to do as she asks, she will make sure this is their “final shift.” This is an example of…?

Answer 35

Improper use of authority