Fundamentals

Question 1

who needs to be monitored closely for fluid imbalances

Answer 1

infants and older adults

Question 2

normal osmolarity

Answer 2

275-295

Question 3

patient with diarrhea is at high risk for

Answer 3

fluid and electrolyte issues

Question 4

who are at high risk for fluid volume overload

Answer 4

AKI, CKD, HF

Question 5

where and why is the safest location of K replacement

Answer 5

central line due to infiltration

Question 6

hyponatremia can predicate what toxicity

Answer 6

lithium

Question 7

chovstek and troussea

Answer 7

hypocal

Question 8

what is anidont for mag overdose

Answer 8

cal gluconate

Question 9

S/S of acidosis

Answer 9

lethargy, confusion, coma, headache, decreased blood pressure, dysrhythmias, muscle weakness

Question 10

airway ob needs to be monitored for what acid base imbalance

Answer 10

resp acid

Question 11

S/S of alkalosis

Answer 11

Confusion, headache, low blood pressure, tachycardia, tetany, tingling of extremities, seizures

Question 12

severe diarrhea needs to be monitored for

Answer 12

met acidosis

Question 13

excessive vomiting needs to be monitored for

Answer 13

met alk

Question 14

covert F to C

Answer 14

degrees fahrenheit - 32 x 5/9 = degrees celsius

Question 15

no rectal temps in who

Answer 15

cardiac patients, rectal surgery, diarrhea, fecal impaction, or rectal bleeding or who is at risk for bleeding (thrombocytopenia)

Question 16

what meds do you count apical

Answer 16

dig
beta blocker

Question 17

elevated BP

Answer 17

120-129/less than 80

Question 18

stage 1 BP

Answer 18

130-139/80-89

Question 19

Stage 2

Answer 19

> 140/>90

Question 20

hypertensive crisis

Answer 20

> 180/>120

Question 21

small cuff

Answer 21

high

Question 22

large cuff

Answer 22

low

Question 23

major concern with Tylenol

Answer 23

hepatotoxicity

Question 24

fat sol vit

Answer 24

A D E K

Question 25

how to monitor hydration status

Answer 25

assessing intake and output, assessing weight, monitoring for edema, and monitoring for signs of dehydration. Each kilogram (2.2 lb) of weight gained or lost is equal to 1 liter of fluid retained or lost.

Question 26

who may get fluid restrictions

Answer 26

hyponatremia, severe extracellular volume excess, and renal disorders.

Question 27

CN I

Answer 27

Olfactory: smell

Question 28

CN II

Answer 28

Optic: vision

Question 29

CN III

Answer 29

Oculomotor: extraocular eye movement

Question 30

CN IV

Answer 30

Trochlear: extraocular eye movement

Question 31

CN V

Answer 31

Trigeminal: Chewing, sensation

Question 32

CN VI

Answer 32

Abducens: extraocular eye movement

Question 33

CN VII

Answer 33

Facial: face movement and taste sensation

Question 34

CN VIII

Answer 34

Acoustic: hearing

Question 35

CN IX

Answer 35

Glossopharyngeal: swallowing, salivation

Question 36

CN X

Answer 36

Vagus: Swallowing, phonation, abdominal viscera

Question 37

CN XI

Answer 37

Spinal: neck and shoulder strength

Question 38

CN XII

Answer 38

Hypoglossal: swallowing, and speech

Question 39

who is babinski abnormal in

Answer 39

anyone older than 2 - CNS disease

Question 40

RACE

Answer 40

rescue activate confine extinguish

Question 41

PASS

Answer 41

pull aim squeez sweep

Question 42

what is the priority for posion

Answer 42

call posion control

Question 43

airborne diseases

Answer 43

measles chicken pox disseminated varicella zoster tuberculosis COVID

Question 44

airborne precautions

Answer 44

negative pressure room N95/respirator

Question 45

if a patient has airborne precautions and they are leaving the room place what on them

Answer 45

surgical mask

Question 46

droplet precautions

Answer 46

surgical mask

Question 47

contact precuations

Answer 47

gloves and gown

Question 48

If the nurse has any questions about or sees inconsistencies in the written prescription, the nurse must contact

Answer 48

the person who wrote the prescription immediately and must verify the prescription.

Question 49

after gastric surgery do not do what

Answer 49

irrigate NG tube

Question 50

what to do about positioning for spinal anesthesia

Answer 50

do not elevate the legs any higher than placing them on the pillow; otherwise, the diaphragm muscles needed for effective breathing could be impaired.

Question 51

what may be s/s of paralytic ileus

Answer 51

Postoperative vomiting, abdominal distention, and absence of bowel sounds

Question 52

diabetic foot care

Answer 52

the feet would not be soaked and the nails would not be trimmed, and the primary health care provider or a podiatrist would be consulted for foot care if needed.

Question 53

what razor should we use for anticoagulant or antiplatlet

Answer 53

electric razor

Question 54

stage 1

Answer 54

Non blanchable redness, skin is intact

Question 55

stage 2

Answer 55

Particle thickness, exposed dermis

Question 56

stage 3

Answer 56

Full thickness, exposed subq tissue, may have eschar or slough present

Question 57

stage 4

Answer 57

Full thickness, exposed underlying structures such as bone, muscle, tendon, ligaments, may have eschar or slough present

Question 58

unstageable

Answer 58

Full thickness, extent cannot be confirmed because of eschar and slough, need to debride to stage

Question 59

ureteral or nephrostomy

Answer 59

monitor output closely; urine output of less than 30 mL/hr or lack of output for more than 15 minutes should be reported to the primary health care provider immediately.

Question 60

CVA tenderness firs priority

Answer 60

bladder distention

Question 61

Neprolithiasis

Answer 61

uric acid crystals

Question 62

nephrolithiasis decrease consumption of

Answer 62

purine red meat, alcohol